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Understanding INCONTINENCE

Keeping Control

By G. Fairweather

Copyright © 2005 All rights Reserved.

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“Understanding INCONTINENCE’ by G. Fairweather

Page 2 of 94

Please Read This FIRST

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The information in this book is intended for informational purposes only, based on the author’s experience and research.

A qualified health professional should always be consulted about any questions, concerns or actions in regard to your health or lifestyle.

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Copyright 2005 All rights reserved

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“Understanding INCONTINENCE’ by G. Fairweather

Page 3 of 94

CONTENTS

PLEASE READ THIS FIRST ................................................................................................. 2

INCONTINENCE- AN OVERVIEW ..................................................................................... 7

2. WHAT IS INCONTINENCE? .......................................................................................... 10

3. PHYSIOLOGY AND FUNCTION OF THE BLADDER AND URINARY TRACT?. 12

PHYSIOLOGY OF URINARY SYSTEM .......................................................................... 12

MALE AND FEMALE URETHRA .................................................................................... 12

WORKING OF YOUR URINARY SYSTEM .................................................................... 13

KIDNEY STONES ................................................................................................................. 15

YOUR KIDNEYS................................................................................................................ 15

WHAT IS A KIDNEY STONE? ......................................................................................... 15

TYPES OF KIDNEY STONES ........................................................................................... 16

Examples of Kidney Stones .............................................................................................. 16

SOME AVAILABLE TREATMENTS ............................................................................... 17

Shock Waves .................................................................................................................... 17

Tunnel Surgery ................................................................................................................ 17

Ureteroscope ................................................................................................................... 17

HOW DOCTORS IDENTIFY THE STONE....................................................................... 17

THE TYPE OF STONE INDICATES THE BEST TREATMENTS .................................. 18

AVOID MORE STONES .................................................................................................... 18

IMPORTANT POINTS ....................................................................................................... 18

Most stones will pass out of the body without a doctor's help. ............................... 18

4. SIGNS OF INCONTINENCE ........................................................................................... 19

SIGNS OF INCONTINENCE ............................................................................................. 19

5. TYPES OF INCONTINENCE .......................................................................................... 22

STRESS INCONTINENCE................................................................................................. 22

Causes.............................................................................................................................. 23

Classification of Stress Incontinence ............................................................................... 24

Copyright 2005 All rights reserved

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“Understanding INCONTINENCE’ by G. Fairweather

Page 4 of 94

Treatments ....................................................................................................................... 24

URGE INCONTINENCE .................................................................................................... 25

Causes.............................................................................................................................. 25

OVERFLOW INCONTINENCE......................................................................................... 26

Causes.............................................................................................................................. 26

FUNCTIONAL INCONTINENCE...................................................................................... 27

MIXED INCONTINENCE .................................................................................................. 27

REFLEX INCONTINENCE ................................................................................................ 28

SURGERY-INDUCED INCONTINENCE ......................................................................... 28

ANATOMICAL INCONTINENCE .................................................................................... 28

6. COMMON CAUSES OF INCONTINENCE ................................................................... 29

MAIN CAUSES FOR CHRONIC INCONTINENCE......................................................... 30

7. CHILDBIRTH AND INCONTINENCE .......................................................................... 33

DOES CHILDBIRTH CAUSE INCONTINENCE?............................................................ 33

Labor and Incontinence ................................................................................................... 34

What happens when you push while in Labor?................................................................ 34

Vaginal Delivery and Incontinence ................................................................................. 35

Forceps Delivery and Incontinence ................................................................................. 35

Is Incontinence a sure happening after childbirth? ......................................................... 36

Does childbirth weaken the urinary system? ................................................................... 36

Effects of Kegel exercises ................................................................................................ 37

Cesarean deliveries and Incontinence ............................................................................. 37

How to prevent Incontinence due to childbirth................................................................ 37

8. COMMON MYTHS AND MISCONCEPTIONS............................................................ 38

9. HYGIENE AND PERSONAL CARE............................................................................... 40

COMMON INFECTIONS OF INCONTINENCE .............................................................. 40

Incontinence Dermatitis................................................................................................... 40

Bacterial Infection ........................................................................................................... 40

Exposure to Caustic Agents ............................................................................................. 41

Fungal Infection .............................................................................................................. 41

Maceration....................................................................................................................... 41

Copyright 2005 All rights reserved

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“Understanding INCONTINENCE’ by G. Fairweather

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Choosing the right garments............................................................................................ 42

10. BEHAVIOR MODIFICATION ...................................................................................... 44

BLADDER DRILL .............................................................................................................. 44

REEDUCATION OF NERVOUS AND MUSCULAR SYSTEMS .................................... 44

MULTI-COMPONENT BEHAVIORAL TRAINING ........................................................ 45

KEGEL EXERCISES .......................................................................................................... 45

OTHER SIMPLE MEASURES ........................................................................................... 45

11. BIOFEEDBACK FOR INCONTINENCE..................................................................... 47

12. KEGEL EXERCISES ...................................................................................................... 49

WHEN AND HOW TO DO ................................................................................................ 49

EFFECTS OF KEGEL EXERCISES................................................................................... 51

13. NATURAL HEALING .................................................................................................... 52

EXERCISE IS A MUST ...................................................................................................... 52

HOMEOPATHIC TREATMENT ........................................................................................ 54

14. DIET AND LIFESTYLE CHANGES............................................................................. 55

DIETARY MEASURES...................................................................................................... 56

Exercising details and some common methods to check leakage .................................... 56

15. USEFUL TIPS FOR EVERYDAY SURVIVAL............................................................ 58

16. COPING WITH INCONTINENCE AND SUPPORT GROUPS................................. 62

17. MANAGING INCONTINENCE WITH UNDERGARMENTS AND PADS ............. 64

PADS AND UNDERGARMENTS ..................................................................................... 64

18. BEDWETTING AND INCONTINENCE IN CHILDREN........................................... 66

TYPES OF ENURESIS (BEDWETTING).......................................................................... 66

TREATMENTS AND REMEDIES..................................................................................... 67

19. MANAGING INCONTINENCE IN THE ELDERLY.................................................. 68

20. HOW IS INCONTINENCE DIAGNOSED?.................................................................. 70

Copyright 2005 All rights reserved

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“Understanding INCONTINENCE’ by G. Fairweather

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21. HOW IS INCONTINENCE TREATED? ...................................................................... 73

NON-SURGICAL REMEDIES........................................................................................... 73

Medications ..................................................................................................................... 73

Pelvic Floor Exercises ..................................................................................................... 74

Collagen Injections.......................................................................................................... 74

DETRUSOR INSTABILITY............................................................................................... 74

Behavior Modification ..................................................................................................... 75

IRRITATIVE VOIDING SYNDROME .............................................................................. 75

Surgery ............................................................................................................................ 75

Anterior Vaginal Repair .................................................................................................. 76

Needle Bladder Neck Suspension..................................................................................... 76

Retropubic Suspension..................................................................................................... 76

Sling Procedure ............................................................................................................... 76

22. MEDICATIONS ............................................................................................................... 78

Evaluation........................................................................................................................ 78

TREATMENTS AND MEDICATIONS ............................................................................. 79

23. SURGICAL TREATMENTS .......................................................................................... 81

24. COMPLICATIONS OF SURGERY............................................................................... 83

25. NONINVASIVE DEVICES - WILL THEY WORK FOR YOU? ............................... 85

26. OVERCOMING FECAL INCONTINENCE ................................................................ 87

CAUSES AND SYMPTOMS.............................................................................................. 87

ANALYSIS AND EXAMINATION ................................................................................... 88

TREATMENTS ................................................................................................................... 88

AUTHOR’S NOTE................................................................................................................. 90

SPECIAL BONUS REPORT - CANINE INCONTINENCE ............................................. 91

Causes for Canine Incontinence ...................................................................................... 91

Treatments for Canine Incontinence................................................................................ 92

Structural Incontinence ................................................................................................... 92

Other Causes for Incontinence ........................................................................................ 92

Copyright 2005 All rights reserved

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“Understanding INCONTINENCE’ by G. Fairweather

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