This is one topic I have not written
much about, but it does affect the elderly. Having chronic
difficulties controlling one’s bladder is a common problem for
older adults, and tends to get worse with aging. It affects both men
and women, although it may have different underlying causes, such as
prostate enlargement in men. It is often embarrassing, can cause
seniors to restrict their social or physical activities, and has been
linked to depression.
Incontinence comes in different
“types,” each of which can have different causes. Correctly
identifying the type and causes is key to effective treatment.
Finding suitable pads or underwear to manage leaks can also make a
big difference. They are definitely not all equal, and doctors have
little idea which is best. Remember that medications to treat
bladder spasms are usually quite anticholinergic, hence risky for
brain function. To help a doctor evaluate incontinence, it’s
helpful to log your symptoms in a voiding diary for 3 days prior to
the appointment.
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