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Enuresis (urinary incontinence)

Urinary incontinence (enuresis) – It is found in almost every fifth inhabitant of the planet and it happens in people of different ages. Most suffer from enuresis kids. In middle age, the majority of patients are women, after forty the proportion of men increases dramatically.

Classification

Stress incontinence

A symptom of stressful incontinence is the passing of urine when coughing, lifting weights, or laughing. Urine can stand out quite a bit, a couple of drops, but this already speaks of trouble. If no action is taken, incontinence will progress.

Urge incontinence

Urgent is called this type of incontinence, when the patient at short intervals feels a strong desire to urinate and can not hold urine. This condition develops in cases where the bladder shrinks without control from the brain, as well as with bladder hyperactivity. Sometimes it is completely impossible to detect the cause of the disease. In such cases, the treatment has almost no effect.

  • Pregnancy and childbirth,
  • Inflammation of the bladder mucosa, other diseases of the bladder,
  • Age-related processes in the urinary organs,
  • Surgical interventions (for example, removal of the uterus),
  • Prostate diseases,
  • Neurological diseases
  • Reduction of the lumen of the urinary tract,
  • Infectious diseases of the urinary organs,
  • Constipation,
  • Use of certain drugs (antidepressants, muscle relaxants, diuretics),
  • Abuse of drinks that irritate the urinary organs (coffee, tea, soda),
  • Alcohol abuse.

At the age of forty, about 15% of the fair sex suffer from urinary incontinence, after forty their number increases to 40%.

Causes of enuresis in women:
one. Age changes during menopause. The tissues of the urinary organs become thinner, their functionality decreases,

2 Violation of the state of the pelvic organs. Observed after severe and multiple births, with increased body weight, frequent weight lifting, chronic inflammation,

3 Disruption of the peripheral or central nervous system (diabetes, back injury, impaired movement of blood in the spinal cord, spinal cord neoplasms).

For the purpose of treatment, it is necessary to identify the cause of the disease for which it is recommended to record the frequency of daily urination.
During menopause, hormone treatment is prescribed. In addition, physiotherapy methods and exercises to train the bladder are recommended.
In the most severe cases, surgery is prescribed.

In the United States of America only, incontinent men are more than 10 million.

The reasons:

  • Surgery on the prostate (removal of an organ or removal of a tumor),
  • Neurological disorders (Parkinson’s disease, multiple sclerosis),
  • Injuries to the skull or spinal cord,
  • Infectious diseases of the urinary organs,
  • Alcohol poisoning,
  • The use of large amounts of sedatives,
  • Mental overstrain or stress.

The method of treatment is selected depending on the causes of the disease. So, if the incontinence is caused by an operation on the prostate gland, modern medicine suggests the implantation of an artificial sphincter of the bladder or the implantation of a “male” loop.

Some degree of urinary incontinence at night is physiological if the child is not yet three years old. Already at the age of four, the child must completely control the urinary function.
Nevertheless, one can speak about nocturnal enuresis only if the child is already five years old and he continues to wet the bed.
Nocturnal enuresis in children is primary and recurrent.

Primary incontinence – This is a condition in which the child always urinated into bed.
Recurrent incontinence – This is a condition where for some period the child stopped urinating into bed, but then the incontinence resumed.

The reasons:

  • Birth injury,
  • Stressful condition of the child,
  • Hypothermia
  • Frequent illness
  • Genetic predisposition
  • Increased smooth muscle tone.

Consultation with a nephrologist or pediatrician is necessary; we should not expect that the child will recover on his own, because the cause of enuresis may be a disease of the kidneys or organs of the urinary system.

Temporary urinary incontinence in a baby may occur in the following stressful situations:

  • Relocation, kindergarten or school,
  • The appearance in the family of a new child,
  • The death of a family member or friend, a pet,
  • Scandals and quarrels in the family,
  • Divorce parents.

In this case, incontinence can pass on its own when the child’s psyche copes with the situation and the baby stops worrying. In such situations, parents should maximize soften the situation and help the baby. Sometimes the intervention of a child psychologist is necessary.

Bed-wetting

Among young boys, this phenomenon is observed one and a half times more often than among their peers. But not only small children, but also adult males suffer from bedwetting. In men, such enuresis is imperative. If the urge to urinate more than once per night is a sign of trouble.
Urging interferes with normal sleep and lead to depletion of the nervous system.
To effectively eliminate the problem, you need to consult a doctor. Modern medicine has the potential to help every patient, even a very old age. Therefore, you should not become self-contained or walk on sorcerers.

Older people

Urinary incontinence is one of the manifestations of aging.
In women during menopause, the muscles that hold the bladder become sluggish, the walls of the urethra lose their elasticity, the mucous membrane also undergoes changes, the urethral muscles relax.
In men, the volume of the prostate gland increases with age, which also disrupts bladder function.
In old age, enuresis affects both men and women equally. After 75 years, almost half of people experience urinary incontinence. Most older people are trying to solve the problem on their own and do not resort to the help of doctors.

A rather effective treatment for incontinence in older women is gymnastics. A cone weighing up to 100 grams, which is inserted into the vagina and held there by squeezing the muscles, is necessary. The duration of the exercise is 15 minutes, it should be done twice a day. In a month, improvements will be noticeable. Sets of cones are sold in online stores.
Men can be recommended to do exercises for the lower abdominals, do exercises, avoid alcohol and coffee.
There are medications that can help solve the problem.

Diagnostics

one. Urodynamic testing: tests that determine the pressure in the bladder,
2 Cough test,
3 Cystoscopy,
four. Cystourethrography,
five. Examination by a gynecologist (for women),
6 Keeping a diary with fixation of drunk fluids, amounts of involuntary and controlled urine excretions. Duration of keeping a diary up to five days,
7 Urine analysis, seeding microflora,
eight. Determination of residual urine (for men),
9. Electromyogram (for men),
ten. Cystometrogram (for men).

  • Alpha-adrenoreceptor agonists,
  • Anticholinergics (tolterodine and oxybutynin),
  • Estrogen,
  • Antidepressants (imipramine).

Herbal preparations

one. Capsaicin – medicine made on the basis of the component of red pepper – capsaicin. According to scientists, this substance reduces the sensitivity of the receptors of the bladder. The tool is poured directly into the bladder using a catheter. Duration of action – up to six months. This medicine is effective for the treatment of enuresis caused by impaired function of the nervous system.

2 Botulinum Toxin A – Botox. Causes muscle paralysis and is prescribed for overactive bladder. Almost no side effects, the effect lasts up to nine months.

3 Resiniferatoxin – extract from a cactus of a certain type. The action is similar to capsaicin, only much more powerful. The drug does not cause side effects. The action lasts up to 3 months.

Folk treatment

one. 2 tbsp fruits and leaves of lingonberry and the same hypericum, pour 600 ml of boiling water, withstand 10 minutes in a small heat. Allow to cool, pass through a sieve. To use gradually from 16 o’clock in the afternoon before going to bed.

2 Make tea from twigs and leaves of sweet cherry or cherry, drink as much as you want.

3 1 tbsp. underground parts devyasila brew a glass of boiling water, soak for 15 minutes in a small heat, cover with a warm cap and soak for 4 hours. Pass through a sieve, use with honey.

four. Make a decoction of blueberries or blackberries. Drink 100 ml of broth four times a day.

five. Mix in equal parts St. John’s wort and the centaury, brew 1 tsp. a glass of water, use instead of tea.

6 A decoction of corn stigmas and columns to eat before meals three times a day.

7 3 tsp. shepherd’s bag pour 200 ml of water at room temperature overnight, pass through a sieve, use 2 tbsp. three times a day.

eight. 4 tsp. wheatgrass roots soak overnight in a glass of cold water, pass through a sieve. Then again pour a glass of boiling water, hold for 10 minutes, pass through a sieve. Combine the infusions obtained. Drink half a cup four times a day.

9. 1 tbsp. seeds of dill pour 1st. boiling water, hold under the hood for 3 hours, pass through a sieve. Use all at once.

Exercises

one. Position: supine. Raise straight arms and legs. Tighten and hold for 60 seconds.

2 The position is the same, legs bend and knees apart, and feet close together. On the inhale to connect the knees, connecting the muscles of the pelvis. On the exhale, push the knees apart, relax the muscles.

3 The position is the same, the legs are joined and bent at the knees. Exhale, straighten one leg in the knee, holding it at an angle of forty-five degrees to the floor, stretch the muscles. Exhale and put your foot in the starting position.

four. The starting position is the same, the right leg is bent, the left one to hold on the floor. Tighten the muscles of the seat and pelvis, as if trying to draw the left leg. Press not to strain. Exercise alternately with both legs.

five. Position: supine, legs extended. Tighten the muscles of the pelvis, the tip of the right leg to send to the left shoulder. Exhale, relax the muscles, put the leg in its original position. Repeat with the second leg.

6 Stand on all fours, lean on elbows, head on hands. Breathe strongly and actively.

7 Becoming on all fours, between the body and hips right angle. Thus stand 3 – 5 minutes.

eight. Position: lying on the stomach, head on the back of the hands. As you exhale, press your pubis against the floor, straining all your muscles.

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