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Suggest Treatment For Urinary Stress Incontinence

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Posted on Mon, 23 Feb 2015
Question: HI Doctor,

I am having a trouble from a long time . when i sit down to defecate , i just have only one shot immediately after that there is an involuntary urge to pee and i result peeing . after that i feel like defecating but i am unable to do that, it feels like the outlet is blocked. if i put extra efforts i am only able to pass narrowed stool thereafter. there is a feeling of incomplete evacuation and there actually is incomplete evacuation which causes other gastric problems throughout the day like indigestion, bulging of tummy and a feeling of uneasiness throughout the day. which result The condition is true vice-versa also. when i am peeing in the urinal in between i pass gas and the flow of urine gets disrupted.Please help.
doctor
Answered by Dr. Rakesh Hasabe (1 hour later)
Brief Answer:
urinary stress incontinence with incomplete evacuation of stools

Detailed Answer:
Hey thanks for your faith in the health care Magic
I have gone through your question and I understood your problem.
From whatever complaints you said its bringing me to the diagnosis of urinary stress incontinence with incomplete evacuation of stools.
For stress incontinence I would like to know wheather you complain the same urge of passing urine while heavy weight lifting,coughing??
For incomplete evacuation I will advice you few

lifestyle modifications -
like you should take high amount of fibres and plenty of fluids.

Bowel training-
A simple bowel regimen means getting up at approximately the same time each day, eating breakfast (to help initiate the gastrocolic reflex), and then using the bathroom at a routine, scheduled time each day, typically 30–45 minutes after the morning meal.

Medical treatment should consist of stool softeners like laxatives which will further help them.

Agents like senna, cascara, aloe, castor oil and bisacodyl have two major mechanisms of action. One, they directly stimulate the colon and increase colonic contractions. Two, they increase fluid secretion in the intestinal tract, which increases intestinal transit.

I will further suggest you to consult with your surgeon if things worsen.

I hope my answer was helpful for you . Dont forget to close the discussion.Thank you.
DR . XXXXXXX HASABE



Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Rakesh Hasabe (30 hours later)
No sir i have never any incontinence with coughing or weightlifting. what is the solution for urinary stress incontinence?
doctor
Answered by Dr. Rakesh Hasabe (16 hours later)
Brief Answer:
Conservatory approach is what you need.

Detailed Answer:
There are few conservatory approaches I want you to follow. I don't think you need surgical treatment. I will just name those and I want you to discuss them with your treating doctor.

Behavioral Therapy - it comprises of avoiding smoking, alcohol and coffee. You have to modify your diet as well as your lifestyle.

Pelvic Muscle Training

Biofeedback therapy.

I would further like to know your doubts regarding this.
I hope my answer was helpful for you. Don't forget to close the discussion.

Thank you.
DR . XXXXXXX HASABE
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Rakesh Hasabe

General & Family Physician

Practicing since :2012

Answered : 396 Questions

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Suggest Treatment For Urinary Stress Incontinence

Brief Answer: urinary stress incontinence with incomplete evacuation of stools Detailed Answer: Hey thanks for your faith in the health care Magic I have gone through your question and I understood your problem. From whatever complaints you said its bringing me to the diagnosis of urinary stress incontinence with incomplete evacuation of stools. For stress incontinence I would like to know wheather you complain the same urge of passing urine while heavy weight lifting,coughing?? For incomplete evacuation I will advice you few lifestyle modifications - like you should take high amount of fibres and plenty of fluids. Bowel training- A simple bowel regimen means getting up at approximately the same time each day, eating breakfast (to help initiate the gastrocolic reflex), and then using the bathroom at a routine, scheduled time each day, typically 30–45 minutes after the morning meal. Medical treatment should consist of stool softeners like laxatives which will further help them. Agents like senna, cascara, aloe, castor oil and bisacodyl have two major mechanisms of action. One, they directly stimulate the colon and increase colonic contractions. Two, they increase fluid secretion in the intestinal tract, which increases intestinal transit. I will further suggest you to consult with your surgeon if things worsen. I hope my answer was helpful for you . Dont forget to close the discussion.Thank you. DR . XXXXXXX HASABE