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Difficulties with continence, such as urinary incontinence or bowel incontinence, can significantly impact an individual's self-esteem by causing embarrassment and feelings of shame. This can lead to social withdrawal and decreased quality of life. In addition, managing continence issues may require constant vigilance, affecting daily activities such as work, social engagements, and personal relationships. It is important for individuals experiencing continence difficulties to seek support and treatment to mitigate these impacts.

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Q: Explain how difficulties with continence can affect an individual's self esteem health and their day to day activities?
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