Health

There are well known causes of urinary incontinence such as bladder infection, medications, and diet (for example, too much alcohol, caffeine, or citrus fruit). A history of nerve problems, urinary tract abnormalities, pelvic organ prolapse, obesity, constipation, chronic cough, and cigarette smoking are also potential causes. Weak pelvic floor or Kegel muscles from pregnancy, childbirth, hormonal changes after menopause, or lack of use over time with age can all lead to incontinence. It is very important that your doctor identifies all these potential problems because treatment options directly relate to the cause.

For example, if there is a neurologic problem causing incontinence like a stroke or spinal cord injury, medications may be the first line treatment. On the other hand, if the problem is directly a result of giving birth, treatment of the Kegel muscles with internal or vaginal physical therapy may be the “go to” treatment with the least side effects.

Never giving up hope and exploring all options is vital but also realizing that a quick fix may not be possible is important. Incontinence is not something just to live with or a sign of failure. It is a medical diagnosis that deserves a physician’s full attention.