Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Urinary Incontinence
Question: I have a continence problem. What is best for one who feels the need to urinate and, upon standing, often has loss of control? A urologist said the sling is not recommended for this condition and prescribed a medicine that has many, many side effects, such as elevating my impossible somewhat elevated systolic BP reading, among other things. What do you recommend?
Brief Answer:
The following drugs are effective.
Detailed Answer:
Dear Madam, Hi!
I have gone through the history given and it is unfortunate that you seem to have developed a high BP as a result of the medication prescribed for your problem.
Based on the history you seem to have features suggestive of overactive bladder resulting in urinary incontinence.
I would recommend following medications which are found to be effective in such scenarios: Tolterodine, Oxybutyin or Darifenacin.
These drugs work by relaxing the bladder muscles preventing bladder contraction. They are generally safe however, their most common side effects include dry mouth & eyes, stomach upset, and constipation.
Certain drinks, foods and medications can act as diuretics — stimulating your bladder and increasing your volume of urine. They include:
Besides medication I would recommend certain lifestyle changes like
Avoid taking bladder irritants, such as alcohol, decaffeinated tea and coffee, carbonated drinks, foods that are high in spice, sugar or acid, especially citrus fruits. Eat more fiber, which can prevent constipation, a cause of urinary incontinence.
Hope to have answered your query.
Do reply if you have any follow up query.
Best wishes.
The following drugs are effective.
Detailed Answer:
Dear Madam, Hi!
I have gone through the history given and it is unfortunate that you seem to have developed a high BP as a result of the medication prescribed for your problem.
Based on the history you seem to have features suggestive of overactive bladder resulting in urinary incontinence.
I would recommend following medications which are found to be effective in such scenarios: Tolterodine, Oxybutyin or Darifenacin.
These drugs work by relaxing the bladder muscles preventing bladder contraction. They are generally safe however, their most common side effects include dry mouth & eyes, stomach upset, and constipation.
Certain drinks, foods and medications can act as diuretics — stimulating your bladder and increasing your volume of urine. They include:
Besides medication I would recommend certain lifestyle changes like
Avoid taking bladder irritants, such as alcohol, decaffeinated tea and coffee, carbonated drinks, foods that are high in spice, sugar or acid, especially citrus fruits. Eat more fiber, which can prevent constipation, a cause of urinary incontinence.
Hope to have answered your query.
Do reply if you have any follow up query.
Best wishes.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
. I did not develop high BP as a result of this medication. I already had difficult to control high borderline systolic HBP, and I'm afraid to take the prescribed medication because one of its side effect is raising blood pressure. You failed to mention which certain foods, drinks and medications that act as diuretics. Please let me know this.
. I’m now not drinking excessive water that a nephrologist recommended because of a small kidney growth with scarring and urinalysis traces of blood & protein, as well as doing many daily repetitions of Kegel exercises. This, so far, seems to be helping. It takes a lot of self discipline. I now feel healthy, like a 9.5 on a 1 out of 10 scale, at age 79, and trying to continue feeling so well. I hope and pray that my continence returns. If not, I'll have to consider the prescription, and if it doesn't work, then some other treatment.
. I’m now not drinking excessive water that a nephrologist recommended because of a small kidney growth with scarring and urinalysis traces of blood & protein, as well as doing many daily repetitions of Kegel exercises. This, so far, seems to be helping. It takes a lot of self discipline. I now feel healthy, like a 9.5 on a 1 out of 10 scale, at age 79, and trying to continue feeling so well. I hope and pray that my continence returns. If not, I'll have to consider the prescription, and if it doesn't work, then some other treatment.
Brief Answer:
Following is the answer for your follow up query.
Detailed Answer:
Dear Madam, Hi
Thanks for your reply. Gone through its contents and pleased to know that the pelvic floor exercise (Kegel exercise) seems to be working for your problem.
Continue doing as long as you wish, Insha Allah you will be able to get its maximum benefit soon.
The medications which I suggested earlier are not known to increase the BP.
Certain foods like corn soup, citrus fruits like lemon, orange, hot and spicy foods; and drinks like alcohol, both green and black tea, coffee, carbonated soft drinks, artificial sweeteners; BP lowering medications like thiazides, furosemide spironolactone, and large doses of ascorbic acid (vitamin C) act as diuretics by stimulating your bladder and increasing the urine output.
Hope to have answered your query.
Best regards.
Following is the answer for your follow up query.
Detailed Answer:
Dear Madam, Hi
Thanks for your reply. Gone through its contents and pleased to know that the pelvic floor exercise (Kegel exercise) seems to be working for your problem.
Continue doing as long as you wish, Insha Allah you will be able to get its maximum benefit soon.
The medications which I suggested earlier are not known to increase the BP.
Certain foods like corn soup, citrus fruits like lemon, orange, hot and spicy foods; and drinks like alcohol, both green and black tea, coffee, carbonated soft drinks, artificial sweeteners; BP lowering medications like thiazides, furosemide spironolactone, and large doses of ascorbic acid (vitamin C) act as diuretics by stimulating your bladder and increasing the urine output.
Hope to have answered your query.
Best regards.
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. Prasad
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
