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Urinary Incontinence, Homeopathy and Yoga



Urinary Incontinence

Urinary incontinence is a condition in which the urine leaks out involuntarily. It affects men, women and children. (Bedwetting) 


It is twice as common in women than in men. Thirteen million Americans suffer from this problem. It affects millions in India and Pakistan, especially women, who for cultural reasons avoid bringing the subject to the fore, like many other problem.


This problem has a profound effect on the life of a person, of both genders. In women it can be the cause of depression and isolation from social scene.

 

Physiology of Incontinence

Continence and micturition are the result of the balanced activity of the muscles of the urinary bladder and urethra. Under normal condition the urethral pressure normally exceeds the bladder pressure. This results in urine remaining in the bladder. It is interesting to note that under normal condition while, coughing, laughing, or sneezing the intra-abdominal pressure results in an increase in both the urethral and bladder pressure, but as differential pressure remains the same there is no voiding of urine; Normal voiding takes place when urethral pressure reduces and bladder pressure rises. Urinary incontinence results when there is imbalance in these two pressures for various reasons.

 

Causes of Incontinence

Polyurea may occur due to diabetes mellitus, central diabetes insipidus, nephrogenic diabetes insipidus, brain disorders like multiple sclerosis, Parkinson’s disease, strokes, and spinal injury. Use of caffeine and colas may contribute to incontinence.


In men over forty, enlargement of prostate, or cancer of the prostate can contribute to this disease.

 

Use of certain medication, such as blood pressure medication, which tend to relax muscles leading to incontinence. Diuretics, which increase production of urine putting pressure on the bladed. Anti depressant, can act both ways, they can induce or retard incontinence.

 

Types of Incontinence

  • Stress incontinence: due to insufficient strength of pelvic floor muscles.
  • Urge incontinence: due to sudden urge for no specific reason there is voiding of urine.
  • Overflow incontinence: due to bladder pouring out urine even after their normal discharge, often termed dribbling of urine.
  • Functional incontinence:  It happens when there is a need to go to rest room when one feels the urge or need, but one is physically unable to make it to the toilet for multiple reasons. Such as poor mobility, anger, depression, poor eye sight,poor dexterity, or even unable to find a washroom during a journey.

Homeopathy and Incontinence

Homeopathy has lot to offer on this subject, but treatment will depend on extremely careful case taking, based on “ Location, Sensation, Modality” and Concomitant symptoms, whether the approach is acute, constitutional, or miasmatic.

 

I will mention here that Synthesis Repertory which is part of the RADAR software enlists 246 medicines for “ INVOLUNTARY URINATION” or incontinence. Out of this there are 17 grade one remedies; Following are thoseAIL, APIS, ARG- N, ARS, ARS-I, BELL, CAUST, DULC, LYC, NAT-MUR, NUX- M PHOS, PSOR, PULS, R-TOX, SEP, and STAPH.

It is not necessary that only grade one medicine will work better, but based on the correct case taking any selected from the list can bring about fruitful result;

 

Incontinence and Yoga

I personally consider yoga as an adjunct to any homeopathic treatment. It connects body, mind and soul and I always recommend this as part of the treatment. There is one “asana” called “ Mula Bandh” which the ancient text says that if practiced diligently it can alleviate and even cure urinary incontinence. Kiegel exercise is also based on the Mula Bandha yoga method. 

 
  1. Go to the toilet and urinate. Stop the urine in midstream. The muscles you use to stop urinating are the same muscles you will want to use in the next step while in a Yoga asana. If you are still unsure of how to contract the correct muscles, place a finger within the vagina and squeeze to feel a tightening sensation around the finger.
  2. Next go to a quiet room and sit in a comfortable asana such as sidhasana ( perfect pose)
    or sukhasana(the easy pose). The back and spine need to be straight. No slouching.
  3. Pull up the perineum by contracting the entire pelvic floor just as if you are trying to stop
    urine from flowing. At the same time, contract the muscles around the anus as if you are trying to keep from passing gas. Concentrate on the perineal area and the energy, which may be perceived as muladhara chakra, located there. Hold for 3 seconds.
  4. Release and relax all muscles contracted in step 3 for a count of 10.
  5. Repeat steps 3 and 4 nine more times for a total of 10-three second contractions with intermittent relaxations.
  6. Perform this beginning stage of mula bandha daily for three months. During that time, gradually increase the amount of time spent in step 3 to 10 seconds.

I hope that my effort to bring awareness on this vital health issue of urinary incontinence brings help to those who are facing this challenge and derive some benefit from it. If it be so my purpose is served.


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Views: 4206

Comment by Dr Muhammed Rafeeque on June 1, 2011 at 6:24am
Thanks for the post. I always suggest Kegel's exercise along with medicine.
Comment by Debby Bruck on June 2, 2011 at 12:15am
This exercise may be done anywhere at any time. Just must remember to do it.
Comment by Dr Ravindra Saraswat on June 2, 2011 at 2:11pm

Homeopathic treatment:
1. causticum: Causticum is to be used in some form of urinary incontinence in which physical symptoms such as bedwetting or enuresis can occur especially during early stages of sleep in the night time. Other physical actions such as the act of coughing, ordinary acts such as laughing, moderate actions like walking, actions like sneezing bring about bouts of incontinence which can be very inconvenient and sudden in appearance. The weakening of the bladder is such that it may feel paralyzed and unresponsive. Other physical symptoms can include urination which dribbles out instead of coming in a flow the person consequently feels better of he or she urinates sitting down; The condition of the patient tends to rapidly worsen towards the hours of the evening, in the hours of the morning, around 3 to 4 a.m., The appearance of one or more of these symptoms calls for the immediate use of Causticum as a homeopathic remedy in the treatment of urinary incontinence in an individual.

2. equisetum: Used in suffering from urinary incontinence, with symptoms including enuresis, or bed wetting behavior especially in children, such incontinence can come about in the young child because of habitual action and the bed wetting typically occurs during the first stage of sleep at night. The episodes of bedwetting exhibited by the child often occur when the child is dreaming of crowds or when the child has nightmares. This form of urinary incontinence can also affect people with weak bladders; it also tends to affect the elderly. The person affected with this form of urinary incontinence tends to be awakened several times in the nighttime because of an urgent need to urinate. Other physical symptoms that the person may experience may include a feeling of fullness and the presence of a persistent dull pain, urination does not bring any relief from these symptoms. The color of the urine is dark. The condition of the patient rapidly worsens when the person is moving about, when he or she is sitting down, when pressure is applied or the person is touched; the patient may also feel discomfort following urination.

3. pulsatilla: Pulsatilla is to be used in symptoms such as involuntary urination during the first stage of sleep at night, sudden urination can also occur when the person is sneezing, when he or she is coughing, when passing gas, laughing. This form of incontinence can also affect the person following an attack of measles, and in woman the condition can develop during pregnancy, after some sort of excitement such as nervous reactions to sudden and loud noises. Such a form of urinary incontinence can also result when the person has made it a habit of resisting the normal urge to urinate repeatedly over a long period of time, this form of urinary incontinence can also come The urine actually dribbles out even when the person is sitting or walking about. This form of incontinence in young girls brings out a sudden and inconvenient desire to urinate, thus adding to the discomfort of the person. Psychologically the patient can become very gentle and mild, and can display weepy moods. The person does not feel thirsty at all. The condition can rapidly worsen in a warm room, during cold weather, in the autumn and can improve if the person is exposed to the open air out of doors.

Comment by Dr. Wequar Ali Khan on June 2, 2011 at 3:27pm
Thank you for expanding further on the three very important medicines. I have prescribed CAUST in quite a few cases matching the patient's symptoms and found it effective, especially in elderly patients. Your comments will come handy to many patients.

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