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Thanks for contacting HCM with your health concern.
1.
Lower Urinary Tract symptoms [LUTS] is common in old age, and possible reason could be:
.
urinary tract infection [check with urine examination]
. urge/stress incontinence [detrusor muscle instability]
. unchecked diabetes [check with blood sugar]
. neurological condition [like multiple sclerosis can cause LUTS]
. certain medications like anti depressants,diuretics,and lithium tablets can also produce similar symptoms.
2. One may check with an
Urologist [as already did], who must have done the urodynamic studies and then inferred it to be kegel muscle weakness.
3. avoid caffeine containing drinks
. for overactive/stress bladder there are pelvic floor exercises
. avoid smoking,loose weight if overweight
. medicines called anticholinergics [oxybutynin] are advised which relaxes the bladder and increases its capacity or
Hormone Replacement Therapy [HRT] can be given
. If she has
cognitive impairment prompt and timed toilet training is must.