This year, World Continence Week is 18 to 24 June and the Continence Foundationof Australia awareness campaign Laugh Without Leaking, will be using humour to overcome the stigma of incontinence and get people talking about their bladder and bowel troubles.
Incontinence describes any accidental or involuntary loss of urine from the bladder (urinary incontinence) or bowel motion, faeces or wind from the bowel (faecal or bowel incontinence). It may cause distress as well as being a hygiene problem. However, incontinence can be managed and treated.
If you have experienced this problem, you are not alone. Incontinence is a widespread condition. It can range from ‘just a small leak’ to complete loss of bladder or bowel control. In fact, 5 million Australians have bladder or bowel control problems for a variety of reasons.
It is likely that the true number of people affected is much higher. Many people do not tell their doctor or pharmacist about their incontinence, due to embarrassment. Some people mistakenly think that incontinence is a normal part of ageing or that it cannot be treated. If you experience bladder or bowel control problems seek help, as the symptoms will not go away on their own and may worsen over time.
Urinary incontinence is quite common and often associated with pregnancy, childbirth, menopause or some chronic health conditions. It can range from a small dribble when you cough or laugh, to large flows of urine. Stress and urge incontinence are common types of urinary incontinence.
People with poor bowel control or faecal incontinence have difficulty controlling their bowels. This may mean they pass faeces or stools at the wrong time or in the wrong place. They may also pass wind when they don’t mean to or experience staining of their underwear. About 1-in-20 people experience poor bowel control. It is more common as you age, but many young people also have poor bowel control. People with poor bowel controlalso often have poor bladder control.
Treatment depends on the type of incontinence. It is therefore important that a continence assessment is conducted by a professional so an appropriate management plan can be developed. Lifestyle changes may significantly help some types of incontinence and these include:
- Drink about 6–8 cups of fluid each day (1.5–2 litres of water) spread evenly throughout the day, unless otherwise advised by your doctor. To avoid disruptions to your sleep, drink a little less in the evenings.
- Reduce the number of drinks containing caffeine (e.g. tea, coffee, hot chocolate and cola) as this can increase urge incontinence.
- Avoid constipation by maintaining a healthy balanced diet that contains plenty of fruit, vegetables and fibre.
- Lose some weight if required, as a modest amount of weight loss can improve urinary incontinence.
- Aim for 30 minutes of exercise most days.
- Do pelvic floor exercises to strengthen the pelvic floor muscles.
- Go to the toilet only when you need to, rather than ‘just in case’.
- Go to the doctor if you think you have a urinary tract infection.
The Continence Foundation of Australia (CFA) provides resources and information for the public, including the National Continence Helpline (Ph. 1800 33 00 66). This Helpline is a free service staffed by continence nurse advisors who can provide information, education and advice to people with incontinence or those caring for someone with incontinence.
At Fresh Therapeutics we have CFA brochures and the Pharmaceutical Society of Australia’s Self Care Fact Cards Bladder and Urine control, Pelvic floor exercises, Fibre and bowel health, and Urinary tract infection. We also provide information about the Commonwealth Government’s Continence Aids Payment Scheme that helps cover some of the cost of products that help people manage incontinence.
We recommend and stock the Molimed® range of continence products. We also stock aids to assist with pelvic floor exercises such as the Epi-No® Childbirth and Pelvic Floor Trainer, the KGoal® Pelvic Floor Trainer and the Elise® Pelvic Floor Exerciser.