Urinary Incontinence Naturopathic Treatment

Reclaim Bladder Control

Urinary Incontinence affects people world wide, and can cause people to avoid social contact and not want to deal with others. This ebook by Alice Benton gives you the best way to avoid the embarrassment and discomfort that is associated with urinary incontinence. Why would you want to deal with annoyance of being unable to control your own bladder when you could find a far better way to help heal yourself? This ebook gives you natural methods of taking back control of your bladder, without having to worry about the dangers associated with surgery or medications that can cause harm to your kidneys. You can learn the best natural way to heal yourself from urinary incontinence and give yourself the life that you deserve; start living the way that you deserve to live, without all of the problems that come with urinary incontinence. Take your life back now!

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Overactive Bladder

Epidemiology of Overactive Bladder Overactive bladder is defined by the ICS as a medical condition referring to the urinary symptoms of frequency and urgency, with or without urge incontinence, when appearing in the absence of local pathologic factors.1 Spectrum of Overactive Bladder The National Overactive Bladder Evaluation (NOBLE) program is a nationwide, population-based survey of the United States adult population. The goals of the program are to describe the epidemiology of OAB symptoms, assess the use of coping strategies among people with OAB, and to estimate the burden of the disease. A validated computer-assisted telephone interview was conducted to assess bladder symptoms and coping behavior. In all, 17231 households were contacted by telephone from November 2000 to January 2001. A total of 5204 individuals completed the telephone interview. Eight hundred sixty-four cases of OAB were identified 545 were classified as OAB without incontinence and 319 were classified as OAB...

Amelioration of Overt Osmotic Symptoms and Infection

Unlike with younger adults, the presence of polyuria and polydipsia in an elderly person can be a poor guide to hyperglycaemia because of the altered renal threshold to glucose excretion with ageing, and also the high prevalence of diuretic medication prescribed for cardiac failure and hypertension in elderly people. However, conversely, elderly people often do not well tolerate the osmotic symptoms of glycosuria because of coexisting poor mobility owing to neurological or degenerative joint disease, which can make getting to the toilet difficult. Similarly, pre-existing difficulties with voiding urine can be exacerbated by poor gly-caemic control, with urinary incontinence a common problem. Recurrent urinary tract infection in women is a common problem, particularly with chronically high glucose values greater than 15 mM.

Evaluating the Geriatric Patient

NUTRITION HISTORY The physician tries to determine the type, quantity, and frequency of food eaten, including the number of hot meals per week. Special diets, self-prescribed fad diets, alcohol consumption, over-the-counter vitamins, and dietary fiber are also determined. For the elderly, it is very important to determine the amount of money the patient has to spend on food each week and whether suitable cooking facilities are available. The patient's ability to eat is assessed by examining the mouth and the condition of the teeth or dentures, if fitted. Poor vision, arthritis, immobility, or tremors may affect an old person's ability to prepare food. A patient that suffers from urinary incontinence may reduce fluid intake, which could also lead to poor food intake.

Classification Anticonvulsant

doped-up sensation, suicidal tendencies, psychoses. Oral Dry mouth and throat, dental abnormalities, gingivitis, glossitis, gum hemorrhage, stomatitis, taste loss, unusual taste, increased salivation. GI Most commonly N&V. Also, dyspepsia, constipation, increased appetite, abdominal pain, diarrhea, anorexia, flatulence, thirst, gastroenteritis, hemorrhoids, bloody stools, fecal incontinence, hepatomegaly. CV Hypertension, vasodilation, hypotension, angina pectoris, peripheral vascular disorder, palpitation, tachycardia, migraine, murmur. Musculoskeletal Myalgia, fracture, tendinitis, arthritis, joint stiffness or swelling, positive Romberg test. Respiratory Rhinitis, pharyngitis, coughing, pneumonia, epistaxis, dyspnea, ap-nea. Dermatologie Pruritus, abrasion, rash, acne, alopecia, eczema, dry skin, increased sweating, urticaria, hirsutism, seborrhea, cyst, herpes simplex. Body as a whole Weight increase, back pain, peripheral edema, asthenia, facial edema, allergy, weight decrease,...

Indications and Patient Selection for Bariatric Surgery

Increased intra-abdominal pressure is well documented in morbidly obese patients and is manifested as stress overflow urinary incontinence, gastroesophageal reflux, nephrotic syndrome, increased intracranial pressure leading to pseudotumor cerebri, hernias, venous stasis, probably hypertension and pre-eclampsia, as well as the nephrotic syndrome. Pseudotumor cerebri is hypothesized to be secondary to an increased intra-abdominal pressure and intra-thoracic pressure with decreased venous drainage from the brain.

Classification Antidepressant

Urinary frequency, UTI, urinary retention, vaginitis, breast pain, cystitis, urinary urgency, metrorrhagia, amenorrhea, polyuria, vaginal hemorrhage, breast enlargement, menor-rhagia, urinary incontinence, abnormal ejaculation, hematuria, nocturia, kidney calculus. Miscellaneous Peripheral edema, thirst, abnormal LFTs, ear pain, hyperacusis, deafness, taste loss.

Technology development

In partial dislocation of the humeral head, resulting in pain and an inability to use the shoulder effectively. This system has also been applied to strengthening of the quadriceps muscle in individuals with osteoarthritis, although tests are still in the early clinical stage127 and with stimulating the pudendal nerve to treat overactive bladder.127

Paroxetine hydrochloride

Abnormal thinking, akinesia, alcohol abuse, ataxia, convulsions, possibility of a suicide attempt depersonalization, hallucinations, hyperkinesia, hyper-tonia, incoordination, lack of emotion, manic reaction, paranoid reaction. Oral Dry mouth, dysphagia, glossitis, increased salivation, mouth ulceration. GI Nausea, abdominal pain, diarrhea, vomiting, constipation, decreased appetite, flatulence, oropharynx disorder ( lump in throat, tightness in throat), dyspepsia, increased appetite, bruxism, eructation, gastritis, rectal hemorrhage, abnormal LFTs. Hematologic Anemia, leu-kopenia, lymphadenopathy, purpura. CV Palpitation, vasodilation, postural hypotension, hypertension, syncope, tachycardia, bradycardia, conduction abnormalities, abnormal ECG, hypotension, migraine, peripheral vascular disorder. Dermatologic Sweating, rash, pruritus, acne, alopecia, dry skin, ecchymosis, eczema, furunculosis, urticaria. Metabolic Nutritional Edema, weight gain, weight loss, hyperglycemia, peripheral...

Obesity And Its Comorbidities

In the area of urology, there are several obesity-related diseases (Table 19.1). Stress urinary incontinence (SUI) in women, caused by increased intra-abdominal pressure, is associated with truncal or upper-body obesity.3 Varicoceles are prevalent in obese men and may be a cause of infertility.4 Obese men also have a higher incidence of impotence, which

Topographic or Organ Specific Disorders Jabie 216 PUPILS

Disturbances at different levels of the bladder control system result in the development of neurogenic bladder. Neurogenic bladders can be subdivided into two types the reflex or upper motor neuron type, and the nonreflex or lower motor neuron type. The terms reflex and nonreflex denote the presence or absence, respectively, of bulbocavernosus and anal reflexes. The reflex type of neurogenic bladder includes the uninhibited bladder associated with lesions of the medial frontal region that results in urinary incontinence but not urinary retention because the detrusor-sphincter synergy is preserved. The automatic bladder results from lesions of the spinal cord that interrupt the pathway from the pontine micturition centers. An automatic bladder is associated with urgency, frequency, incontinence, and urinary retention that is due to detrusor-sphincter dyssynergia. The lower motor neuron type of neurogenic bladder, such as that occurring with lesions of the cauda equina or peripheral...

Representative Population of Women

This can be based on the incidence of disease proportional to gender distribution and can be studied when drug development and toxicity are well-enough advanced, usually by Phase III. Women of child-bearing age must be represented if the disease is prevalent in the age group 15-50 years. Indeed, diseases such as endometriosis can only be studied in such a population, whereas drugs to treat urinary incontinence would be better undertaken in older patients.

The Musculoskeletal System Multiple Choice

An 85-year-old retired secretary presents to your office complaining of severe lower back pain. She states that it started 4-5 months ago and has gradually been getting worse. She takes Daypro for arthritis but that hasn't helped her very much. She says that lying down or sleeping does not seem to help. She doesn't recall any trauma to her back. She has had no unusual problems with strength in her legs or bowel or bladder control. Her past medical history is significant for 30 years of hypertension and right-sided breast cancer 10 years ago. She had a mastectomy and radiation therapy. She did not take any chemotherapy. She denies tobacco or alcohol use. On exam, you find a thin, cachectic-appearing woman in no acute distress. Her heart and lung exam are normal. She is tender over the L4 and L5 vertebrae. She has normal sensation, strength, and reflexes in her lower extremities. She is nontender over the para spinal muscles around the lumbar region and has a negative straight leg rise...

Pregnancy most likely diagnosis

Patients who experience a grand mal seizure often lose consciousness suddenly, with a stiffening of the body. This is often followed by the clonic jerking of the muscles. Tongue biting and urinary incontinence are often noted. The patient will then have a pronounced postictal state of confusion and drowsiness.

Classification Antipsychotic agent miscellaneous

Been determined in children less than 18 years of age. Side Effects Neuroleptic malignant syndrome Hyperpyrexia, muscle rigidity, altered mental status, irregular pulse or BP, tachycardia, diaphoresis, cardiac dysrhythmia, rhabdomyoly-sis, acute renal failure, death. Oral Dry mouth, increased salivation, aphthous stomatitis, gingivitis, glossitis, mouth ulceration, oral monilia-sis, periodontal abscess, tongue edema. GI Dysphagia, constipation, increased appetite, N&V, thirst, eructation, esophagitis, rectal incontinence, flatulence, gastritis, gastroenteritis, hepatitis, melena, rectal hemorrhage,. CNS Tardive dyskinesia, seizures, somnolence, agitation, insomnia, nervousness, hostility, dizziness, anxiety, personality disorder, akathisia, hypertonia, tremor, amnesia, impaired articulation, euphoria, stuttering, suicide, abnormal gait, alcohol misuse, antisocial reaction, ataxia, CNS stimulation, coma, delirium, depersonalization, hypesthesia, hy-potonia, incoordination, decreased...

Impaired Sexual Function

Twenty-five patients with PD, 15 men and 10 women, younger than age 56, were interviewed on sexual function.3 A female neurologist conducted the interviews and physical examinations. Participants' mean age was 50.3 years. The mean age of onset of disease was 44.7 years. Changes in libido were not statistically different between men and women, although women reported more marked changes in libido. Women reported more changes in sexual activity than men. Causes of sexual dysfunction in men included ED (n 3), reduced libido after initiation of medication (n 2), change in orgasm (n 2), and lack of partner's acceptance (n 1). Four women reported reduced libido after initiation of medication, three women reported change in orgasm, three women reported vaginal dryness, five women reported sexual dysfunction due to rigidity, and one woman reported lack of partner's acceptance. Four women and four men reported urinary incontinence. There was one female with major depression on the Beck...

Donepezil hydrochloride

CNS Insomnia, dizziness, depression, abnormal dreams, somnolence. CV Hypertension, vasodilation, atri-al fibrillation, hot flashes, hypotension, bradycardia. Body as a whole Headache, pain (in various locations), accident, fatigue, influenza, chest pain. Musculoskeletal Muscle cramps, arthritis, bone fracture. Der-matologic Diaphoresis, urticaria, pruritus. GU Urinary incontinence, nocturia, frequent urination. Respiratory Dyspnea, sore throat, bronchitis. Ophthalmic Cataract, eye irritation, blurred vision. Miscellaneous Dehydration, syncope, ecchymosis, weight loss.

Organizations

Incontinence Urinary incontinence involuntary loss of bladder control. Infectious rnononucleosis Glandular fever. It is a common form of infection with the Epstein-Barr virus (EBV) consisting of fever, fatigue, enlarged lymph nodes, often with rash, splenic enlargement and hepatic enzyme elevation.

Facet Joint Disease

Other patients may present with a slowly developing back pain that appears to worsen with activity and to be relieved with rest. The back pain is often accompanied by leg pain, which may be radicular. Patients with facet disease may develop neurogenic claudication in the later stages of the disease process. The spinal canal is narrowed and the thecal sac constricted from the combination of facet hypertrophy with osteophyte formation, bulging of the ligamentum flavum, disc degeneration, and herniation. Patients with neurogenic claudication complain of bilateral thigh and leg tiredness, aches, and fatigue. They also report that forward flexion of the spine, as with leaning on a counter, relieves the symptoms. In the setting of long-standing disease, patients may discover a slow onset and chronic loss of bladder control. Associated conditions, such as prostatism in men and bladder suspension in women, should be ruled out.

Mirtazapine

Trasystoles, syncope, migraine, hypotension. Hematologic Agranulocytosis. Body as a whole Asthenia, flu syndrome, back pain, malaise, abdominal pain, acute abdominal syndrome, chills, fever, facial edema, photosensitivity reaction, neck rigidity, neck pain, enlarged abdomen. Respiratory Dyspnea, increased cough, sinusitis, epistaxis, bronchitis, asthma, pneumonia. GU Urinary frequency, UTI, kidney calculus, cystitis, dysuria, urinary incontinence, urinary retention, vaginitis, hematuria, breast pain, amenorrhea, dysmenorrhea, leukorrhea, impotence. Musculoskeletal Myalgia, my-asthenia, arthralgia, arthritis, tenosyno-vitis. Dermatologic Pruritus, rash, acne, exfoliative dermatitis, dry skin, herpes simplex, alopecia. Metabolic nutritional Increased appetite, weight gain, peripheral edema, edema, thirst, dehydration, weight loss. Ophthalmic Eye pain, abnormal accommodation, conjunctivitis, kerato-conjunctivitis, lacrimation disorder, glaucoma. Miscellaneous Deafness, hyperacusis, ear...

Geriatrics

Of urinary incontinence (sometimes of large volume) following a sudden urge to urinate. The patient senses the need to void at below normal volumes (100 ml. Stress incontinence is characterized by the loss of small amounts of urine during activities that increase abdominal pressure, such as coughing, laughing, sneezing, and exercising. Functional incontinence is often due to the combination of cognitive impairment and immobility. The urinary tract is intact in functional incontinence.

Commentary

Irritative diseases of the lower urinary tract share common symptoms of urinary frequency and urgency. Collectively, urgency frequency syndromes encompass multitudes of pelvic diseases including overactive bladder (OAB). Other symptoms may help to direct investigation and help to establish a diagnosis. For example, hematuria could be a symptom of cystitis, urethral diver-ticulum,calculus,or malignancy.Most importantly,lower urinary tract malignancy,especially carcinoma in situ, should be considered by the treating physician. Pelvic pain can arise from any organ in the pelvis or its musculofascial support. Historically, fibroids of the uterus have been erroneously blamed for the symptoms of urgency and frequency, and it was used as an indication for hysterectomy. Similarly, constipated patients have significant lower urinary tract symptoms, and successful treatment of constipation is usually accompanied by resolution of urinary symptoms. More recently,treatments that address the pelvic...