SAFETY EXPERT TROOPER STEVE, THIS IS NEWS 6 AT 09:00AM GETTING RESULTS.
>> JULIE: MANY MEDICAL
CONDITIONS CAN BE
UNCOMFORTABLE TO TALK ABOUT,
INCLUDING URINARY INCONTINENCE
ESSENTIALLY IS THE LOSS OF
BLADDER CONTROL AND MAY SEEM
LIKE YOU’RE ALONE. WE GOING
THROUGH THAT PROBLEM IN
REALITY YOU’RE NOT ALONE.
18 MILLION AMERICAN WOMEN.
>> CANDACE: ALL RIGHT THERE
WITH YOU. SO MORNING. ANCHOR
AND HEALTH REPORTER KIRSTIN
O’CONNOR IS STANDING BY NOW TO
ASK A DOCTOR MORE ABOUT THE
PROBLEM AND WHAT CAN BE DONE.
>> ASK A DOCTOR IS SPONSORED
BY CAN BE PRIMARY CARE FOR
>> CANDACE: AND THAT’S RIGHT.
LADIES. ALTHOUGH IT MAY SEEM
EMBARRASSED SAYING IT’S FAIRLY
COMMON. HOWEVER, THE GOOD NEWS
IS IN MANY CASES THERE ARE
THINGS THAT YOU CAN DO TO
IMPROVE URINARY WITH US RIGHT
NOW IS DOCTOR ESTHER HAN, A
ROLLA JUST WITH ORLANDO
HEALTH. YOU’RE JUST TALKING
ABOUT BEING MOMS AND HOW THIS
IS A REALLY COMMON PROBLEM. SO
HOW COMMON IS IT REALLY?
>> AS MENTIONED PREVIOUSLY
18 MILLION AMERICAN WOMEN
HAVING CONTINENTS AND THAT IS
A HUGE NUMBER. SO WE ALL KNOW
SOMEBODY. AND I I DEFINITELY
HAD ISSUES WITH IT AFTER
DELIVERING. SO WE ALL KNOW
SOMEONE WHO HAS BUT EARLY AND
USUALLY YOU TALK TO KNOW. DID
YOU LAND BEFORE YOU HAVE A
BABY OR AT SOME TIME IN YOUR
LIFE. NO. TELL YOU THAT LIKE
BE PREPARED THIS IS WHAT COULD
SO IT SHOULDN’T BE AN
EMBARRASSING TOPIC. IT SHOULD
END. AND YOU KNOW, WOMEN JUST
BEAR A LOT OF THINGS WITHOUT
TALKING ABOUT IT AND A LOT OF
TIMES THEY, YOU KNOW, THEY’RE
LIKE, IT’S SOMETHING MY MOM,
MY GRANDMA WENT IT IT’S NOT
WORTH BRINGING RIGHT.
>> JULIE: SO HOW DO YOU TALK
TO YOUR PATIENTS WHEN THEY DO
TELL YOU THAT THIS IS GOING
ON. HOW DO YOU REASSURE THEM
THAT, HEY, WE DO NEED TO GIVE
ALL THESE DETAILS AND AND
REALLY BE OPEN ABOUT IT.
ABSOLUTELY SO MY PATIENTS COME
THROUGH. ALWAYS. THE QUESTION
IS THE KIND OF HELPS BRING OUT
THINGS AND THEN WE TALK ABOUT
IT. SO.
>> REALLY WHENEVER I TALK TO
MY PATIENTS. I SAY IF IT
DOESN’T BOTHER YOU, IT DOESN’T
BOTHER ME, BUT LET’S HAVE A
DISCUSSION SO ARE YOU DOING
THINGS DIFFERENTLY NOW. ARE
YOU NOT DOING THINGS THAT USED
TO DO. IS THIS REALLY CHANGING
A QUALITY QUALITY OF LIFE IS
THE QUESTION AND THERE ARE
DIFFERENCES RIGHT BETWEEN THE
DIFFERENT TYPES OF
INCONTINENCE. SO CAN YOU
EXPLAIN WHAT SOME OF THOSE
DIFFERENCES ARE AND WHY IT MAY
BE IMPORTANT TO POINT OUT
WHAT’S REALLY GOING ON. GREAT
QUESTIONS. SO THE MAIN TYPE 2
TYPES WERE TALKING ABOUT OR
STRESS URINARY INCONTINENCE
AND URGE URINARY INCONTINENCE
ALSO KNOWN AS OVERACTIVE
BLADDER. SO IF I BREAK IT
DOWN, WE’VE GOT YOUR BLATTER.
WE’VE GOT YOUR YURI THROW BP
AND THEN YOU’VE GOT US THINK
ARE SO PUMPED HEIGHT VALVE
OVERACTIVE BLADDERS WHEN
YOU’RE PUMP IS JUST HYPE OR
IT’S JUST PUMPING PUMPING,
PUMPING ITS PRANK CALLING YOUR
BRAIN TELLING YOU. YOU HAVE TO
GO WHEN YOU DON’T ACTUALLY
HAVE ANYTHING IN THERE WHEN
YOU HAVE A LEAKY VALVE. THAT’S
THE OH, MY GOSH. EVERY TIME I
JUMPED I CAUGHT A LEAK A
LITTLE BIT. THE REASON WHY IS
IN THE PATH A NICE STRONG
PELVIC FLOOR IS EVERY TIME YOU
COUGH SNEEZE THERE IS A NICE
BACK BOARD OVER TIME WITH
BABIES. YOU JUST HAVE A WEAKER
FLOOR. AND EVERY TIME YOU
COUGH OR SNEEZE. THERE’S
NOTHING TO STOP YOU FROM
LEAKING THINGS LIKE
CONSTIPATION. YOUR DIET,
CAFFEINE, ESTROGEN LEVELS.
THOSE CAN ALL AFFECT YOUR
BLADDER AND OVERACTIVE
BLADDER. OKAY. THOSE THINGS
YOU CAN TEST FOR. GENERALLY
SPEAKING IT. IT’S SORT OF LIKE
A REAL LIFE LIKE PEOPLE WILL
ALWAYS JUST KIND OF TELL YOU
THEY’RE LEAKING SOMETIMES IT’S
IT’S YOU KNOW, A LITTLE BIT
CONFUSING WHICH ONE IT IS.
MOST PEOPLE WILL HAVE BOTH. WE
DO HAVE SOME STUDIES THAT WE
CAN TO SORT OF LIKE AN EKG FOR
THE BETTER ARE WE CAN EVEN
TAKE A LOOK AT THAT’S GOOD TO
KNOW, THOUGH, BECAUSE PEOPLE
ARE FAMILIAR WITH AN EKG. AND
YOU KNOW, JUST.
>> LITTLE STICKERS. ALMOST YOU
PUT ON AND YOU FIND OUT IS
THAT SORT OF HOW THAT TEST
WOULD GO. YEAH. IT’S A LITTLE
BIT MORE. WE DO HAVE TO PUT A
LITTLE BABY CATHETER IN THE TO
MEASURE SOME BUT YEAH, IT
GIVES US A LOT OF INFORMATION
WONDERFUL NOW FOR YOUR
PATIENTS WHO COME IN AND THEN
YOU DIAGNOSE THE ISSUE. HOW DO
YOU RESOLVE THAT? WHAT ARE
SOME SOLUTIONS? YEAH. SO WE WE
DEFINITELY WE START WITH
CONSERVATIVE THINGS. SO, YOU
KNOW, CUTTING OUT CAFFEINE AS
MUCH AS YOU CAN. I DON’T TRY
TO TAKE IT AWAY FROM ANYBODY.
THINGS LIKE EXERCISE AND
WEIGHT LOSS CAN HELP WITH BOTH
EASY TO SAY HARD TO DO.
PHYSICAL THERAPY IS HUGE. I
RECOMMEND THAT FOR MOST OF MY
PATIENTS. I’M A PHYSICAL
THERAPIST CAN REALLY WORK WITH
YOU ON STRENGTHENING THAT
FLOOR.
>> IT’S EXERCISE. YOU HAVE TO
KEEP AT IT. YEAH. IF THOSE
THINGS FAIL, THEN WE CAN MOVE
ON TO TO PROCEDURES
ESSENTIALLY. OKAY. SO TALK
ABOUT PHYSICAL THERAPY BECAUSE
I THINK THAT’S A GREAT OPTION
FOR PEOPLE. ABSOLUTELY. SO
PHYSICAL THERAPY STUDIES WILL
SHOW IF YOU WORK ONE ON ONE
WITH A THERAPIST. YOU HAVE
MUCH BETTER RESULTS. I ALWAYS
ASK MY PATIENTS TO PERFORM A
KEY GOAL. WHENEVER I’M
EXAMINING THEM HALF THE TIME.
THEY’RE NOT REALLY ABLE TO
CONTRACT THEIR VAGINAL.
THEY’RE REALLY KIND OF BUT
QUESTION. THAT’S NOT WHAT YOU
ALL RIGHT. SO JUST WORKING
WITH SOMEBODY WHO’S
PROFESSIONAL THIS TALKING TO
YOUR DOCTOR ABOUT IT AND
HIDING IT. ABSOLUTELY SOME
WAYS TO TRY AND SOLVE THIS
VERY COMMON PROBLEM. VERY