Many sufferers find incontinence an embarrassing issue and therefore do not talk about it - not even with a doctor. However, if you have problems keeping your urine or stool, you should always consult a doctor. For this the topic is not new or extraordinary - so do not delay a visit to the doctor unnecessarily long. Which treatment is most suitable for you depends on the type of incontinence. Until the therapy strikes, there are various aids such as deposits or diapers, which can increase your quality of life.
First, treat conservatively
Certain causes such as extraurethral incontinence or enlarged prostate usually require surgery. Similarly, problems with the urethra often need to be resolved by surgery. And with a bladder that is overactive or unable to deflate on its own, a bladder pacemaker can help. However, conservative methods should always be used before surgery.
Conservative methods include the use of medication. Anticholinergics are prescribed for urge incontinence, alpha-blockers for overflow incontinence, and parasympatholytics for reflex incontinence. It may also be necessary to place a catheter in case of reflex incontinence or overflow incontinence.
It is also important that the pelvic floor muscles are trained. This can be done either actively by special gymnastics exercises or passively by electrotherapy. The muscles in the pelvic floor are trained by electrical impulses. Similarly, a toilet training can be helpful: You determine together with your doctor drinks and drinking and fixed toilet times.
Pelvic floor exercises strengthen the muscles
A pelvic floor training is highly recommended, especially for stress incontinence, because the pelvic floor supports the sphincter of the bladder. A strong pelvic floor can thus prevent incontinence.
The training ensures that the muscles in the area of the pelvic floor are specifically strengthened. The best way to learn the training together with a physiotherapist. So you can make sure that you are doing the exercises properly and the training is also effective. Alternatively, here are 10 pelvic floor exercises that you can easily perform at home.
First aid for faecal incontinence
Even with fecal incontinence, methods such as pelvic floor exercises, electrotherapy and toilet training can be helpful. In addition, laxatives or mobility inhibitors may be used in consultation with the treating physician to stimulate the bowel to eliminate faeces or reduce the frequency of bowel movements.
Often, a fecal incontinence can also be significantly improved by a change in dietary habits. Recommended is the regular consumption of fiber-rich foods. On the other hand, you should avoid bloating foods as well as alcohol and coffee.
Surgery can be performed using a pacemaker that improves the interaction between the pelvic floor, intestines, sphincter and brain. In addition, an injured sphincter can be sutured or an artificial sphincter can be used. Depending on the cause, larger operations are possible.
Diaper and insoles
To make everyday life with urinary and fecal incontinence as bearable as possible, there are various aids. Use this remedy until long-term treatment is effective. Thanks to the funds, you can move around in everyday life without the worry of anyone noticing your incontinence.
Typical aids in incontinence are high-absorbent insoles, incontinence diapers and anal tampons. For men, there is also a so-called condom urinal: This is a condom-like construction, through which the urine is passed into a separate bag.
More tips for incontinence
- Go to the bathroom regularly - neither too rarely nor too often. If you go to the toilet too often, the bladder gets used to the small amounts of urine and can no longer store large quantities. If you go too seldom, the bladder muscles can be overstretched and the function of the bladder disturbed.
- Avoid foods that irritate the bladder. These include, for example, coffee and spicy foods. If there is a fecal incontinence, especially bloating foods are unsuitable. On the other hand, a high-fiber diet can have a positive effect.
- If you are overweight you should try to lose a few pounds. Obesity increases the pressure in the abdominal cavity, which can increase existing incontinence even further. When you lose weight, pelvic floor training usually works better.
- In case of urinary incontinence, despite the discomfort, take sufficient fluid. Otherwise, urinary urgency increases due to the concentrated urine. Likewise, the risk of cystitis may increase.