Urinary Incontinence Naturopathic Treatment
The most frequent urinary complaints in PD patients are frequency, urgency, urge incontinence, and nocturia. Hobson et al. (58) performed a community-based questionnaire survey in Wales, U.K., and found that bladder problems were reported in 51 of 123 PD patients returning the survey compared to 31 of 92 controls. The calculated relative risk of developing bladder symptoms in PD patients compared to controls was 2.4. Lemack et al. (59) performed a similar questionnaire-based assessment of bladder problems in PD patients, but selected early-stage patients (Hoehn and Yahr stage 2.5 or lower) to determine if bladder problems occur early in the disease. Men with early PD assessed using the American Urological Association Symptom Index had a mean score of 12 compared to the community sample of normal male volunteers whose mean score was 4.8. Significant differences were seen on questions for frequency, urgency, and weak urinary stream. Women completed the Urogenital Distress Inventory-6...
Bacterial infection and possesses fever-reducing and stomachic properties. 5 In many Asian countries, leaves in water provide a bath to reduce swelling, to remove body odour, improve blood circulation, treat cuts, wounds, bladder problems and leprosy. 9 Its oil is used as an insect repellent, for aerosols, deodorants, floor polishes and household detergents. 4,5 The oil is carminative for cholera, and is prescribed for dyspepsia, vomiting, fever, and headache, 10 and used externally to treat eczema. 5 Its roots are taken to induce sweating, increase flow of urine, 9 treat coryza and influenzal
What we find interesting is that modern uses of the plant, as we will outline, differ so much from the more traditional uses. Look at Parkinson's list of its benefits (right) few herbalists will now use St John's wort to dissolve tumors. Mrs Grieve, writing in 1931, says it is good for pulmonary complaints, bladder problems, diarrhea, jaundice, and nervous depression, among others.
The putative role of antibodies to the acetylcholine receptor as a mediating of autonomic neuropathy in pSS was investigated by Waterman and colleagues.104 IgG autoantibody found in patients with both primary and secondary SS induces cholinergic hyper-responsiveness and detrusor instability on passive transfer to normal mice potentially through, compensatory up-regulation of postsynaptic M3R receptor number, consistent with the hypothesis that the overactive bladder in pSS is an autoantibody mediated disorder.101 Proof of a pathogenic role for anti-M3R antibody in autonomic dysfunction in pSS will require purification and characterization of the antibody. Conventional immunologic techniques have not confirmed detectable binding of pSS IgG to M3R, and studies to date have relied on biologic assays that have proven difficult to replicate.105 The most compelling evidence for functional M3R antibody in pSS remains a bioassay capable of detecting circulating antibody at concentrations...
Think I am a good candidate for gastric bypass surgery What do I need to do to obtain insurance coverage for this
Ship with your primary care doctor, he or she will know about your weight loss attempts and will be treating you for any of your obesity-related illnesses or conditions (elevated cholesterol and triglycerides, gallstones, pancreatitis, abdominal hernia, fatty liver, diabetes or prediabetes, polycystic ovary syndrome, high blood pressure, heart disease, pulmonary hypertension, stroke, blood clots in the legs and lungs, sleep apnea, arthritis, gout, lower back pain, infertility, urinary incontinence, or cataracts).
Boiled leaves are used to treat rheumatism and fungal infection. 3,413 In Papua New Guinea, decoctions of the leaves are applied to sores. On the Solomon Islands, preparations of the leaves are ingested for digestive troubles. 4 The seeds are chewed with areca nut to sooth abdominal pains and cramps or consumed alone as a purgative. 313 Decoctions of the tubers are also ingested to treat bladder problems. 4
Menopause is different for each woman. Symptoms can include hot flashes, vaginal dryness, decreased libido (interest in sex), urinary incontinence (leaking some urine when you cough or sneeze), or memory problems. Other health effects include an increased risk of heart disease and strokes and loss of bone strength.
Acute urinary retention (AUR) is a common complication of modern brachytherapy, but can occur immediately after LDR brachytherapy. Crook et al. 72 demonstrated on the basis of a multivariate analysis that larger prostate volumes and prior hormone therapy were each independent predictors of AUR. AUR should be managed by intermittent or continuous bladder drainage. If AUR persists more than a few days, clean intermittent self-catheterization is preferred to continuous drainage by a Foley catheter. The use of transurethral incision of prostate should be avoided in the first 6 months, but if retention persists, transurethral incision of prostate or minimal TURP may be considered, recognizing the risk of urinary incontinence after these procedures 73-75 .
Sleep benefit is a common phenomenon of variable duration ranging from 30 minutes to 3 hours in PD and implies improvement in mobility and motor state in the morning and after drug intake at night (98). The mechanism of sleep benefit is unknown, and possible causes include (i) recovery of dopaminergic function and storage during sleep, (ii) a circadian rhythm-related phenomenon, or (iii) a pharmacological response to dopaminergic drugs (7,30). Good sleep hygiene is also useful. Activities such as a hot bath a couple of hours before bedtime, maximizing daytime activity, ensuring bright light exposure, having a hot sweet drink or a light snack at bedtime, use of handrails in bed and or satin sheets to enable easier turning in bed, flexible bed times, a reclining armchair for some, and avoiding stimulants such as tea or coffee at bedtime are part of good sleep hygiene (81). Nocturia remains one of the most common causes of sleep disruption in PD and can be reduced by avoiding diuretics,...
IB has gone by many names including irritable bladder syndrome, overactive bladder, idiopathic bladder spasm, and detrusor instability (detrusor is the medical name for the bladder muscle). Of all people with FM, 5 to 50 percent are thought to have IB. In this syndrome the bladder suddenly contracts, even without being full. These contractions cause an irrepressible need to urinate, medically termed urgency. IB causes urination frequency, meaning that people often have to urinate seven to ten times daily and often during the night as well a medical term for this is nocturia. Embarrassingly, urge incontinence occurs in about half of the persons with IB. This is urinary leakage before the patient can reach the toilet. The cause of IB is not known, but miscommunication in the neurological system is the prime suspect. The neurological link is further supported by the prevalence of IB following a stroke or in persons with Parkinson's disease. Diagnosis is made by history and physical exam....
Obesity-related illnesses and conditions include elevated cholesterol and triglycerides, gallstones, pancreatitis, abdominal hernia, fatty liver, diabetes and prediabetes, polycystic ovary syndrome, high blood pressure, heart disease, pulmonary hypertension, stroke, blood clots in the legs and lungs, sleep apnea, arthritis, gout, lower back pain, infertility, urinary incontinence, and cataracts. If you have one of these conditions gastric surgery can be considered when the BMI is 35 or higher. In many cases gastric bypass surgery can dramatically improve obesity-related conditions. I have had many patients who after gastric bypass surgery were able to give up their blood pressure, diabetes, and cholesterol lowering medications. Many young women who have been unable to become pregnant conceive and go on to have healthy babies (more on this later).
How can I rationalize surgically changing my insides and risking significant complications even death just to lose
An article in the Journal of the American Medical Association (January 8, 2003) reported that marked obesity in a man aged twenty to thirty could reduce his life expectancy by up to thirteen years. An extremely obese woman in this same age range might expect to lose up to eight years compared to her normal-weight friends. These are not small numbers. People who are overweight are more likely to develop obesity-related illnesses such as heart disease, pulmonary hypertension, stroke, diabetes, sleep apnea, and arthritis. And obese people are much more likely than lean people to develop blood clots in the legs and lungs, gallstones, pancreatitis, abdominal hernia, fatty liver, polycystic ovary syndrome, high blood pressure, arthritis, gout, lower back pain, infertility, urinary incontinence, and cataracts.
The muscles in your pelvic floor help support your uterus, bladder and bowel. Toning them by doing Kegel exercises will help ease your discomfort during the last months of your pregnancy and may help minimize two common problems that can begin during pregnancy and continue afterward leakage of urine and hemorrhoids. In fact, a recent study found that strengthening your pelvic floor muscles during pregnancy appears to reduce your risk of developing urinary incontinence, both during and after pregnancy.
After his hospitalization it had taken intensive work by his wife to get him in good shape again. Over the course of a year after coming home, he gradually developed walking difficulties, urinary incontinence, and memory problems. In addition the patient became easily irritated and difficult for his wife to manage. The general practitioner who was consulted suggested that the problems were all related to alcohol and advised the patient to stop his alcohol intake. Because the same general practitioner had missed the diagnosis of rheumatoid arthritis in the patient's wife, saying that her complaints were stress related, the wife had been dissatisfied with his suggestion and consulted another general practitioner with the patient. This general practitioner referred the patient to a neurologist to evaluate the effects of the cranial trauma.
Acute urinary symptoms such as urinary urgency and frequency are common and usually resolve within a few months. Urinary retention occurs in less than 5 of patients treated with combination of HDR brachytherapy and EBRT 89, 94, 104, 105 . Urinary strictures are reported in up to 15 of patients, and most commonly seen in the bulbomembranous urethra 106, 107 . Urinary incontinence is extremely rare, and seen in less than 2 of patients 107, 108 .
The considerations about the early detection of the PCa is necessary, due to, there is considerable variation in the likely side effects and risks of long-term consequences such as urinary incontinence (UI) and erectile dysfunction (ED) in patients with PCa. With the early diagnosis there is an expectation of curing cancer, minimizing the risk of UI and ED and increasing the quality of life of the patient 38-41 .
Men confronted with this treatment decision often need to take into consideration a range of factors, including the potential physical side effects of treatments and their psychological, social and emotional consequences. For example, patients being treated with radical therapies can experience severe side-effects, such as urinary incontinence (UI) and erectile dysfunction (ED), as a result of treatment. UI symptoms can persist years after treatment 8 and this can have an impact on all aspects of an individual's functioning. Men with UI often avoid social situations due to the risk of their incontinence becoming apparent to other people. They can feel embarrassed by their inability to self-control their bodily functions and by the lack of empathy from other people within social situations 9 .
The concept of spasticity also applies to bladder function. Individuals may experience a sudden urge to urinate and inability to hold their urine, even in public places. Other problems are retention of urine or difficulty initiating urination. (Bladder problems are addressed in detail in Chapter 7, Bladder and Bowel Management. )
Emptying the bladder is the result of three parts of the bladder functioning in sequence. To empty the urine from the bladder effectively, the bladder wall (the detrusor muscle) has to contract. When the pressure in the bladder has reached the right level, and only then, the bladder neck will normally relax and then the internal sphincter will relax. If the external sphincter is relaxed, voiding will occur. Sometimes, early in the course of MS, the bladder may not contract normally, and the sphincter does not relax, thus preventing the bladder from emptying. This is a so-called hyporeflexic bladder. However, most bladders are hyperreflexic, and the patient feels the urge to urinate frequently, sometimes with a feeling of great urgency. At times, the bladder uncontrollably empties unexpectedly or prematurely, resulting in urinary incontinence.
In severely obese people, the excess visceral fat is thought to increase intraabdominal pressure. Animal research shows that experimentally induced acute increases in intraabdominal pressure to the levels seen in the abdomens of very obese people cause increases in pleural pressure, intracranial pressure, and central venous pressure. The investigators postulated that in humans, increased intraabdominal pressure may contribute to hypertension, insulin resistance and type 2 DM, obesity-hypoventilation syndrome, pseudotumor cerebri, incisional hernia, and urinary incontinence. Massive weight loss following obesity surgery normalizes the increased intraabdominal pressure and reduces or eliminates all the symptoms listed previously.
To understand the magnitude of HRQL issues among cancer survivors, we have classified these concepts into discrete domains, however it is understood that they represent a highly interrelated and dynamic system. Adhering to this model of self-reported health, the late effects of cancer can have wide spread ramifications. For example, many of the late physical effects (e.g., pain, fatigue, urinary incontinence, infertility) can also have significant emotional and social consequences. Since those with increasing age also represent a large segment of cancer survivors, it is sometimes difficult to determine whether physical changes are predominantly age or cancer related (e.g., fatigue, decreased libido, weakness). Apart from the observed physical changes, the psychosocial and existential issues acknowledged by survivors
Cation of cancer somewhere in the body. If back pain is accompanied by numbness or tingling in the legs, pain shooting down a leg to the knee or foot, inability to move legs and feet, urinary incontinence or stomach cramps, chest pain or fever, see a physician immediately. Otherwise, most back pain will subside in a matter of days, weeks, or possibly several months with proper rest and care.
Fibers causing nerve electrical transmissions to become dysfunctional. The cause is not known but the two most prominent theories are a virus or autoimmunity in which the immune system mistakenly attacks the sheaths. Stress, environmental toxins, and food sensitivities can exacerbate the condition. Symptoms vary and include muscle weakness, loss of coordination, loss of vision and bowel and bladder control, and paralysis. The illness can stabilize or go into remission. In studies, a low-fat diet has been shown to improve symptoms significantly. The Swank diet is recommended. Regular exercise is beneficial. Some individuals have experienced benefits from apithery, a treatment involving bee venom which has anti-inflammatory properties.
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.
The bladder can be scarred from radiation, resulting in persistent irritative symptoms or decreased capacity. These complications can actually sometimes worsen with time.39 Medications for urge incontinence like oxybutynin or tolterodine may be helpful. Brachytherapy, increasingly used in early stage prostate cancer, is less likely to cause bladder problems than is external beam radiation. Radiotherapy can also leave the vagina dry and scarred, requiring vaginal lubricants and dilatation procedures to ameliorate.
After any hysterectomy, you should not have sex for at least 4 weeks. There is a small risk (about 1 ) of developing a fistula (an abnormal opening) between your bladder and vagina or between one of your ureters (the tubes from your kidney to your bladder) and vagina. These fistulas result in urine leaking out the vagina. In the rare case this happens, surgery is often required to fix the problem.
Side effects for you may include spinal headache or low blood pressure. Spinal headaches are somewhat more frequent in this technique than with epidural blocks because the perforation of the membrane that holds the spinal fluid is intentional. A smaller needle is used than that used with an epidural, though, so temporary leakage isn't common. You may need a catheter for your bladder because you'll lack bladder control.
Children with spina bifida need to learn how to walk with crutches, braces, or wheelchairs. With new techniques, children also can become independent in managing their bowel and bladder problems. To promote personal growth, parents should encourage children (within the limits of safety and health) to be independent, to participate in activities with their nondisabled peers, and to assume responsibility for their own care.
It is possible to control the passage of urine out of the urethra by voluntary contraction of the external sphincter. The ability to exercise this control will diminish if there is nerve damage, or the sphincter muscle is weak voluntary control is lost and urine leaks out of the urethra. The leakage is worse if abdominal pressure is increased as in coughing or laughing. This involuntary passage of urine is known as urinary incontinence. Many women suffer from this condition especially after childbirth when the pelvic floor muscles are stretched, or with ageing when the muscles lose tone. This condition can be helped and these women should be encouraged to seek medical advice.
Chemotherapy, particularly alkylating agents like cyclophosphamide, can induce infertility and, in women, premature menopause, with its attendant problems of hot flashes, mood swings, vaginal dryness, and urinary incontinence. Cyclophosphamide is commonly used in breast cancer, but management of the menopausal symptoms is complicated by the fact that hormone replacement therapy is considered contraindi-cated in patients with a history of breast cancer. Consequently, other treatments must be used for hot flashes, such as antidepressants.52 This example illustrates the importance of both recognizing the symptoms related to ovarian failure in a cancer patient in which it would be otherwise unexpected, and having knowledge of the oncologic considerations of the therapies being chosen.