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Complete Bladder Training Guide For Urinary Incontinence

Complete Bladder Training Guide For Urinary Incontinence

Back when I was pregnant, a good sneeze would drench my pants. My life revolved around frequent trips to bathrooms and any long journey had to be chartered out with the whereabouts of restrooms along the way. There was even a party where I resorted to wearing a diaper rather than embarrass myself with a leak.

This fear of embarrassing leaks had me staying at home rather than going out and enjoying life with friends or family. I thought it would be fine after the delivery, but even afterwards, it took months of pelvic exercises to tighten the bladder muscles before I was able to leave the house confidently. Urinary incontinence is a reality for more people than you might think. For those of you currently going through it, here is the guide for you:

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Causes of Urinary Incontinence

Many people hide their bladder control issues and find it difficult to discuss it even with their doctors. Identifying the cause and treating it can provide you with the right solutions and you can walk around with your head held high, free from caring about your bladder woes.

The involuntary loss of urine, or urinary incontinence, is more common in women than men. It usually occurs after childbirth and menopause.

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Urinary incontinence is classified into four types:

  1. Urge incontinence: Your bladder contracts even when it’s not full and you often feel a sudden, strong urge to go to the bathroom. You might find urine trickling down even before you reach the toilet.
  2. Stress incontinence: Coughing, sneezing, laughing, or any sudden pressure on your abdomen can cause you to accidentally pee.
  3. Mixed incontinence: When stress combines with urge incontinence, you know you’ve lost the war. It’s best to be armed with diapers if you are out for long periods.
  4. Overflow incontinence: Urine leakage can arise even after a visit to the loo if the bladder was not emptied completely.

Ways to Train the Bladder

Bladder retraining is usually the first treatment doctors suggest for bladder control problems. This is a kind of behavioral therapy that helps you regain control over your urination. It gradually trains your bladder muscles to hold in urine for more and more periods of time to prevent leaks and emergency bathroom incidents. Bladder retraining can also be used as a treatment for children who bed-wet.

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  • Schedule bathroom visits: Jot down in a diary every time you go the bathroom and make a schedule by adding 15 minutes to that time. Even if you don’t actually feel the urge to go, visit the bathroom at each scheduled visit. Slowly try to increase the time between bathroom breaks.
  • Delay urination: Even if you feel the urge to urinate, try to hold on until the scheduled time for the bathroom visit. If you find it feels too urgent, try to delay it for five or ten minutes by distracting yourself. Try counting backwards from 100 to one or use deep breathing relaxation techniques. Even if you ended up rushing to the bathroom for an unscheduled visit, you still have to stay on the schedule and make a visit at the next scheduled time slot.
  • Kegel exercises: Using a combination of pelvic floor exercises, like Kegels, with other bladder retraining techniques has been found to be effective in treating urinary incontinence.

To do Kegels, you must squeeze the muscles, pretending you are holding them to stop the flow of urine. Start with a five-second hold and release, then work up to holding these pelvic muscle contractions for 10 seconds each, with 10 second rest periods in between. You can do three sets of 10 contractions every day.

To improve your success with bladder retraining, you can try out these different variations of Kegels and strengthen your pelvic muscles:

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kegels
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    You can also watch this excellent video that explains all that you need to know about doing Kegels correctly.

    Conclusion:

    In addition to journaling your bathroom breaks and practicing Kegels, limit caffeinated beverages, like sodas, coffee, and tea, that increase urination. Avoid fluids as bedtime nears and go to the bathroom one final time before heading off to sleep. Bladder training helps you hold on for longer periods of time between bathroom visits, giving you control over the urge to go.

    Bladder retraining takes time and might take anywhere between six to 12 weeks to see results. If there is no improvement despite several weeks of bladder training, then your doctor might advise medication or even surgery to treat urinary incontinence.

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    Anju Mobin

    Anju is a Certified Nutritionist, and a Highly Experienced Health, Fitness and Nutrition Writer.

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    Last Updated on September 18, 2020

    7 Simple Rules to Live by to Get in Shape in Two Weeks

    7 Simple Rules to Live by to Get in Shape in Two Weeks

    Learning how to get in shape and set goals is important if you’re looking to live a healthier lifestyle and get closer to your goal weight. While this does require changes to your daily routine, you’ll find that you are able to look and feel better in only two weeks.

    Over the years, I’ve learned a lot about what it takes to get in shape. Although anyone can cover the basics (eat right and exercise), there are some things that I could only learn through trial and error. Let’s cover some of the most important points for how to get in shape in two weeks.

    1. Exercise Daily

    It is far easier to make exercise a habit if it is a daily one. If you aren’t exercising at all, I recommend starting by exercising a half hour every day. When you only exercise a couple times per week, it is much easier to turn one day off into three days off, a week off, or a month off.

    If you are already used to exercising, switching to three or four times a week to fit your schedule may be preferable, but it is a lot harder to maintain a workout program you don’t do every day.

    Be careful to not repeat the same exercise routine each day. If you do an intense ab workout one day, try switching it up to general cardio the next. You can also squeeze in a day of light walking to break up the intensity.

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    If you’re a morning person, check out these morning exercises that will start your day off right.

    2. Duration Doesn’t Substitute for Intensity

    Once you get into the habit of regular exercise, where do you go if you still aren’t reaching your goals? Most people will solve the problem by exercising for longer periods of time, turning forty-minute workouts into two hour stretches. Not only does this drain your time, but it doesn’t work particularly well.

    One study shows that “exercising for a whole hour instead of a half does not provide any additional loss in either body weight or fat”[1].

    This is great news for both your schedule and your levels of motivation. You’ll likely find it much easier to exercise for 30 minutes a day instead of an hour. In those 30 minutes, do your best to up the intensity to your appropriate edge to get the most out of the time.

    3. Acknowledge Your Limits

    Many people get frustrated when they plateau in their weight loss or muscle gaining goals as they’re learning how to get in shape. Everyone has an equilibrium and genetic set point where their body wants to remain. This doesn’t mean that you can’t achieve your fitness goals, but don’t be too hard on yourself if you are struggling to lose weight or put on muscle.

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    Acknowledging a set point doesn’t mean giving up, but it does mean realizing the obstacles you face.

    Expect to hit a plateau in your own fitness results[2]. When you expect a plateau, you can manage around it so you can continue your progress at a more realistic rate. When expectations meet reality, you can avoid dietary crashes.

    4. Eat Healthy, Not Just Food That Looks Healthy

    Know what you eat. Don’t fuss over minutia like whether you’re getting enough Omega 3’s or tryptophan, but be aware of the big things. Look at the foods you eat regularly and figure out whether they are healthy or not. Don’t get fooled by the deceptively healthy snacks just pretending to be good for you.

    The basic nutritional advice includes:

    • Eat unprocessed foods
    • Eat more veggies
    • Use meat as a side dish, not a main course
    • Eat whole grains, not refined grains[3]

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    Eat whole grains when you want to learn how to get in shape.

      5. Watch Out for Travel

      Don’t let a four-day holiday interfere with your attempts when you’re learning how to get in shape. I don’t mean that you need to follow your diet and exercise plan without any excursion, but when you are in the first few weeks, still forming habits, be careful that a week long break doesn’t terminate your progress.

      This is also true of schedule changes that leave you suddenly busy or make it difficult to exercise. Have a backup plan so you can be consistent, at least for the first month when you are forming habits.

      If travel is on your schedule and can’t be avoided, make an exercise plan before you go[4], and make sure to pack exercise clothes and an exercise mat as motivation to keep you on track.

      6. Start Slow

      Ever start an exercise plan by running ten miles and then puking your guts out? Maybe you aren’t that extreme, but burnout is common early on when learning how to get in shape. You have a lifetime to be healthy, so don’t try to go from couch potato to athletic superstar in a week.

      If you are starting a running regime, for example, run less than you can to start. Starting strength training? Work with less weight than you could theoretically lift. Increasing intensity and pushing yourself can come later when your body becomes comfortable with regular exercise.

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      7. Be Careful When Choosing a Workout Partner

      Should you have a workout partner? That depends. Workout partners can help you stay motivated and make exercising more fun. But they can also stop you from reaching your goals.

      My suggestion would be to have a workout partner, but when you start to plateau (either in physical ability, weight loss/gain, or overall health) and you haven’t reached your goals, consider mixing things up a bit.

      If you plateau, you may need to make changes to continue improving. In this case it’s important to talk to your workout partner about the changes you want to make, and if they don’t seem motivated to continue, offer a thirty day break where you both try different activities.

      I notice that guys working out together tend to match strength after a brief adjustment phase. Even if both are trying to improve, something seems to stall improvement once they reach a certain point. I found that I was able to lift as much as 30-50% more after taking a short break from my regular workout partner.

      Final Thoughts

      Learning how to get in shape in as little as two weeks sounds daunting, but if you’re motivated and have the time and energy to devote to it, it’s certainly possible.

      Find an exercise routine that works for you, eat healthy, drink lots of water, and watch as the transformation begins.

      More Tips on Getting in Shape

      Featured photo credit: Alexander Redl via unsplash.com

      Reference

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