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Incontinence
Incontinence is the involuntary leakage of the bladder or bowels. It is sometimes treatable.
240 Questions
External incontinence devices?
External incontinence devices are products, called appliances, worn on the outside of the body to protect the skin from constant leakage of stool or urine. Certain medical conditions can cause a person to frequently lose control of their bowel or bladder.
Alternative NamesCondom catheter; Incontinence devices; Fecal collection devices
InformationAlthough there are several different products available, the general features of these products are described below.
FECAL INCONTINENCE DEVICES
Several devices are available for managing long-term diarrhea or fecal incontinence. These devices have a drainable pouch attached to an adhesive wafer. This wafer has a hole cut through the center that fits over the anal opening (rectum).
With proper application, a fecal incontinence device may remain in place for 24 hours. It is important to remove the pouch if any stool leakage has occurred. Liquid stool is very irritating to the skin.
If leakage has occurred, always clean the skin and apply a new pouch.
The device should be applied to clean, dry skin:
- A protective skin barrier (such as a paste) may be prescribed by your healthcare provider. You apply it to the skin before attaching the device. You can put the paste in the skin folds of the buttocks to prevent liquid stool from leaking through this area.
- Spread the buttocks apart, exposing the rectum, and apply the wafer and pouch. It may help to have someone assist you. The device should cover the skin with no gaps or creases.
- You may need to trim the hair around the rectum to help the wafer stick better to the skin.
An enterostomal therapy nurse or skin care nurse can provide you with a list of products that are available in your area. (See also: Skin care and incontinence)
URINARY INCONTINENCE DEVICES
Urine collection devices are primarily used by men. (Women are generally treated with medication and disposable garments like Depends.)
The systems for men usually consist of a pouch or condom-like device that is securely placed around the penis. This is often called a condom catheter. A drainage tube is attached at the tip of the device to remove urine. The drainage tube empties into a storage bag, which can be emptied directly into the toilet.
Condom catheters are most effective when applied to a clean, dry penis. You may need to trim the hair around the pubic area so the device attatches better.
You must change the device at least every other day to protect the skin and prevent urinary tract infections. Make sure the condom device fits snugly but not too tightly. (If it's too tight, skin damage may occur.)
ReferencesPayne CK. Conservative management of urinary incontinence: Behavioral and pelvic floor therapy, urethral and pelvic devices. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 63.
Rao SSC. Fecal incontinence. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 17.
What is the prognosis for a patient with fecal incontinence?
Fecal incontinence is a problem that usually responds well to professional medical treatment, even among elderly and institutionalized patients. If complete bowel control cannot be restored, the impact of incontinence on everyday life can.
What causes urine incontinence in men?
Age factor usually contributes a lot to weak bladder. In some men it was also found that prostate surgery causing temporary weakening of muscles leading to stress incontinence. Some other men suffering from urinary infections develops bladder hypersensitivity increasing the urgency and frequency of emptying day and night. Other issues of neurological disorder like Alzheimer's, Parkinson's, Dementia, Multiple Sclerosis are usually seen as the major reasons for urine leakage in men.
Can incontinence be controlled by managing food habits?
If your elderly loved one is facing urinary incontinence, then help them with incontinence pads. Different person requires different level of incontinence protection. These products are specially designed for senior citizens who become weak with age and would prefer minimum replacements during the day. Many of the products are like normal underwear and absolute on hygiene. They are even easy to use and comfortable wearing whole day.
What is the most common type of urine incontinence that men can get?
Men face Urge urine incontinence very often in which the bladder tries to empty despite best efforts to restrain leaking. There is a lack of co-ordination between impulses the brain gives to the bladder and what the bladder does. It leads to huge losses of urine and increase in frequency of urination.
What is the process for an incontinence stress surgery?
The procedures for an incontinence stress surgery are sling procedures and bladder neck suspension procedures. Sling procedures include conventional slings, adjustable slings and tension-free slings.
Who is the national leader in incontinence supplies?
There are a few leaders in the supply of incontinence products at a national level. One particular leader is the company Edge Park. Another leader is the company Kendall.
Can metformin make you incontinent?
I am incontinent at night time while I sleep. I don't even know I'm urinating. I am a diabetic and on insulin (novelin 70/30 45 units daily, 2,000 mg of metformin, 1,200 mg of Neurontin. I went into DKA in 2010, i was also on renal failure. Just in the last year it's gotten so bad I wake up soaking wet. Are there and suggestions out there
Why do carbonated liquid reach your intestines faster than non carbonated liquids?
Carbonated liquids reach the intestines faster than non-carbonated liquids primarily due to the presence of carbon dioxide bubbles. These bubbles create pressure in the stomach, which can accelerate the emptying of liquid into the small intestine. Additionally, the carbonation can stimulate gastric motility, promoting quicker movement through the digestive tract. This combination of factors results in a faster transit time for carbonated beverages.
Movement of glucose across cell membrane of intestine?
Glucose can move via two ways:
1. With the Sodium/glucose pump. As sodium is diffusing back into the cell the glucose will attach itself (co-transport) as a symporter across the membrane. The sodium is going with the gradient and the glucose is moving against its gradient. Therefore, Indirect active transport via a symporter as a co-transporter.
2. By facillitated diffusion by attaching itself to a proten carrier glucose will move with the gradient into the cell.
This means that glucose it the only molecule that can enter or leave a cell under two different transportation modes.
