Question: How can I protect my skin while managing my incontinence?
People managing incontinence have an increased risk of incontinence-related skin damage caused by common exposure to urine and stool. Excessive moisture can happen in areas where incontinence products touch. Areas include the buttocks, pelvis, hips, rectum, or genitals. Skin issues such as infection, redness, rashes, and peeling are likely. Hydration is good for your skin but having prolonged moisture can be harmful.
pH- what is it and why is it important?
The measurement for a substance’s acidic level is known as “potential hydrogen” or pH. Ranked pH is measured on a scale of 0 to 14. Lower numbers are measured as acidic (0-6), 7 is right in the middle or” neutral “and higher numbers (8-14) are measured as alkaline or “base”. The skin pH varies by person, ranging from 4-7. The skin’s natural pH averages around 5.5 (slightly acidic). Any extreme swings in either direction places the skin at risk. Normal skin contains healthy bacteria that protect you from disease. The skin also acts as a barrier, protecting you from the outside elements. When pH disruption in the skin occurs, the healthy bacteria will not grow well. This can compromise your skin’s barrier. The skin responds to pH changes by developing dryness, acne, or rashes. Also, it can develop irritations like itching, redness, or inflammation. Your skin can become sensitive to the environment in cold, sun or wind.
What happens to my skin’s pH when it is exposed to urine?
Normal urine pH can vary from 4.5 to 8 and is primarily impacted by the food we eat. Science suggests that foods such as animal protein and grains result in more acidic or lower pH urine. A diet high in green, leafy vegetables like spinach or kale produces more alkaline or higher urine pH. Urine pH is affected by health conditions as well such as diabetes, infection, and kidney disease. Urine pH levels can vary. Urine is alkaline and with repeated exposure to the skin; it can raise this slightly acidic organ to more alkaline levels. When this alkaline state exists, changes in the skin occur. This leaves the area vulnerable to incontinence associated skin damage.
What types of incontinence associated skin issues can occur?
- Redness- discolored, irritated skin from prolonged exposure to urine or stool. • Inflammation- swelling that occurs due to skin irritation.
- Rashes- skin may be itchy and red. Rash can be flat or raised.
- Incontinence related dermatitis- prolonged, frequent exposure of the skin to urine or stool, causing pain or discomfort. The skin can appear red, irritated and is at greater risk for infection.
- Yeast Infections- healthy bacteria are not able to grow and other bad bacteria and fungus can grow.
- Bedsores/skin ulcers- can develop when prolonged weight or moisture is placed against the skin such as someone who is bedridden or spends most of their day in the same position.
How can I take safe care of my skin while managing incontinence?
- Inspect your skin every day- Look for signs of dryness, blisters, redness, irritations, or skin breakdown. This will help identify changes in your skin early. Act quickly by talking with your healthcare provider.
- Eat a balanced diet- Nutrition is important to skin health. Foods high in vitamins A, C, E, D, Omega 3s and 6s as well as Zinc and Copper are important in skin repair and protection. Probiotics contain beneficial bacteria that can impact skin. Consult with your healthcare provider first before making any dietary changes.
- Stay Hydrated- Aim to drink adequate amounts of water during the day. Herbal Teas like green or jasmine are good for overall fluid intake.
- Manage Stress- Chronic stress can negatively impact skin health. Try exercising, going for a walk, meditation, deep breathing, or journaling to help promote overall well-being. • Move regularly- Shift your weight every 15-20 minutes if you are lying or sitting. Use items that relieve pressure like padding or pillows.
- Keep bedding and clothing clean- Staying clean is the best way to ensure that your skin remains healthy. Change bedding and clothes right after they become dirty. Use fragrance free or skin friendly washing detergent for your clothes.
- Keep skin clean and dry- Cleaning the skin right after urinating or bowel movement will help keep your skin irritation free. Use mild soap or cleanser to clean the perineal area, rinse well and gently pat dry. Use soap free cleansers that do not irritate or dry the skin. Try fragrance free cleansers and follow a routine every time for cleaning after urine or stool.
- Moisturize your skin- Creams that contain Zinc can help moisturize the skin and create a barrier to prevent skin breakdown. Avoid products that contain alcohol which can dry the skin. Use products that do not clog pores.
- Use commode, bedpan, or urinal- Keep these items in reach to make it easier to urinate when needed and keep your skin drier.
- Create a toileting schedule- Try setting a regular routine around when incontinence occurs. This will help you plan and minimize leaks and frequent contact with skin. • Use a high-quality absorbent product- Using proper fitting absorbent products will move urine away from the skin. Having a product that does not leak is vital to maintaining your skin health. This can reduce your risk of developing skin ulcers and urinary tract infections.
Caring for your skin is a vital part of managing your incontinence. There are things you can do to maintain healthy skin. Create a healthy environment for your skin. Protect yourself from further exposure to irritants. This helps you to manage your incontinence well at home. Talk with your doctor regarding any skin concerns. TenderHeart Health Outcomes can help you find the right incontinence product. We focus on quality over quantity to help you reach your incontinence care goals.
About the author Tenderheart:
TenderHeart Health Outcomes is the leading provider of incontinence management services. We provide high quality incontinence products with access to all national brands. Our incontinence coaches will create a customized plan for you with a mission to improve your health and help you live happier, confident, and more independently at home.
https://www.tenderheart.com/
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One Response
my bladder was stretched during rotator-cuff surgery. I had a Urolift which did not help. Result is freequent need to go from 2AM to 7am