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Do you leak when you laugh?

September 8, 2021

Laughter is the best medicine but what if it becomes a reason for stress of being embarrassed. 

Urinary incontinence is the involuntary loss of urine and Stress incontinence is the most common type of it.

About every 1/3 rd of women suffer from it but been an embarrassing situation. They don’t talk about it and live with it everyday. And because of it some may isolate themselves from the social gatherings. They doesn’t even realize that they are many ways to deal with it. 

Book an appointment with Ms. Neha Gill for any physiotherapy related consultations.

1. What is Stress incontinence?

Stress incontinence is when small amount of urine leaks from the urethra when you cough , sneeze or even laugh. So basically when the abdominal pressure increases and the muscles in the pelvis gets weakened up. This causes the bladder to drop down into a position that prevents the urethra from closing completely resulting in urine loss.

This usually happen with women who have given birth but it can affect women of any age group. During pregnancy and childbirth these pelvic floor muscles get weakened up as they carry the weight of the baby apart from there normal functioning. So these muscles work really hard and loses their tone. That is why it is important to train these muscles after birth as well.

Women who experiences this during their pregnancy have more chances of developing it in early age. 

Depending upon the severity of the condition you may experience dribbling or you may squirt. If the condition worsen then there is tendency that you leak if you just bend or walking or just stand up.

Must Read: Why is Physiotherapy Beneficial for Pregnant Women?

Apart from pregnancy and Childbirth there are factors that increases the chances of developing stress incontinence:


a. Age: Women of older age group are more affected as with age muscles get weakened up. 

b. Mode of delivery:  As compare to C sec, women who have undergone normal delivery have more chances of developing it. Further in assisted normal birth, women who have undergone forceps delivery than vacuum extraction have higher chances of developing it.

c. Body weight: People who are overweight or obese have a high chances of stress incontinence because it increases pressure on the abdominal and pelvic organs.

d. Previous pelvic surgery: Women who have undergone hysterectomy can have stress incontinence as it can weaken the muscles that support the bladder and urethra.

Nerve injury to lumbar spine.

e. Smoking: Smoking can be associated with chronic coughing and when you cough it again increase the abdominal pressure.

f. Constipation: Women who have a history of chronic constipation can also suffer from it as during straining it again increases the abdominal pressure.

g. Excessive caffeine: Caffeine intake increases the urination and frequent urination can also lead to leakage.


2. How can you help yourself?

a. Lifestyle changes: Cut down caffeine intake, alcohol use and smoking.

b. Avoid constipation: Include high fibers in your diet. 

c. Weight management: Losing weight reduces severity of stress incontinence. 

d. Maintain your bladder diary : It is important to know how much or how frequent you leak. This will also give you an idea for the triggering factor. This help your health care provider to understand your case.


3. How physiotherapy can help you?

Pelvic floor muscle strengthening : Kegal’s exercise can help in strengthening and this can prevent leakage.

With physiotherapeutic modality we can stimulate the muscles by sending mild electrical current through your pelvic floor muscles that helps in strengthening.

Want to consult the best physiotherapists in India? Please find the links below.

  1. Best Physiotherapists in Bangalore
  2. Top Physiotherapists in Chennai
  3. Best Physiotherapists in Mumbai
  4. Top Physiotherapists near me in Pune
  5. Best Physiotherapists in Chandigarh
  6. Top Physiotherapists near me in Gurgaon
  7. Best Physiotherapists in Noida
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