What is Total incontinence?

Total incontinence is the continuous and total loss of urinary control. This occurs when the muscles of the bladder controlling the flow of urine relax involuntarily.

Causes of Total Incontinence:

Total incontinence is often caused by a neurogenic bladder. This is generally a name given to people who lack bladder control due to a brain, spinal cord or nerve problem. Nerve problems are often the result of Multiple Sclerosis, Parkinson’s Disease or Diabetes. Nerves in the body are in control of how the bladder stores or empties urine, and problems with these nerves can cause huge problems with the functioning of the bladder. A neurobladder can also be caused by an infection of the brain or spinal cord, or by heavy metal poisoning, stroke, spinal cord injury or pelvic surgery.

Total incontinence can also be caused by an anatomical defect present from birth. It is common for individuals who are born with problems of the spinal cord to develop total incontinence. Spinal cord injuries that impair the nerve signals between the brain and the bladder are another common cause. In many cases, a fistula, a condition when a tube or channel develops between the bladder and a nearby area can cause total incontinence.

Surprisingly, various medications such as diuretics, antihypertensive drugs and sedatives can also cause total incontinence. If you suspect medications may be worsening your leakages, let your Doctor know about all the medicines you take, both prescription and over-the-counter. Common medications that can worsen incontinence are the following:

• High blood pressure drugs

• Antidepressants

• Sleeping Pills

• Diuretics

Solutions for Total Incontinence:

It is important to remember that incontinence is not a disease in its own right, but something that is caused by a combination of problems, habits and sometimes medications. Total incontinence is often a symptom of something else going on in the body, and should always be assessed and diagnosed by a doctor. Total incontinence is a life-changing condition and you shouldn’t feel embarrassed talking about it with someone who can help you get the best possible treatment. When visiting your Doctor, they will ask about your symptoms and may carry out a pelvic examination to outline any potential causes.

Surgeries and catheterisation are options your doctor may discuss with you along with lifestyle changes to help maintain a healthy weight, drink appropriate amounts of fluid and exercise.

You can also use products such as disposable or cloth diapers or disposable underwear or pads to manage your incontinence with confidence. Look for highly absorbent products that you can wear comfortably throughout the day. All-in-one products and incontinence pants with a pad are recommended products for those with severe incontinence.

Do not add to the problem!

Many drugs have been found to make incontinence worse. These include alcohol, blood pressure medications and alpha blockers, and anti-psychotics. Try and avoid caffeinated beverages, as these irritate the bladder and can increase the frequency of leaks. Total incontinence is a difficult condition to live with, however, you can make life easier by following these simple lifestyle tips.

Sources:

https://www.incontinence.co.uk/what-is-total-incontinence