Tag: Urinary incontinence

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Ailmemts & Remedies

Dysuria

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Definition:: Painful or difficult urination. This includes burning on urination. Dysuria is most commonly due to bacterial infection of the urinary tract causing inflammation of the bladder (cystitis) or kidney (pyelonephritis).

In women, dysuria may also reflect inflammation of the vagina (vaginitis) or vulva (vulvitis). And in men, dysuria may be due to inflammation of the prostate (prostatitis) or the urethra (urethritis) from gonorrhea or chlamydia.

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In medicine, specifically urology, dysuria refers to painful urination. This is typically described to be a burning or stinging sensation. It is most often a result of an infection of the urinary tract. It may also be due to an STD, bladder stones, bladder tumours, and virtually any condition of the prostate.

It is one of a constellation of irritative bladder symptoms, which includes frequency of urination and haematuria.

It is a common complaint in women, and almost 25% of women suffer from dysuria each year. It can also affect men, but to a lesser extent. Infection is the most common cause of dysuria.

The most common age range for this complaint is 24 to 54 years old. The infection is also thought to be contracted more easily by people who are sexually active. Genital herpes is one infection that can cause dysuria.

Signs and symptoms of dysuria:

  • Severe pain in urination
  • Incontinence urinary
  • Stinging or burning sensation during urination
  • Nocturia
  • Swelling in the bladder.
  • Urine frequency
  • Polyuria
  • Expulsion of urine from bladder

There are other symptoms that may accompany dysuria. These can include blood in the urine or vaginal discharge. There may be a hesitancy or slowness when urinating, and there may also be pain during intercourse. All of these symptoms must be taken into account and investigated before a diagnosis can be made.

Causes of dysuria:

There are many other causes of dysuria including irritation from chemicals in soaps, bubble baths, spermicides, and douches.

Diagnosis of dysuria:

Urine culture, urine analysis and urine dipstick will be recommended by health care provider to determine the disease. Sometimes, DNA probes may be suggested by the health care provider.

Ultrasonography and neurological tests may be used to detect the infection of urinart tract. Medical history related questions would be asked by health care providers. Medical history questions include:

When did you get problem during urination?

Is there any pain in thighs, urethra, or back pain?

Does pain continue or discontinue after urination?

Was there any blood in urine and drainage from vagina?

Physical activities, including horse riding and bicycle riding, may also cause the condition. There may also be some urethral damage during sexual intercourse. Certain conditions, such as depression, can also bring on dysuria.

A full medical history is required in order to diagnose the cause of dysuria. Factors taken into consideration include frequency and location of the pain. If pain is felt inside the body, then the cause may be cystitis or urethritis. If the pain occurs as urine leaves the body, then it may be a vaginal infection.

Treatment of dysuria:

Types of treatment of dysuria depend on the causes and symptoms of discomfort.

An antibiotic will be prescribed by the doctor to reduce the discomfort. Medications and antibiotics are effective treatment. They can be used in case of severe pain during urination. Sometimes surgical treatment may be used to reduce the infection of urinary tract. Urinary analgesics such as phenazopyridine may be used before completed the culture.

Phenazopyridine (oral) is an effective treatment for pain relief.

Herbs for Dysuria:- Kantakari, Purslane, Sandalwood

Online Ayurvedic Clinic for Ayurvedic Herbal Treatment of Dysuria,

Dysuria -Ayurvedic Treatment

HOMEOPATHIC Treatment & Medicines for URINARY TRACT INFECTION

Prevention of dysuria:

  • You should avoid tight clothes such as pent, suit.
  • You should use latex condoms during sexual activities.
  • You should wipe clearly from front to back after urination.
  • You should manage self-care strategies.
  • You should avoid intercourse.
  • You should not use douching.
  • You can drink 10-12 glasses of water regularly.
  • You should keep the genital area dry and clean with mild soap and water.
  • Do not use vaginal sprays and irritation soaps.
  • Avoid sexual contact with infected person.

There are some simple measures that can be taken to prevent dysuria. These include using condoms and avoiding intercourse until an infection has left the body. Wearing loose clothing may help, and using feminine douches may also help. If dysuria occurs, it is important to seek medical help. Early diagnosis can prevent any infection from spreading.

When to seek medical advice

If you may experience severe pain during urination, you should call your health care provider immediately. There is blood in urine and drainage form vagina and panis call your doctor as soon as possible.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose

Resources:
http://www.wisegeek.com/what-causes-dysuria.htm
http://en.wikipedia.org/wiki/Dysuria
http://www.medterms.com/script/main/art.asp?articlekey=3163
http://www.womens-health-clinic.com/DYSURIA.htm

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Ailmemts & Remedies

Bedwetting

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Why does some chieldren wet the bed?
Many children wet the bed until they are 5 years old, or even older. In most cases, the cause is physical and not the child’s fault. The child’s bladder might be too small. Or the amount of urine produced overnight is too much for the bladder to hold. As a result, the bladder fills up before the night is over. Some children sleep too deeply or take longer to learn bladder control. Children don’t wet the bed on purpose. Bedwetting is a medical problem, not a behavior problem. Scolding and punishment will not help a child stay dry.
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Bedwetting may run in the family. If both parents wet the bed as children, their child is likely to have the same problem. If only one parent has a history of bedwetting, the child has about a fifty-fifty chance of having the problem. Some children wet the bed even if neither parent ever did.

Bedwetting may be caused by an infection or a nerve disease. Children with nerve disease often also have daytime wetting.

 

How can you help your child stay dry?

A child who has been dry for several months or even years may return to wetting the bed. The cause might be emotional stress, such as loss of a loved one, problems at school, a new sibling, or even training too early.
The answer is rarely easy. Try skipping drinks before bedtime. Avoid drinks with caffeine, like colas or tea. These drinks speed up urine production. Give your child one drink with dinner. Explain that it will be the last drink before going to bed. Make sure your child uses the bathroom just before bed. Many children will still wet the bed, but these steps are a place to start.

 

Your child may feel bad about wetting the bed. Let your child know he isn’t to blame. Let her help take off the wet sheets and put them in the washer, but don’t make this a punishment. Be supportive. Praise your child for dry nights.

Be patient. Most children grow out of bedwetting. Some children just take more time than others.

 

Should you take your child to the doctor?
If your child is younger than 5, don’t worry about bedwetting. Many children do not stay dry at night until age 7. Most children outgrow wetting the bed. A single episode of bedwetting should not cause alarm, even in an older child.

If your child is 7 years old or older and wets the bed more than two or three times in a week, a doctor may be able to help. If both day and night wetting occur after age 5, your child should see a doctor before age 7.

 

The doctor will ask questions about your child’s health and the wetting problem. Your child will likely be asked for a urine sample. The doctor uses the sample to look for signs of infection. By testing the reflexes in the child’s legs and feet, the doctor can check for nerve damage. Sometimes bedwetting is a sign of diabetes, a condition that can cause frequent urination.

 

If your child has an infection, the doctor can prescribe medicine. In most cases, the doctor finds that the child is normal and healthy. If your child is basically healthy, a variety of ways are available to help your child stop wetting the bed.

What treatments can help your child stay dry?
Talk with your doctor about ways to help your child. Many choices exist. Let your child help decide which ones to try.

Bladder Training
Bladder training can help your child hold urine longer. Write down what times your child urinates during the day. Then figure out the times between trips to the bathroom. After a day or two, have your child try to wait an extra 15 minutes before using the bathroom. If the child usually goes to the bathroom at 3:30 p.m., have him wait until 3:45. Slowly make the times longer and longer. This method is designed for children with small bladders. It helps stretch the bladder to hold more urine. Be patient. Bladder training can take several weeks, or even months.

Moisture Alarm
A small moisture alarm can be put in the child’s bed or underwear. The alarm triggers a bell or buzzer with the first drops of urine. The sound wakes the child. Your child can then stop the flow of urine, get up, and use the bathroom. Waking also teaches the child how a full bladder feels.

Medicine
Two kinds of medicine are available for treating bedwetting. One medicine slows down how fast your body makes urine. The other medicine helps the bladder relax so it can hold more urine. These medicines often work well. Remember wetting may return when the child stops taking the medicine. If this occurs, keeping the child on medicine for a longer time helps.

1.Ayurvedic Treatment 2. Homeopathic Treatment

3.Natural remedy 4.Home Remedies for Bedwetting

Points to Remember
1.Normal, healthy children may wet the bed.

2.Bedwetting may be a sign of infection or other problems.

3.Many children are dry at night by the time they are 5 years old. Others take longer to stay dry.

4.Scolding and punishment do not help a child stop bedwetting.

5.If your child is 7 or older and wets the bed more than two or three times a week, a doctor may be able to help.

6.Treatments include bladder training, alarms, and medicines.

7.Most children grow out of bedwetting naturally.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.

Source:kidney.niddk.nih.gov/

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Healthy Tips

You can exert control your bladder

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Incontinence should not be summarily dismissed as an inevitable consequence of ageing. Basic tests should be done to rule out any correctable cause Dr Gita Mathai

The urge to urinate is under voluntary control and can be suppressed until a suitable opportunity appears…...click & see
Coughing, sneezing and laughing are normal, unavoidable day-to-day activities which cause a transient increase in intra abdominal pressure. Young people are unaffected, but in 25 per cent of women and 15 per cent of men above 65 years of age, the actions involuntarily produce embarrassing dribbling of urine or stress incontinence.

The bladder can normally accommodate 500 ml of urine. The urge to void appears when it contains 200 ml. If there is an obstruction to free voiding due to an enlarged prostate, an uterine or ovarian tumour, or even constipation, the bladder becomes overfilled. The urine can then leak from the full bladder in small quantities leading to overflow incontinence.

The urge to urinate is under voluntary control; it can be suppressed until a suitable opportunity appears. Hyperactivity of the muscles in the bladder can allow urine to escape even if the bladder is not overfilled, as soon as the urge is felt, before reaching the toilet. This can occur with increasing age especially if the person also has diabetes, stroke, dementia or Parkinson’s disease. It may be secondary to stones in the bladder or an urinary tract infection.

Incontinence is commoner in women. Statistics show that 50 per cent of women have occasional urinary incontinence and 10 per cent have frequent incontinence. The incidence increases until 20 per cent of women over the age of 75 years experience daily urinary incontinence.

This is because anatomically, women have a shorter urethra and weaker pelvic muscles. Damage can also occur as a result of childbirth. The onset of menopause decreases the levels of the female hormones, causing atrophy of the vaginal mucosa and loss of pelvic muscle tone. This causes the bladder to protrude into the vaginal space increasing incontinence.

Incontinence should not be summarily dismissed as an inevitable consequence of ageing. Basic tests should be done to rule out any correctable cause .

A physical pelvic examination to rule out abnormalities of the pelvic organs.

Blood tests to rule out diabetes.

Urinalysis and culture if infection is suspected.

A few simple lifestyle interventions can help to reduce stress incontinence .

Reduction in weight, such that the BMI (body mass index) is around 25.

Control over volume of fluids drunk and reduction in the quantity if it is more than two-three litres per day.

Prevention of constipation as hard faecal matter acts as an obstruction that aggravates stress incontinence.

Regular voiding, so that the bladder is never too full.

Women can increase the strength and tone of the pelvic muscles and re-train their pelvic musculature with Keegle’s exercises.

To perform these exercises correctly, the right muscles first need to be located. To do this, stop and start urination without using the stomach, leg or buttock muscles.

Squeeze these muscles. Hold for a count of 10. Relax for a count of 10. Do this 20 times, three-four times a day.

Alternatively, each time you go to the toilet to pass urine, stop and restart the process voluntarily several times, so that you exert control over the action.

The bladder can also be re-trained by consciously increasing the time between voiding.

Within four weeks, 70 per cent of women markedly improve and 15 per cent are permanently cured. The benefit disappears within a few days if the exercises are not consciously continued.

Medications can be used as an adjuvant to exercises. Tricyclic antidepressants and other groups of medications can be used to treat stress incontinence in patients with mild-to-moderate symptoms. Fifty per cent of the people respond favourably.

Oestrogen replacement, either taken orally as part of HRT (hormone replacement therapy) or applied locally in the vagina as a cream, improves urinary frequency, urgency, stress incontinence and burning in postmenopausal women.

Surgical treatment can be considered after a thorough evaluation, examination and investigation to determine the exact cause of the urinary incontinence. Surgery can help by correcting the anatomical abnormalities, supporting the bladder and urethra in the proper position, and tightening the urethral sphincter. This helps to achieve voluntary control. Surgery has a 75-95 per cent cure rate if the patients are carefully selected. The procedure involves anaesthesia and hospital stay and is not totally risk free. The eventual outcome is unsatisfactory in people .

With prior surgical failures

If there are other genital or urinary problems

In case of other complicating diseases that may prevent adequate healing or make the technical aspects of the surgery more difficult.

As age advances, the bladder capacity reduces; the urinary stream becomes weaker, and visits to the toilet more frequent. This does not, however, mean that urinary frequency, urgency and stress incontinence have to be accepted as an inevitable part of ageing.

Most incontinence problems, provided they do not require corrective surgery, can be cured by motivation, weight loss, dedicated re-training of the bladder and pelvic exercises.

Source:The Telegraph (Kolkata,India)

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