Atonic bladder: causes, symptoms and treatment
Regulation of the process of urination is under the strict control of the nervous system. Many nerve fibers connect spinal cord with the bladder. If this connection is broken, the body wall lose their tone and ability to retain the accumulated urine. The medical name for this disease – «atonic bladder». The disease, popularly known as urinary incontinence, gives man the strongest discomfort — both physical and psychological.
The causes of the disease
Disturbed innervation of the bladder leads to the fact that the body is not able to control the process of accumulation and urine separation. Muscle of the body wall, which normally is able to greatly expand and retain large amounts of urine, lose their tone. The brain receives are sent from receptors in the walls of nerve impulses that signal their tension as a result of filling the bladder urine. This is known as urinary incontinence, its uncontrolled secretion dropwise.
The causes of the disease must be sought among the factors that could affect the innervation of the authority (respectively, the treatment should be directed at their elimination):
- various mechanical injuries of the spine, particularly the sacrum, spinal cord injury, injury of the perineum;
- violation of function of spinal roots as a result of some diseases such as advanced syphilis;
- drug effects on the nervous system (narcosis, psychotropic substances);
- General intoxication, poisoning or pathogenic activities of microbes;
- long-term current infectious disease of the bladder (cystitis);
- kidney stones or sand;
- atony of the skeletal muscles and muscles of internal organs as a systemic disease (weak muscles cannot hold the spine and spinal cord, as a result of impaired innervation of the body); to this point can be attributed to infant age, when muscular frame is not strengthened;
- diseases of the nervous system, the effects of stress factors;
- endocrine diseases, metabolic disorders, obesity;
- the untimely emptying of the bladder, frequent overflow, leading to stretching of the muscular walls;
- age factor;
- a combination of factors (nervous, hormonal) in women during menopause.
These factors — individually or in combination, can cause acquired atony of the bladder. In addition, the disease can be congenital due to genetic or embryonic pathologies. Treatment in this case can be difficult and is only limited by neutralization of the effects atony through the application of modern hygiene.
The disease is most common in young children and the elderly, and women who recently gave birth. These groups are United by a single parameter: muscle weakness (all overall and specific muscles of the pelvic organs).
Urinary incontinence after childbirth
Atony of the bladder often develops in women after childbirth (especially in the first year). This is a normal phenomenon, the result of a temporary weakening of the bladder muscles after an impressive load during pregnancy and delivery. Treatment is not usually required as the disease resolves on its own. To speed up the process maybe special exercises that engages the muscles of the pelvic floor (Kegel exercises). If the incontinence does not disappear after a few months after birth, poisoning the life of a young mother should consult a medical professional to find out its true cause.
The symptoms of atony of the bladder wall
Main signs of reduction of the tone of the walls of the bladder is, of course, the loss of control over excretion of urine. Urination occurs spontaneously and may be completely absent urination in the toilet. The symptom usually occurs during heavy laughter, coughing or sneezing, physical exertion — when sharply strain muscles of the abdominal wall, putting pressure on mocevic.
When trying to empty the bladder the patient is intentionally confronted with difficulties. In order to start urination, it is often necessary to exert strong muscles of the abdomen and pelvis. Jet is weak, completely withdraw urine does not work.
Pain pathology is not accompanied by, in addition to possible of heaviness in the abdomen with a full bladder.
These symptoms allow us to diagnose «atonic bladder» and prescribe treatment.
How to defeat the disease
Successful treatment of the disease is possible only after determining its true causes. Decreased tone of the bladder wall is sometimes only a symptom of another disease, much more serious, for example, syphilis or a bacterial infection.
Is very important the correct diagnosis, including the following tests and procedures:
- blood and urine for General analysis;
- a urine culture on nutrient media for the determination of the microflora.
- ultrasound examination of the bladder and other organs pelvic cavity (prostate in men, uterus and ovaries in women);
- holding contrast urography;
- computer or magnetic resonance tomography.
Atony of the bladder wall is one of those diseases against which all depends on the patient. The treatment mainly consists in a conscious strengthening of the pelvic floor muscles and regaining control over the processes of urination.
The therapy includes:
- physiotherapy, Kegel exercise is targeted towards the development of the pelvic muscles through tension and relaxation;
- exercises, leading to tone the skeletal muscles that support the spine with the spinal cord (especially effective swimming);
- therapeutic diet excludes foods that can irritate the bladder (hot and spicy meals, citrus fruits, caffeine, alcohol);
- preparation and execution of graphics urination, control of fullness of the bladder and its timely emptying (even if there is no urination in the toilet) — this avoids stretching the muscular walls of the organ; formed a behavioral reflex, habit;
- DENS-therapy – the impact of nanoimpulse on biologically active zones of the body, leading to stabilization of the urinary processes, relieving spasms;
- physical therapy;
- medication — in this case, rather, support: antidepressants — calms the nervous system calcium channel blockers — help to bring the muscles in tone;
- if necessary, the installation of a catheter or a special device – pessary (inserted into the vagina of the patient and provides a pressure on the bladder).
If conservative treatment does not bring results, the operation is to change the incorrect position of the organs of the urinary system.
Urinary incontinence: treatment
Folk medicine and herbal medicine offer many means of treatment of atony of the bladder, some of which are really effective. They strengthen the body in General, successfully fighting inflammation, and hidden infections, a beneficial effect on the nervous system.
Effective incontinence such folk remedies:
- pumpkin seeds;
- the roots of Opuntia;
- seeds of fennel;
- club-shaped club mosses and horsetail;
- shepherd’s purse.
These herbs are used usually in the form of strained decoction.
The use of any drug should be agreed with your doctor. Sometimes an infusion of herbs can cause serious side effects, such as renal colic.