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PRO TIPS FOR PEEING AT 2023 MARDI GRAS PARADES
Jan 12, 2023 |
By Emily Sehrt, PT, DPT
Share
You know the feeling. You’re at a Mardi Gras parade and you've been putting it
off, hoping that it would go away or that you could just make it another hour.
But now, it's undeniable: You’ve got to pee.
It may not be the most glamorous part of Mardi Gras, but the business of where
to do your business while you're out on the parade route is something most
everyone who has attended Carnival in New Orleans can relate to. There's even a
song dedicated to this lack of restroom options by local artist Benny Grunch who
laments that there "Ain't No Place to Pee on Mardi Gras Day." It's true. Unless
you're blessed with friends who live along the route, you're probably going to
be using a public toilet. If the thought of using a port-a-potty sends shivers
up your spine, you may be tempted to rely on techniques like hovering over the
toilet seat or quickly “power peeing” to make the ordeal feel more bearable.
Unfortunately, these tactics aren’t very healthy for your pelvic floor.
What is the pelvic floor?
The pelvic floor is a sling of muscles running from the front of the pelvis,
traveling down and under and ending at the tailbone. Think of your pelvic floor
as a gatekeeper of sorts. Its job is to squeeze when we need it to keep our
urine in (like when we cough, sneeze or lift something heavy) and to relax
during other times (like when we are resting, urinating or having a bowel
movement). The pelvic floor also works with muscles in the belly, back and hips
to control pressure in the body and keep organs supported.
To urinate, the pelvic floor needs to relax to allow urine to pass through. If
you're accustomed to hovering over the toilet while you urinate or straining to
push urine out, then you're not allowing the pelvic floor to work naturally, and
that can cause some issues.
Hovering to urinate
We know it’s tempting: Squatting over the toilet seat to urinate (rather than
allowing your bare bottom to graze a surface upon which so many other
parade-goers have sat) seems ideal. But when your body is in this hover-squat
position, your belly, hip and pelvic floor muscles are all active. They are
engaged and squeezing to support your body and keep your balance, making
urination a lesser biologic priority. It's difficult to urinate like this
because the pelvic floor can't let go, blocking the urine's pathway out of your
body. Why does this matter?
* You may not be able to empty your bladder completely, which means you may be
back in the public toilet sooner than expected.
* Not completely emptying your bladder can also increase your risk for urinary
tract infections.
* Straining to empty your bladder against an engaged pelvic floor creates
excess pressure, which can weaken the pelvic floor structures over time.
* Behaviors like this make it difficult for your pelvic floor to effectively
switch between “on” and “off” in the long term. This can mean your pelvic
floor remains partially squeezed at all times, which can impact bladder and
bowel function and contribute to pelvic pain.
If you're faced with using a public toilet and are feeling antsy about that
seat, here are some better options:
* Lay down a toilet seat cover or some toilet paper to create a barrier. Pack
an extra roll of your favorite toilet paper in your parade bag.
* Wipe down the seat with a sanitizing wipe or spray with an alcohol-based
cleansing spray (not scented. Think of your fellow revelers!).
* Or, sit right down on that seat and let go. Ultimately, there are probably
more germs on your cell phone.
It's important to mention that not all squatting is bad for urination. Squatting
all the way down the ground to urinate is an effective way to relax the pelvic
floor, but this is more acceptable while camping in the woods, rather than out
on St. Charles Avenue.
Power Peeing
Another temptation in a public restroom is to strain to push urine out, making
the whole experience go faster. While this tactic may help you make it back in
time for your favorite marching band, the act of “power peeing" actually
interrupts a complex relationship between your brain, bladder and pelvic floor.
It normally works like this:
* The bladder fills and tells the brain it’s ready to go.
* The brain gives the green light and tells the bladder muscle to squeeze.
* The pelvic floor muscles relax and allow urine to pass through.
* The bladder empties, and the pelvic floor contracts to make sure nothing else
comes out.
This process happens without our intervention, and it helps maintain a good
relationship between the bladder and the pelvic floor. When we power pee, we are
forcefully pushing out urine, disturbing the natural signaling between our
bodily systems. When the signaling between the bladder and pelvic floor is
altered due to forcefully expelling urine, it can create some difficulties in
the long-run. This could result in
* Trouble initiating urine stream
* Getting an urgent “gotta go” feeling more frequently and when your bladder is
only partially full
* Weakening of the pelvic floor and subsequent incontinence
Getting the urge to power-pee? Try instead to focus on relaxing the pelvic floor
to allow urine to come through naturally. Take a few deep breaths and allow
yourself the extra time for things to flow. Your pelvic floor will thank you
later.
With all the bathroom difficulties that come with attending a parade, you might
be tempted to reduce your fluid intake. Less in, less out – Problem solved,
right? But even if you’re drinking less, your kidneys are still producing urine,
and that urine will be highly concentrated. This can irritate the lining of your
bladder, making you feel uncomfortable or giving you the urge to go even if your
bladder isn’t full. This effect increases with drinking bladder irritants like
coffee, carbonated drinks, and alcohol. So even if you’re tired of having to
take breaks to hit the Portapotties during the Mardi Gras season, it’s still
important to drink water.
Remember these tips when you're out and about this Carnival season. Fight the
urge to hover or power pee and keep your pelvic floor healthy all year long!
If you feel that you can't initiate a urine stream without straining and
pushing, this might indicate a problem with your bladder or pelvic floor. Talk
to your doctor about these symptoms, or call us to schedule a pelvic health
physical therapy consultation at 504-842-4348.
Tags
therapy and wellness
mardi gras
pelvic floor
urology
parades
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