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Suggest Treatment For Urinary Incontinence

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Posted on Mon, 15 Sep 2014
Question: I am a 72 year old lady with no big health issues. But, sitting at the computer just now, my bladder lost control without any warning. I was shocked.Everything was wet .I had no sensation of urinating. First time this has happened.I do have very small leakage of urine while sleeping.
doctor
Answered by Dr. Dr. Shruti Rijhwani (1 hour later)
Brief Answer:
Follows.

Detailed Answer:
Dear Madam,

Thank you for posting your query on HCM.

Well looking into your query I will like to tell you that you are having urinary incontinence . There can be detrusor instability or senile incontinence .

Plus what is worrisome is that you didnt get any sensation of being wet which will require neurological examination . For this will require a consultation with urogynecologist . Probably she will recommend detrusor exercises to make the sphincters tight which will recommend further such instances . There is nothing to worry but needs evaluation.

Take care.

Dr. Shruti
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Shruti Rijhwani (44 minutes later)
Thank you very kindly for your answer.
Can this situation be fixed?
What medicine is taken for this condition?
Perhaps only exercises to perform?
Urinating without sensation happened only once. Will it happen again if I go out. I have another appointment?
I appreciate any help to understand what to expect from this condition. Many thanks
doctor
Answered by Dr. Dr. Shruti Rijhwani (1 hour later)
Brief Answer:
Follows.

Detailed Answer:
Dear Madam,

Thank you for reverting back.

Yes this situation gradually improves and exercises happen to be the mainstay of the treatment . But any kind of treatment can be given once the diagnosis is fixed .
One thing you can do is to observe and wait , if it happens second time then you can see your doctor .

Dont panic about this as stress will exacerbate it , this is potentially treatable most of the times . Also get your blood sugar levels checked as diabetes can also cause this.

Dr. Shruti
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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Suggest Treatment For Urinary Incontinence

Brief Answer: Follows. Detailed Answer: Dear Madam, Thank you for posting your query on HCM. Well looking into your query I will like to tell you that you are having urinary incontinence . There can be detrusor instability or senile incontinence . Plus what is worrisome is that you didnt get any sensation of being wet which will require neurological examination . For this will require a consultation with urogynecologist . Probably she will recommend detrusor exercises to make the sphincters tight which will recommend further such instances . There is nothing to worry but needs evaluation. Take care. Dr. Shruti