Incontinence in the Elderly

Incontinence is a condition diagnosed after frequent issues with holding in urine or bowel movements. This is common during the aging process and has to do with how the muscles and nerves are no longer as strong as they once were. The main symptoms that individuals will experience with this are 'leaking' of bowel matter or urine or an uncontrolled release.

There are many different reasons for incontinence issues, including:

  • Urinary tract infections

    A common condition in senior citizens. This can feel like a burning sensation and may accompany the pain. This can result in emergency care if not treated properly.

  • Menopause

    When estrogen levels drop in females, incontinence may follow suit. Estrogen helps the body's muscles communicate with the rest of the body, especially the urinary tract.

  • Medical Conditions

    Diagnosis like diabetes or Parkinson's can affect the muscles for both urinary and bowel incontinence.

  • Medications

    Medications, specifically diuretics or "water pills," depression, and sleeping medications can be known to affect incontinence.

  • Prior bowel conditions

    diarrhea or constipation can cause more difficulty with the body holding stools in.

  • Prostate problems

    Those who have had surgery on their prostate or an enlarged prostate are more likely to experience incontinence issues.

A few types of incontinence can be stress, urge, functional, or overflow incontinence. These all refer to why the body has difficulty managing the flow of urine or bowel movements. Stress incontinence often happens when there is more pressure on the bladder, such as during exercise or sneezing. Urge incontinence, also referred to as overactive bladder, can occur when there is damage to the muscles, which can be a result of a medical condition or aging. Overflow incontinence is when you cannot appropriately empty your bladder, so it often feels full. Causes of this can be weak muscles, an enlarged prostate, constipation, nerve damage, or certain medications.

Incontinence care can be treated in several different ways. Some older adults may not be able to utilize their pelvic muscles as successfully as before, which may result in the need for incontinence pads or similar liners. It's imperative that these pads get changed frequently and that proper hygiene follows. It is easy for individuals who are bedbound or sitting for long periods to develop bed sores or wounds, which can become infections if not properly treated. Treatment of incontinence care typically includes medications that can reduce the urge to frequently use the restroom, training the body to use the restroom at times, surgery, and diet changes.

With home health staff, hygiene is a priority, especially for those at risk of getting sores. Having someone come to the home to regularly check on you or your loved one can decrease the likelihood of incontinence issues. Caregivers can pick up supplies when running low, pick up prescriptions from the pharmacy, take individuals to their appointments, change pads, clean the body appropriately, and monitor skin conditions.

Popular Questions

Wearing absorbent products can leave you prone to rashes or irritation. Make sure you change any absorbent products regularly and be sure to address any irritation as soon as it occurs.

No. Taking in less fluid will make their urine more concentrated, which will in turn irritate their bladder, causing them to urinate more often. We encourage to drink usual amount or whenever you feel thirsty.

Call us and we are happy to assist you with your care giver needs. It is always a good idea to let your doctor know you are experiencing bladder problems.