overflow incontinence or urge incontinence?
June 24, 2011 by admin
Filed under Incontinence
The patient is a 72-year-old woman who reports new-onset incontinence. She reports three or four episodes of voiding a large amount of urine involuntarily when outside her home. She sensed a full bladder but was unable to find a bathroom quickly. She states,” When I have to go, I really have to go right then.” She does not use a diuretic and has no history of diabetes. She says she tries to drink very little, especially when she is “out and about” so that she will remain dry. Her only health problem is osteoporosis; she takes vitamin D and calcium supplements. She states that both of her sisters have the same urinary problem.
this is a case study that is given to me as homework but im stuck. right now i have to determine if the client has overflow incont- or urge incont-... i can't seem to differentiate them... i was thinking that the client in this case study has overflow incontinence which basically is incont- due to a decrease in sphincter control. so if the client has a full bladder, it would just come out. but then there is also urge incont- where the client only gets a warning of a few seconds to few minutes to go.. which is the best answer?
How can I keep from retaining water since I have developed an allergy to diuretics?
I have had a total-body rash for six weeks now and the doctor is convinced I have developed an allergy to diuretics. I have been off of them for three weeks and have gained about 18 lbs in fluid weight. The doctor had me try a different diuretic this morning, but within an hour my skin was crawling and burning so I know I cannot take those pills again. Has anyone had a similar experience that they can share what has worked for them, aside from restricting sodium intake.