Spinal Disorders And Neurogenic Bladder Dysfunction
Often times spinal disorders associated with injuries that result in nerve damage are linked to Neurogenic Bladder Disorder , which refers to urination issues. Neurogenic is a term for the nerve tissues that stimulate an organ or muscle to properly function.
With NBD the nerves that control the bladder and other muscles involved with urination may cause the bladder to be under or overactive.
When the nerves for bladder sensation or function become irritated, inflamed, or compressed, dysfunctions such as frequent urination, the sudden overwhelming urge to urinate, or involuntarily voiding the bladder may occur.
NBD is commonly caused by spinal cord injuries . Accidents that cause bruising or constrict blood flow along the spinal cord can damage the ability to transmit nerve signals.
Herniated discs, infections, lesions, lumbar tumors, and fractures along the spine can also cause back pain and damage to the spinal nerves leading to bladder dysfunction. These conditions may also cause Cauda Equina Syndrome , a serious medical issue requiring immediate attention.
Are Any Tests Needed
A urine sample can confirm the diagnosis and identify the germ causing the infection. Further tests are not usually necessary if you are otherwise well and have a one-off infection. However, your doctor may advise tests of your kidney, prostate gland, or bladder if an underlying problem is suspected.
An underlying problem is more likely if the infection does not clear with an antibiotic medicine, or if you have:
- Symptoms that suggest a kidney is infected .
- Recurring urine infections. For example, two or more in a three-month period.
- Had problems with your kidney in the past, such as kidney stones or a damaged kidney.
- Symptoms that suggest an obstruction to the flow of urine.
- Blood-stained urine which persists after treatment with antibiotics.
Tests may include:
Causes Of Urinary Incontinence
Stress incontinence is usually the result of the weakening of or damage to the muscles used to prevent urination, such as the pelvic floor muscles and the urethral sphincter.
Urge incontinence is usually the result of overactivity of the detrusor muscles, which control the bladder.
Overflow incontinence is often caused by an obstruction or blockage in your bladder, which prevents it from emptying fully.
Total incontinence may be caused by a problem with the bladder from birth, a spinal injury, or a small, tunnel like hole that can form between the bladder and a nearby area .
Certain things can increase the chances of urinary incontinence, including:
- pregnancy and vaginal birth
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When To See A Doctor For Urination Pain
Painful or Frequent Urination in Men. Frequent urination without pain also can be a side effect of certain medications, or a symptom of diabetes. Most men who experience new problems with painful or frequent urination should see their doctor. This guide is intended to provide helpful information while you are awaiting further evaluation,
Back Pain And Urinary Incontinence
Surprisingly, many patients with incontinence also experience back pain. In fact, researchers in Canada in 2017 decided to study the phenomenon. They found that adults experiencing urinary incontinence were more likely to also experience back pain. This was true for both men and women. A 2016 study found that the co-existence of back pain and UI occurs most often in individuals with sciatica ).
Even though these two symptoms frequently occur together they are not necessarily related. In some cases, UI and back pain can both be caused by the same condition. However, in other cases, the two symptoms may be unrelated.
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Urinary Incontinence And The Bladder
Spinal disorders or injuries that cause nerve compression or damage may cause Neurogenic Bladder Disorder also termed Bladder Dysfunction. NBD means the patient has problems with urination. The term neurogenic refers to the nerve tissues that supply and stimulate an organ or muscle to function properly. In the case of NBD, nerves that control the bladder and muscles involved in urination cause the bladder to be overactive or underactive.
NBD symptoms may include:
- Bladder does not completely empty
- Bladder overfills and pressure causes accidental leakage of urine
- Bladder is unable to hold urine
The brain and spinal cord are the central chains of command that transmit signals and messages to and from the bladder. Photo Source: 123RF.com.
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Spine Disorders With Potential To Cause Nbd
- is a common cause of neurogenic bladder dysfunction. The spinal cord need not be severed to cause paralysis below the injured level of the spine . Bruising of the spinal cord or inadequate blood flow can damage the cords ability to transmit nerve signals.
- occurs when the spinal nerve roots in the lower back are compressed. Although cauda equina syndrome is a rare occurrence, it is a serious medical situation requiring urgent care.
Causes of CES include:
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How Is Ui Diagnosed
The only way to diagnose the underlying cause of both back pain and UI is to see your doctor and receive a full medical exam. The exam can help your doctor decide whether your symptoms are related to a separate condition that needs attention.
During the exam, its important you detail any symptoms, when you experience them, and how you relieve them.
After this initial diagnosis phase, your doctor may order several tests. These tests may include imaging tests like X-rays and blood work. The tests can eliminate causes for your symptoms.
If your doctor cant reach a diagnosis, they may refer you to a urologist or a back pain specialist.
Treatment for back pain and UI relies on finding an underlying cause. Once you and your doctor understand whats causing your symptoms, you can develop a plan to manage your symptoms.
Back Pain And Incontinence: What Can I Do
As we know, incontinence is, more often than not, the symptom of an underlying condition. By finding and treating this condition, you can remedy your symptoms of incontinence and similar side effects. Some of the most common conditions that we know cause incontinence include frequent UTIs, pregnancy, childbirth, constipation, and prostate cancer.
Recently, back pain has also been studied as a cause for urinary incontinence. Some researchers believe that the activation of muscles in your abdomen may trigger back pain. And those same muscles may affect your ability to properly hold or release urine. However, whether back pain is the cause or the symptom of urinary incontinence is still to be determined. Today we are going to look at the correlation between back pain and incontinence.
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Is Back Pain A Symptom Of Urinary Incontinence
The connection between back pain and other symptoms of urinary incontinence remains unclear. While some patients experience back pain or pressure that can cause episodes of incontinence, not all patients experience back pain. Further, researchers havent been able to pinpoint the cause for all back pain or pressure that does cause episodes of incontinence.
Most incontinence symptoms depend on the type of incontinence you have:
Studies Have Shown That Women With Urinary Incontinence Are More Than Twice As Likely To Experience Frequent Back Pain
One significant association between CBP and stress incontinence was found in a study in Kentucky. Data from a sample of 2,341 women from the Kentucky womens health registry were used for analysis. Primary variables were self-reported chronic back pain and stress incontinence. Reports of stress incontinencewere significantly higher in women reporting chronic back pain than those not reporting chronic back pain. This link has been supported by many other studies and cases, with conditions causing both symptoms thought to be a main factor.
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Back Pain And Incontinence What It Is And How To Resolve It
Back pain and incontinence are closely related and can occur simultaneously due to an underlying medical condition. For example, a pinched nerve can cause urinary problems and back pain. While you may not initially think these symptoms are related, both can occur because of a pinched nerve.
Back pain and incontinence are closely related and often occur when the sensitive spinal nerves are pinched, compressed or otherwise damaged. Nerve compression causes pain in the back and sometimes down the leg while inhibiting normal bowel and bladder function. Read more to learn about back pain and incontinence.
Cat Food/diet Related To Urinary Tract Infections
If your cat develops recurrent urinary tract infections or if he or she is also diagnosed with bladder stones or crystals, your veterinarian might recommend a diet change and increasing how much water your cat drinks.
Cat food for urinary health addresses the issue in several ways.
There are no diets that treat or prevent urinary tract infections, but your veterinarian may recommend a diet aimed at urinary health based on other findings on the urinalysis. Therapeutic urinary diets are limited in certain minerals to prevent the development of stones and crystals. These diets also address urinary tract health by adjusting your cats urinary pH to help prevent or reverse crystal and stone formation.
The right diet depends on which type of urinary tract disease your cat has.
While they can also help to prevent episodes of bladder inflammation, most diets focus on bladder stones and crystals.
The most common types of bladder stones and crystals found in cats are calcium oxalate and struvite. These crystals can be identified by their shape when viewed under a microscope. The type of bladder stones present can only be identified by sending it to a diagnostic lab after removal.
Luckily, many diets are now formulated to prevent both struvite and calcium oxalate crystals, so its much easier than it used to be to treat appropriately. If bladder stones are present, they will usually have to be removed surgically to prevent a blockage, chronic infections, or discomfort..
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How To Prevent Back Pain When Urinating
While many causes of lower back pain when urinating are challenging to prevent, there are a few things you can do to prevent urinary health problems in general. For example, you can reduce the risk of a UTI by staying well hydrated and urinating directly after sex . In addition, if your doctor identifies that you have a history of kidney stones, they will likely recommend a suitable diet and medication that prevents kidney stone formation.
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How To Manage Back Pain And Incontinence
Although back pain and incontinence can be embarrassing, talking to your physician about these symptoms is important. Finding an effective treatment for incontinence and back pain means determining the underlying medical condition for these symptoms. Once your physician can diagnose the cause of these symptoms, they can recommend effective treatments to improve your overall quality of life. Some effective ways to manage back pain and incontinence include:
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When To See A Doctor For A Urinary Tract Infection
Urinary tract infections usually require a visit to the doctor to confirm diagnosis and receive treatment. If a UTI is suspected, a doctorââ¬â¢s appointment is always recommended for the following groups of people:
- Anyone who has not had a UTI before
- Anyone with blood in their urine
- Anyone with symptoms of an upper urinary tract infection
- Anyone whose symptoms have returned after treatment
Some people who experience UTIs on a frequent basis might be offered different management options by their doctor, such as long-term, low-dose antibiotics. In these special cases, the onset of UTI symptoms may be managed at home, and a visit to the doctor is not always necessary.
In very mild cases, a bladder infection/cystitis may clear on its own without the need for medical treatment. However, other conditions such as genital herpes or vaginal thrush can be mistaken for cystitis, so people who are unsure whether they have cystitis should still see a doctor.
Feeling unwell? People experiencing symptoms that may be linked to a urinary tract infection can carry out a symptom assessment using the free Ada app now.
Characteristics Of Women Reporting Both Bp And Ui
Almost 40% of women reported symptoms of both BP and UI at 12 months postpartum. They were more likely to be Caucasian , obese , had induced labour and delivered vaginally compared to those women without BP and UI . No differences were found in the education, income, marital status, parity, maternal age, obstetrical analgesia or birth weight between women who reported both BP and UI and those who did not.
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Back Pain And Frequent Urination Causes
There are many different causes that can trigger both lower back pain and frequent urination, including:
Kidney problems: The kidneys are located around your lower back and are off to each side. Kidney problems may begin as pain in the lower back and travel to the abdomen. Kidney problems can cause changes to urination, making it painful or more frequent.
Prostate problems: Inflammation of the prostate not only changes urination habits, but can result in lower back pain too.
Other causes: Other causes that can lead to lower back pain and frequent urination include pregnancy, weight gain, bladder or prostate cancer, uterine or ovarian cancer, pelvic abscess, and other types of pelvic growths.
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How Do You Know If You Have Kidney Pain
Kidney pain, or renal pain, is usually felt in your back . It can spread to other areas, like the sides, upper abdomen or groin. If you have a kidney stone, you usually feel the pain in your back, side, lower belly or groin.
Back pain due to muscle problems is usually in your lower back. Pain due to kidney problems is usually deeper and higher in your back, under your ribs.
Signs that it is a kidney problem can also include fever, vomiting, pain in your sides or painful urination.
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What Causes A Kidney Infection
The commonest cause of kidney infection is the bacteria called E coli . The mode of infection is ascending of the germ from the anogenital area.
The urinary system includes the kidneys, ureters , urinary bladder, and the urethra . These bacteria can enter the urinary tract via the urethra. The infection can occur during sexual intercourse or because of poor hygiene habits after bowel movements. On entering the urethra, the bacteria can migrate upwards to infect the bladder and the kidneys . Although pyelonephritis is rarer than cystitis, it is a serious condition and needs prompt medical management. Kidney infections can even occur in the absence of a bladder infection. This may be seen in conditions, such as kidney stones , and with weak immunity, such as diabetes and HIV.
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Table Demographics By Group Mean And Standard Deviation
At the level of the umbilicus, the average IRD at combined TRA exercise + taping group showed therest was 2.70 cm ± 0.19 for the TRA exercise + largest decrease in IRD at rest , fol-taping group, 2.30 cm ± 0.49 for the TRA exercise lowed by the TRA exercisealone group . The taping-alone group decreased 0.44 cmgroup, and 2.29 cm ± 0.66 for the control group at ±0.40 at the level of the umbilicus at rest. At 4.5 cmthe initial time point . After the 12 weeks of above the umbilicus, the exercise group had the larg-intervention, the average IRD at rest was 1.39 ±0.29 est decrease in IRD at rest , followedfor the TRA exercise + taping group, 1.34 ±0.37 for by exercise + taping . The taping-the TRA exercisealone group, 1.92 ±0.44 for the alone group showed the smallest decrease at 4.5 cmtaping-alone group, and 2.10 ±0.99 for the control above the umbilicus at rest . Thegroup . At the level of the umbilicus, the control group showed changes at rest of 0.23 cm ±
Figure 2. IRD and change in IRD between groups measured at the umbilicus at rest and with head lift at initial assessmentand 12 weeks later. IRD indicates inter-recti distance. *P < .05.
Figure 3. IRD and change in IRD between groups measured 4.5 cm above the umbilicus at rest and with head lift at initialassessment and 12 weeks later. IRD indicates inter-recti distance. *P < .05.
5. Perform 10 repetitions in each position, at 20% to 30% of maximum effort. 6. Perform the exercises 4 to 5 times per week.
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What Are The Types Of Cauda Equina Syndrome
There are two types and two classifications of cauda equina syndrome. The syndrome is acute or chronic, and its either complete or incomplete.
Types of cauda equina syndrome
Acute cauda equina syndrome
Severe symptoms start suddenly. Youll likely need surgery within 24 to 48 hours.
Chronic cauda equina syndrome
This name means long-lasting cauda equina syndrome. It describes two scenarios:
Emergency surgery might stop permanent damage. See your healthcare provider if you have symptoms.
Classifications of cauda equina syndrome
Complete cauda equina syndrome
Complete cauda equina syndrome causes urinary and/or bowel retention or incontinence. Retention means that youre unable to pee or poop, and incontinence means that you cant stop yourself from peeing or pooping. It affects about 60% of people with cauda equina syndrome.
Incomplete cauda equina syndrome
This affects the other 40% of people with cauda equina syndrome. Typical symptoms include loss of urgency or increased urgency sensation in the bladder and bowels without retention or incontinence. This means you cant feel that you have to poop or pee, or you feel the sensation stronger than before.