Uncontrollable urine

   Urge Incontinence

• Urge incontinence occurs when you have a strong, sudden need to urinate that is difficult to delay. The bladder then squeezes, or spasms, and you lose urine.
• The condition isn’t a disease, but it may be a sign that there is an underlying problem.

Causes:-

• Urge incontinence is caused by abnormal bladder contractions. 
• Normally, strong muscles called sphincters control the flow of urine from the bladder.
•  With urge incontinence, the muscles of an “overactive” bladder contract with enough force to override the sphincter muscles of the urethra, which is the tube that takes urine out of the body.

The bladder may experience abnormal contractions for the following reasons:-

• The bladder may not be functioning properly because its nerves are damaged by various diseases — for example, diabetes, stroke, multiple sclerosis, or Parkinson’s disease.
• The spinal cord may be damaged.
• The bladder may be irritated.

Symptoms:-

• The main symptom of urge incontinence is the sudden urge to urinate and the involuntary loss of urine at inappropriate times. For instance, you may leak urine in public or while you are sleeping.

Investigations:-

• Pelvic floor assessment
• Urinalysis
• Urine culture
• Urinary bladder ultrasound
• Cystoscopy
• X-ray studies:-

1. Intravenous pyelogram (IVP)
2. Kidney, ureter, and bladder (KUB) study
3. CT scan

• Urodynamic studies
• Cystometrogram
• Uroflowmetry

Management/Treatment:-

• Dietary changes:- Try to eliminate or cut back on how much caffeine you consume, such as in coffee and tea. In addition, limit the amount of carbonated drinks and acidic foods, such as oranges and pineapples, in your diet
• Manage constipation:-For some people, urinary incontinence is a symptom of constipation.

• Physical therapy:-A therapist can explain different exercises to do to strengthen the muscles that help control urination
• There are two primary categories of medications used to treat urge incontinence, includes:-

1. Anticholinergics:-These medications help relax your bladder, and can be helpful for urge incontinence and overactive bladder.
2. Beta 3 agonist :- This category of medications relaxes the bladder muscle and can increase the amount of urine your bladder can hold.

For complete Examination and treatment please visit to a Urologist.