Have you ever felt uncomfortable telling your doctor or nurse practitioner that you are leaking urine (what we call incontinence)? What kinds of experiences have you had with this?
Everyone feels some discomfort about bringing up this topic.
People (especially women) with incontinence problems tend not to bring them up during a routine examination. Unfortunately, some health care professionals don't automatically ask questions about urine leakage, timing, amount and frequency of incontinence episodes.
One way for anyone to feel empowered about this difficult topic is to arrive for a medical appointment with some written descriptions about the problem. This can be as simple as a list of symptoms but what I find most useful is a three day bladder diary that details exactly what is going on with a patient. You can use the bladder diary form I posted as a Resource in this exchange as a good place to start.
In addition, you can answer a standard set of questions in writing and share them during your appointment. This is an easy way to steer the conversation in the right direction. You can say something like, "I jotted down some items that I want to share with you so I wouldn't forget."
Here are some standard questions that will help you describe your problem:
Do I have strong, sudden urges to urinate?
Do I urinate more than 8 times in a 24-hour period?
Do I have uncontrollable urges to urinate that sometimes result in wetting accidents?
Do I leak urine on the way to the bathroom?
Do I leak urine when I laugh or cough or when I participate in active sports?
Do I frequently get up two or more times during the night to go to the bathroom?
Do I avoid places because I do not know if there is a restroom near by?
Do I go to the bathroom so often that it interferes with my activities?
Do I frequently limit my fluid intake when I'm away from home so that I won't need to worry about finding a restroom?
When I'm in an unfamiliar place, do I make sure I know where the restroom is?
Do I use absorbent pads to keep from wetting my clothes?
Remember that you and your doctor or other health care provider (nurse practitioner, physician assistant) are partners in solving your health problems. The better the information about them you share, the more likely you will both be successful.
There are many types of solutions for incontinence issues so go to your appointment expecting to control or completely resolve your urinary symptoms. And if the first treatment you try doesn't work, keep trying. No one should live with incontinence controlling their life.View Thread
I suggest you speak with your doctor as it sounds like you have incontinence, but I'm not sure which type as I cannot tell from what you have described.
We never empty our bladder completely so I am not surprised you go some more after you have finished urinating. It may be helpful for you to do a 3-day diary and show it to your doctor when you see him.
If you are having documented urinary tract infections (this means positive urine cultures), you need to be treated with antibiotics. Sometimes, women develop overactive bladder symptoms of urgency and frequency following a UTI and I prescribe an overactive bladder medication (Enablex, Vesicare, Gelnique, Toviaz, Santura) for a few months and the symptoms usually go away. I prescribe Hiprex 1 GM twice a day with Vitamin C 1 GM twice a day to prevent a urinary tract infection.View Thread
If you continue to have bladder symptoms including blood in your urine, you need to see your doctor as the antibiotic should have worked by 4 days. It could be that the bacteria causing the infection was resistant to the antibiotic you were prescribed.View Thread
Have you ever developed a rash in your genital area and wondered what might cause it? What did you do about it?
Men and woman with urinary incontinence are often at risk for skin rashes and skin breakdown.
Good skin care and preventing skin breakdown is very important. To prevent skin breakdown you should look at your skin every day, gently wash with a mild cleansing soap right after your urinary incontinence episode, avoid harsh rubbing and friction during washing.
Use absorbent products that keep the urine away from the skin and use topical skin products that protect the skin from moisture (skin barrier products).
If you are in bed a lot or sit in a chair most of the day, you need to protect your skin from moisture and keep your skin off any areas that are open or have a rash.View Thread
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