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I did some research for you, and here is what I found that might help your friend understand her "peeing all the time". It does sound like she should talk to a doctor, either her OB/GYN (does she have one yet?) or a Urologist,, just to rule out that this is not a symptom of something else.

There are so many different types, and causes, for urinary incontinence. One type of incontinence, called Stress Incontinence, is the unintentional loss of urine prompted by a physical movement or activity, such as coughing, sneezing or heavy lifting, that puts pressure — stress — on your bladder. Stress incontinence is not related to
psychological stress. (from www.mayoclinic.com)

Looks like the most important aspects to know now include:
1. Is there pain, pressure or discharge with urination
2. Is there a more strong, persistent urge to urinate (instead of a little urine "just escaping" when startled)
3. Any discoloration or blood with urine?
4. "peeing all the time"...is she actually urinating frequently (going to the bathroom), or is it still the "involuntary loss" of urine when startled?

Being over-hydrated, under-hydrated, certain foods, medications, alcohol, smoking, caffeine...all of these can play a role in triggering loss of urine.

Also other illness, injuries or health problems (ie, diabetes or kidney disease), being overweight, playing high-impact sports, constipation...can also play a role in contributing to loss of urine.

I also found out that, along with alcohol and smoking, there are other "bladder irritants": Carbonated drinks, tea and coffee — with or without caffeine — may irritate your bladder and cause episodes of urge incontinence. Citrus fruits and juices and artificial sweeteners also can be sources of aggravation.

The good news: depending on your friends' situation, a simple change in lifestyle (diet, exercise, etc) can help her. There are also Kegel exercises that may/may not help.

Does any of this apply to your friend?
- Is she overweight (obese), over-hydrated or under-hydrated? These would be signs to see a doctor.

- Does she smoke, play contact sports, use medication, use the bathroom on a regular basis (does not "hold it" for hours-on-end)?
- Does she drink caffeine, sodas, fruit juice, alcohol?

If so, she may want to try to avoid these "triggers" to see if her incontinence is relieved (but, not in lieu of seeing a doctor!)

May 31, 2008 - 2:56pm


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