How to care for incontinence-associated dermatitis

Written by Chen Feng
Urology
Updated on December 28, 2024
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The care for incontinence-associated dermatitis primarily involves keeping the affected skin clean and dry. It is important to avoid skin contact with urine as much as possible. If the skin does come into contact with urine, it should be washed promptly and kept clean and dry.

If there is itching or discomfort at the site of the dermatitis, topical corticosteroid ointments may be used to alleviate the itching. Some patients might also develop infections, typically bacterial, which can be managed with antibiotics. For patients with recurrent dermatitis, considering bladder fistulation or other treatment methods might be necessary to prevent skin contact with urine.

Other Voices

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Written by Zhou Yan
Geriatrics
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What causes urinary incontinence in the elderly?

Urinary incontinence in the elderly varies due to different mechanisms and types, with the two most common categories being genuine urinary incontinence, which is due to neurogenic bladder dysfunction or overactive detrusor muscles, damage to the urethral sphincter, or loss of bladder storage function. These are commonly seen in conditions like chronic stroke, dementia, Parkinson's disease, and psychiatric diseases. The other major category is caused by relaxation of the urethral sphincter or pelvic floor muscles surrounding the urethra, leading to reduced urethral pressure. Incontinence in this category may occur when negative pressure increases, such as during coughing, sneezing, straining during bowel movements, or changing body position. This type of urinary incontinence is more common in elderly women and in elderly men who have had prostate removal, leading to damage to the external urethral sphincter.

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Written by Chen Feng
Urology
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Can you wear diapers for urinary incontinence?

Urinary incontinence generally requires the use of diapers, as the condition is primarily caused by various pathological changes, leading to the involuntary discharge of urine from the urethra. Due to the easy infiltration of the perineum and around the urethral opening by urine, there might be occurrences of eczema or perineal infections. Wearing diapers can timely absorb the leaked urine, thereby reducing the chances of developing eczema and perineal infections. It is also necessary to actively seek the underlying cause of urinary incontinence and treat it accordingly. Common types of urinary incontinence include persistent, stress-related, overflow, and urge incontinence. By conducting thorough examinations, the specific type of urinary incontinence can be identified, followed by targeted treatment.

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Written by Zhang Shu Kun
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Is urinary incontinence due to kidney deficiency?

Generally, urinary incontinence is also considered a symptom of kidney deficiency, and kidney deficiency can also lead to urinary incontinence. Actually, these are two symptoms but both can potentially lead to the disease, so it is important to pay close attention. If urinary incontinence occurs, it is essential to get timely treatment. One should visit a reputable hospital and undergo effective treatment under the guidance of a doctor to avoid impacting daily life. It is also important to maintain personal hygiene, wash frequently, and change clothes regularly to effectively prevent the worsening of the condition. In terms of diet, it is necessary to avoid eating cold, raw foods or fruits to prevent exacerbating the condition.

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Obstetrics
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Will postpartum urinary incontinence heal itself?

Symptoms of urinary incontinence after childbirth are curable for most women. Postpartum urinary incontinence results from the relaxation and strain of the pelvic floor muscles during pregnancy and childbirth, thus it is necessary to exercise these muscles after giving birth. Additionally, pelvic physiotherapy can also be performed. Generally, normal function can be restored within six months, and for those in better health, recovery can occur as soon as one month postpartum. It is critical to adhere to treatment under medical guidance when experiencing urinary incontinence; otherwise, the impact on a woman's health can be significant, affecting normal social interactions and work.

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Does postpartum urinary incontinence require surgery?

In cases of postpartum urinary incontinence, treatment should be selectively based on the individual condition of the mother. For those with mild postpartum urinary incontinence symptoms, normal recovery can be achieved through effective physical exercise and a period of rest and recuperation. However, in severe cases of urinary incontinence, surgery is also a treatment option. Therefore, the treatment for postpartum urinary incontinence should be determined based on the specific cause and severity of the condition. It is not limited to surgical treatment alone, so it is necessary to conduct an examination first and then choose the method of treatment.