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Menu NewslettersSearch Health Conditions A-Z * Alopecia Areata * Breast Cancer * Cancer * Cold & Flu * Coronavirus / COVID-19 * Crohn's Disease * Depression * Eczema (Atopic Dermatitis) * Hemorrhoids * High Blood Pressure * IBS * Multiple Sclerosis * Psoriasis * Rheumatoid Arthritis * Type 2 Diabetes * Ulcerative Colitis * See All Wellness * Best Oils for Skin * Complementary Approaches * Emotional Wellness * Fitness and Exercise * Healthy Skin * Online Therapy * Reiki Healing * Resilience * Sleep * Sexual Health * Self Care * Yoga Poses * See All Food & Diet * Atkins Diet * DASH Diet * Golo Diet * Green Tea * Healthy Recipes * Intermittent Fasting * Intuitive Eating * Jackfruit * Ketogenic Diet * Low-Carb Diet * Mediterranean Diet * MIND Diet * Paleo Diet * Plant-Based Diet * See All Video * Cancer * Coronavirus * Diabetes * Diet & Nutrition * Emotional Health * Fitness * Multiple Sclerosis * Psoriasis * See All Drugs * Consumer's Guides: Understand Your Treatments * Albuterol Inhalation (Ventolin) * Amoxicillin (Amoxil) * Azithromycin (Zithromax) * CoQ10 (Coenzyme Q-10) * Ibuprofen (Advil) * Levothyroxine (Synthroid) * Lexapro (Escitalopram) * Lipitor (Atorvastatin) * Lisinopril (Zestril) * Norvasc (Amlodipine) * Prilosec (Omeprazole) * Vitamin D3 * Xanax (Alprazolam) * Zoloft (Sertraline) * Drug Reviews * See All Health Tools * Body Type Quiz * Find a Doctor - EverydayHealth Care * Hydration Calculator * Menopause Age Calculator * Symptom Checker * Weight Loss Calculator News & Alerts * See All HIGH SEAFOOD DIET MAY INCREASE EXPOSURE TO ‘FOREVER CHEMICAL... COVID-19 VACCINATION NOT TIED TO SUDDEN CARDIAC DEATH IN YOU... FacebookTwitterPinterest Copy Link Incontinence 9 SMART WAYS TO MANAGE A LEAKY BLADDER Worrying about having the urge to pee and not getting to the bathroom in time can be incredibly stressful. Fortunately, if you’re experiencing urinary incontinence, it is possible to go from leaky to leak-free. Here’s how. By Katherine Lee Medically Reviewed by Igor Kagan, MD on May 27, 2023 FacebookTwitterPinterest Copy Link 9 Smart Ways to Manage a Leaky Bladder 2:28 0 seconds of 2 minutes, 28 secondsVolume 0% Press shift question mark to access a list of keyboard shortcuts Keyboard ShortcutsEnabledDisabled Shortcuts Open/Close/ or ? Play/PauseSPACE Increase Volume↑ Decrease Volume↓ Seek Forward→ Seek Backward← Captions On/Offc Fullscreen/Exit Fullscreenf Mute/Unmutem Decrease Caption Size- Increase Caption Size+ or = Seek %0-9 Live 02:24 02:28 00:03 facebook twitter Email Linkhttps://content.jwplatform.com/previews/v5MtRqQ9 Copied Auto180p1080p720p540p360p270p180p NEXT UP VIDEO PLAYING IN 10 SECONDS THERE’S NO REASON YOU HAVE TO LIVE WITH THE EMBARRASSING INCONVENIENCE OF A LEAKY BLADDER. Dealing with urinary incontinence — bladder leakage that you can’t control? You’re not alone. Bladder control problems affect millions of men and women of all ages, according to the Urology Care Foundation, with many of those people suffering in silence because they feel too shy, awkward, or downright embarrassed to talk about it with friends, family, and even their doctors. Truth is, there’s a lot you can do to decrease your risk of urinary incontinence episodes and avoid accidental leaks. 1 DRINK ENOUGH FLUIDS TO KEEP YOUR BLADDER HAPPY Thinkstock Drinking less water and other fluids to decrease your risk of an accident is not a good idea, says Tomas Griebling, MD, a professor of urology at the University of Kansas Medical Center in Kansas City. While it’s true that chugging down a lot of fluids — especially in a short amount of time — can lead to bladder leaks, not drinking enough can also make you need to pee suddenly. “When you don’t drink enough water, the urine becomes more concentrated, and that can be irritating to the bladder and increase urgency,” explains Dr. Griebling. How much fluid is enough varies from person to person, but the National Association for Continence (NAFC) estimates that six to eight 8-ounce (oz) glasses of water a day is about the right amount. Checking the color of your urine can help you know if you’re on target, according to Harvard Health Publishing. In general, a pale yellow color means you’re adequately hydrated, while a darker yellow suggests you need to drink more. 2 EMPTY YOUR BLADDER REGULARLY EVEN IF IT DOESN’T FEEL FULL iStock Griebling says that going to the bathroom on a schedule, say, every two to three hours, even if you don’t feel the urge to urinate, is a good idea for people who have urinary incontinence or overactive bladder (a condition in which the bladder can spasm, causing an intense, sudden urge to urinate). Similarly, emptying your bladder before leaving the house or other venues, such as your office or a restaurant, even if you don’t feel an urge to go, can diminish leakage and prevent accidents. 3 PLAN AHEAD: SCOPE OUT BATHROOMS BEFORE YOU LEAVE HOME iStock If you have urinary incontinence, it’s a good idea to know where the bathrooms are located at unfamiliar destinations, such as restaurants, museums, shopping centers, and parks. Try finding a map or directory ahead of time online. 4 GAIN INSIGHT INTO YOUR CONDITION WITH A BLADDER DIARY Giorgio Magini/Stocksy Keeping track of your bathroom habits with a bladder diary can reveal patterns and triggers that help your doctor pinpoint the cause of your incontinence, Griebling says. A few days before your doctor visit, begin writing down what you drink, what time you drink it, how many times you urinate, and when you have leaking-urine episodes. Include anything that may have led up to an accident, such as coughing, exercising, or a sense of urgency. 5 TIGHTEN YOUR PELVIC FLOOR WITH KEGEL EXERCISES iStock Kegels, or pelvic floor muscle exercises, can benefit both men and women who have urinary incontinence by strengthening the muscles that support the bladder. This, in turn, helps prevent urine leaks and the feeling of urgency that comes with overactive bladder. And Kegels couldn’t be easier to do: Per the National Institute of Diabetes and Digestive and Kidney Diseases, simply squeeze or tighten your pelvic floor muscles — these are the same muscles you use to stop the flow of urine or passing gas — for a count of three, and then slowly relax them for a count of three. Kegels are so easy, you can do them anytime — even while sitting in your car at a stoplight or at your desk at work. Build up to doing one set of 10 to 15 squeezes, three times a day, and your bladder control should improve within six weeks. 6 DESTRESS YOUR BLADDER BY LOSING A LITTLE WEIGHT I Yunmai/Unsplash You may be able to lower your risk of leaking urine by losing weight. Carrying extra weight, especially around your middle, puts stress and extra pressure on the pelvic floor muscles, which then can cause accidental urine leaks, note experts at The Simon Foundation for Continence. In a landmark study published in The New England Journal of Medicine, women who lost 17 pounds (lb) over six months reduced leaking episodes nearly 50 percent, while those who lost only 3 lb reduced leaking episodes by 28 percent. 7 CUT BACK ON BLADDER-IRRITATING CAFFEINE AND ALCOHOL Nathan Dumlao/Unsplash Certain foods and beverages might irritate the lining of your bladder, making you need to sprint to the bathroom more often to avoid peeing on yourself. While every bladder irritant doesn’t affect every person, there are two top culprits: caffeine and alcohol. “Caffeine is bothersome for many people,” confirms Griebling. “Alcohol and caffeine are diuretics, and they can be irritating to the bladder. I encourage patients to limit caffeine and alcohol intake to help reduce the urgency they may feel.” Along with alcohol and beverages with caffeine, such as coffee, tea, and cola, other potential bladder irritants, according to the Johns Hopkins Women’s Center for Pelvic Health, include: * Apples and apple juice * Artificial sweeteners * Carbonated beverages * Chili and spicy foods * Chocolate * Citrus fruit and juices * Cranberries and cranberry juice * Milk products * Pineapple * Sugar and honey * Tomatoes * Vinegar You may want to try eliminating one or more of these potential triggers from your diet for two weeks, then reintroduce them one by one every few days to see if you notice a difference in your urge to pee, how often you need to go, or the number of leaks you experience. 8 QUIT SMOKING TO HELP KEEP YOUR BLADDER HEALTHY iStock People who have urinary incontinence should do what they can to stop smoking. “Studies have found that people who smoke are more prone to incontinence,” says urologist Yvonne Koch, MD, a board-certified urologist in private practice based in Miami. “Smoking damages the very small blood vessels in our bodies and causes tissue weakness,” she explains. Furthermore, smoking can lead to coughing, which can cause urine leakage by putting pressure on the pelvic floor muscles. Plus, cigarette smoking triples the risk of bladder cancer, an early sign of which may be the need to urinate often or the urge to urinate immediately, even when the bladder isn’t full, according to Memorial Sloan Kettering Cancer Center. 9 REVIEW YOUR MEDICATIONS FOR POTENTIAL TROUBLEMAKERS Alamy Many medications can contribute to urinary incontinence, according to Harvard Health Publishing, including: * Diuretics, such as furosemide (Lasix) and bumetanide (Bumex), which increase the production of urine by the kidneys. * Muscle relaxants and sedatives, such as diazepam (Valium) and lorazepam (Ativan), which relax the urethra, increasing the need to pee. They also may make you less likely to notice when your bladder is full. * Narcotics, such as morphine (OMS) and oxycodone (Oxycontin), which relax the bladder, causing it to retain urine. This increases the risk of “overflow incontinence” (leaking between bathroom visits) because it’s difficult for the bladder to empty completely. * Antihistamines also relax the bladder. If you suspect your prescription or over-the-counter medications may be causing or worsening your incontinence, gather them up and “bring as many of your medications as possible with you to the doctor,” Griebling advises. That way, your doctor can determine if any dosages should be changed, if you should stop taking some of them, or if there are alternative medications without this side effect. Learn more in our Managing Urinary Incontinence Guide. EDITORIAL SOURCES AND FACT-CHECKING Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions. RESOURCES * What Is Urinary Incontinence? Urology Care Foundation. * How Much Water Should You Drink When You Have Incontinence? National Association for Continence. * Color, Odor Changes in Urine Usually — But Not Always — Harmless, Reports Harvard Women’s Health Watch. Harvard Health Publishing. June 1, 2010. * Kegel Exercises. National Institute of Diabetes and Digestive and Kidney Diseases. November 2021. * Obesity and Being Overweight. The Simon Foundation for Continence. * Subak LL, Wing R, West DS, et al. Weight Loss to Treat Urinary Incontinence in Overweight and Obese Women. The New England Journal of Medicine. January 29, 2009. * Bladder Irritants [PDF]. The Johns Hopkins Women’s Center for Pelvic Health. * Bladder Cancer Signs and Symptoms. Memorial Sloan Kettering Cancer Center. * Medications That Can Cause Urinary Incontinence. Harvard Health Publishing. August 28, 2019. Show Less MOST RECENT IN INCONTINENCE 5 BIG MISTAKES MIDLIFE WOMEN MAKE WHEN THEY HAVE LEAKY BLADDER WHY KEGEL EXERCISES JUST AREN’T ENOUGH FOR ADDRESSING PELVIC DYSFUNCTION THE DOS AND DON’TS FOR MANAGING AN OVERACTIVE BLADDER THROUGH DIET 10 WAYS TO KEEP YOUR BLADDER HEALTHY AND HAPPY NEWSLETTERS SIGN UP FOR OUR HEALTHY LIVING NEWSLETTER! Enter your email Subscribe By subscribing you agree to the Terms of Use and Privacy Policy. THE LATEST IN INCONTINENCE 5 BIG MISTAKES MIDLIFE WOMEN MAKE WHEN THEY HAVE LEAKY BLADDER Learn about types of bladder leaks, effective treatments, and the importance of seeking help. By Meryl Davids LandauDecember 1, 2023 WHY KEGEL EXERCISES JUST AREN’T ENOUGH FOR ADDRESSING PELVIC DYSFUNCTION Pelvic pain is more common in women than we think. Learn which treatments and exercises can help alleviate discomfort. By Meryl Davids LandauDecember 1, 2023 THE DOS AND DON’TS FOR MANAGING AN OVERACTIVE BLADDER THROUGH DIET People living with an overactive bladder often can find relief just by changing their diet. Avoiding things that irritate the bladder, regulating your... By Dennis Thompson JrJuly 13, 2023 10 WAYS TO KEEP YOUR BLADDER HEALTHY AND HAPPY Improve your bladder health and avoid urologic conditions like incontinence and UTIs with these helpful tips. By Eric Metcalf, MPHMay 3, 2023 WHAT IS OVERACTIVE BLADDER? SYMPTOMS, CAUSES, DIAGNOSIS, TREATMENT, AND PREVENTION Overactive bladder (OAB) is a condition defined by the frequent, urgent need to urinate. It can result from different diseases and health conditions. By Quinn PhillipsFebruary 7, 2023 WHAT IS URINARY INCONTINENCE? SYMPTOMS, CAUSES, DIAGNOSIS, TREATMENT, AND PREVENTION Urinary incontinence occurs when the muscles in the bladder that control the flow of urine contract or relax involuntarily. By Beth LevineDecember 2, 2022 OVERACTIVE BLADDER: CAUSES, RISK FACTORS, AND SYMPTOMS Overactive bladder is a set of symptoms characterized by the frequent, urgent need to urinate. By Quinn PhillipsSeptember 15, 2022 OVERACTIVE BLADDER TREATMENT Often, treatment for overactive bladder begins with lifestyle changes that can help your bladder act more predictably. But if lifestyle measures aren’... By Quinn PhillipsJuly 22, 2022 OVERACTIVE BLADDER DIAGNOSIS In most cases, overactive bladder isn’t caused by a localized problem that can be easily detected and treated. This means that to diagnose OAB, your doctor... By Quinn PhillipsJuly 22, 2022 HOW TO PREVENT AN OVERACTIVE BLADDER Once your doctor confirms that your episodes of urgency are symptoms of an overactive bladder rather than a related condition, you’ll want to discuss ... By Quinn PhillipsJuly 21, 2022 See All WELLNESS INSPIRED. WELLNESS ENABLED. 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