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Taking Care of an Elderly Woman with Bladder Control Problems

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Urine leakage is a common problem for women of all ages, but more women tend to experience the problem as they age.

But urine leakage doesn’t have to be an unavoidable part of a woman’s life. Bladder control problems can be treated.

Who is likely to have bladder control problems?
About half of adult women say they have had urine leakage at one time or another. Many women say the problem occurs daily.
Often women leak urine when they are pregnant or after they have given birth.

Women who have stopped having their periods—menopause—often report bladder control problems.

Many women leak urine when they exercise, laugh hard, cough, or sneeze.

What causes bladder control problems in women?

Urine leakage has many possible causes:

  • Weak muscles. Most bladder control problems are caused by weak pelvic muscles—the muscles that hold the bladder in place. These muscles may become stretched and weak during pregnancy and childbirth. The sphincters—muscles that keep the bladder closed until you urinate—may also be weakened.
  • Nerve damage. Damaged nerves may send signals to the bladder at the wrong time, causing the bladder to push out urine without warning. Or damaged nerves send no signals at all, so the brain can’t tell when the bladder is full. Trauma or diseases such as diabetes can cause nerve damage.
  • Medicines, alcohol, and caffeine. Leaking can happen when medicines or alcohol affect the nerves or muscles. Caffeinated drinks such as coffee or cola cause the bladder to fill quickly, which may cause the bladder to leak.
  • Infection. A urinary tract infection can irritate bladder nerves and cause the bladder to squeeze without warning.
  • Excess weight. Being overweight can put pressure on the bladder and contribute to leakage.


 

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Comments (1 to 1 of 1)

AlzCaregiver said
Oct 13, 2009

My mom had been on ditropan/oxybutinin for many years, and when I noticed her Sx were not what were shown on the TV commercials for bladder control drugs, I asked doctor if we could try going without for awhile to see what happened. Not only did her bladder control (just light leaking) seem fine, but after a few weeks, I noticed she had more mental alertness and was more with it. I kept observing and finally asked her if she noticed any change in herself. When she said "yes, I have actually, a week or so ago..." HOLD THAT THOUGHT! I grabbed my nearby camera and filmed her coming out of her dementia state. AMAZING.

Unfortunately, a few weeks later, her doctor changed her cholesterol Rx Lovastatin to Zocor, and within a few weeks, she'd sunk back mentally. We tried OFF then on then OFF then On then finally OFF. With mental acuity coming and going. Unfortunately, she never regained the level shown in this video, but I always thought...I have been caregiving for 7 years because of a drug side effect?! Benefits outweigh the risks? Hardly!

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Sheri Samotin

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Sheri Samotin brings more than 25 years of business and management experience to LifeBridge Solutions. Sheri is a graduate of Wesleyan University and holds an MBA from Dartmouth College. Sheri is a member of numerous professional organizations and serves on the steering committee of Collier County’s Leadership Council on Aging.

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