Are you worried about peeing your pants ? by Tulsi Desai

Tulsi Desai May 06, 2019 1153 Views   6 Comments
Do you or someone you know suffers from urine leak with coughing, laughing, or sneezing? Are you embarrassed about leaking and worried about going to social events? If yes, then you are not alone. Urinary incontinence (UI) is very common. 1 in 10 women have UI postpartum. In USA, 25 million suffer from UI and 75-80% are women.

Tulsi Desai is a physical therapist at Active Body Active Life (Physical therapy and Wellness) who specializes in pelvic floor treatment and women’s health. She regularly treats patients with urinary ncontinence and variety of other pelvic floor problems.

Urinary incontinence is involuntary loss of urine.  There are 3 main types. Urge incontinence is increased frequency of urination where a person would be going more than 10 times in a 24 hr period (normal range is 6-8 times in 24 hrs). Stress Incontinence is the loss of urine with sneezing, coughing, jumping, running or any kind of heavy physical activity. Third one is Mixed incontinence which is the combination of Urge and Stress incontinence.

Stress incontinence (SI) is more common in women than men. 15 million adult women in USA suffer from SI. It happens with physical activities that put stress or pressure on your bladder and you are unable to control the urine. When a person has stress incontinence, she may experience urine leak with coughing, laughing, sneezing, exercise (run, yoga, fitness class), standing up from sitting, during sex and while lifting/carrying something heavy. It can be occasional or frequent based on the severity of the problem. SI is especially very common during or after pregnancy. For some it improves after delivering the baby. But in many cases, it may not improve or go away completely. If ignored for a long time then it can lead to more severe consequences like chronic or frequent urinary tract infections.

A person may feel embarrassed and may start avoiding social events due to fear of having an accident of not being able to control urine. A lot of women stop going to yoga, exercise class or to the gym due to fear of leaking and eventually start having secondary health problems due to sedentary lifestyle. It can lead to emotional and psychological stress as well if one feels isolated, ashamed and helpless.

The good news is that it can be treated. A lot of women have full recovery with complete bladder control even years after having their babies if they seek proper professional help. Pelvic Floor PT can help you achieve full control of your bladder, stop the involuntary urine leak and help you regain control of your life where you feel empowered and you don’t have to limit yourself to avoid embarrassment from the leakage. 

There are many misconceptions about treatment options today.

1. A lot of women are being told that this is normal part of having babies and they have to live with it. But in reality, this problem can be fully treated without needing medicine or surgery.

2. A lot of women go through unnecessary medications and surgeries due to lack of proper knowledge. 

3. Some are being told to do Kegel exercises. While Kegel exercises can help some women, it always isn’t the solution. A thorough evaluation by a physical therapist (PT) who specializes in pelvic floor will help determine the root cause of the problem and then appropriate treatment by the specialist can really help treat the urine leak for long term solution.

4. There are different online fitness programs being offered which claim to help. In some cases, without proper evaluation, fitness exercises can exacerbate problems.

On an average it takes 6-8 years of trying different things and different doctors before a woman finds her way to a pelvic floor PT as most are not being offered this option in the first place. It can be extremely frustrating when all you are being told is to live with it just because you had a baby.

There are a few things that can help:
1. Start a bladder diary and discuss it with a pelvic expert physical therapist.
2. If Kegel exercises haven’t helped you or by any chance if they made your symptoms worse, then you may want to stop doing them and consult a pelvic floor exert physical therapist.
3. Limit bladder irritants like coffee, tea, alcohol, citrus fruits, nicotine, and artificial sweeteners from your diet.

If you have been struggling with incontinence for longer than a few weeks and you want to learn more about what the ‘root cause’ could be? At Active Body Active Life we offer a Free Phone consultation with our clinician to find out if you are the right candidate for this treatment option.

All you need to do is contact us via phone at (214) 210- 0715 or send us an email at info@activebodyactivelife.com and tell us a bit more about what’s going on, and we will have a conversation about how we may be able to help.

P.S. If you’d simply like more information, check out our website www.activebodyactivelife.com and follow facebook/instagram page @activebodyactivelife.

Tulsi Desai - 26-05-19

Thank you so much.

Ketu Desai - 21-05-19

Very nice article. 17 years child has bed wetting problem. Do you have some solutions for that?

- 20-05-19

What an interesting article very eye opening thanks tulsi ????

Paresh I Naik - 17-05-19

Nice Artical

Shaneel Shah - 17-05-19

Very informative . Thanks!


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