How much water should a patient with urinary incontinence drink each day?

Written by Chen Feng
Urology
Updated on December 03, 2024
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Patients with urinary incontinence generally need a daily water intake of about 1000 to 2000 milliliters. Although those suffering from urinary incontinence may involuntarily excrete urine from the urethra, their water intake needs to be the same as that of normal individuals. Drinking more water is beneficial for the body, as it increases urine production, which can dilute the concentration of stone-forming substances in the urine, thus reducing the likelihood of developing urinary stones. Increased urine production due to higher water intake can promptly flush the urinary tract, especially washing away bacteria on the urethra, thereby reducing the chances of urinary tract infections. Furthermore, drinking more water increases urine production and promptly excretes metabolic waste products produced in the body through the urine, thus preventing the accumulation of metabolic products.

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Written by Zhang Lu
Obstetrics
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Does postpartum urinary incontinence require rest?

Necessary. During pregnancy, as the uterus enlarges, it compresses the pelvic floor. Combined with injuries to the pelvic floor during a vaginal birth, this can lead to pelvic floor dysfunction, which increases the risk of conditions like uterine prolapse, bladder prolapse, and urinary incontinence. The more childbirths a woman has, the more severe urinary incontinence may become. Postpartum urinary incontinence can be improved through adequate rest and adjunctive therapies. 1. Adequate rest by scheduling fixed times to urinate and increasing the frequency of urination can help reduce residual urine. 2. Performing Kegel exercises at home can help strengthen the sphincter muscles, helping to prevent further worsening of urinary incontinence. 3. If the above methods are ineffective, pelvic floor electrical stimulation therapy can be considered.

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Written by Chen Feng
Urology
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Will menopausal urinary incontinence heal itself?

Whether menopausal urinary incontinence heals on its own depends on the specific cause of the incontinence. Menopausal urinary incontinence may occur in women as they age due to a relaxation of the urethra, especially in women who have had children when they were younger, as childbirth damages the pelvic floor muscles, further leading to relaxation of the urethra. This type of incontinence is known as stress urinary incontinence, which is particularly evident when sneezing or coughing, making it difficult to heal spontaneously. Treatment includes exercising the pelvic floor muscles by contracting the anus, and Midodrine Hydrochloride can also be used for treatment. However, urinary incontinence may also be caused by urinary tract infections, which lead to what is known as urge incontinence, and this condition may heal on its own. (Medication should be used under the guidance of a physician.)

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Written by Yang Fu Li
Urology
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Urinary Incontinence: Types and Causes

Urinary incontinence is divided into urge incontinence, stress incontinence, true incontinence, and overflow incontinence. During diagnosis, it is first necessary to determine whether there is incontinence, which should be differentiated from residual urine. Then, based on medical history, physical examination, and whether or not there are laboratory tests, the clinical type and cause should be clarified. The medical history should pay attention to whether there are bladder irritative symptoms, history of urinary stone expulsion, and history of pelvic surgery. Pregnant patients should have a comprehensive examination of the pelvic organs, urinary reproductive system, and nervous system. When necessary, urinary tract X-ray imaging, ultrasound examination of pelvic organs, cystoscopy, and bladder manometry should be conducted.

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Written by Sun Chun
Urology
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Urinary incontinence includes three types: stress incontinence, urge incontinence, and overflow incontinence.

Urinary incontinence, in clinical terms, is divided into the following categories: First, there is urge incontinence, where the main symptom is that as soon as one thinks of urinating, the urine comes out uncontrollably. This is commonly seen in urinary tract infections, among other conditions. Second, there is overflow incontinence, also known as pseudo-incontinence, which is actually due to an obstruction in the lower urinary tract, leading to an overfilled bladder that naturally overflows, causing involuntary urination. Third, there is true incontinence, which occurs because the mechanism controlling the urinary tract is damaged, resulting in leaks as soon as there is a small amount of urine in the bladder. If urinary incontinence occurs, it is recommended to visit a hospital. First, a routine urine test should be conducted; second, a color Doppler ultrasound of the urinary system should be performed, which can be done while holding urine or during routine times; lastly, a urodynamic test should be carried out to examine bladder function and determine the type of urinary incontinence.

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Written by Chen Tian Jing
Colorectal Surgery
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Can fecal incontinence be recovered?

If fecal incontinence occurs, the first step is to identify the main cause of the fecal incontinence. If it is caused by relaxation of the anal sphincter and anal canal, then surgery can be performed to tighten this area, specifically through an anal tightening procedure, which can restore control over fecal incontinence. If the patient has other underlying diseases or is elderly and frail, accompanied by changes in the nervous system, the symptoms of fecal incontinence may be alleviated through medication or physical therapy, but complete recovery is unlikely. This is because the recovery of the nervous system requires the integrated regulation of other bodily organs and functions. If there are multiple underlying diseases or if the patient is elderly and frail, especially in the later stages of coma, recovery is difficult.