Mixed Incontinence

Mixed Incontinence is a combination of stress incontinence and urge incontinence. The person can leak during physical activities, as well as experience an overwhelming need to urinate.

Stress Incontinence is leaking caused by increased intra-abdominal pressure. This happens when you cough, sneeze, laugh, or strain in some way. It can also be triggered by running or bending over. This type of incontinence occurs from weakness in the bladder sphincter that controls the release of urine. This weakness can be from child birth, weight gain, or even a sports injury. As you can probably guess, stress incontinence is more likely to occur if the bladder is full and under some pressure. Stress incontinence often results in the loss of just a few drops of urine.

Urge Incontinence (which some people also call “Overactive Bladder”) is the overwhelming urge to urinate that causes you to lose significant amounts of urine (not just a few drops)—even if you are on your way to the bathroom. If you have ever had the irresistible urge to urinate when you hear running water, or take a sip of a drink, or when you put your hands in water, you have experienced urge incontinence. Sometimes people have this urge even though it is not triggered by anything in their immediate environment. People with urge incontinence may run to the bathroom only to discover that they only had a small amount of urine stored in their bladder. Some experts have said that urge incontinence can be caused by spasms of the muscles of the bladder, and by inflammation or infection. Urge incontinence often results in larger leaks than stress incontinence.

Overactive bladder is a description sometimes used instead of urge incontinence. Persons with an overactive bladder may not have incontinence; they simply need to empty their bladder frequently. Some people experience the need to frequently urinate during the day, or only at night. Others have it all the time.

If you have mixed incontinence, you may sometimes have a small leak when you cough or sneeze, and at other times have an overwhelming urge to urinate and experience a large leak before you can make it to the bathroom.

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