After a stroke, what to do about urinary incontinence. How to treat urinary incontinence in women after a stroke Why urine is difficult to pass after an ischemic stroke

Urinary incontinence after a stroke is very common, as are problems with bowel movements. As you know, a stroke is a very dangerous pathology that can cause death. But if you receive timely medical care, it is still possible to save the patient’s life, although often the consequences of a stroke are very serious. The person has to relearn normal things like walking and talking, as well as cope with some changes in the body.

Urinary and fecal incontinence after a stroke is a huge nuisance, which you can still get rid of. Treatment of such pathologies is one of the important activities that are carried out in relation to people who have suffered a stroke. Many people believe that if they have such a symptom, they will never be able to lead a normal life.

But in fact, there is no need to despair, since it is still possible to get rid of the trouble, although it can be very difficult to eliminate the consequences of a stroke. The patient must gain strength and patience, because rehabilitation after such a serious test of the body will be long.

Causes of incontinence

The consequences of a stroke can be different. Fecal and urinary incontinence are one of the common troubles associated with this disease. Most often, it is precisely because of the inability to contain waste fluids in the body that patients have to spend a lot of time in the hospital after a stroke.

However, it must be borne in mind that such a complication is not incurable. It is possible to get rid of incontinence, but for this the patient must carefully adhere to the doctor’s recommendations and make an effort in the fight against this pathology. Only with a strong desire for a complete cure can we say that the patient will be able to overcome his illness and return to normal life again.

Urinary and fecal incontinence occurs very often immediately after a stroke. However, in most patients, this pathology completely disappears within a week. Among those whose incontinence does not disappear completely, there are patients who note a significant decrease in the manifestations of this symptom.

Still, the inability to keep fluids in the body is a fairly common problem. There is no need to remain silent about her. If a person is concerned about such a symptom, he should definitely inform his doctor about it. Otherwise, there will be nowhere to wait for help.

The specialist must conduct a thorough diagnosis, and then tell the patient how to properly deal with the problem.

Among the complications of stroke, enuresis is much more common than the inability to hold feces. The frontal lobe of the brain is responsible for this process. However, if the disease damages this section, then over time the spinal cord begins to control the bladder. The task of the doctor and the patient will be to work hard to ensure that the transfer of functions is successful and the body begins to function normally again.

In most cases, with careful therapy, incontinence is eliminated within a month. If this does not happen, a more in-depth examination is carried out in order to identify the cause of what is happening. Once the diagnosis is made, the doctor can prescribe the most appropriate treatment. Often, this requires examination by specialized specialists, including a urologist.

Additional diagnostics may show the presence of infections in the bladder or urinary tract. This is a fairly common reason why incontinence after a stroke does not go away for more than a month. Treatment is carried out with powerful antibiotics. Proper drug therapy allows you to forget about the problem completely.

Incontinence can also be caused by medications that are intended to eliminate some of the consequences associated with a stroke. In this case, it is important to review the list of medications, and then exclude the use of those that negatively affect the genitourinary system.

Instead, the doctor may prescribe medications that will help control urination. Such drugs are especially useful when taken in the evening, as they can reduce the flow of fluid into the bladder at night.

Treatment without drugs

For problems with urinary incontinence after a stroke, medications are often prescribed. However, it is important not only to stop the unpleasant symptom, but also to teach the body to fight it. Otherwise, the pathology will return again and again, and the patient will have to constantly take pills.

To prevent such developments, you need to train your body. First you need to train yourself to go to the toilet at the same time. This way the body will get used to the schedule, and involuntary urination will disappear. You can set a reminder on your phone so you know exactly when you need to go to the restroom. In addition, you need to be prepared for the fact that you will have to wake up often at night. However, this is a temporary phenomenon. With proper treatment, the problem will gradually disappear.

It is necessary to train your body after a stroke. This is important, because otherwise no drug therapy will help. If you follow all the rules of rehabilitation and follow the doctor’s recommendations, you can achieve good results.

While the problem of incontinence continues to bother the patient, it is necessary to use diapers and absorbent waterproof diapers. This will avoid awkward situations. All hygiene products must be changed promptly. This is very important, since urine and feces contain a large number of harmful bacteria; if their concentration in the genital area is too high, this can cause an infectious disease. In this case, treatment for urinary incontinence will not take long.

Can incontinence be treated with pills?

The problem of the inability to retain fluid in the body after a stroke occurs in almost 80% of people who have suffered a similar illness. But after a week in most patients the symptom disappears on its own. The rest have to deal with the problem using special methods.

It is worth noting that the fair sex is much less fortunate in this regard. Women with incontinence after a stroke are more common, but this does not mean that this complication is easier to treat in men.

In medical practice, medications are used that can temporarily eliminate uncontrolled urine output. But they are not able to completely cure the problem. The complication of urinary incontinence after a stroke can only be eliminated by training your body, and for this you will have to do a lot of work on your body.

Medicines will be useful only in cases where the cause of the inability to retain fluid is an infection. In such a situation, the doctor prescribes antibacterial therapy, which speeds up the disappearance of such a nuisance as incontinence.

How to deal with fecal incontinence?

Problems with involuntary urination in men and women who have suffered a stroke occur much more often than problems associated with feces. However, a considerable percentage of victims still encounter a similar complication. About a third of patients experience problems with fecal incontinence in the first week after a stroke. But most manage to regain control of their intestines fairly quickly.

Those patients who have suffered a stroke with obvious dementia are more susceptible to the problem of fecal incontinence. In this case, you will have to carefully select the food for the patient so that the food does not cause either constipation or diarrhea. Fiber should be included in the daily diet if a person has no problems swallowing food. In addition, you need to monitor the body's water balance. It is important to avoid dehydration at all costs. The norm is 30-40 grams of pure water or tea without sugar per 1 kilogram of weight.

However, this moment is individual. If the patient has a problem such as urinary incontinence, plus heart pathology, the amount of fluid should be significantly less. It is advisable to discuss this issue with your doctor. In addition, the doctor must create the most suitable diet that will allow you to survive this difficult period with minimal discomfort. With the right approach, a person, even after a complex stroke, will be able to take control of his bladder and intestines.

Particular attention should be paid to physiotherapy and muscle training. They play a very important role in recovery after a stroke. It is necessary to follow all the doctor’s recommendations correctly and avoid overload. Training beyond one's own strength can result in new complications.

Stroke Prevention

In order not to face such a problem as a stroke, a person should monitor his health at any age. Recently, the problem is increasingly affecting the younger generation. The reason for this is poor nutrition, bad habits and a sedentary lifestyle. In addition, you need to be careful about medications. Using some medications without a doctor's recommendation can cause side effects, including bleeding.

If such a disaster occurs, you need to immediately take the patient to a doctor. Only timely medical assistance gives a chance of life to a person who has suffered a stroke.

According to most medical experts, urinary incontinence is one of the most catastrophic consequences of a disease such as stroke.

This problem very often becomes an overwhelming burden for those caring for a person who has previously suffered an attack. It is this that becomes the most common reason that a patient ends up in a specialized institution where he can receive help. However, urinary incontinence in this case is not hopeless, because there are several quite effective ways to alleviate a person’s condition.

Causes of incontinence

Urinary incontinence is the most common consequence of a stroke attack, occurring in a large number of patients. It causes a person a lot of trouble. Because of this, you have to spend too long a time in the hospital under the supervision of specialists.

The most common causes of this complication include the following:

There is a decrease in the level of consciousness and a slowdown in thinking, so the patient’s brain receives a signal much later than urination occurs.

Due to too little mobility, a person often does not have time to get to the toilet.

Speech impairment prevents the patient from expressing the desire to go to the toilet.

Impaired hand function leads to the fact that a person cannot take off clothes or use a duck on his own.

Lack of ability to inhibit bladder contraction, leading to detrusor instability.

Entry into the body of a urinary infection.

There is an obstruction in the outflow tract, which leads to frequent and rapid overflow of the urinary tract.

Frequent drinking of liquid in sufficiently large quantities, as well as taking diuretics, causes overflow of the urinary tract.

Quite poor medical care for the patient.

Underestimation by medical staff or caregivers of the need to create special conditions to control urinary retention.

Symptoms

The fact that a patient after a stroke has developed a complication such as urinary incontinence can be understood already on the first or second day after the attack. It is manifested by fairly frequent and completely uncontrolled urine emission. As a rule, this occurs when coughing and even the most minor stressful situations. However, there are other possible factors that serve as a “lever” for involuntary urination. To make sure that this is not a “one-off” incident, a full examination is necessary.

Why is this dangerous?

Urinary incontinence leads not only to physical complications, but also to mental ones: a person’s self-esteem decreases and depression may develop.

If you start this problem, then after some time it will be very difficult to get rid of it. As a result, even after therapy, attacks can sometimes recur.

Diagnostics

Just like with any other disease, urinary incontinence after a stroke requires diagnosis - Conducting a complete physical examination of the patient, as well as taking an anamnesis. The most important aspects to pay attention to first are fluid intake and toilet habits.

In addition, when carrying out diagnostics, specialists study a person’s heredity. An equally important factor is the presence of a history of previous operations on the pelvic organs.

In order to obtain an initial assessment, a urine test is performed, urination diary. Additionally, the patient is examined to detect urination during straining or coughing - a special stress test is used for this.

If surgical intervention is required to treat this consequence of a stroke, but to obtain the clearest possible clinical picture, it is necessary urodynamic study. To date, it is considered the only technique that can be used to thoroughly check the functional state of the lower urinary tract. This procedure is performed on an outpatient basis. It lasts approximately thirty minutes and does not cause discomfort or pain.

Treatment and what to do?

Many patients who have suffered a stroke complain of urinary incontinence. However, doctors claim that this problem is treatable. Therefore, it is necessary to make efforts and choose the right treatment. As for the duration of the course of therapy, it is different for each person: for one it may last several days, while for another it will take several weeks, or even months, to completely get rid of the consequences of a stroke.

The main factors of urinary incontinence directly depend not only on the severity of the attack, but also on the person’s age. It should be noted that women suffer from this problem much more often. If urinary retention occurs after a stroke, a special catheter is inserted into the body, otherwise doctors use anticholinergic medications.

Most people are embarrassed by such consequences, so they are in no hurry to seek help from highly qualified specialists. Because of this, they are deprived of the necessary treatment, which will be effective and will contribute to the rapid establishment of the urination process.

According to medical information, many patients after a stroke are not helped by medications, as well as traditional medicine.

The following medications are usually prescribed for therapy:

"Nortriptyline"

"Oxybutynin hydrochloride"

"Imipramine"

"Propantheline bromide"

"Amitriptyline"

"Flavoxate hydrochloride"

The dosage of drugs and the duration of treatment depend on the complexity of the disorder and the characteristics of the patient’s body, so they determined by the doctor individually.

Urinary incontinence is a common complication after stroke. It may go away on its own or with medical intervention. The main thing is to properly care for the patient and choose effective treatment.

A stroke occurs due to impaired blood circulation in the vessels of the brain. After hemorrhage, extensive damage to the brain occurs, especially to the frontotemporal lobe, which is responsible for the functioning of the sphincters. Enuresis occurs due to deterioration of conductivity between parts of the central nervous system and the nerve pathways that conduct impulses. As a result, the bladder loses its ability to contract, but the sphincter is still able to hold urine. Once it becomes overfilled and urinary retention occurs, the sphincter is unable to perform its function. Urinary incontinence develops. Typically, such enuresis goes away within a month; drug therapy helps solve this problem faster.

According to statistics, enuresis occurs 2-3 times more often in men than in women.

Treatment of urinary incontinence after stroke in women and men

After conducting laboratory and clinical studies and establishing the exact cause of enuresis, the next stage of treatment is the selection of an individual treatment regimen, and it often happens that they differ in women and men. In the treatment of urinary incontinence, pills, folk recipes, physiotherapy, and less often surgery are used.

Medicines

Treatment for urinary incontinence is based on medication. Patients are prescribed drugs from the following groups:

Acetylcholinesterase inhibitors - enhance the transmission of nerve impulses from the brain to the bladder. Among the products in this group, Prozerin and Aksamon are most often used.
Drugs to improve cerebral circulation: Actovegin, Cerebrolysin, Hopantenic acid.
Nootropic drugs that restore brain cells: Piracetam, Phenibut and their analogues.

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ethnoscience

Specific urinary disorders can be successfully treated with alternative medicine. They are used as an independent remedy or as an auxiliary therapy to speed up the rehabilitation process and get rid of an unpleasant problem. Patients who are concerned about frequent urination or incontinence are advised to take the following decoctions:

From a plantain leaf. 1 tbsp. l. plants in 1 cup of boiling water, leave this mixture for an hour, and then, after straining, take 1 tablespoon 4 times a day half an hour before meals.
An infusion of 40 g of sage, poured into 1 liter of boiling water, is allowed to brew for 4 hours. Drink three times a day.
An infusion of a mixture of herbs is useful: a teaspoon of yarrow and St. John's wort per glass of liquid. Drink 2 glasses every day for 1.5-3 weeks.
Decoctions of berries are often used: blueberries, lingonberries, blackberries.
Much attention is paid to various fresh or canned natural juices. If you have incontinence, it will be helpful to drink 1-2 glasses of carrot juice every day.

The overwhelming number of doctors do not approve of taking folk remedies without their consultation.

Other methods

Surgical treatment, which is considered effective, is less commonly used. In women, TVT surgery is common, which involves placing a special loop made of synthetic material in a certain place in the urethra. It is performed under local anesthesia and does not require tissue dissection, which is certainly a big plus. For men, a device is implanted that performs the function of a sphincter, which in 90% of cases eliminates the problem. It is placed inside the scrotum and has a special pump: if the patient wants to go to the toilet, he presses it and the bladder is emptied. The sphincter then closes and prevents urine from flowing out. Physiotherapy procedures include galvanic currents, electrophoresis and electromyostimulation.

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Treatment of the problem

"Neuromedin";
B vitamins;
"Axamon";
"Prozerin."

Ducks. Used for patients who are unable to move independently.
Bedside chairs. Relevant use for patients who do not have time to get to the toilet.

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The problem of involuntary urination as one of the consequences of a stroke

The risk of cerebral hemorrhage increases with age as blood vessels become damaged and cholesterol plaques are deposited in them. But in recent years, the number of stroke patients has increasingly included people under 40 years of age. They have a hard time experiencing the consequences, because they have to radically change their lifestyle and put up with restrictions. Recovery may take years, depending on how severely the brain was damaged.

After a major stroke, if the frontal area is affected, urinary incontinence develops - it can leak constantly or be released in small portions during laughter, coughing, sneezing. This negatively affects the psychological state and causes depression, as there is constant discomfort. The problem can persist for several weeks after the hemorrhage or take a chronic form. If persistent urinary incontinence occurs long after a stroke, you need to consult a doctor to find out the reasons and choose treatment methods.

Possible causes of urinary incontinence after a stroke:

unconsciousness that occurs in the first days after an ischemic bilateral cerebral stroke;
a person cannot walk to the toilet or take a duck due to lack of mobility, as the functions of the limbs suffer;
the patient is unable to express the need to go to the toilet if speech is impaired;
the ability to inhibit bladder contractions is lost;
urinary infection, which could have existed before the stroke or developed during drug treatment.

In some cases, there is overflow of the urinary tract due to prostatitis, stones, and sand in the kidneys. If a person does not have a bowel movement for a long time, urinary incontinence may occur, which resolves after taking a laxative or an enema. Caregivers or relatives should pay close attention to this, and if problems are detected, look for ways to eliminate them.

Medications used for treatment, such as antidepressants, can also cause urinary incontinence. After stopping the medications, the condition improves, the patient begins to control the urge to go to the toilet.

Treatment of urinary incontinence in men and women

After a mini-stroke, incontinence rarely develops, but if there was extensive hemorrhage, involuntary emptying of the bladder may occur. According to statistics, women suffer more often than men, which is due to the anatomical features of the structure of the pelvic organs. Doctors note that many patients already suffered from urinary incontinence before the stroke, but the problem became more acute after the hemorrhage.

Treatment depends on the causes of incontinence. It can be either medicinal or physiotherapeutic. First of all, treatment is aimed at restoring damaged brain functions and eliminating concomitant diseases. In some cases, the patient begins to control urination several weeks after the hemorrhage.

After undergoing hospital treatment, the patient must take all medications prescribed to him within a strictly allotted time. If he has poor orientation and cannot walk, he should be constantly looked after by relatives. All functions may not be restored, but overall improvement will be observed if all the doctor's instructions are followed.

Caring for patients with urinary incontinence

In a hospital setting, if the patient cannot control the urge to go to the toilet, ducks are used. For patients with upper limb dysfunction, devices with a valve that prevents the contents of the container from spilling out are optimal. If a person can climb, bedside chairs are used.

For bedridden patients, immediately after a stroke and until the condition stabilizes, catheters are introduced that forcibly drain urine. They are not recommended to be used for too long, as this leads to patients losing control of the urge to go to the toilet. Catheterization can provoke the development of urinary tract infections. Urinal bags are also used as an alternative, but they are more suitable for men than for women.

Urinary incontinence makes caring for bedridden patients more difficult. There is a risk of developing diaper rash due to constant humidity and the development of pathogens. In this case, you can use iD SLIP adult diapers and iD PROTECT disposable absorbent diapers as additional protection for various surfaces (bed linen, furniture) from getting wet. iD SLIP diapers have a multi-layer layer that absorbs and reliably holds large amounts of liquid inside and reliably blocks unpleasant odors. Side barriers provide protection against leaks, and an elastic waistband at the back of the diaper prevents fluid from leaking when the patient lies on his back.

Additionally, compliance with hygiene rules and skin treatment with creams and lotions is required. When diaper rash appears, disinfectant and regenerating ointments are prescribed. It is important to periodically turn the person on the other side, which will help avoid skin lesions.

If the patient walks, thin and flexible iD LIGHT urological pads, which absorb moisture well and, turning it into a gel, reliably hold it inside, will help improve his quality of life with weak uncontrolled urine output. They keep the skin dry, do not cause irritation, do not restrict movement and are not noticeable under clothing, which allows you to lead a normal lifestyle.

When there is an average degree of incontinence, it is better to choose iD PANTS diapers, which will help overcome possible psychological discomfort and maintain an active lifestyle. They fit perfectly to the body, do not restrict movement and guarantee protection against leaks and unpleasant odors.

Some people after a stroke need the help of a psychologist and the support of relatives. They need to explain that incontinence is treatable. With the help of modern hygiene products, you can lead an active lifestyle without fear that urine will leak out involuntarily. The main thing is to wisely select products that will absorb moisture in full. Regular replacement will keep you feeling fresh and confident.

What causes problems with urination after a stroke, treatment methods

A stroke occurs as a consequence of an acute disruption of the blood supply to the brain. After hemorrhagic or ischemic damage, the basic functions of the body are disrupted. Problems with urination after a stroke are observed in 30% of cases. The situation is significantly complicated by the patient’s partial or complete paralysis and the need to remain in bed.

Why does the bladder fail after a stroke?

Bladder dysfunction occurs due to atrophy and the development of necrotic phenomena in certain areas of the brain tissue. As a rule, disorders are accompanied by a stroke or brain stem infarction.

Cause of obstructed urine flow after stroke

Problems with urination after a stroke are a direct indication of disturbances in the functioning of the muscular system that regulates the functioning of the bladder sphincter. Violation of reservoir function leads to the patient having difficulty passing urine. Difficulty urinating in men is often associated with the simultaneous occurrence of prostate adenoma.

Causes of urinary incontinence after stroke

Frequent and uncontrolled urination after a stroke is a consequence of disturbances and loss of consciousness or psycho-emotional problems, and the development of diseases that affect a person’s intellectual abilities.

Blood poisoning leads to general sepsis of the body, which significantly complicates recovery after a stroke. The patient's skin is constantly in contact with urine, which leads to irritation and the appearance of bedsores.

Causes of blood in the urine after a stroke

Blood in the urine after a stroke indicates the presence of serious pathological processes in the human body. Microscopic particles of red blood cells - erythrocytes - are found in the liquid.

Development of an infectious disease.

Restoring urination after a stroke

The consequences of a stroke in old age are already critical, but if the disease is complicated by disturbances in the functioning of the bladder, the prognosis is even more unfavorable. Therefore, if problems arise with the urinary system, professional and immediate help is required. It is impossible to solve the situation solely with the help of non-traditional and traditional methods of therapy.

How to treat frequent urination

Treatment for urinary incontinence after a stroke in women differs from what is needed in men, as it can be caused by various factors and due to differences in the anatomical structure. Often, disorders are caused by diseases that appeared before the brain damage.

Treatment of voluntary urination in men is necessary solely due to mental disorders in the functioning of the brain, accompanied by loss of consciousness and coma.

Cholinesterase inhibitors - improve innervation of the bladder. The course of therapy includes: Aksamon, Neuromedin, Prozerin and B vitamins.

How to treat difficulties with urine outflow

Insufficient emptying of the bladder is fraught with the development of infectious diseases. In a normal state, the kidneys and urinary system serve as a kind of barrier that prevents sepsis in the body. But if the outflow of urine stops, serious complications gradually develop, leading to damage and complete loss of kidney function.

Manual exposure - performed using light stroking and palpation in the pubic area of a person. Manual stimulation relaxes muscle tissue and promotes complete emptying of the bladder.

When inserting a catheter, medical professionals require professionalism and experience. Improper introduction of the urinary drainage system leads to the development of hematomas and internal bleeding.

Treating the cause of bleeding

Bladder diseases, tumors and other disorders lead to the appearance of bloody discharge in the urine. In men, the development of pathologies is preceded by prostate adenoma.

Folk remedies for bladder problems

Solving the problem of urination using traditional methods without the use of traditional methods of therapy is unlikely. Non-traditional methods of therapy are used mainly for prevention and prevention of further disorders and complications.

Bladder rehabilitation after stroke

The most complex pathologies are considered to be false urge to urinate caused by brain disorders. Normalization of muscle tissue and the functioning of the bladder sphincter occurs gradually as the nerve tissue of the brain is restored.

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Modern methods and approaches to prevent cerebral stroke

Is it permissible to drink alcohol after a stroke and what are the risks?

What causes breathing problems after a stroke and how to deal with it

Urinary incontinence after stroke

This is a huge nuisance that you can still get rid of. Treatment of such pathologies is one of the important activities that are carried out in relation to people who have suffered a stroke. Many people believe that if they have such a symptom, they will never be able to lead a normal life.

Causes of incontinence

Treatment without drugs

How to deal with fecal incontinence?

Stroke Prevention

ATTENTION! All information on the site is for informational purposes only and does not claim to be absolutely accurate from a medical point of view. Treatment must be carried out by a qualified doctor. By self-medicating you can harm yourself!

After a stroke, urinary incontinence: what to do?

CAUSES OF URINARY INCONTINENCE AFTER STROKE

Urinary incontinence is the involuntary release of urine that cannot be controlled by volition.

Stroke and urinary disorders

Read about recovery after a stroke:

Those patients who have suffered a stroke with obvious dementia are more susceptible to the problem of fecal incontinence. In this case, you will have to carefully select the food for the patient so that the food does not cause either constipation or diarrhea. Fiber should be included in the daily diet if a person has no problems swallowing food. In addition, you need to monitor the body's water balance. It is important to avoid dehydration at all costs. The norm is considered to be grams of pure water or tea without sugar per 1 kilogram of weight.

Treatment of the problem

Take measures to avoid constipation, however, this recommendation may seem phenomenal. Antidepressants and diuretics can cause constipation. Discuss this with the doctor. Magnesium-B6 pills normalize blood pressure, improve heart function, and also stimulate the movement of food through the intestinal tract. Check with your doctor to see if someone who has had a stroke should receive them. In addition to them, for constipation you can also try vitamin C, probiotics and fructooligosaccharides - nutrients for healthy microbes in the intestinal tract.

A vaginal examination, during which smears are taken from the vagina and cervical canal.

Stroke Prevention

Taking an anamnesis is the very first stage of the examination, when the doctor needs to provide the most complete information about the number of births, their nature and duration, about all surgical interventions on the pelvic organs, as well as about the presence of concomitant diseases such as diabetes, stroke, etc.

Urinary incontinence after a stroke is more common than fecal incontinence, but is less problematic. The frontal lobes of the brain control the bladder. If a stroke damages these areas, the bladder goes into automatic operation under the control of the spinal cord. Urinary incontinence occurs. It is highly likely that it will go away within a month after the stroke. If the problem does not disappear, then you need to consult a urologist and other doctors.

In medicine, an acute circulatory disorder in the brain, which leads to damage and death of nerve cells, is called a stroke. Often, after an illness, urinary retention, blood in the urine, and urinary incontinence may occur. The cause of the latter pathology is loss of consciousness, psycho-emotional problems and the formation of diseases that affect the intellectual abilities of the patient. Urinary disorders occur when the lower extremities and muscle system, which is responsible for the functioning of organs within a person, are paralyzed. Older people are more likely to experience uncontrolled urination. The primary cause of urinary incontinence after a stroke in females is menopause or previous surgical intervention on the pelvic organs. Men are susceptible to this pathological phenomenon after a stroke and have had prostate disease.

Buy waterproof pads and place them under your bedding

electromyography (measurement of perineal muscle contraction).

Impaired upper limb function (cannot remove clothing or use duck)

Permanent urinary incontinence is a constant leakage of urine, usually associated with incompetence of the sphincter apparatus, a fistula connecting the bladder and vagina, as well as abnormal location of the ureter, etc.

Urinary incontinence is a common consequence of stroke

Talk openly about the problem

Urinary incontinence, and even more so fecal incontinence, is perhaps the most catastrophic consequence of a stroke. This problem can be overwhelming for people caring for someone who has had a stroke. It is the most common reason that patients are sent to specialized institutions. At the same time, urinary and fecal incontinence is not a hopeless situation. Below you will find out how to make it easier.

Underestimation of the importance of facilitating urinary continence by caregivers or nurses

The good news is that for many patients, within a few weeks after a stroke, the incidence of urinary and fecal incontinence is significantly reduced, or even this problem disappears completely. It is important that the patient feels free to discuss incontinence with their doctor. He can suggest many effective ways to restore control over the intestines and bladder. In fact, urinary and fecal incontinence turns into a disaster mainly in cases where doctors do not know about it and, accordingly, do not treat it.

Treatment without drugs

Patients suffering from mixed urinary incontinence undergo a two-stage treatment regimen: eliminating the symptoms of OAB, and then undergoing surgery for stress urinary incontinence.

Set a timer on your mobile phone to go to the toilet at any hour during the day. Try to slightly increase this interval to 2-3 hours. The same timer can get you up 1-3 times at night to prevent bedwetting. Such training increases the tone of the bladder muscles and stimulates the brain so that its newly formed areas take on functions instead of those damaged by a stroke. Be sure to go to the toilet at night, and in the morning, as soon as you wake up.

The occurrence of urinary incontinence depends on the age of the patient and the severity of the stroke. However, it is believed that this phenomenon can be observed more often in women. What to do in this case and how to normalize urination? Specialists strongly recommend not to be ashamed, but to contact a medical facility in a timely manner to receive proper and effective treatment. It should be borne in mind that in men, treatment for urinary incontinence that occurs after a stroke differs from the therapeutic course required for women. This is due to the different anatomical structure. Urinary incontinence is treated with the following pharmaceuticals:

Diagnostics

How to take control of an incontinence settlement

Urinary incontinence after stroke

Urinary and fecal incontinence after stroke

Urinary incontinence after stroke

Why does the symptom appear in women and men?

Keep a set of clean clothes in the bathroom

How to deal with fecal incontinence?

In case of violations of speech and motor function, they carry out therapeutic exercises and sessions with a speech therapist, and to improve higher brain functions they take anti-dementia drugs. To prevent stroke, they take antidepressants and attend psychotherapy sessions. The best way to prevent various diseases is to immediately consult a doctor. Self-medication of the first symptoms of the disease can worsen the condition and provoke serious complications.

A pad test is used to determine the amount of urine that is leaked involuntarily.

Urinary incontinence after a stroke is more common than post-stroke incontinence; stress will cause fewer problems. The front parts of the brain experience the bladder. If a stroke damages these areas, the bladder goes into automatic mode under the control of the dorsal brain. Detects urinary incontinence. It is highly likely that it will go away within a month after the stroke. If the problem does not go away, then you need to consult a urologist and other doctors.

Urinary incontinence after stroke

Decreased level of consciousness

Buy and install waterproof covers on the car seat used by the person with urinary incontinence.

The list below contains some suggestions for what can be done to help stroke survivors feel more comfortable with their condition and make its flaws seem less noticeable.

If after a stroke a patient experiences urinary retention or incontinence, it is advisable to use various devices. The following types are used in medical practice:

Urinary incontinence refers to a person's inability to control urination. There are different types of urinary incontinence. There are people who have to go to the toilet all the time. There are others whose bladders become completely full and are then unable to hold urine. However, there are still others who simply cannot empty their bladder in the toilet on time due to physical or mental reasons. Finally, there are those whose urinary incontinence only occurs at night. These are all different types of urinary incontinence.

At least 30% of people who have had a stroke suffer from incontinence in the initial 7-10 days after the accident. By 6-12 months, 2/3 of those same patients manage to regain control over their own intestinal tract. Over the next 2 years, the prevalence of incontinence in patients who have suffered an ischemic or hemorrhagic stroke increases from 10% to 15%. This problem is observed among people in whom a stroke has caused open dementia.

Urinary and fecal incontinence after stroke

A comfortable catheter has not yet been developed for women, but there are special pads and panties. They should be selected depending on the amount of liquid released; it is important that they are soft and absorb moisture well. Women note that with prolonged use a specific odor appears, but to prevent it, it is recommended to change pads more often and clean the external genitalia throughout the day.

Make it easier for someone suffering from urinary incontinence to get to the toilet. For example, rearrange furniture and remove rugs. Add a night light in the hallway and in the toilet

Be curious that there are diapers for older children. Place a waterproof oilcloth between the sheets and the mattress. If you are prescribed diuretic medications, ask your doctor how they affect urinary incontinence. You also discuss with him all other substances and dietary supplements that you take. Pay attention to keeping the patient's skin dry and spotless to avoid odor and bacterial irritation. Avoid foods and drinks containing caffeine.

Reviewing the situation in detail is the best way to avoid embarrassment for all parties involved. Start a conversation by saying: “. We've all noticed that you have a certain kind of problem when you try to get to the toilet. ". This will open up the conversation and create a more relaxed atmosphere to discuss urinary incontinence issues after stroke.

Stress urinary incontinence is the involuntary leakage of urine during exertion (changing body position, running, lifting heavy objects, coughing, laughing, sneezing). This urinary incontinence occurs without the urge to urinate.

Emphasize that urinary incontinence is not the stroke victim's fault.

Carry a small bag with extra clothes in it for long shopping trips
Place waterproof pads on furniture that is frequently used by a person suffering from urinary incontinence after a stroke
B vitamins;

Congestion of the urinary tract due to increased fluid intake, diuretics and poor diabetes control Deficiencies in care (not having anyone with the patient on time)

Urinary infection (often without other complaints)

Keep wipes and liquid disinfectant handy at all times.

Inactivity (cannot get to the toilet on time)

Prevention of stroke

Devices for urinary incontinence after stroke

dysfunction of the detrusor (muscle wall of the bladder);

incompetence (weakening) of the sphincters of the bladder and urethra;

A common cause of incontinence is a bladder infection. It is detected by the results of a urine test. Infectious diseases are treated with antibiotics. They work well and usually do not cause serious side effects. Urinary incontinence can also be caused by side effects of medications. Discuss all the pills and injections you are taking with your urologist. If your doctor is sure your bladder is working properly, they may recommend medications to help control your incontinence. For example, those that temporarily reduce urine production. They are taken at night.

Causes of incontinence

The International Continence Society (ISC) identifies the following main forms of urinary incontinence:

Various forms of urinary incontinence are most often characteristic of the weaker sex; among the male population, this disease is much less common.

Urge urinary incontinence (urinary urgency syndrome or overactive bladder) is the involuntary loss of urine that occurs immediately after a sudden, irresistible urge to urinate. Usually, after such an urge occurs, the patient cannot stop urinating and does not have time to run to the toilet;

If necessary, use diapers

To eliminate uncontrolled urination, nootropic drugs are used, the action of which is aimed at restoring the activity and functioning of nerve cells. It is recommended that patients with urinary incontinence after a stroke take vascular and metabolic medications. During treatment, the patient is recommended to use absorbent pads or panties. Comfortable to wear and diapers for adults. When choosing absorbent products, you should pay attention to the quality of the materials and the presence of protective sides that prevent liquid from leaking out. It is extremely important to take care of your skin to prevent dermatitis, which often appears due to bedsores or contact of urine with the skin. Today, there are many dermal care products that can be purchased at pharmacy chains.

B vitamins are used in treatment.

Urinary and fecal incontinence after a stroke: learn how to cope

cystometry (measurement of pressure in the bladder while it is filled with fluid through a catheter);

Urinary incontinence in women

She gives the most detailed reason why patients are admitted to special institutes. At the same time, urinary incontinence and settlement are not a pessimistic situation. Below you will understand how to simplify it.

Urinary incontinence is one of the most common diseases that negatively affects the quality of life of a suffering woman. It is women, since various forms of urinary incontinence are most often characteristic of the weaker sex; among the male population this disease is much less common. According to European and American statistics, about 45% of the female population of age report symptoms of involuntary urination. According to studies conducted in the Russian Federation, symptoms of urinary incontinence occur in 38.6% of women. This is due to some structural features of the female reproductive system. Among the causes of urinary incontinence are:

Today, new external catheters are being produced, which need to be changed once every 3 weeks. It is important that the urine bag and catheter are always clean, otherwise the patient is at risk of bladder infection. The catheter should be placed so that it does not put pressure and does not provoke ulcerative lesions in the urethral area. It is necessary to ensure that the device is not clogged or pinched, and that urine can flow freely into the urinal.

Some patients with incontinence die soon after a stroke, but for most survivors, urinary incontinence resolves spontaneously within 1 to 2 weeks. Among survivors, 20% to 1/3 suffer from incontinence in the months following a stroke. These patients are often immobile and confused, and had urinary incontinence before the stroke. Patients with incontinence who retain the ability to understand what is happening,

Can incontinence be treated with pills?

It is always difficult to talk to family members about personal problems. The issue of urinary incontinence after a stroke is a very personal and uncomfortable issue for others to discuss, let alone those directly affected by urinary incontinence after a stroke. When talking about urinary incontinence with strangers, you should remember this.

Loss of inhibition of bladder contraction (detrusor instability)

Keep a spare set of clothes in homes frequented by the person with incontinence.

Communication problems (cannot express the need to go to the toilet)

urethral profilometry (measurement of pressure in the urethra);

The good news is that for most patients, within a few months after a stroke, the frequency of urinary incontinence and incontinence decreases greatly, and perhaps even this problem disappears altogether. It is important that the patient does not contact his or her doctor to discuss incontinence. He can suggest many better options on how to restore control over the intestinal tract and bladder. In fact, urinary incontinence and incontinence turn into a disaster mainly when doctors do not know about it and, accordingly, do not treat it.

Treatment of urinary incontinence depends on the identified form and involves different approaches.

If such a disaster occurs, you need to immediately take the patient to a doctor. Only timely medical assistance gives a chance of life to a person who has suffered a stroke.

In order to correctly diagnose and prescribe competent treatment, a comprehensive examination of the patient is necessary, including:

A patient who has suffered a stroke needs to restore his own ability to move in space. If it is difficult for him to get to the toilet or potty at the right time, then incontinence is inevitable. Take measures to ensure that the furniture does not impede the disabled person’s ability to move around the room. Perform regular muscle and joint exercises as recommended by your physical therapist. The higher the mobility, the better the intestinal tract will work. A special toilet seat would probably work.

Diapers. Provides dryness, comfortable and easy to use.

URINARY INCONTINENCE AFTER STROKE

Urinary incontinence, and even more so, urinary incontinence, is perhaps the most catastrophic consequence of a stroke. This problem can be very difficult for anyone caring for a stroke survivor.

Treatment of enuresis involves the use of behavioral therapy, physical therapy, and medications.

One to two thirds of patients admitted to hospital during the first days after an acute stroke suffer from urinary incontinence. Urinary incontinence is more common in severe strokes (i.e., strokes with a poor prognosis. Urinary incontinence may be associated with the stroke itself, but in 20% of patients it was already present. Although detrusor instability is often the only cause of urinary incontinence four weeks after stroke, but in the acute stage other factors may also be important (these causes of urinary incontinence after a stroke are listed below). Urinary incontinence is very distressing for the patient and those caring for him, increases the risk of pressure sores, and often interrupts rehabilitation treatment (for example, interrupts therapy sessions). physical education) and influences the conditions of management of this patient.

Set a timer on your cell phone to go to the bathroom every hour during the day. Try to gradually increase this interval to 2-3 hours. The same timer can wake you up 1-3 times at night to prevent bedwetting. This training increases the tone of the bladder muscles and stimulates the brain so that new areas of it take on functions to replace those damaged by the stroke. Be sure to go to the toilet at night and in the morning as soon as you wake up.

A common cause of incontinence appears to be bladder infection. It is shown by the final results of a urine test. Contagious diseases are treated with antibiotics. They provide excellent benefits and, as usual, do not cause positive side effects. Also, urinary incontinence can often be caused by side effects of medications. Discuss all the pills and injections you take with your urologist. If the doctor is sure that the bladder is working well, he may recommend medications to help control incontinence. Examples such as those that currently reduce urine production. They are taken at night.

Currently, for the treatment of stress urinary incontinence throughout the world, the gold standard has become the performance of minimally invasive loop (sling) operations, such as TVT, TVT-O, TOT, PROLIFT. In addition to surgical intervention, conservative treatment methods are often used, including special exercises for the perineal muscles (Kegel exercises), biofeedback therapy, magnetic stimulation of the neuromuscular apparatus of the pelvic floor and pelvic organs, and the use of local hormonal therapy in premenopausal patients.

Treatment

To prevent the development of circulatory disorders, which entails damage and death of nerve cells, you must first reconsider your lifestyle and, if necessary, change it. You can prevent a stroke if you always monitor your blood pressure and, if necessary, try to normalize it in a timely manner. If you have previously suffered an ischemic stroke, the patient should take antithrombotic medications and statins.

The specialist must conduct a thorough diagnosis, and then tell the patient how to properly deal with the problem.

Why does this happen?

Drug therapy is used to treat overactive bladder (OAB). Surgical treatment is contraindicated in such patients.

Nurses or caregivers know most about urinary incontinence. It is useful to ask the patients themselves about the reasons, from their point of view, for urinary incontinence. More detailed information, including urine volume, frequency, and duration, that can be collected using voiding charts may be important in determining the causes of incontinence (eg, diuretics, communication problems) and in formulating a management plan.

For convenience, women can use special pads.

Urinary incontinence and settlement after stroke: learn how to cope

Catheter for external attachment. Suitable for constant wear by men. This device is a device that is attached to the genitals and collects urine that flows through a tube into a plastic bag that is attached to the leg. The disadvantages of an external catheter include the possibility of developing erosions on the skin and the fact that it can subside.

When urinary incontinence continues for several days and the cause is unclear, the patient should be evaluated. Microscopy of urine can determine the presence of infection. Measuring residual urine volume (by ultrasound or catheterization) will help assess bladder contractility and outflow. We perform urodynamic studies in patients with difficult-to-explain urinary incontinence that continues for weeks after a stroke.

It is necessary to tailor feeding so that it does not cause either constipation or laxative results. Try to eat a lot of fiber, especially if you have no problems swallowing food. Drink plenty of water - beware of dehydration. The norm for strong people is 30 ml of water and herbal teas per 1 kg of body weight per day. Discuss with the doctor whether such a norm is suitable for a patient who has suffered a stroke. In case of mental insufficiency, it must be greatly reduced.

Urinary and fecal incontinence after a stroke, urinary incontinence after a stroke, how to control fecal incontinence

weakening of the supporting structures of the pelvis. They are associated with pregnancy, childbirth, previous operations on the pelvic organs, and age.

How does it manifest itself?

When talking to families about urinary incontinence after stroke, it is important to emphasize that this condition is extremely common. Many people believe that the bowels and bladder are easy for a person to manage and that urinary incontinence does not cause suffering. This is not the case, and it is important to emphasize this to avoid the existence of guilt and shame in the family member with incontinence after stroke. The family should also not feel ashamed or embarrassed about having a member suffer from incontinence. In many cases, urinary incontinence is a byproduct of a stroke. This should be taken into account by anyone dealing with a stroke survivor.

2015-05-02 14:55:56

Marina asks:

Hello! My father has been in bed for 5 years after a stroke. Now a new sore has appeared. Sores appeared on the head of the penis (more than a month ago. He has incontinence, he has never used diapers, there is a urine collector. I thought it was the urine that was corroding, a rash appeared between the legs. The urologist recommended zinc ointment, the dermatologist flucanozol 100, 1 capsule, Deloskin powder, lotions, amoxil sprinkled with methyluracil 3 times per tablet. The rash has gone away. The wounds remain and have increased, not only on the head but on the penis itself the skin is peeling off (it turns white and peels off), swelling has appeared. What should I do?

Answers Mazaeva Yulia Alexandrovna:

Hello, if urinary incontinence causes severe damage to the skin and mucous membranes due to the aggressive effects of urine, it is recommended to install a permanent urethral catheter.

2010-12-05 13:41:45

Yuri asks:

Hello, doctor! On April 6, my mother (65 years old) suffered an ischemic stroke of the right temporal hemisphere of the brain. They immediately called an ambulance - they did something for my blood pressure and a cardiogram. The last days before this, the mother had high blood pressure (approximately 220/100). On the day of the stroke, my mother fell and could not get up, and then the stroke happened... She lives in my village alone. She managed to take a cell phone and call a neighbor. SHE CALLED AN AMBULANCE. She was taken to the regional hospital in Ardatov, Mordovia. It was difficult to admit her to the hospital due to a lack of beds. There was no doctor, he had a day off!??? One of the service staff was a nurse. She couldn’t help but do anything. We lay there for a day without any help. Me, her son and sister arrived immediately 300 km from the hospital. When the doctor came for lunch, we immediately asked him to give a referral to the regional hospital. We got it with difficulty. The regional republican hospital is 120 km away. When we got there, she was still moving on her own. We went up to the 3rd floor and the doctor examined her. Her leg and arm were still working. They admitted us and began intensive treatment.
Here is the research protocol:
“In the right frontal parietal part on the right, a large, about 37 * 37 * 92 mm area of density, heterogeneous is visible. The ventricles are not examined, the lateral walls of the membrane, near-edema! Signs of hypertension are visible (sorry for the inaccuracy, it is not clearly written). The cut structures are not displaced .
Conclusion: infarction in the right hemisphere of the brain.
Extract from the medical history
The patient was in the neurological department from 04/09/10 to 04/30/10 with the diagnosis: Ischemic stroke from 04/08/10. Atherothrombotic cerebral infarction in the right MCA basin, progressive course. Left-sided hepiplegia. DE (mixed origin) 2nd stage.
Objectively: BP150/90 mmHg. Heart rate 80/min.
ST NEVR Consciousness preserved.
Palpebral fissures, pupils D=S/Smoothed left i/g fold. Left-sided superior monoparesis. Limb reflexes. D During her stay in the hospital, the patient’s condition worsened, left-sided hemiplegia appeared.
Examination: UAC dated 04/10/10 L-6.5 10; Hb 124g/l; ESR 40mm/hour;e 1; p/box 2, s/box 68; monocytes 8; lymphocytes 23; blood sugar 7.3 mmol/l
Biochemical blood test dated 04/10/10 Total protein 71, Urea 4.4; Creatinine 58; cholesterol 6.7, AST 27; ALT 30;
OAM from 04/10/10 l2-3 in p/zr, ep 3-5, beat. weight 1023, neutral
Oculist 04/12/10. Retinal angiopathy (hypertensive).
CT scan of the brain from 04/15/10 Infarction of the right hemisphere of the brain.
Examination by a psychiatrist dated 04/16/10 Psychoorganic damage to the central nervous system with hallucinatory syndrome.
ECG from 04/09/10 Sinus rhythm 75 per minute. Normal position of the EOS. Slowing of AV conduction. Dystrophic changes in the myocardium of the left ventricle.

Treatment: enalapril, pentoxifylline, riboxin, nicotinic acid, VitV, Cavinton, Actovegin, Mexidol, Manit, gliatelin, massage, exercise therapy, session with a rehabilitation specialist.
Recommended:
1) D-observ. neurologist
2) Cortexin 10 mg IM No. 10
3) Cavinton 2 tablets. 3 times a day
4) Passing the ITU
5) Plavix 75 mg. 1 time a day constantly
doctor, 8 months have passed since the stroke; at the moment we have changed our place of residence. I took my mother to my place in Ulyanovsk. Mom still can’t walk, but that’s not all, at first she seemed to be getting better. Then, at 6 months, I asked my local doctor for a course of cerebralysin solution, Cavinton 2 mg-5 pcs., Actovegin 5 mg-5 pcs. Two weeks passed after the instillation, but the condition did not improve, but rather worsened. Now her legs are like cotton wool, she can’t straighten up on them, although we used to move with my help. There is urinary incontinence. We take lozap tablets 25 mg 1 tab. in the evening, indapamide 1 tablet in the morning, zilt. Pressure 126-86 is normal and during physical activity 144-111.
QUESTION: Why does this happen? After all, we were moving towards improvement, albeit slowly, but improvement. A neurologist arrived once in an ambulance and quickly looked and asked what complaints he had. I wrote down the diagnosis and left. Should I take Cavinton or something else? I'm afraid it will be even worse.

Answers Kachanova Victoria Gennadievna:

Why does the symptom appear in women and men?

Treatment of the problem

B vitamins are used in treatment.

"Neuromedin";
B vitamins;
"Axamon";
"Prozerin."

Devices for urinary incontinence after stroke

If after a stroke a patient experiences urinary retention or incontinence, it is advisable to use various devices. The following types are used in medical practice:

Ducks. Used for patients who are unable to move independently.
Bedside chairs. Relevant use for patients who do not have time to get to the toilet.
Diapers. Provides dryness, comfortable and easy to use.
Catheter for external attachment. Suitable for constant wear by men. This device is a device that is attached to the genitals and collects urine that flows through a tube into a plastic bag that is attached to the leg. The disadvantages of an external catheter include the possibility of developing erosions on the skin and the fact that it can subside.

For convenience, women can use special pads.

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Urinary and fecal incontinence after stroke

Urinary incontinence after stroke

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Urinary incontinence after stroke

Urinary and fecal incontinence after stroke

Emphasize that urinary incontinence is not the stroke victim's fault.

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Devices for urinary incontinence after stroke

Causes of incontinence

Urinary incontinence in women

Can incontinence be treated with pills?

URINARY INCONTINENCE AFTER STROKE

Treatment

Why does this happen?

Urinary and fecal incontinence after a stroke, urinary incontinence after a stroke, how to control fecal incontinence

How does it manifest itself?

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Why does the symptom appear in women and men?

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