Urinary incontinence manifested by uncontrolled urinary leakage should no longer cause shame and withdrawal in the person affected. This pathology can be treated or reduced, as soon as the person decides to consult a doctor, urologist or gynecologist. Behavioral habits to acquire, diet to monitor, new lifestyle habits to adopt, perineal reeducation techniques, are some of the recommended ways to treat incontinence. Taking medication may also be necessary and be an effective solution, especially in the case of urge incontinence.
Medication for urinary incontinence
A person suffering from urinary incontinence should not take the initiative to seek treatment at incontinence treatment in Bangalore without the advice of a specialist. After a series of interviews and examinations to define the type of incontinence, only the doctor can determine the appropriate treatment.
Stress urinary incontinence, which occurs during a cough, sneeze or following physical exertion, is generally treated by rehabilitation or surgical intervention and not by medication. Perineal rehabilitation works by strengthening the perineum and the sphincters. In the event of failure, the surgical treatment is indicated: most often the installation of strips under urethral. To date, no medication is indicated for the treatment of stress urinary incontinence. Alpha-mimetics or certain inhibitors of serotonin reuptake had been considered, but they were not very effective and had too many contraindications and side effects. Only taking estrogens can sometimes be associated with rehabilitation, this allows muscle building.
In contrast, drugs have been shown to be effective in treating the other two types of urinary incontinence: urge urgency, which manifests as urinary leakage preceded by an urgent need to urinate, and mixed incontinence, which combines urinary stress incontinence to urge incontinence. These drugs work by blocking out of order bladder contractions.
Drug treatment
The bladder contracts under the effect of a molecule called acetylcholine, which attaches to receptors located on the bladder wall.
Certain drugs, such as anticholinergics, by implanting themselves on the receptors of the bladder, therefore have the role of reducing involuntary contractions of the latter. Other drugs, by their anti spasmodic effect, also aim to help the bladder to relax and reduce contractions. This is the case of muscle relaxants in particular. However, considered less convincing than anticholinergics, they are much less used than the latter.
Anticholinergics: the most prescribed drugs against urinary incontinence.
Having the role of "immobilizing" the receptors and reducing the contractions of the bladder and the pressure inside it, anticholinergics are still the most popular drugs to reduce volume and frequency of urinary leakage . However, they cause a number of side effects, the best known of which are: eye disorders, dry mouth, constipation, gastrointestinal disorders, drowsiness and tachycardia. Sometimes, disturbances of consciousness are noted in the patient, especially the elderly.
These side effects, and particularly dry mouth, are also the main cause of interruption of treatment by patients. The appearance and nature of side effects may be different depending on the patient, it is always recommended to seek the advice of your doctor when taking these drugs. To minimize the onset of side effects, some doctors recommend administration in low doses, especially in the elderly. They also recommend waiting up to 4 weeks to assess the effectiveness of the drugs, and gradually changing the dosage.
New drugs have appeared and would have the quality of being both effective and more tolerated by patients. Others can be used "as a second line" to treat cases of intolerance to anticholinergics, such as anticalcics, or anti inflammatory drugs. Other drugs like botox used initially to treat certain neurological diseases like multiple sclerosis has given good results to treat urinary incontinence by overactive bladder and it is more and more used today.
All medications to treat urinary incontinence should be prescribed by a doctor. This is why, it is strongly advised to consult a doctor who will direct the patient to a specialist. After researching and finding the causes of incontinence, the doctor will be able to determine whether or not the most suitable treatment requires the absorption of medication. In most cases, the doctor favors perineal reeducation or recommends adopting new behaviors, changing certain eating habits. These measures are simple and constitute the best means of prevention, because with the increase in life expectancy, urinary incontinence is likely, within a few years, to become a real public health issue.
Medication for urinary incontinence
A person suffering from urinary incontinence should not take the initiative to seek treatment at incontinence treatment in Bangalore without the advice of a specialist. After a series of interviews and examinations to define the type of incontinence, only the doctor can determine the appropriate treatment.
Stress urinary incontinence, which occurs during a cough, sneeze or following physical exertion, is generally treated by rehabilitation or surgical intervention and not by medication. Perineal rehabilitation works by strengthening the perineum and the sphincters. In the event of failure, the surgical treatment is indicated: most often the installation of strips under urethral. To date, no medication is indicated for the treatment of stress urinary incontinence. Alpha-mimetics or certain inhibitors of serotonin reuptake had been considered, but they were not very effective and had too many contraindications and side effects. Only taking estrogens can sometimes be associated with rehabilitation, this allows muscle building.
In contrast, drugs have been shown to be effective in treating the other two types of urinary incontinence: urge urgency, which manifests as urinary leakage preceded by an urgent need to urinate, and mixed incontinence, which combines urinary stress incontinence to urge incontinence. These drugs work by blocking out of order bladder contractions.
Drug treatment
The bladder contracts under the effect of a molecule called acetylcholine, which attaches to receptors located on the bladder wall.
Certain drugs, such as anticholinergics, by implanting themselves on the receptors of the bladder, therefore have the role of reducing involuntary contractions of the latter. Other drugs, by their anti spasmodic effect, also aim to help the bladder to relax and reduce contractions. This is the case of muscle relaxants in particular. However, considered less convincing than anticholinergics, they are much less used than the latter.
Anticholinergics: the most prescribed drugs against urinary incontinence.
Having the role of "immobilizing" the receptors and reducing the contractions of the bladder and the pressure inside it, anticholinergics are still the most popular drugs to reduce volume and frequency of urinary leakage . However, they cause a number of side effects, the best known of which are: eye disorders, dry mouth, constipation, gastrointestinal disorders, drowsiness and tachycardia. Sometimes, disturbances of consciousness are noted in the patient, especially the elderly.
These side effects, and particularly dry mouth, are also the main cause of interruption of treatment by patients. The appearance and nature of side effects may be different depending on the patient, it is always recommended to seek the advice of your doctor when taking these drugs. To minimize the onset of side effects, some doctors recommend administration in low doses, especially in the elderly. They also recommend waiting up to 4 weeks to assess the effectiveness of the drugs, and gradually changing the dosage.
New drugs have appeared and would have the quality of being both effective and more tolerated by patients. Others can be used "as a second line" to treat cases of intolerance to anticholinergics, such as anticalcics, or anti inflammatory drugs. Other drugs like botox used initially to treat certain neurological diseases like multiple sclerosis has given good results to treat urinary incontinence by overactive bladder and it is more and more used today.
All medications to treat urinary incontinence should be prescribed by a doctor. This is why, it is strongly advised to consult a doctor who will direct the patient to a specialist. After researching and finding the causes of incontinence, the doctor will be able to determine whether or not the most suitable treatment requires the absorption of medication. In most cases, the doctor favors perineal reeducation or recommends adopting new behaviors, changing certain eating habits. These measures are simple and constitute the best means of prevention, because with the increase in life expectancy, urinary incontinence is likely, within a few years, to become a real public health issue.
No comments:
Post a Comment