Stress incontinence is the unintentional or uncontrollable leakage of urine. It is a serious and embarrassing disorder, which can lead to social isolation. Stress incontinence typically occurs when certain kinds of physical movement puts pressure on your bladder. Laughing, sneezing, coughing, jumping, vigorous exercise, and heavy lifting can all cause stress incontinence. Any pressure placed on the abdomen and bladder can lead to the loss of urine. It’s important to remember that the term “stress” is used in a strictly physical sense when describing stress incontinence. Emotional stress is not a factor in this type of urinary disorder. The “stress” refers to excessive pressure on the bladder. Both men and women can have episodes of stress incontinence.
In 2005, we estimated pneumococcal disease caused 136,000 deaths (46,000-253,000) comprising 10% of deaths in Indian children aged 1-59 months. The death rate for pneumococci was 106 per 100,000 (36-197), and more than two thirds of pneumococcal deaths were pneumonia-relate. Across regions, pneumococcal mortality ranged from 51-141 deaths per 100,000 1-59 months children and was highest in the Central and Eastern regions >50% of pneumococcal deaths occurred in four states with reported low rates of antibiotic use3: Bihar, Madhya Pradesh, Rajasthan, and Uttar Pradesh. The national rates of pneumococcal pneumonia, meninges, and NPNM were: 89.2 (30.7 – 164.6), 9.9 (3.9 – 18.3), and 5.4 (0.9 – 12.4), respectively.
You might also try to avoid the activities, such as jumping or jogging, that cause leakage. If you are a smoker, you should quit since nicotine can irritate the bladder and may contribute to your problem. You should also avoid caffeine and alcohol, because these beverages are bladder irritants. You might want to cut back on your overall fluid intake to reduce bladder pressure. The constant cough seen in smokers also contributes to the problem of stress incontinence. Pelvic Muscle Training For many women, pelvic muscle training (pelvic floor muscle exercises) can help treat stress incontinence. Kegel exercises make your sphincter and pelvic muscles stronger. To perform a Kegel, contract the muscles you use to stop the stream of urine when you urinate.