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Over 13 million American men and women of all ages suffer from incontinence, causing them to leak urine. Urinary incontinence is not a disease, but instead a sign that a problem exists in the urinary tract; it is the result of a variety of anatomic, physiologic, and/or pathologic factors. It is considered an important condition to treat, because it can lead to social isolation, low self-esteem, depression and dependence.
There are three major types of incontinence: - Stress - leakage only with increased pressure as in coughing or jumping
- Urge - leakage due to an overpowering sensation of impending urination
- Overflow - people with overflow incontinence do not feel the urge to urinate. The bladder never empties normally and remains at least partially full; small amounts of urine are leaked on a nearly continuous basis. Weak bladder muscles -- caused by nerve damage from diabetes or other diseases -- or a blocked urethra can be responsible.
Causes & Development Overactive bladder is a common cause of incontinence, yielding uncontrolled contractions of the detrusor muscle during bladder filling. These contractions may cause urge urinary incontinence, urgency and frequency.
From a holistic standpoint, most bladder control problems that are not the direct result of neurological damage, poor muscle tone or hormone deficiencies are usually the result of irritability within the bladder or urethral tissues caused by chronic inflammation and/or food allergies.
Signs & Symptoms The term "overactive bladder" describes a wide range of symptoms that include urge urinary incontinence, urgency, and frequency. Urge urinary incontinence is one of the most disturbing symptoms of overactive bladder and is characterized by a strong desire to void that is associated with an involuntary loss of urine.
Treatment & Prevention Homeopathic treatment possibilities:- Causticum for stress incontinence associated with frequent urging and difficulty urinating.
- Natrum muriaticum for stress incontinence associated with the menopausal symptoms of vaginal dryness, painful intercourse and a history of emotional grief.
- Pareira for difficulty urinating due to prostate enlargement.
- Sepia for stress incontinence with sudden urging, especially associated with vaginitis or prolapsed uterus.
- Zincum for difficulty urinating while standing up (must sit to initiate flow), associated with prostate problems.
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Signs, symptoms & indicators of Urinary Stress/Urge Incontinence:
Risk factors for Urinary Stress/Urge Incontinence:
Urinary Stress/Urge Incontinence suggests the following may be present:
Recommendations and treatments for Urinary Stress/Urge Incontinence: |  |  |  | | Botanical | Cleavers | Cleavers may provide some benefit as a traditional urinary tonic for an overactive bladder along with other herbal candidates such as marshmallow root, buchu, corn silk, horsetail or usnea lichen. |
| Digestion |
Bromelain | Bromelain at 400mg three times per day, separate from meals, may have an anti-inflammatory action in patients with an overactive bladder. |
| Lab Tests/Rule-Outs |
Elimination Diet | An elimination diet can deal with both food allergens and food irritants which may be causing the irritable bladder. |
Test for Food Allergies | Naturopathic physicians and holistic medical doctors report countless success stories of treating this uncomfortable condition with changes in the diet that eliminate sensitive and/or inflammatory foods. |
| Vitamins |
Vitamin C (Ascorbic Acid) |
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KEY |  | Weak or unproven link |  |  | Proven definite or direct link |  |  | May do some good |  |  | Highly recommended |
GLOSSARY
Allergen (Allergens) A substance that is capable of producing an allergic response in the body.
Allergy (Allergies) Hypersensitivity caused by exposure to a particular antigen (allergen), resulting in an increased reactivity to that antigen on subsequent exposure, sometimes with harmful immunologic consequences.
Anti-inflammatory (Antiinflammatory) Reducing inflammation by acting on body mechanisms, without directly acting on the cause of inflammation, e.g., glucocorticoids, aspirin.
Chronic (Chronicity) Usually referring to chronic illness: Illness extending over a long period of time.
Diabetes Mellitus (Diabetes, Diabetic, Diabetics) A disease with increased blood glucose levels due to lack or ineffectiveness of insulin. Diabetes is found in two forms; insulin-dependent diabetes (juvenile-onset) and non-insulin-dependent (adult-onset). Symptoms include increased thirst; increased urination; weight loss in spite of increased appetite; fatigue; nausea; vomiting; frequent infections including bladder, vaginal, and skin; blurred vision; impotence in men; bad breath; cessation of menses; diminished skin fullness. Other symptoms include bleeding gums; ear noise/buzzing; diarrhea; depression; confusion.
Estrogen (Oestrogen) One of the female sex hormones produced by the ovaries.
Flax (Flax Oil, Flax Seed) Flax Seed or Flax Oil. Flax oil is nutty-flavored oil that is pressed out of flax seeds and is one of the richest sources of Essential Fatty Acids (EFAs), a vital element for good health. The oil making process removes many of the seed's phytoestrogens which offer several health-related benefits including reducing the risk of cancer and alleviating menopausal symptoms. Many choose to use the whole seed because of its fiber and lignan content. Flaxseed oil is light- and temperature-sensitive and must be stored in the refrigerator.
Herbs (Herb, Herbal) Herbs may be used as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, teas should be made with one teaspoon herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Tinctures may be used singly or in combination as noted. The high doses of single herbs suggested may be best taken as dried extracts (in capsules), although tinctures (60 drops four times per day) and teas (4 to 6 cups per day) may also be used.
Homeopathy (Homeopathic) A system of medicine based on the belief that the cure of disease can be effected by minute doses of substances that, if given to a healthy person in large doses, would produce the same symptoms as are present in the disease being treated. Homeopathy employs natural substances in small doses to stimulate the body's reactive process to remove toxic waste and bring the body back into balance.
Hormones (Hormone) Chemical substances secreted by a variety of body organs that are carried by the bloodstream and usually influence cells some distance from the source of production. Hormones signal certain enzymes to perform their functions and, in this way, regulate such body functions as blood sugar levels, insulin levels, the menstrual cycle, and growth. These can be prescription, over-the-counter, synthetic or natural agents. Examples include adrenal hormones such as corticosteroids and aldosterone; glucagon, growth hormone, insulin, testosterone, estrogens, progestins, progesterone, DHEA, melatonin, and thyroid hormones such as thyroxine and calcitonin.
Incontinence (Incontinent) The inability to retain urine in the bladder for a reasonable length of time. It is can be caused by urethral irritation, loss of tone to the basement muscle of the bladder (the trigone), scarification or growths on the urethral lining, nerve damage, or emotional stress.
Menopause (Menopausal) The cessation of menstruation (usually not official until 12 months have passed without periods), occurring at the average age of 52. As commonly used, the word denotes the time of a woman's life, usually between the ages of 45 and 54, when periods cease and any symptoms of low estrogen levels persist, including hot flashes, insomnia, anxiety, mood swings, loss of libido and vaginal dryness. When these early menopausal symptoms subside, a woman becomes postmenopausal.
Milligram (mg, Milligrams) 0.001 or a thousandth of a gram.
Naturopathy (Naturopath, Naturopathic, Naturopaths) Medical practice using herbs and other various methods to produce a healthy body state by stimulating innate defenses without the use of drugs.
Prostate The prostate gland in men that surrounds the neck of the bladder and the urethra and produces a secretion that liquefies coagulated semen.
Self-Esteem The extent to which and ways in which people view themselves. People who view themselves favorably have good self-esteems whereas people who view themselves negatively have poor self-esteems. Self-esteem affects a person's behavior dramatically.
Tablespoon (Tablespoons, tbsp) Equivalent to 15cc (15ml).
Urinary Tract (UT) The kidneys and the lower urinary tract, which includes the ureters, bladder, and urethra.
Uterus (Uterine) The part of the female reproductive system specialized to allow the implantation, growth and nourishment of a fetus during pregnancy.
Vaginitis (Vaginosis) An inflammation of the vagina, either from simple tissue irritation or from an infection. Vaginosis: A vaginal infection characterized by a smelly discharge and the presence of Gardnerella, Mycoplasma, or other anaerobic bacteria, with thevlack of Lactobacillus species.
Vitamin C (Ascorbic Acid) A water-soluble antioxidant vitamin essential to the body's health. When bound to other nutrients, for example calcium, it would be referred to as "calcium ascorbate". As an antioxidant, it inhibits the formation of nitrosamines (a suspected carcinogen). Vitamin C is important for maintenance of bones, teeth, collagen and blood vessels (capillaries), enhances iron absorption and red blood cell formation, helps in the utilization of carbohydrates and synthesis of fats and proteins, aids in fighting bacterial infections, and interacts with other nutrients. It is present in citrus fruits, tomatoes, berries, potatoes and fresh, green leafy vegetables.
Last updated: Jun 28, 2008
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