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Ask The Doc: Does Incontinence Happen Over Time?

QUESTION: DOES INCONTINENCE HAPPEN OVER TIME, OR IS IT SOMETHING THAT COMES ON SUDDENLY?

Answer: This really depends on your unique situation. For many people, aging, and pelvic floors that have been weakened over time can slowly contribute to incontinence. For women, this process may have started with childbirth as the initial factor that caused the weakness. Over time, if not treated or seen to, a weak pelvic floor can lead to incontinence, even if it didn’t happen right away after birth (or if it went away for a while).

There are other things that can contribute to incontinence over time too. Being overweight can place excess pressure on the bladder, making it harder to avoid accidents. Smoking can contribute to incontinence since many long-time smokers develop a chronic cough, again placing excess pressure on the bladder and causing the pelvic floor to weaken over time.

Certain neurological diseases, such as MS or Parkinson’s Disease, and diabetes, can also increase your risk for incontinence, as they interfere with the nerve signals between the bladder and the brain.

However, other things can contribute to incontinence too, and can be much more apparent quickly rather than over a period of time. In men, prostate surgery can sometimes lead to a period of incontinence immediately after the procedure. And incontinence can also result in anyone who may have had neurological damage, such as spinal cord damage from an accident, or other medical condition. Even some minor conditions, such as a bladder infection, may cause a sudden episode of incontinence.

Finally, sometimes the foods you eat or the medications you take may cause you to have incontinence. There are many known bladder irritants that can contribute to incontinence: alcohol, caffeine, spicy or acidic foods (keep in mind that this is a case by case basis – not everyone is affected by every bladder irritant). And, some medications, such as heart and blood pressure medications, or muscle relaxants may act as diuretics, causing you to increase your urine production, and potentially leading to incontinence.

The most important thing to remember here, no matter how incontinence comes about, is that it’s not a normal condition. Common? Yes. Normal? No. Incontinence is not an inevitable part of aging, nor should it be something you feel you need to live with. Many people can see great improvements with behavioral and lifestyle changes, and if those don’t work, you can talk to your doctor about medications, in-office treatments, or even surgery.

Are you an expert in incontinence care? Would you like to join the NAFC expert panel? Have a question you’d like answered? Contact us!

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