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Investigations

What Causes Urinary Incontinence? Urinary incontinence is a symptom and not a disease in itself. Among the conditions which can give rise to incontinence are childbirth, pelvic surgery, injuries to the pelvic region or the spinal cord, neurological diseases, multiple sclerosis, poliomyelitis, infection and degenerative changes associated with ageing. It can also occur as a result of pregnancy, being overweight or a side effect of some medications.  Temporary urinary incontinence may be ca
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Continence Support

About Urinary Incontinence Urinary incontinence is the unintentional passing of urine. It is a common problem and it is thought that more than 50 million people in the developed world may be affected. Incontinence is a subject which many people find difficult to discuss or to seek help for. This may be due to embarrassment or cultural taboos. The onset of continence problems often causes anxiety, loss of self-esteem and confidence and can be isolating. Many elderly people beli
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OAB Diet

The ultimate goal of any alteration to diet or drinking habits is to reduce or eliminate the symptoms of overactive bladder and to improve quality of life. Most medical practitioners will initially commence a treatment programme by starting with the least invasive and surgery free options. One of these is to look carefully at the diet and drinking habits of sufferers. Drink Many people think that by reducing the intake of fluid, then less urine will be passed and their condition will i
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OAB FAQ

Q: I smoke 20 cigarettes a day. Could this contribute towards my overactive bladder? A: Nicotine can irritate the bladder muscle, causing bladder contraction and urgency. Coughing as a result of smoking may cause urinary leakage. Q: I have been advised to do Pelvic Floor Exercises. How will these help my overactive bladder? A: These exercises involve repeated contractions of the pelvic floor muscles in order that they may be strengthened. The muscles may have been weakened by
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Other Treatments And Therapies

Acupuncture: Although few studies have been undertaken, it is believed that for some sufferers acupuncture may be beneficial.  Pumpkin Seeds: They are high in Omega-3 essential fatty acids which are powerful anti-inflammatory agents.   Magnesium: Taken at night is thought to help urgency/leakage at night by controlling bladder spasms. Alarms: To help prevent nocturnal enuresis (night time leakage). The patient can wear a body alarm to train them to wa
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Medication For OAB

If the muscles (detrusor) in the bladder contract too much, this results in an overactive bladder. Anticholinergic (antimuscarinics) medication helps by slowing down these contractions. There are some side effects associated with this type of medication, which may include: dry mouth, dry eyes, blurred vision, constipation and nausea. People can react differently to medication and what suits one person may not suit another. It is therefore important to discuss all options and to be followed
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Products That Can Help Living With OAB

Portable Urinals There are a range of portable urinals on the market which will fit into a handbag or the glove box in the car. There are a selection of helpful products in the COB Shop Protective Underwear (Pads) Not all those with OAB have a leakage issue, but for those that do, wearing a pad can help with any leakage of urine from mild, medium to heavy. There is a wide range of specialised pads/pants and it is important to find the correct pad that fits you and your circumstanc
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Dry Mouth

Many people need to take medication to help to try and control the bladder contractions. The use of anti-cholinergic drugs, which have been developed to alleviate these bladder contractions, may have a side effect of a dry mouth. Many people with OAB, have in the past, put up with a dry mouth in order to keep up with their medication. Others have found the problem too uncomfortable and have been forced to choose between continuing with the medication or keeping their mouth dryness under control
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Lifestyle Changes

Fluid Intake: Ideal fluid intake for an adult is 2 - 2.5 litres a day. If night time frequency is an issue, lessening fluid intake during the evenings may help. Prolonged fluid reduction causes concentrated urine, not drinking enough can lead to bladder irritability. Smoking: Nicotine can irritate the bladder muscle, causing bladder contraction and urgency. Coughing, as a result of smoking, may cause urinary leakage. Stress: It may be helpful to learn basic relaxation techn
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OAB Treatments

Lifestyle changes  - Small changes that can make a big difference. Dry Mouth - products developed specifically for medication side effects. Products than can help living with OAB - there are many products which can help when living with OAB.  Medication - You may be prescribed medication to relieve bladder spasms, frequency and leakage. Other treatments and therapies - These include bladder retraining, Tens units, acupuncture, alarms and surgery. 
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