Diagnosis and treatment of
bladder problems
The usual
first step toward relief from bladder
problems is to see a health care provider who
has experience treating urinary
incontinence. However, many people can regain
bladder control at home with simple
techniques the ebooks: Mind Over Bladder:
Bladder Training Program and Twitch and
Shout: Kegel Exercises for Men and Women.
Learn the type of incontinence you
might have based on a simple symptom
list here:
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If you
consult medical care, make sure you see
someone who refers for behavioral therapy
when possible such as:
- - A
urologist ( a physician who
specializes in the urinary
tract)
- -
Gynecologists and obstetricians (
physicians who specialize in the
woman's reproductive tract and
childbirth.)
- - A
urogynecologist focuses on urological
problems in women.
- -
Family practitioners and internists
see patients for all kinds of
complaints.
To
diagnose the problem, your doctor will ask
about symptoms and your medical history.
Your pattern of voiding and urine leakage
may suggest the type of incontinence. Other
obvious factors that can help define the
problem include straining and discomfort
when urinating, use of drugs, recent
surgery, and illness. If your medical
history does not define the problem, it
will at least suggest which tests are
needed.
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Diagnosing the Types of Urinary
Incontinence
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Stress
Incontinence - small amounts of urine
during physical movement (coughing,
sneezing, exercising)
- Urge
Incontinence - of large amounts of
urine at unexpected times, including
during sleep
- Functional
Incontinence - Untimely urination
because of disability,
obstacles, or problems that prevent a
person from reaching a
toilet
- Overflow
Incontinence - Unexpected leakage of
small amounts of urine because of a
full bladder
- Mixed
Incontinence - Usually the occurrence
of stress and urge incontinence
together
- Transient
Incontinence - Leakage that occurs
temporarily because of a condition
that will pass (infection,
medication)
Your
doctor will physically examine you for
signs of medical conditions causing
incontinence, such as tumors that block
the urinary tract, stool impaction, and
poor reflexes or sensations, which may be
evidence of a nerve-related cause.
Your doctor will measure your bladder capacity
and residual urine for evidence of poorly
functioning bladder muscles. To do this, you
will drink plenty of fluids and urinate into a
measuring pan, after which the doctor will
measure any urine remaining in the bladder.
Your doctor may also recommend:
- Stress
test--You relax, then cough
vigorously as the doctor watches for
loss of urine.
- Urinalysis--Urine
is tested for evidence of infection,
urinary stones, or other contributing
causes.
- Blood
tests--Blood is taken, sent to a
laboratory, and examined for
substances related to causes of
incontinence.
- Ultrasound--Sound
waves are used to "see" the kidneys,
ureters, bladder, and
urethra.
- Cystoscopy--A
thin tube with a tiny camera is
inserted in the urethra and used to
see the urethra and
bladder.
- Urodynamics--Various
techniques measure pressure in the
bladder and the flow of
urine.
Your
doctor may ask you to keep a diary to
record when you void for a day or more,
up to a week. Your
treatment will depend on the type of
bladder control problem you have. Some
treatments are simple. Others are more
complicated.
Stress incontinence is the result of weakened
muscles and support tissues and can usually be
treated with exercise. Sometimes surgery is
necessary. Exercises must be done after surgery
to prevent the need for another surgery a few
years later. Sometimes drugs are helpful.
Urge incontinence can be caused by numerous
factors. It can often be corrected with diet
changes, toileting habit changes AND pelvic
floor exercises.
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Treating different types of bladder problems
| Type of
Incontinence |
Characteristics
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Recommended
Management Options
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Urge Incontinence
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Detrusor instability With normal post
void
residuals
(PVR), no -complicating
factors
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Behavioral techniques: - Biofeedback
-Bladder training
-Pelvic muscle rehabilitation
-Other (e.g., fluid management)
Pharmacologic interventions:
-Anticholinergic medications,
tricyclic antidepressants as
alternative
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Stress Incontinence
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With normal PVR, no complicating
factors
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Behavioral techniques: Biofeedback
-Pelvic muscle rehabilitation
-Bladder training
Pharmacologic techniques:
-Alpha-adrenergic medications or
tricyclic antidepressants; estrogen;combination
if needed
Surgical techniques:
-Uncomplicated, nonrecurrent SUI
due to hypermobility
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Mixed (Urge-Stress)
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With normal PVR, no complicating
factors
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Combinations of above excluding surgical options in
most
cases
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Bladder Coaching by telephone or Skype :1/2 hour
session
Reclaim bladder control with 1-on-1
coaching
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| Click to enlarge
image(s) |
Many people regain bladder
control just following the instructions in the Mind Over
Bladder books. Sometimes, a little coaching makes all the
pieces fall into place.
Coaching sessions are conducted by phone with Jennifer
Stephens, MA, BCIA-Senior Fellow. Please call 707/869-9029 or
email jennifer@MindOverBladder.com to arrange a time for her to
call you.
Bladder Fitness ebooks Special
Offer
Reclaim control
Simple to learn bladder control
techniques
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| Click to enlarge
image(s) |
These have been taught in Northern
California medical practices by Jennifer Stephens, BS, MA,
BCIA-c Senior Fellow for the past 15 years. Now you can receive
the same information by instant download instead of several
hundred dollars in bladder retraining visits at the physician
offices. You can learn simple techniques at home with Mind Over
Bladder training and correct pelvic muscle exercises with the
Twitch and Shout: Kegel Exercises for Men and Women. Limited
time offer: Purchase one and receive the other @50% off.
This 50 page booklet presents simple bladder control techniques
tested in clinical practice for the past 15 years. Most people
with over active ladder can relearn bladder control and give up
expensive bladder control protection products and bladder
medications. Mind Over Bladder is a simple, easy to learn,
bladder retraining program. It teaches the simple tricks of
bladder control.
These bladder control techniques are easily learned using
simple home exercises with or without the assistance of
biofeedback devices or kegel exercise devices.
You can eliminate bladder control problems and the need for
bladder control products. Eliminate the need for bladder
control medications and regain natural bladder control. easily
in the privacy of your own home.
- Learn why medications don't "cure" your bladder control
problems
- Learn how your toileting habits make your over active bladder
problems worse
- Learn four simple bladder control tricks to make an
over active bladder calm down at your command.
- Learn the quick, easy steps of bladder retraining.
- Learn simple bladder diet changes that can temporarily calm
your over active bladder while you use bladder retraining
programs to regain control. Then resume those foods once you've
retrained your bladder (unless your bladder is too
sensitive.)
Now these bladder retraining programs, previously taught in
ohysician's offices, are available for you to learn in the
privacy of your own home at an extremely affordable price. You
can easily learn these same bladder control techniques at home
for under $10 rather than $250 per hour for individual sessions
in a physician's office.
You can easily treat urinary incontinence and over active
bladder yourself with the right information. After many years
of clinical bladder retraining work in OB/GYN and Urology and
Integrative Medicine practices, I am convinced that a large
percentage of people suffering from over active bladder and mild
to moderate stress urinary incontinence and urge urinary
incontinence can eliminate their bladder control problems in a
VERY short period of time using the bladder control tricks of
Mind Over Bladder.
Only $24.95 each or take advantage of this limited time offer
and receive both for $36.95.
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