Q. I’m an older adult woman who is having increasingly more bouts of incontinence. I find it rather embarrassing, to the point of declining social invitations. I never know when the urge to go will hit me, so I prefer to stay home near my bathroom. I’ve had to rely more on my children for groceries and other necessities, as I’m afraid I might have an accident while shopping. I understand that incontinence is common in older women, yet I’m tired of this issue interfering with my life. Do you have any suggestions on how to manage this issue better?
A. First, thank you for your vulnerability and candidness. Incontinence is an issue many older adults face yet often do not discuss due to feelings of embarrassment or pride. You are not alone; approximately 33 million Americans experience bladder leakage daily.
I understand your fear of having an accident in public, especially with friends. This issue is interfering with your everyday life. It’s time you sit down with your doctor to discuss your specific incidents. I highly recommend that you schedule that appointment today. The sooner you talk with your doctor, the sooner your doctor can help you resolve or lessen your bouts of incontinence.
Keep track of each instance of incontinence. Note the time, day, and specific issue. Did you have trouble making it to the toilet in time? Did you experience a small dribble before you got to the toilet? Did you have trouble fully emptying your bladder? This is information your doctor will want to know to help pinpoint what’s causing your specific incontinence.
Keep track of your food and drink intake as well. How much water or other drinks do you consume? What’s your diet look like? Perhaps there’s a link between your intake and incontinence. Your doctor can analyze your record and make recommendations based on your eating and drinking habits.
If your doctor prescribes medication to help manage your condition, make sure you understand its impact on your daily routine. Ask about fluid restrictions and how often you should take your medication. Also, discuss your current medications and if any current prescriptions might interact with your new medication.
Purchase incontinence products to help you get back to your life. Incontinence products are efficient and can give you added security. Many are discreet, meaning others won’t notice you’re wearing anything.
Familiarize yourself with the nearest public restrooms at locations you frequent. Use the restroom before shopping or browsing. If you’re ready to meet a friend for lunch, arrive early so you can ask the hostess where the restroom is and ask to be seated near the restrooms. Choose an end seat so you can make a quick escape.
Be frank with your social circle about your struggles. It’s likely someone else is also struggling with incontinence and can relate. If you’re comfortable, invite friends and family to your home so you can continue to socialize while remaining close to your bathroom.
Finally, work with your bladder to best execute your day. Limit your fluid intake before you need to go out. Use the bathroom right before you leave and when you arrive at your destination. Wear incontinence products and keep an emergency change of clothes in your car, just in case.
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