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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Urinary Incontinence While Having Parkinson S

I am 65 years old I have Parkinson disease from 5 years ago, the main problem that I have my urinary incontienence. I can not go any place because I want to urine soon. It is very difficult to handle. Some MD said for my Parkinson. I don t have problem with my prostate.
Mon, 6 Apr 2020
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General & Family Physician 's  Response
Hi,

Medications and lifestyle modifications. Based on the history you seem to be suffering from urge incontinence or overactive bladder while having Parkinson's disease however the possibilities of other causes such as urinary tract infection must be ruled out. Since you do not seem to have prostate problem I suggest you anti-cholinergics such as benztropine (which is effective in Parkinson's disease as well), or oxybutynin or tolterodine.

Besides, I also recommend the following lifestyle changes which may be effective in preventing urinary incontinence:
1. Pelvic floor (Kegel) exercises: By strengthening of pelvic floor muscles provides support around the urethra which can blockbladder contractions.
2. Weight loss if you are overweight
3. Avoid smoking, alcohol, caffeine and carbonated beverages
4. Avoid excessive fluid intake but avoid dehydration
5. Reduce night time fluid intake if you get increased frequency during night.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Mohammed Taher Ali, General & Family Physician
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Suggest Remedy For Urinary Incontinence While Having Parkinson S

Hi, Medications and lifestyle modifications. Based on the history you seem to be suffering from urge incontinence or overactive bladder while having Parkinson s disease however the possibilities of other causes such as urinary tract infection must be ruled out. Since you do not seem to have prostate problem I suggest you anti-cholinergics such as benztropine (which is effective in Parkinson s disease as well), or oxybutynin or tolterodine. Besides, I also recommend the following lifestyle changes which may be effective in preventing urinary incontinence: 1. Pelvic floor (Kegel) exercises: By strengthening of pelvic floor muscles provides support around the urethra which can blockbladder contractions. 2. Weight loss if you are overweight 3. Avoid smoking, alcohol, caffeine and carbonated beverages 4. Avoid excessive fluid intake but avoid dehydration 5. Reduce night time fluid intake if you get increased frequency during night. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician