When coughing, urinary incontinence: what to do to eliminate the problem

Such a specific problem as urinary incontinence during coughing, laughing or sneezing is not widely known. Many people prefer not to discuss this problem even with doctors, delaying the treatment of this disorder, which, if treated in a timely manner, is remarkably amenable to correction with existing medical means.

What is urinary incontinence when coughing, sneezing, laughing?

With urinary incontinence (incontinence), urine is released involuntarily, without a person’s volitional effort. The act of urination does not foreshadow any urge. The cause of the problem in this case is the slightest physical stress caused by sneezing, coughing or laughing, which is why the pathology is called stress incontinence.

Unlike enuresis, which is characterized by the release of urine at night, with this pathology uncontrolled urination can occur at any time of the day while the patient is awake.

Causes of pathology

The causes of this disease are:

• excessive psycho-emotional stress, stress;
• excess weight;
• complicated pregnancy and childbirth;
• consequences of surgical operations;
• menopause and associated hormonal imbalances.

Risk factors, that is, conditions that increase the likelihood of urinary incontinence, include:

• Floor. This disease bothers women much more often than men. This is directly related to the structural features of the organs of the urinary system. Pregnancy and childbirth also significantly weaken the muscles located in the pelvic floor area. According to statistics, more than a third of women in Russia face this problem. In men, the disease occurs much less frequently and the degree of its manifestation is also insignificant. The volume of urine released uncontrollably is very small, so the pathology can go undetected for a long time. The causes of the disease are the consequences of surgical operations on the bladder.
• Presence of chronic diseases of the urinary and endocrine systems:
  • kidney and bladder diseases;
  • diabetes;
  • autoimmune diseases.
• Elderly age. Elderly patients, due to the anatomical features of the body associated with aging, suffer from urinary incontinence much more often. The incidence of the disease becomes approximately equal in men and women. This is due to the fact that with age, the tone of muscles and ligaments decreases, which leads to urinary incontinence at the slightest physical stress.

  With age, the frequency of urinary incontinence when coughing, laughing and sneezing increases

• Professional sports, hard physical work. These activities cause the bladder muscles to weaken.

Video: causes of urinary incontinence in adults

Diagnostic methods

To make this diagnosis, it is enough to collect anamnesis and complaints from the patient himself. Difficulties arise in determining the type of incontinence, as well as the reasons that caused it. The leading role is played by instrumental diagnostic methods, such as:

• Ultrasound. Ultrasound examination allows you to determine the presence of organic pathology that caused the disease by visualizing it. An ultrasound of the bladder will provide information about abnormalities in the structure of this organ.
• CT (computed tomography) is an expensive and effective method, similar in nature to ultrasound, but provides much more information by generating images in different projections.

When diagnosing the disease in women, timely consultation with a gynecologist is important in order to identify pathologies such as uterine and vaginal prolapse, which can also play a role in the development of incontinence.

Video: three tests for urinary incontinence

Treatment

When treating this type of urinary incontinence, various methods of therapy are used, aimed at completely eliminating the causes that caused it.

Table: drug therapy for urinary incontinence when coughing, laughing, sneezing

Photo gallery: drugs for the correction of incontinence

No-spa eliminates bladder spasms, preventing its involuntary contraction Amoxicillin is used for infectious and inflammatory diseases of the bladder Picamilon improves blood supply to the bladder and normalizes its function Driptan is a drug that weakens the smooth muscles of the urinary tract

Physiotherapeutic methods

The most commonly used methods for stress urinary incontinence are:

• Darsonval. It affects the sphincter of the bladder with alternating current impulses of low strength but high frequency, promoting its relaxation and proper functioning.
• Electrosleep. Sleep artificially induced by the influence of low-frequency current on the centers of the brain, promoting relaxation of the nervous system and the elimination of stress. Electrosleep helps cope with stress urinary incontinence
• Electrophoresis. Impact of direct current on the bladder area with the use of medications (usually antispasmodics or corticosteroid hormones), which have a relaxing effect on the smooth muscles of the organ or help stop the inflammatory process in it.

Surgical methods

The use of surgical treatment methods is not a priority, since the pathology is well eliminated with the help of conservative therapy.

However, if the treatment does not bring positive results for a long time, then surgery becomes the only way to forget about the disease.

There are several types of surgical intervention, the most commonly used of them are presented below:

• Sling surgery. The essence of the method is the implantation of special silicone loops that will support the urethra in a normal anatomical position instead of weakened ligaments and muscles. This operation is a minimally invasive form of surgery. The sling keeps the urethra elevated, preventing urine from spontaneously leaking out.
• Anterior colporrhaphy. This technique is used to treat stress incontinence in women and is associated with tightening the vaginal muscles, as a result of which the urethra stops sagging and is brought to its normal anatomical position. The operation can be performed either through the vagina or through the abdominal cavity. The second option is less preferable, as it involves more trauma and a longer recovery period.
• Botox injections into the walls of the bladder. The drug makes the bladder less irritable and avoids involuntary contraction. The disadvantages of the procedure include the fact that botulinum toxin dissolves over time (up to 6 months) and injections have to be repeated. Injections into the bladder are carried out using a cystoscope through the urethra

Video: sling operation

Folk remedies

Folk remedies cannot replace other types of treatment and serve only as an element of auxiliary therapy. Before using this or that method, you should consult your doctor. For stress incontinence, traditional healers recommend:

• An infusion of medicinal herbs - St. John's wort and centaury. They have anti-inflammatory and mild diuretic effects:
  1. It is necessary to take St. John's wort and centaury herbs in equal parts.
  2. Pour 1 liter of boiling water and leave for 4 hours.
  3. The infusion should be consumed 1 glass in the morning on an empty stomach for 2 weeks.
• Young cherry branches. An effective remedy that limits the number of episodes of urination is an infusion of cherry branches with honey, which has pronounced anti-inflammatory properties:
  1. A small number of twigs (young) cherries should be poured with 1 liter of boiling water.
  2. Leave for 6 hours.
  3. After this, the drink should be strained and added 1 tbsp. a spoonful of honey.
  4. Drink one and a half glasses 2 times a day for half a month.
  5. If necessary, the course can be repeated. Young cherry branches are rich in vitamins and have anti-inflammatory properties

Diet

For stress incontinence, you should eat as few foods as possible that can irritate the bladder:

• strong tea and coffee;
• chocolate;
• alcohol;
• carbonated drinks;
• salty dishes;
• hot seasonings.

This will help reduce the number of episodes of involuntary leakage of urine at the slightest physical stress.

Video: what to eat and not to eat during incontinence

Use of special underwear

People who have a pronounced problem, but who still want and continue to lead an active lifestyle, are recommended to use special urological pads and panties.

They do not help solve the problem of incontinence (this requires treatment), but they allow you to avoid depression and do your usual things, go to work, without experiencing the inconvenience of a sudden episode of urine leakage.

Special panties can be worn instead of regular underwear; they are completely invisible under clothing and look little different from ordinary ones.

Video: hygiene products for incontinence

Treatment prognosis

Urinary incontinence when coughing and sneezing can be successfully treated and has a good prognosis. However, it is not recommended to start the pathology, since the psychological discomfort caused by this disease is much more difficult to correct.

Prevention

There is no specific prevention. It is worth remembering to exclude at least some risk factors. A great way to keep your pelvic floor muscles toned is through a set of Kegel exercises. This is especially true for women who have previously given birth, who are most susceptible to the development of this pathology.

The essence of the exercise is to train the pelvic floor muscles. You can find them in yourself as follows: when urinating, try holding the stream of urine for a few seconds. The muscles that work at the same time need to be trained. There are many ways to perform the exercise. Simplest:

1. Tighten your muscles for a few seconds (from 5 to 20), and then relax for the same time.
2. In total - at least 10 exercises, and the number of approaches at a time - at least 3.
3. During the day the number of approaches is not limited. You can perform the exercise in any position (standing, sitting, lying down), without being distracted from your usual activities (while watching TV, traveling in public transport, at work). Only regular daily exercises give results.

   Regularly performing Kegel exercises will be a good prevention of urinary incontinence when coughing, sneezing or laughing.

Urinary incontinence when coughing or sneezing is a delicate problem that can occur at the most inopportune moment. This disorder is easily treatable, so it should not be triggered by seeking medical help as early as possible.

• Alena Klimova
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Source: https://creacon.ru/bolezni-pochek/nederzhanie-mochi-pri-kashle-i-chihanii-u-zhenshchin.html

Urinary incontinence when coughing

Modern medicine considers urinary incontinence during severe coughing, sneezing or laughing as a separate type of disease. A lot of research has been devoted to this issue. The results of most of them indicate that men, children and about a third of women are susceptible to pathology. Most often, the disease affects elderly and pregnant women.

Urinary incontinence when coughing in women: causes

Almost every woman has experienced urinary incontinence (enuresis) after childbirth. For some, the problem goes away after a couple of weeks, but there are cases when the disease becomes chronic. Incontinence can occur in women during menopause, in men with prostate pathologies, in children due to emotional stress.

In most cases, the factor provoking the phenomenon is a malfunction of the sphincter, which is responsible for the retention of urine by the urinary tract. In addition, the process is facilitated by an age-related decrease in the length of the urethra. Other reasons for the development of the problem are:

• personal excessive urea activity;
• cystitis;
• traumatic brain injury, damage, spinal cord cancer;
• surgery of the genitourinary organs;
• chronic inflammation of the bladder;
• exstrophy, epispandia;
• regular excessive physical activity;
• prolonged or rapid labor;
• hormonal imbalances;
• obesity;
• diabetes mellitus type 2;
• weakening of the pelvic diaphragm;
• spinal injuries.

Temporary enuresis in women when coughing after natural childbirth occurs due to ruptures. Urinary incontinence can also result from a cesarean section. Young mothers are afraid to strain their bladder muscles for fear of experiencing painful spasms. After the stitches heal, the difficulty disappears.

Urinary incontinence after surgery to remove prostate adenoma

Types of involuntary urination

You should not withdraw into yourself and be embarrassed by medical consultation on the issue of enuresis. More than 30% of the world's population is susceptible to this pathology. The disease has long been studied by doctors and is divided into the following types:

• stress enuresis. Excessive physical activity, especially heavy lifting, provokes an increase in the load on the peritoneal area. Increased pressure is formed on the urinary organs and spontaneous release of drops of urine occurs. Stress enuresis during light or weightlifting, severe coughing, even with a sudden change in weather occurs quite often;
• Urgent enuresis. The basis of this type of involuntary urination is urinary hyperactivity. Children over two years of age are able to control the urge to urinate. Despite this, urinary incontinence affects adults for a number of reasons. For involuntary urination, it is enough for a person to hear the sound of rain outside the window or the sound of water pouring from a tap.

Medicine classifies involuntary urination in tobacco smokers as stress enuresis. A bad habit reduces the amount of ascorbic acid in the body, and the element ensures normal metabolism.

A lack of vitamin C negatively affects the tone of the urethral sphincter, which is why coughing is regularly accompanied by the release of drops of urine.

Incontinence in the postpartum period

It should be noted that enuresis during coughing is observed much less frequently in men than in women. The stronger sex is susceptible to pathology only in the presence of chronic prostate diseases, namely when it enlarges.

After childbirth, women experience weakened muscles in the pelvic floor area.

For female representatives, this delicate problem affects women after childbirth as a result of weakening of the muscles in the pelvic floor area. Pathology becomes a consequence of ruptures in the walls of the genital organs.

To get rid of the phenomenon in this case, special therapy aimed at strengthening the pelvic muscles is required.

The effect of performing special exercises becomes noticeable after completing a course that lasts several months.

Frequent urination in women and pain in the lower abdomen

Diagnosis of urinary incontinence when coughing

Enuresis is treated by a urologist and gynecologist. Diagnosis of the disease is carried out on the basis of the patient’s complaints, a diary of urinary incontinence, and the woman’s medical history.

To understand the full clinical picture, the doctor conducts an objective examination and determines the frequency of occurrence of the problem.

It is important to inform the specialist about the existing symptoms, their duration, as well as the presence of chronic pathologies and the use of medications to treat them.

Treatment of enuresis is carried out by a urologist and gynecologist

Diagnosis of the disease is usually not difficult. According to the clinical course, according to the Freeman scale, the following degrees are distinguished: mild, moderate, severe.

Urinary incontinence when coughing is a mild stage of the disease, characterized by patients as “you need to finish talking and go to the toilet.”

Confirmation of the diagnosis and identification of the cause of the disease is carried out using the following functional tests:

• cough During the procedure, the patient with a full bladder is placed on a gynecological chair. The patient needs to take a deep breath and then cough several times. The manifestation of enuresis during such a test is interpreted as a positive answer;
• Valsavas. According to the procedure, it is similar to a cough test, however, instead of coughing, the patient needs to push while inhaling;
• pad test. It is carried out in the period between menstruation and consists of the patient placing a pad on her underwear. Before testing begins, the gasket is weighed. The woman drinks half a liter of water, after which she exercises for an hour. Then the gasket is weighed, and changes in its mass are assessed;
• stop test Provides for carrying out after filling the bladder with saline solution through a catheter. Then the patient is asked to relieve herself. After the first stream of urine appears, the woman must stop urinating. Next, the volume of urine excreted is measured. The test allows you to evaluate the holding capacity of the sphincter and the hyperactivity of the detrusor muscle.

To establish the causes of the pathology, the following studies are necessary:

1. Ultrasound of the bladder with a vaginal sensor.
2. Victory cystourethrography (helps to determine the volume, shape of the bladder, and the position of its bottom).
3. General urine analysis.
4. Cytoscopy (to detect urinary abnormalities).
5. MRI and CT (confirm a controversial diagnosis, allows you to detect pathologies).
6. Urofluometry.
7. Profilometry.
8. Contrast urography.
9. Flora smear.
10. Microscopic examination of prostate secretion.

Ultrasound is one of the diagnostic methods

In addition, the doctor, based on the patient’s body weight, determines the level of obesity and neurological status.

Treatment of urinary incontinence

The use of medications, special gymnastics and surgery can help get rid of this unpleasant pathology. For mild to moderate urinary incontinence, laser therapy is indicated.

Without proper treatment, the disease begins to progress. At the fourth stage, urine production begins during sleep and sexual intercourse.

Drug therapy

Treatment of urge urinary incontinence involves slowing down the activity of the muscle that contracts the bladder and increasing the contraction of the bladder sphincter.

Classical therapy for emergency enuresis is carried out with the prescription of the drugs Ephedrine, Anaprilin, Cymbalta, Gutron. Hormonal treatment is used.

The use of myostimulation using the Delta1 and ESMP-15-1 devices has a positive effect.

The doctor can prescribe suppositories or creams based on estrogen - Ovestin - to improve the nutrition of the urinary mucosa and reduce the level of atrophic changes in tissues. During menopause and the presence of uterine fibroids, taking oral hormonal drugs is contraindicated.

Nonbacterial cystitis

Exercises to strengthen muscles

Regular gymnastics will strengthen the pelvic muscles, which will prevent the development of the disease. Typically, exercise is indicated for patients with early stage enuresis. In addition, the complex is recommended for rehabilitation after therapy. The following exercises are provided to strengthen muscles:

• Kegel. The starting position is a sitting position. The patient needs to imagine the urination process. The muscles that tense need to be remembered. The point of the exercises is to strengthen the muscle that stops the flow of urine through systematic alternation of tension and relaxation. Conduct classes four times a day, increasing the duration of the training over time. The full course is at least six months;
• exercises with biofeedback. The Kegl complex involves muscle tension, an excessive increase in tone of which is undesirable for certain ailments. And this technique helps to directly strengthen the muscles responsible for stopping urination, using a specific device that controls the training process;
• Exercise therapy. It is necessary to involve a specialist who will recommend exercises that strengthen the pelvic floor muscles;
• step-free. It is necessary to hold certain weights with the vaginal muscles, the mass of which increases over time. The advantage is the opportunity to feel that the muscles that need to be trained are working. Gymnastics takes 15 minutes.

The procedures should be carried out in specialized departments of medical centers.

Surgical intervention

Operations are performed in extreme cases when preliminary drug therapy has been unsuccessful. Often, pathogenic neoplasms that provoke enuresis are surgically removed. The use of operations is permissible to strengthen the sphincter and bladder walls.

Frequent urination in children without pain

Source: https://urologia.expert/mochevoj-puzyr-i-uretra/nederzhanie-mochi-pri-kashle

Why does urinary incontinence occur when coughing or sneezing, how to treat it

A considerable number of women face the problem of urinary incontinence when coughing and sneezing. An awkward sudden movement or even laughter can lead to incontinence, that is, spontaneous separation of urine. A similar situation arises anywhere - in transport, a public place, while at work.

Urological pads made for this purpose will help to somewhat mitigate the consequences of this unpleasant pathology. But to completely eliminate urinary incontinence during coughing, you need to contact a competent specialist who will identify the cause of incontinence and help you choose an appropriate treatment regimen.

Causes of coughing incontinence

The problem of urine leakage during a coughing attack or sneezing is relevant for both women and men. Women over forty-five years of age, as well as those who have undergone difficult natural childbirth, are especially at risk of involuntary urination when coughing.

Factors that can cause spontaneous urination include:

• Multiple (more than three) births, regardless of the conditions of pregnancy and the immediate process of delivery.
• Receiving mechanical injuries to various organs located in the pelvis.
• Surgical interventions that result in damage to the pelvic organs.
• Hormonal disorders caused by the onset of menopause.
• Prolapse of the walls of the vagina and uterus.
• Anatomical structural features, including an abnormally short urethra.
• Long-term irrational use of medications with diuretic properties.
• Activities involving heavy physical labor.
• Having a large amount of excess body weight.

Multiple factors can cause urinary incontinence when coughing in women. To identify the true cause, it is necessary to undergo diagnostic procedures prescribed by the attending physician.

Types of incontinence

According to the volume of urine released when sneezing, incontinence is divided into several main degrees:

• Easy. The leakage of small portions of urine, the volume of which does not exceed literally a few drops, occurs exclusively against the background of severe attacks of sneezing, coughing, and excessive exercise. This problem often worries women in the later stages of the gestational period, for three to four weeks after delivery.
• Average. In this case, urine appears even against the background of minor physical activity, for example, during moderate walking. In addition, a large volume of urine leaks, and the bladder is often completely emptied.
• Heavy. Urine begins to be released against the background of the absence of the urge to visit the toilet. In this case, the incident can occur in a state of complete rest, even when the patient is in a horizontal position.

There are also stress types of incontinence and reflex incontinence, each of which is the result of existing neurological problems. Separately, we should consider enuresis, which is accompanied by the release of urine at night, that is, during sleep.

Diagnostic methods

To understand why urinary incontinence occurs when sneezing and coughing, appropriate diagnostics are required.

First of all, the specialist conducts a physical examination of the patient, and also collects existing complaints and medical history. In addition, the so-called “cough test” is mandatory.

To perform this procedure, the patient must not empty the bladder for at least three hours.

Why does urination delay occur in women?

To make a final diagnosis, the following manipulations may also be used:

• Cystography.
• Cystoscopy.
• Ultrasonography.
• Radiography.

The above methods will help identify diseases and pathologies of the excretory and reproductive system in the early stages of development. Treatment of spontaneous urination in women is chosen only after diagnostic procedures.

So, if a woman complains of urinary incontinence when coughing, what should she do in this case? After making a diagnosis, the specialist chooses the most appropriate treatment tactics, including taking medications, using non-traditional auxiliary methods, which include various exercises that help strengthen the pelvic muscle tissue.

Drug therapy

One of the most popular and widespread methods of treating urinary incontinence in women is the prescription of medications from various pharmacological groups. According to the reason that served as a contributing factor to the occurrence of problems with urination, the following medication options can be prescribed:

• If the main reason for the release of a certain amount of urine during coughing is the menopause, it is necessary to take medications that help restore and normalize hormonal levels. More often it is necessary to take products containing estrogens. The most effective drug in this group is Ovestin, which is available in the form of cream or vaginal suppositories.
• In most clinical cases, the use of antidepressants is mandatory. One of the most popular drugs in this group is Cymbalta. The only disadvantage of taking antidepressants is the large number of side effects. For example, patients note increased fatigue, weakness, periodic headaches, and sleep disturbances.
• Antispasmodics, which help relax the muscle tissue of the bladder, increase sphincter tone.
• One of the most popular medications used to provide a therapeutic effect against the background of urine production when coughing and sneezing in women is Driptan. The medication helps inhibit the flow of nerve impulses into the organ of the excretory system, as well as relax the muscle tissue of the bladder. The complex action of the drug over time helps to get rid of the existing problem, which is the systematic involuntary release of urine. The first positive results of drug treatment usually appear a month after the start of therapy.

Bladder training

Within the framework of the article, it is impossible not to consider the psychological dependence of a woman suffering from involuntary loss of urine during severe coughing, stress, or against the background of other factors, from excessively frequent trips to the toilet.

In order to train the bladder and gradually increase the time intervals between urination, the specialist draws up a special individual schedule for the patient to visit the toilet.

According to such a scheme, a woman needs to gradually increase the time between trips to the ladies' room.

Important! This technique is effective only if urination when coughing in women is the result of existing neurological problems and is not associated with the development of complications.

Kegel exercises

One of the easiest ways to eliminate the problem of urinary incontinence due to severe sneezing or coughing is to regularly perform a special set of exercises.

The main goal of this type of physical activity, called Kegel gymnastics, is to strengthen the pelvic floor muscles.

They can be performed either without stress or using specialized devices for women intended for insertion into the vagina.

How to treat urinary incontinence in older women

The essence of Kegel gymnastics is the sequential unclenching and squeezing of the vaginal muscles. It is recommended to perform gymnastics as follows: squeeze the muscle tissue, hold in this position for thirty seconds, then relax for ten seconds. Repeat the exercise at least three times ten times. It is advisable to perform gymnastics at least twice throughout the day.

Surgical intervention

One of the most effective methods aimed at eliminating the problem of spontaneous urine discharge during coughing or exercise is surgery. The essence of this method is to create a kind of artificial support that prevents the passage of urine.

More often, surgical manipulations involve the use of the so-called loop method, which does not require general anesthesia and is performed under local anesthesia.

The undoubted advantages of this technique are the following: after completion of surgical interventions, the patient does not need to follow the rules of the postoperative period.

In addition, this method allows you to achieve positive results within a minimum period of time.

People's Councils

Adherents of alternative healing methods are often interested in the question of how to treat incontinence using natural remedies.

Alternative medicine recipes can be used exclusively as an auxiliary method, since their use allows one to achieve insignificant results.

It is recommended to practice traditional methods for treating stress forms of urinary incontinence.

• Infusion of corn silk. To prepare a medicinal drink, you need to brew half a tablespoon of the raw material with a glass of boiling water, then leave the drink for at least two hours. The finished medicine should be filtered using gauze and consumed as a replacement for the usual coffee or tea.
• Infusion of dill seeds. In order to prepare a useful medicine, you should brew a tablespoon of seeds with a glass of boiling water and leave overnight. The next day, divide the prepared portion of the product into five parts and drink at regular intervals.

It must be remembered that in order to obtain positive results, treatment with traditional methods must be carried out regularly over a long period of time.

Prevention

If urine does not stay in the bladder, you just have to cough or sneeze, you should follow certain preventive rules that will help avoid embarrassment. The main ones are the following:

• If incontinence has already appeared, you should not sharply reduce the amount of fluid consumed, as this measure can lead to severe irritation of the bladder tissue due to an increase in the concentration of urine.
• It is recommended for women to perform Kegel exercises after childbirth or surgery, even without problems with incontinence.
• It is important to avoid strenuous physical activity and heavy lifting.

The diet should be normalized, since eating certain foods can also lead to irritation of the bladder walls and discomfort.

It is necessary to exclude citrus fruits, coffee, spices, sweets, and alcohol from the diet. In addition, given the existing problems, it is important to maintain intimate hygiene.

Failure to comply with cleanliness rules can cause the development of diseases of inflammatory pathogenesis.

Source: https://venerbol.ru/mocheispuskanie/pri-kashle-nederzhanie.html

Causes and treatment of urinary incontinence in women when coughing

Many women have heard about such a disease as incontinence. The disease is characterized by uncontrolled release of urine when coughing, sneezing or sudden physical overload. It is clear that representatives of the fairer sex feel awkward and uncomfortable. What to do in this case, how to treat the pathology? We will deal with these issues in our article.

Causes of the disease

Coughing incontinence is a common problem. Many women mistakenly believe that age-related changes are the cause of this condition. In fact, symptoms of the disease often begin in the 40s and 50s. If a problem is identified, you must seek help from specialized specialists. A gynecologist will tell you what to do and how to treat incontinence.

The sources of the disease are usually pathologies of the structure of the reproductive system. There is no need to be ashamed of the problem. In most cases, you can get rid of defects with the help of special pharmacological drugs, therapeutic exercises and minimally invasive surgery.

Common causes of uncontrollable urine discharge when coughing in women:

• difficult childbirth, frequent pregnancies;
• prolapse of the uterus and vaginal walls;
• malignant and benign neoplasms;
• disturbances in the functioning of the endocrine system (menopause);
• long-term treatment with diuretics;
• radiation therapy;
• injuries of the pelvic organs.

A separate group can include sources of urinary incontinence during coughing and sneezing, such as obesity and heavy physical labor. These reasons are easiest to eliminate - you need to change your lifestyle (refuse overload, lose excess weight).

Which doctor helps fight incontinence?

Pathological discharge of urine when coughing in women should be a reason for immediately seeking help from specialists at a medical institution.

Incontinence is highly treatable, so don’t torture yourself. Urologists and gynecologists are involved in solving the problem.

Under certain conditions (concomitant diseases, neoplasms), consultation with an oncologist and surgeon may be necessary.

When visiting a doctor, you may hear complaints about:

• constantly use sanitary pads;
• avoid any overstrain of the abdominal muscles;
• Shower frequently and change your underwear.

Urinary incontinence is a common problem in women, so there are proven effective treatments. Therapy is prescribed depending on the severity of symptoms. Urologists divide incontinence into 3 groups: mild (urine is released only during sudden overload), moderate (discharge is not retained when laughing, coughing, sneezing), severe (the problem occurs even in a calm state).

How to disguise the problem

Before visiting a specialist, you can purchase a special sanitary pad. This intimate product is sold in pharmacies. The right tampon can completely deactivate the smell of urine and keep your underwear fresh and dry.

Before purchasing, you need to make sure that the gasket fits the anatomical characteristics and provides bacterial protection.

It is important to understand that the use of special means will not eliminate the cause of the disease. Urinary incontinence when coughing is a medical problem that must be solved by a gynecologist.

Diagnostic procedures recommended for uncontrolled urine output

When you see a specialist, you must clearly describe all the symptoms. It is important not to withhold information about the manifestations of the disease. Effective treatment is only possible if the cause of the pathological condition is correctly identified. After a visual examination and medical history, the doctor prescribes additional diagnostic procedures.

You can determine the source of urinary incontinence in women when coughing, laughing, or sneezing using:

• comprehensive hardware examination (ultrasound, magnetic resonance, computed tomography);
• laboratory tests (blood tests for hormones, urine tests for infection and cancer markers);
• cystoscopy (assessment of the condition of the bladder and urethra).

After identifying the cause of the disease, adequate treatment is prescribed.

What to do if you have incontinence

Incontinence therapy comes down to eliminating the sources of the disease. Most often, uncontrollable urine discharge during coughing in women can be eliminated with the help of medication, special physical exercises and courses of physiotherapy. Unfortunately, about half of the cases require surgery.

Medicines to help control urination

The choice of pharmacological agents depends on the degree of incontinence and the identified primary source of the disease.

Many doctors prescribe Driptan to their patients. This drug helps restrain the urge, relaxes the walls of the bladder, increasing its volume.

Provided that the drug is taken in the correct dosage, a woman’s urine output during coughing, laughter, and physical overload is significantly reduced.

Symptoms of incontinence often occur in women during menopause and menopause. In this case, special suppositories with estrogen become the best protection against uncontrolled urine production when coughing.

Kegel exercises

You can cope with mild to moderate disease with the help of a special set of gymnastic exercises developed by the famous doctor Arnold Kegel.

How to learn to control the urge to urinate:

• Before performing exercises, you must empty your bladder;
• Having taken a lying or sitting position, you should squeeze the pelvic muscles and hold them under load for 10 seconds (then relax for the same time);
• You need to repeat the procedure 10 times for 5-7 minutes 3 times a day (morning, afternoon and evening).

The workouts are pretty simple. If performed correctly, such exercises can strengthen the pelvic floor muscles and eliminate symptoms of incontinence (urinary incontinence during coughing, sneezing).

Physiotherapy and surgical treatment

Many experts recommend taking several courses of therapy with microcurrents, heating and electromagnetic pulses. It has been proven that this effect helps to get rid of the uncontrolled release of urine by a woman when she coughs. If pharmacotherapy and physiotherapy do not give the desired result, then surgical treatment is prescribed.

Most often, a loop intervention is performed to create additional support in the cervix. Typically, this operation is performed using a minimally invasive (endoscopic) method. The rehabilitation period takes 2-3 days. After this, urinary incontinence disappears.

As a form of prevention, urologists and gynecologists recommend normalizing the water-salt balance (reducing fluid intake), carefully studying the description of medications (monitoring side effects), giving up bad habits (especially smoking), performing Kegel exercises and other exercise therapy complexes.

Source: https://stop-kashel.ru/prichiny-i-lechenie-nederzhaniya-mochi-u-zhenshhin-pri-kashle/

Urinary incontinence when coughing: causes, treatment methods, prevention

Anyone feels discomfort if they suffer from urinary incontinence when coughing or sneezing. At this moment he is embarrassed, uncomfortable in front of others, but he is unable to prevent the arbitrary release of urine.

This pathology most often affects women, although it occurs in both men and children. There are quite a few reasons that cause urinary incontinence.

The problem may disappear without treatment, but in complex cases it requires tests, research and full-fledged therapy.

Causes of urinary incontinence when coughing

Often women experience urinary incontinence when they are pregnant, during menopause, men - with prostate disease, children - in a stressful situation. When a person coughs, his intra-abdominal pressure increases sharply, the bladder muscles tense, and urine is released, especially if the sphincter is weakened.

This type of incontinence is called stress incontinence, which can be caused by:

• pregnancy;
• excessive physical activity;
• injuries;
• operations;
• tumors;
• smoking;
• excess weight;
• pathologies of the genitourinary system.

Among women

If a woman has a weak bladder, there are a number of reasons for this:

• severe traumatic childbirth, which results in not only rupture of the perineum, but also severe stretching of the pelvic muscles;
• excess weight, which puts pressure on the bladder, as a result of which urine does not hold in it;
• gynecological operations to remove tumors and cysts;
• changes in hormonal levels during menopause, leading to a decrease in muscle elasticity;
• features of the anatomy, requiring a short and wide urethra to have strong pelvic floor muscles.

In men

Men suffer from involuntary urination when coughing much less often than women. The cause of this pathology is weakening of the sphincter muscles after surgery on the prostate gland.

In children

Stress incontinence in children when coughing is quite rare. In the presence of this pathology, a very small amount of urine is released. At this moment, abdominal pressure rises sharply. Such children most often have insufficiency of the urethral sphincter and pelvic floor muscles. The reason may be:

• neurological diseases;
• spinal cord injuries;
• consequences of surgical interventions.

Why is incontinence dangerous in pregnant women?

The causes of coughing incontinence in pregnant women can be:

• weak pelvic floor muscles;
• severe distension of the bladder;
• weakening of the sphincter;
• uterine pressure;
• fetal movement.

Although urinary incontinence when coughing does not pose a danger to pregnant women and the unborn baby, it is worth visiting an antenatal clinic to rule out possible pregnancy complications.

These include leakage of amniotic fluid as a result of microscopic ruptures of the bladder. This complication can lead to infection of the amniotic fluid and infection of the child.

During the examination, the doctor will prescribe tests and, if necessary, a diet.

You should consult a doctor as soon as possible if urine discharge when coughing is accompanied by a burning sensation or pain, and a few drops are released. Kidney pathology should be ruled out by visiting a urologist and doing a series of tests. The combination of urinary incontinence and constant thirst may signal the development of gestational diabetes.

Types and severity of pathology

There is an accepted division into three groups of urinary incontinence when coughing:

• stressful - the release of a small amount of urine during work (lifting weights, stress), severe coughing, occurs without the presence of urge;
• urgent - involuntary leakage during coughing, accompanied by urge even with an empty bladder;
• mixed - combines the symptoms of the first two groups.

Pathology has three degrees of severity:

• mild—excretion of an extremely small volume of urine during severe physical exertion;
• medium - the load is small, and the liquid cannot be retained at full volume;
• severe - urine leaks out involuntarily even at rest, when getting up from a chair, or when walking.

Which doctor should I contact?

If such a delicate problem arises, patients should visit a gynecologist or urologist. Specialists will examine the patient, find out the causes of the pathology, and conduct tests and research.

After making a diagnosis, the doctor will prescribe treatment, which can be either surgical or conservative.

Diagnostics

An accurate diagnosis depends on how carefully the doctor listens to the patient and takes a complete history. The specialist will definitely take into account the entries in the urination diary and the results of a special cough test when the bladder is full.

To detect or refute the presence of infection, urine and blood tests are performed.

It is necessary to study bacterial cultures. Using these studies, it is possible to determine the type of pathogens that cause urinary incontinence. Diagnostic methods used in pathology include:

• cystoscopy;
• uroflowmetry;
• Ultrasound;
• X-ray;
• cystography.

The doctor will determine your body mass index, degree of obesity and give nutritional recommendations.

Treatment options

Only after an accurate diagnosis is made, the doctor decides what to do and what treatment to prescribe. The most commonly used methods are medications, physiotherapy and psychotherapy. To get rid of urinary incontinence when coughing, you need patience and perseverance, since it takes a lot of time to get rid of the pathology. If necessary, surgery is performed.

Special exercises for strengthening the pelvic floor muscles have proven themselves well, and are performed after consultation with the attending physician.

Drug therapy

Treatment of the pathology must begin immediately, otherwise incontinence may progress, and after a while urine will begin to leak not only when coughing, but also during rest, during sleep. Most often, drug treatment is prescribed:

• alpha-adrenergic agonists - drugs that have a vasoconstrictor effect;
• inhibitors - synthesize prostaglandins;
• hormone.

Several drugs have proven themselves well.

"Cymbalta"

Thanks to it, nerve cells are activated, sphincter tone improves, and muscles relax. Adverse reactions include dizziness, dry mouth, sleep disturbance.

"Gutron"

Refers to adrenergic agonists. Improves the functioning of the nervous system, strengthens the sphincter muscles. The medicine is used only under the supervision of a doctor, since its side effects include increased blood pressure.

"Ovestin"

Estrogen-based suppositories are prescribed to improve nutrition of the bladder wall and minimize atrophic tissue changes. Sensitive results are achieved only after regular long-term treatment.

Physical education and Kegel exercises

In the early stages of the onset of pathology, special physical exercises can be a good help in the treatment and prevention of urinary incontinence when coughing. They do not require special preparation and can be performed at home.

Thanks to physical education, the muscles of the problem area are significantly strengthened and the functioning of the sphincter is improved. The most effective exercises include:

• Kegel exercises are a well-known complex of alternating relaxation and ten-second tension of the muscles involved in the release of urine. The exercise is performed in a lying position, three times a day.
• Step-free - vaginal training to hold weights of different weights.

With persistent practice for 15 minutes a day, positive changes can be noticed within a month.

Physiotherapy and surgical treatment

You can strengthen muscles and ligaments using physiotherapeutic procedures:

• warming up;
• electromagnetic pulse therapy;
• microcurrents.

Thanks to the procedures, blood supply to the pelvis improves, the functions of muscles and ligaments are restored, and urinary incontinence when coughing occurs less frequently. If the above procedures are ineffective, the surgical method is used.

Minimally invasive operations, in which special prostheses (slings) are installed, allow the patient to return to normal life. In case of pathology of the location of organs in women, surgical intervention solves this problem.

Diet

If you have stress incontinence during coughing, you need to make dietary changes:

• It is recommended to reduce the consumption of alcohol, spicy and sour foods;
• breakfast should account for a quarter of daily intake;
• dinner should be light, low-calorie;
• you should eat as many vegetables and fruits as possible;
• it is necessary to limit salt intake;
• You should not eat a lot of fried, sweet, fatty foods.

Folk recipes

Thanks to folk recipes, which are both herbal preparations and decoctions of individual plants, it is possible to relieve the unpleasant manifestations of incontinence that occurs when coughing. You can prepare them at home by collecting the necessary plants, drying them and preparing them according to the recipe.

Dill

A decoction or infusion of dill seeds helps to successfully combat urinary incontinence when coughing.

To prepare the decoction you need:

1. Pour a tablespoon of dill seeds into a glass of water.
2. Place on the stove and bring to a boil.
3. Cook for a quarter of an hour.
4. Cool.
5. Strain.
6. Take 100 grams before bed for a week.

To obtain an infusion, the seeds are placed in a thermos, poured with boiling water and left to infuse for 2 hours.

Corn silks

An infusion of corn silk is prepared from a teaspoon of the herb, pouring a glass of boiling water over it. After 15 minutes the drink is ready. It can be consumed as tea by adding a little honey.

Medicinal herbal collection

Herbal remedies are often used for urinary incontinence due to cough.

With young nettles

Place 50 grams of May nettle, marshmallow root and 30 grams of yarrow herb in a thermos. The mixture is poured with 1 liter of boiling water, then left for about 8 hours. After straining, the product is consumed in small portions throughout the day.

With chicory

Three components (centaury, chicory and yarrow roots) are taken in equal volumes. Two tablespoons of the mixture are poured into 0.5 liters of boiling water and left for 1.5 hours. Take ½ cup 6 times a day.

Prevention

To prevent urinary incontinence when coughing:

• treat genitourinary diseases in a timely manner;
• do not delay emptying the bladder;
• strengthen the muscles located in the pelvis;
• Healthy food.

Involuntary release of urine when coughing can be avoided if you follow preventive measures, and at the first symptoms, seek help from a specialist.

Author of the article: Yulia Kalashnik

Source: https://VipLor.ru/kashel/nederzhanie-mochi