Hello dear.
Understand your concern.
You have
urinary incontinence problem:
Following are the causes of your problem
If it is short term
1. Excesssive Alcohol and caffine use
2. Artificial sweetners and corn syrup
3. Blood pressor medication
4. Large dose of vitamin B and C
5. Intake of food high in sugars
6.
Urinary tract infection
7. Constipation.
If it is permanent and long term
1. Enlarged prostate
2. Obstruction of the urinary tract by stone and tumor
3. Neurological disorder:
parkinsons disease, multiple sclerosis and brain tumour.
Risk factor : Over weight, diabetes melitus, neurological disorder.
Complication: Skin problem:rash and sores
UTI, Stress and anxiety
You should consult the
urologist and do the following test:
1. Urine analysis
2. Blood sugars
3. Blood urea, creatinine
4. Clinical examination and measurement of blood pressor and heart rate
5. Cystoscopy
6. Cystogram
7. Pelvic examination
6. CBC, ESR
Doctor may provide following are the treatment
A. Behavior technique
1. Bladder training
2. Double voiding
3. Scheduled toilet every 3-4 hours
4. Reduce fluid intake and take more solid fluid
5. Avoid alcohol and caffeine
6.
Pelvic floor exercise.
B. drugs
1. Anticholinergic- Oxybutynin
3. Alfa bloker- Tamsulosin
C. Medical device
You can put urethral insert if not response to drugs and behavior technique.
D. Last option is surgery is problem is severe
1. Bladder neck obstruction
2. Artificial urinary sphincter
Hope this may help you.
Best regards
Dr. sagar