Leaking urine can feel uncomfortable and embarrassing and even prevent us from doing things we might otherwise enjoy.
Did you know that leaking urine can be from different causes. Those causes are classified with different names.
In a previous blog post, I discussed STRESS incontinence. This happens more with running, jumping, coughing, sneezing, and sometimes even just standing up from a chair.
Today, I’m talking about URGE incontinence. This is much like it sounds. You leak when you feel the urge to pee.
Normally, when your bladder fills with urine it happens slowly. And as it fills the bladder begins to stretch. When it reaches a particular stretch level, it will send you a signal. This feels like the urge to pee.
Typically, the first urge is more of a hey, there, FYI type message. The bladder is not usually at capacity or full at this stage.
As the bladder fills more, you may get another stronger message. By the third message, the bladder typically really does need emptying and should no longer be ignored.
For people with urge incontinence, the bladder starts insisting on emptying too soon after the urge signal, before you have time to get to the bathroom.
Many people try to solve this by going to the bathroom as soon as they feel an urge. This strategy can occasionally backfire, as the bladder gets emptied more and more often and becomes sensitized to stretching. This can eventually increase the urgency of urination and the leaking.
This can be a tricky dance to master, but with education and practice, you can often take back control from your bladder and give yourself more time to get to the bathroom before leaking!
A trained physical therapist is a great place to start If you’re having this kind of leaking. They can assess some of the causes and make a plan to resolve it!
Ever feel like you wear a lot of hats?
Mother, wife, employee, friend, etc.
And sometimes, if you’re struggling in one area, the other areas suffer too?
Well, your pelvic floor is a lot like this too!
It has lots of jobs, and they fall into 3 main categories:
1.Continence: keeping pee and poo inside until the right time
2.Sex and reproduction
3.Core and hip stability
That’s a pretty diverse list! It’s really kind of amazing that for the most part those muscle run on auto-pilot and just work for us without too much thought or attention.
This is why it can be so confusing when we start having trouble in especially the first 2 categories.
The good news is that improving the function of the pelvic floor in any one area usually helps the others as well. The converse is also true: if you have symptoms in one area you may have dysfunction or changes in the other areas too.
This gives us lots of options for things to improve when it comes to all kinds of symptoms like leaking urine, constipation, pain with sex, back pain, even prolapse.
Seeing a physical therapist to identify your specific contributing factors and having a personalized plan to address them is a great way to approach resolving many of these issues.
Write something about yourself. No need to be fancy, just an overview.