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How to cure urinary incontinence?

For the past few months, I have been experiencing urinary incontinence, more than 15 times a day, and the amount of urine is very little. What do I need to do, consult a doctor? (Thuy, 26 years old, Hanoi)

Reply:

Urinary incontinence is the involuntary leakage of urine. The patient occasionally leaks urine or urinates frequently. It often comes on suddenly, when you don’t want to go to the bathroom. This is also one of the common symptoms in pelvic floor dysfunction.

To overcome this situation, you need to drink enough water, especially for the elderly, people who often have poor appetite and people at risk of dehydration. The minimum average amount of water is about 1.5 l per day, divided into several times. Drinking less water increases UTIs and reduces bladder function.

Women need to change their eating habits, eat a lot of fiber, limit some foods and drinks that cause diuretics, burning urine and bladder irritation, stimulate detrusor muscle contractions that cause frequent urination such as chili peppers. , pepper, garlic, coffee, alcohol… No smoking.

Practice the habit of going to the toilet on time by refraining from urinating when stimulated. You can start by holding fast for 5-10 minutes first, then gradually increase the time holding your urine and lengthen the time between urinations. Avoid squatting, standing for a long time increases abdominal pressure.

Practice pelvic floor contractions properly and maintain regular exercises at home. In case you do not know how to contract properly, you should be trained with a specialized exercise machine with the guidance of a doctor.

For patients with urinary incontinence accompanied by genital prolapse, a pessary ring can be used in the vagina, worn all day, to help reduce urinary incontinence. The lifting ring helps the patient with genital prolapse lift and hold the bladder, avoiding urine leakage.

In addition, when there are abnormal symptoms such as urinary incontinence, urinary incontinence, difficult defecation or genital prolapse, women should see a gynecologist for advice and guidance on how to exercise pelvic floor muscle contractions, change lifestyle habits to prevent urinary incontinence and other pelvic floor diseases.

Doctor Nguyen Thi Nga
Voluntary Gynecological Examination Department, Hanoi Obstetrics and Gynecology Hospital

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