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Unable to control urine - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
User :   hello
Doctor :   how can I help you
User :   i need a small suggestion
User :   Iam 30yr old female
Doctor :   yes
Doctor :   carry on
User :   iam obese and have a small prob
Doctor :   What is the problem
User :   my urinary bladder seem to be weak
User :   which seems very embarrising
User :   is it due to my weight or cd there be more probs
Doctor :   For Administrative and health purposes, Please provide these details of the patient-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   Age:30 Gender:Female Occupation:Call centre Location:Hyd Marital Status:Married Weight and Height:115/164 Dependents: Yes.
Doctor :   What is the problem with the urine bladder
Doctor :   ar e you not able to hold the urine
User :   yes iam
Doctor :   explain the urinary problem in details to guide you
User :   but usually when i go to the loo my panties wd be wet always
User :   i wd never have that much pressure but still it is the same
Doctor :   Do you mean to say you leak the urine before you reach the toilet
User :   yes
Doctor :   So you go to the toilet when yu feel the sensation of the fullness of bladder
User :   yes i do
Doctor :   or before you felel the bladder is full?
User :   but it still will be wet always
Doctor :   Do you leak urine when you cough or bend or laugh loudly
User :   sometimes yes
User :   actually it is yes
Doctor :   are you able to void the entire volume of urine
Doctor :   i mean empty the bladder every time
User :   yes iam
Doctor :   How is the frequency of the urine
User :   quite normal
Doctor :   Do you have leakage of urine during sleep
Doctor :   too
User :   how do i say that
User :   yes
Doctor :   Do yu have children
Doctor :   How are your menstrual periods?
User :   off late it is not regular
User :   prob late by 5-8 days
Doctor :   Do you have children
User :   yes
Doctor :   How were the deliveries
Doctor :   normal or cesarean
User :   normal
Doctor :   SInce when is your problem
User :   prob an yr or two
Doctor :   is it increasing since then
Doctor :   Have you seen a doctor or taking any medicines for this or any other problems?
User :   ya kind off
User :   no not yet met anyone
Doctor :   XXXXXXXX after listening to the entire history I could arrive a probable diagnosis called Mixed incontinence
Doctor :   which could be due to weakness of pelvic muscles
Doctor :   Obesity
User :   ok
Doctor :   you have
User :   so at all everything comes to that only ha :(
Doctor :   yes
Doctor :   Obesity is cause of multitude of problems
User :   like
Doctor :   but in your case it could be someother reasons too
User :   like
Doctor :   as I said pelvic muscles weakness
Doctor :   not able to hold urine
User :   well due that can it be that it can cause probs for sex
Doctor :   do u mean pelvic muscle weakness
User :   yes
Doctor :   Not directly
User :   but does it effect
Doctor :   but some events can cause
Doctor :   Now you have to see an URologist
User :   since i had a kid already that too thru normal delivery and now that iasm obese wd it create a prob
Doctor :   Yes
User :   ok
User :   thanks a toin
Doctor :   Normal delivery has a slight chance of these problem
Doctor :   and if the woman
Doctor :   doesnt do proper exercises
Doctor :   after the deliver
Doctor :   called KEGEL exercises
User :   yes that is one def reason
User :   Where do i find those exercises
Doctor :   How do you do Kegel exercises?
User :   cause i still try it
User :   yes
Doctor :   The first step is to find the right muscles.
User :   oh how to do that
Doctor :   One way to find them is to imagine that you are sitting on a marble and want to pick up the marble with your vagina. Imagine sucking or drawing the marble into your vagina.
User :   ok
Doctor :   THose were the muscles
Doctor :   you need to exercise
User :   ok
Doctor :   Try not to squeeze other muscles at the same time
User :   oh ok
Doctor :   Be careful not to tighten your stomach, legs, or buttocks.
Doctor :   Squeezing the wrong muscles can put more pressure on your bladder control muscles.
User :   np will search google for the same
User :   ok thanks
Doctor :   Just squeeze the pelvic muscles.
User :   going for lunch
Doctor :   Is there any thing else that I could help you with?
User :   have a great day
User :   thanks a lot
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service.
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