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Registered charity number 1085095 THE BLADDER 2 modes of action - - PowerPoint PPT Presentation
Registered charity number 1085095 THE BLADDER 2 modes of action - - PowerPoint PPT Presentation
Introduction How many people have bladder/bowel control problems ? Quality of Life Under reported Registered charity number 1085095 THE BLADDER 2 modes of action Storage/Voiding Not everyone with a bladder control problem is incontinent
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DISORDERS OF STORAGE SUI (Stress Urinary Incontinence) OAB (Overactive Bladder) Nocturia DISORDERS OF VOIDING Acute/Chronic Retention Incomplete Emptying (need referral for specialist assessment)
Registered charity number 1085095
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STRESS URINARY INCONTINENCE (SUI) What is SUI Who does it affect? Causes – Pelvic Floor Damage (Childbirth), Constipation, Chronic Cough, Post Menopausal, Post Prostate Surgery
Registered charity number 1085095
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ADVICE Pelvic Floor Exercises Avoid/treat Constipation Stop Smoking/ treat cough Avoid Exercise that increases pressure on pelvic floor
Registered charity number 1085095
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OAB (OVERACTIVE BLADDER) what are the symptoms of OAB ? Who does it affect? Causes – Lifestyle, UTI, Neurological Post Menopausal Women In many cases no cause is found (idiopathic)
Registered charity number 1085095
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ADVICE Reduce caffeine/fizzy drinks/alcohol/chocolate/some foods Maintain a healthy fluid intake (1.5-2 litres daily) Avoid going “just in case” (toilet mapping) Pelvic Floor Exercises Medication review (nocturia) Post Menopausal – Oestrogen (if indicated) Bladder Retraining – Diary/Deferrment Antimuscarinics/Anticholinergics Mixed Bladder problems
Registered charity number 1085095
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LACK OF ABILITY TO COPE WITH BLADDER/BOWEL FUNCTION Dementia/Confusion Mobility/Dexterity Sensory Environmental May or may not have a co existing bladder/bowel problem Referral for specialist assessment
Registered charity number 1085095
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BOWEL CONTROL Bowel control problems are a symptom of an underlying problem or a medical condition and should always be referred for specialist assessment. What is normal ? Faecal Leakage-Anal Sphincter Defects/ Pelvic Floor Damage/Nerve supply/ Medication Constipation – BSS 1-3 (Overflow- management) Diarrhoea – diet related (Caffiene, sweeteners, sorbitol, alcohol) Laxative overuse/ Medication/stress related
Registered charity number 1085095
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ADVICE Understanding of constipation Diet and Fluid Diary Good toilet habits Exercise Avoid Stress
Registered charity number 1085095
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