Multiple Sclerosis and Incontinence

Multiple Sclerosis and Incontinence blog post cover with orange ribbon

Multiple Sclerosis and incontinence often are experienced together. The central nervous system controls many functions throughout the body, such as walking, thinking, and controlling various muscles. Multiple Sclerosis can cause damage to the central nervous system and produce a variety of symptoms, including vision loss, muscle stiffness, or even bladder and bowel dysfunction.

What is Multiple Sclerosis?

mend and women exhibiting different symptoms of multiple sclerosisMultiple Sclerosis (MS) is an autoimmune disease that affects cells in the central nervous system. For those with MS, not only is their immune system defending harmful bacteria and viruses again, but it is also attacking their body. Electrical signals are sent throughout the body by the central nervous system to control almost everything we do, and MS disrupts these electrical signals.

Those with MS can experience a wide range of symptoms, and this disease affects everyone differently. Although most of the symptoms are not visible to others, some are and can worsen over time.

Common Symptoms of MS

  • Walking problems
  • Vision problems
  • Bladder and bowel dysfunction
  • Fatigue
  • Cognitive difficulties (attention, learning, and memory)
  • Mood changes
  • Muscle stiffness
  • Numbness and tingling
  • Pain in arms and legs
  • Hot and cold sensitivity
  • Weakness or poor coordination

How Multiple Sclerosis Can Affect the Bladder and Bowels

There is a coating on the nerve endings called the myelin sheath that protects the nerve cells. When the myelin sheath is damaged due to multiple sclerosis, electrical impulses transmit to the brain much slower. This nerve damage affects how the body interprets signals between the brain and the bladder and bowel. Coordination of the muscles that control holding and emptying the bladder and the bowels is disrupted, leading the incontinence.

Bowel or fecal incontinence can result from weak sphincter muscles from MS or can be from constipation. When a person is constipated from MS, it can be from the medication or lack of mobility and lead to overflow incontinence.

Some of the various types of incontinence a person with Multiple Sclerosis may experience are:

Overflow Incontinence

When the bladder does not fully empty, urine can leak. Those with overflow incontinence from MS are unable to squeeze the muscles needed to empty the bladder due to nerve and muscle damage.

Urge Incontinence

When a person feels a sudden urge to use the restroom and has to rush to get there, they are experiencing urge incontinence. The nerves linked to the bladder have been damaged with MS and cannot communicate quickly enough to the brain.

Stress Incontinence

When usually going about your day and having an unintentional loss of urine, you experience stress incontinence. You may also notice this leakage when you sneeze, cough, laugh, or lift something heavy. The pelvic floor muscles have weakened from MS, so stress incontinence is often experienced.

Constipation

When you are not emptying the bowels as often as you usually would is one of the signs of constipation. Some medications can often cause constipation that lasts for days and be very painful. Abdominal bloating, decreased appetite, and fatigue are all signs that you may be constipated, and you should speak to your doctor about treatment.

Fecal Incontinence

Fecal incontinence or bowel incontinence is when a person cannot control regular bowel movements. When the sphincter muscles are damaged from multiple sclerosis, the ability to delay emptying the bowels is disrupted.

Treatment Options for Incontinence Related to Multiple Sclerosis

Treatment options are available to help improve incontinence for those with multiple sclerosis. There are many conservative methods. However, if those are not effective, then there are medications available. If incontinence symptoms are more severe, you may be recommended surgery as a last resort to improve your quality of life.

Conservative Treatments for Incontinence

Diet and Lifestyle

Bladder and bowel health is critical when it comes to incontinence. Eating a well-balanced diet that consists of fiber and plenty of fluids can help with regular bowel movements and avoid constipation. Fluids like carbonated beverages, caffeine, and alcohol can irritate the bladder, so it is best to avoid them.

Establishing a Routine

Establishing a routine can help to avoid accidents. It might help to go to use the bathroom every few hours and after every meal. Keeping a pattern of eating and drinking at the exact times can also help. In the evening, make sure to have your last drink two hours before bed. This practice may help avoid an overnight accident.

Retraining the Bladder or Bowels

Bowel retraining and bladder retraining is a treatment for incontinence that can work well for those with persistent diarrhea, constipation, or nerve damage due to MS. With bowel retraining, the goal is to aim for consistency of the stool and regularity of the movements. Gradually increasing the time between bowel movements, you are retraining the sphincter muscles, which may help make it easier to hold on.

When retraining the bladder, this process also involves gradually increasing the amount of time between each visit to the bathroom. Both bowel and bladder retraining takes time and patience. Many people find that keeping a Bladder Journal or Bowel Journal can help. This journal can also be shared with your doctor to determine a treatment plan.

Incontinence Products

Assortment of incontinence productsToday, there are many incontinence products on the market that are designed to address light to severe urinary or fecal incontinence. These incontinence products can help provide more comfort, security, and protection for your clothing, bedding, furniture, and auto.

Incontinence products are available in a wide variety of absorbency levels, sizes, and styles. And, these products are offered for all genders and ages. Some of the categories include:

  • Incontinence Protective Underwear resemble regular underwear and offer more traditional and discreet protection.
  • Incontinence Briefs are also called adult diapers with refastenable tabs. This incontinence product is a more secure and absorbent option.
  • Incontinence Liners and Pads are generally used for light to moderate incontinence and are inserted into regular underwear as an added layer of protection.
  • Incontinence Belted Undergarments are much longer than a typical pad and feature a belt for additional security.
  • Incontinence Bed Pads, Underpads, and Chux are an excellent option to protect everything from your bed, furniture, car seat, or use as a puppy potty training pad.
  • Incontinence Clamps are used to help treat urinary incontinence in men. This device blocks the flow of urine. Many men use them to control urinary incontinence after prostate surgery, obesity, old age, or those who have diabetes.

Visit our Incontinence Product page for more information and to order these products. Our caring, specially trained Product Advisors can help you decide which option is most suitable for you.

Intermittent Catheters

collage of intermittent and Foley cathetersWhen a person cannot fully empty their bladder independently, they may be given the option to use an intermittent catheter.  By using an intermittent catheter, it can help eliminate overflow incontinence. A thin, flexible tube is into the urethra to drain urine out of the bladder. All catheters are designed to be sterile, one-time-use, and require a valid prescription from a physician. There are various types of catheters available, and depending on your unique needs, your doctor will know what is best for you.

Foley Catheters or Indwelling Catheters

Depending on the circumstance, a Foley catheter or indwelling catheter is inserted into the bladder and remains there for either a short or prolonged period. A balloon filled with sterile water is incorporated near the tip of the catheter tube. Once the catheter is inserted and inflated, this balloon prevents the Foley catheter from slipping out of place. Typically, a leg bag or urine drainage bag is connected to this type of indwelling catheter.

Percutaneous Tibial Nerve Stimulation

A treatment method that directly stimulates the nerves responsible for bladder and bowel control is called Percutaneous Tibial Nerve Stimulation (PTNS) and can treat incontinence. The tibial nerve is near the ankle, and during PTNS, a small needle connected to a stimulator device is inserted at this point. Impulses travel up the spine and target nerves in the spinal cord to retrain the bladder and pelvic floor muscle function. Some MS patients have found this helpful.

Using Medicine to Treat Incontinence

Laxatives

Sunmark ClearlaxMultiple sclerosis can leave some immobile, which can lead to constipation and ultimately overflow incontinence. Over-the-counter laxatives are available to help treat incontinence and come in various options such as suppositories, powders, and liquids. Laxatives are usually fast-acting to provide relief for irregularities. Make sure to you speak to your doctor or pharmacist about which type of laxative is best to use.

Antidiarrheal Medication

Antidiarrheals work to slow down the production of loose stool or diarrhea. Over-the-counter medications such as Imodium are available for purchase to help with the discomfort of repeated liquid bowel movements. However, it is essential to note that an underlying issue causes diarrhea, and these medications may offer only temporary relief.

Anal Irrigation and Enemas

Anal irrigation or rectal irrigation is a method that involves emptying the bowel by using a specialized pump, water, and irrigation tube. Anal irrigation is an effective alternative to conservative treatments like suppositories and laxatives. Anal irrigation can help manage chronic constipation and fecal incontinence.

Enemas are a quick, easy, and fast-acting treatment used to clear impaction from severe constipation. Using enema products involves administering a solution such as water and sodium phosphate to clear the bowel.

Antispasmodic Medications

Spasms of the bladder muscle can often be treated by the use of antispasmodic medications. These medications work to relax the muscles of the gut. They can help reduce urge incontinence associated with MS. Antispasmodic medications belong to a group of medicines known as antimuscarinic or anticholinergic drugs. A doctor must prescribe these medications as they are not suitable or safe for some people.

Injectable Therapies

Injectable therapies are available as a treatment that includes the non-surgical injection of a “bulking” material into the urethra to improve leakage. This material thickens the tissues, which then prevents soiling and improves bladder control.

Surgical Treatments for Incontinence

Suprapubic Catheters

As an alternative form of long-term catheterization, a suprapubic catheter can be used to treat incontinence. This type of catheter involves a minor surgical procedure to place a tube directly into your bladder through your abdomen. The suprapubic catheter can then be attached to a leg bag or urinary drainage bag to collect urine. It can be more comfortable than a Foley catheter and may be less likely to cause infection.

Botox

Botox is a potent neurotoxin that causes muscle paralysis by blocking the electrical impulses to a nerve. This type of incontinence treatment is relatively new in terms of treating an overactive bladder. If all other medications have failed to improve your condition, Botox may be a considered treatment by your doctor.

Bladder Augmentation

If medications and conservative treatments have failed to treat your incontinence, your doctor may discuss a bladder augmentation surgery may be an option. There are several ways this operation can be performed, but it is considered major surgery and involves cutting the bladder open. If you consider this option with your doctor, it is essential to ask as many questions as possible and take notes of your conversation.

Sacral Nerve Stimulation

Sacral Nerve Stimulation or Sacral Neuromodulation (SNM) can help restore normal bladder or bowel function by addressing the communication between the brain and the bladder and bowel. A device is implanted under the skin in the upper buttock. This device helps correct the messages that run along the nerve pathways that may be causing incontinence symptoms. As with other incontinence surgical treatment options, it should only be considered after medication and conservative incontinence treatment options have been exhausted.

Colostomy

For those with Multiple Sclerosis and incontinence, if fecal incontinence is severe, constipation is brought on from immobility, or dexterity issues have developed, your doctor may recommend a bowel diversion in the form of a colostomy. A small incision is made in the abdomen, and a section of the colon is pulled to the surface, forming a stoma. The stoma is an artificial opening that an ostomy skin barrier and ostomy pouch attaches to for waste collection. Colostomies may be temporary or permanent, so this treatment is typically considered in severe cases where all other treatment options have failed.

Where to Buy Incontinence Products

shop on Personally Delivered website, save an additional 5%, earn 3% cash back at teh end of the year based on purchasesWe carry a wide variety of incontinence products at Personally Delivered by many trusted brands like Attends, PBE Tranquility, Prevail, First Quality, Depend, and more. Incontinence is not the same for everyone, and that is why we have Product Advisors to help you navigate the purchasing process based on your unique needs.

Not only do we offer a wide range of incontinence products by absorbency, size, and style, we can help make it easy for you to get the products you need to be delivered right to your door when you need them. With our Automatic Delivery Program, you will save an additional 5% on each shipment and get 3% back at the end of the year. There is no commitment, it is hassle-free, and you can cancel at any time.

What Resources Are Available for Those Affected by MS?

For those affected by Multiple Sclerosis and incontinence, there are many resources available.

Multiple Sclerosis and incontinence often go hand-in-hand, but as you can see, there are many options available for treatment. We are here for all of your incontinence needs at Personally Delivered. If you need assistance choosing the right incontinence products for your unique situation, our Product Experts are just a phone call away.

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Urinary Incontinence and Thought Control

woman in glasses looking out the window in deep thought

There is a common belief that when one is attempting to relieve themselves but cannot, they should think of running water. The thought is that the sounds of a waterfall or river will help your body begin to urinate. If this is true, should people suffering from urinary incontinence avoid specific thoughts to help prevent unexpected urination?

What is Incontinence?

Incontinence is defined as a loss of bladder control and the inability to control urination. Though this definition is all-encompassing, there are many different types of urinary incontinence.

Different Types of Incontinence

Stress incontinence: A leak in urine due to movement or activity such as laughing, sneezing, running, or lifting. 

Urge incontinence: A form of incontinence that happens after a strong, sudden urge to urinate that someone is unable to delay. 

Overflow incontinence: Incontinence that occurs when a weak bladder is past full. While the person often feels no need to urinate, they can begin leaking urine.  

Functional incontinence: A type of incontinence that is defined by a person aware they need to urinate, but because of a physical or mental disability, they are unable to reach the bathroom. 

Mixed incontinence: As the name suggests, mixed incontinence is usually a combination of two other forms of incontinence. Most often, mixed incontinence is a combination of stress and urge incontinence.

Not all these types of incontinence have the same causes or can be treated with the same medications. With that in mind, studies on all forms of incontinence have shown no correlation between incontinence being triggered by specific thoughts. However, one mental effect of urinary incontinence that influences all these groups is its toll on mental health.

Urinary Incontinence and Mental Health

Studies show that those who suffer from urinary incontinence are more likely to suffer from anxiety and depression. Frequently, those dealing with incontinence can also experience shame and a drop in self-confidence due to their condition. Urinary incontinence can make it difficult to go to social outings or stressful to be away from your home for extended periods. People who once held very social lives will often reject attending social gatherings for fear of having an accident at a public event. This behavior can take a toll on mental health, and it is crucial to seek help from a mental health professional counselor.

At Personally Delivered, we know the difficulties those dealing with urinary incontinence face. Not only daily stress but also the feeling that you can’t participate in all of the activities you love. With our array of catheter supplies, protective underwear, liners, and pads, we hope to give you back a sense of normalcy and self-confidence. 

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Top 10 Incontinence Products for Seniors

elderly man grinning at a woman on a swing

According to research, more than 50% of elderly Americans suffer from incontinence, whether it be bladder or bowel related. Incontinence is not only a physical medical condition; it can also affect people mentally, emotionally, and financially. The cost of incontinence products for seniors can add up, and you could be caught off guard if you aren’t prepared.

We have compiled a list of what we think are the ten most useful incontinence products for seniors. Consider some or all of these incontinence supplies the next time you shop for yourself or a loved one to keep ample inventory levels on hand.

1. Briefs/Diapers

Attends Premier Briefs in a bag available in sizes medium to extra largeBecause briefs or diapers can be changed without removing all clothing articles, they are a preferred choice by many seniors. Briefs are for those needing a more secure and absorbent option and sometimes referred to as adult diapers. These one-piece incontinence garments feature re-fastenable tabs that make readjustment easy for a tight fit. Incontinence briefs also come in daytime or nighttime absorbencies depending on what level is needed. The Attends Premier Brief is an excellent incontinence product for seniors that offers both daytime and overnight protection.

2. Protective Underwear or Pull-Ups

Protective briefs or pull-ups are one-piece garments made to be easily pulled on and off and are an excellent incontinence product for seniors that are looking for more traditional and discreet protection. Offered in absorbencies for both day and night protection, protective underwear also provides odor control and moisture-wicking to remain comfortable and dry.

3. Underpads/Bed Pads/Chux

Available in various colors, materials, designs, and absorbency levels, underpads, bed pads, or chux, provide the extra protection needed to absorb leakage, reduce odors, and control bacteria. Instead of doubling up on protective underwear and mattress covers, an underpad can deliver the required absorbency on its own. Underpads can also be used to protect furniture, car seats, and even as pet potty training pads.

4. Liners/Pads

Incontinence pads and liners in a collageLiners, panty liners, or pads are placed inside regular underwear with their adhesive strip and are used for light to moderate urinary incontinence. Liners and pads are an economical incontinence product for seniors that do not have heavy leakage. On the other hand, booster pads are added to a disposable brief for an added layer of protection for those with moderate to heavy incontinence.

5. Fecal Pads

Fecal incontinence padsThe Butterfly Body Patch by Attends is an excellent fecal incontinence pad or bowel incontinence pads are designed for those who suffer from Accidental Bowel Leakage (ABL) and are looking for a bowel leakage product that absorbs fluids and odors while being discreet. Many people are unaware of such a product and resort to using a regular bladder pad for bowel incontinence protection. Those with fecal incontinence require a disposable bowel leakage product, as the use of washable products is not an option. Fecal or bowel incontinence pads such as the Butterfly Body Patch, are specifically shaped to fit in and around the buttocks and are designed to absorb liquids and hold the stool in place. These bowel incontinence products are not as absorbent as traditional incontinence pads, so they hold less fluid.

6. Mattress Cover

Using a mattress cover is another incontinence product for seniors that protects the mattress from incontinence leaks, accidental spills, and unwanted stains. Mattress covers such as the Salk Prima Vinyl Mattress Cover, fit just like a fitted bed sheet, covering the entire mattress, and can also protect against bacteria and some allergens. Mattress protectors may also defend against bacteria and some allergens. Because mattress covers are made of water-resistant materials, they extend the mattress’s life. This handy feature can also protect your health. When fluids enter the mattress’s core, bacteria breeds, and dust mites thrive in these warm, damp environments. Investing in a quality mattress cover as one of the top incontinence products for seniors can be beneficial for many reasons.

7. Skin Care

The entire area of the body covered by an incontinence product is at risk for skin irritation. If the skin has become wet or chaffed, the incontinence product either incorrectly fits the wearer or is not the right absorbency. With effective skin moisturizers, creams, and ointments, the sensitive perineal skin can stay healthy and clean.

8. Personal Care Wipes

Aloe Vesta Bathing Cloths in a pouch are perfect as a no-rinse cleansing optionWith all the personal hygiene products available, personal care wipes are the most convenient incontinence product for seniors. Using personal care wipes is not only a quicker and easier option than paper towels or cloths; they are also the most versatile cleaning product around. Wipes are compact enough for travel and an inexpensive way to keep yourself and the surfaces around you clean throughout the day.  When there isn’t a water source available, using personal care wipes can be used to quickly remove dirt and germs from the hands and face as well as a toilet paper alternative.

9. Penis Clamp

As men age, they may experience difficulty controlling their urinary leakage when lifting, coughing, or straining. They may also have leakage or dribbling of urine due to other urinary problems such as prostate cancer. A penis clamp is an incontinence product for seniors that puts light pressure on the urethra and helps control urine leaking. They are a cost-effective way to help manage stress incontinence in men and worth having around for convenience and travel.

10. Adult Swim Brief

In the summer months, enjoying the pool can be difficult for those that suffer from incontinence.  With adult swim briefs such as the Swimmates Adult Reusable Diapers, pool-time can be worry-free. These snug-fitting, stretchy, and lightweight incontinence briefs are made specifically to fit underneath a swimsuit. Adult swim briefs are also machine washable and reusable, so they are budget-friendly when choosing this kind of incontinence product for seniors.

Stocking up on the essential incontinence products for seniors is important when managing an incontinence condition. Not being prepared with the necessary incontinence supplies when you need them, most can be frustrating. You can rest easy with a little preparation, knowing that you don’t need to run out in an emergency to get the incontinence supplies you need.

For any questions about the incontinence products we carry, our Personally Delivered Product Experts are just a phone call away and ready to assist. Being prepared never felt so good!

Related Incontinence Products

Prevail Air Heavy Absorbency Briefs

Prevail Air Briefs in a bag are a heavy absorbency option

Personally Delivered Overnight Protective Underwear

Personally Delivered Overnight Protective Underwear

Cardinal Health Quilted Premium MVP Underpads, Wings

Cardinal Health Quilted Premium MVP Underpad

Hollister Extended-Wear Self-Adhesive Male External Catheter

The Hollister Extended-Wear Self-Adhesive Male External Catheter
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Superb product and good price, too. Love the convenience of having the products delivered to my home.

Joan B.

Wahpeton, ND
Very courteous representatives and always ahead of my phone calls for upcoming orders.

Istvan N.

Toms River, NJ
The people at Personally Delivered have always been very friendly and helpful. They make it comfortable and easy to order my supplies.

Ed R.

Peoria, AZ
Products are of high quality. People are very friendly and considerate. Very polite and personable. Excellent to deal with!

Daniel S.

Glen Rock, PA
Customer Service is the BEST! Your reps really care and are always finding ways to make things as easy as possible!

James S.

Cumberland, MD

Urinary Supplies for Healthy Urine Flow

Woman with hands made into a heart shape around her bladder

The human body processes waste in a couple of ways, one of which is through urine. The urethra, kidneys, and bladder make up the urinary system, and keeping excretion of fluids flowing is essential to your overall health. There are some essential urinary supplies that can help contribute to a healthy urine flow.

How the Urinary System Functions

A healthy urinary system starts with the kidneys. We have two kidneys on either side of the body just beneath our ribs. The kidneys filter out waste products as urine through tubes called ureters that connect to the bladder. The bladder then holds the urine until it signals that it is full and needs emptying. Attached to the bladder is the urethra, which is the tube that extends to the outside of the body. In men, the urethra is approximately 8 inches (20 cm), and in women, the urethra is about 1 ½ inches (4 cm). A small muscle called the sphincter controls when the urine empties from the bladder.

Image of the human body detailing where the kidneys and bladder are located

Common Problems Within the Urinary System

At times, the urinary system can get disrupted by invading bacteria, certain illnesses, or aging muscles. When this happens, certain urinary system functions do not work correctly, and the body responds with inflammation, a urinary tract, bladder, or kidney infection, or urinary incontinence, to name a few.

Image of the kidneys showing where to contribute to a urinary tract infectionbacteria enters

Although there are many options to treat specific urinary system problems, it is crucial to know the incontinence and urological supplies available to adequately address these urinary issues. Your doctor should provide you with a list of the urinary supplies to help manage your unique needs.

Issues that May Cause a Need for Urinary Supplies

When one part or all of the urinary system’s functioning gets disrupted, it can result in various medical conditions that may lead to the need for urinary supplies.

Some of the potential causes of urinary incontinence or bladder retention may include:

  • Spinal cord injury
  • Spina bifida
  • Stroke or brain injury
  • Aging
  • Surgery
  • Injury
  • Alzheimer’s disease
  • Autism
  • Bladder or prostate cancer
  • Multiple sclerosis
  • And more

Although there are many treatment options available for these widely varying conditions, it’s crucial to know about the urinary supplies that can adequately address your issues and manage any symptoms such as urine leakage, lack of urine flow, and more. Your doctor should provide you with their suggestions for urinary supplies, catheter products, incontinence pads, or other options to help manage your unique needs.

Urinary Supplies to Know About

Catheters as Urinary Supplies

A hand holding the tip of a urinary catheter

One of the most essential urinary supplies for certain people who have bladders that no longer function properly is the urinary catheter. A catheter’s job is to drain and collect urine from the bladder when a person can no longer void urine from the bladder naturally. Catheters can be made of different types of material such as silicone, latex, or polyurethane and may also come pre-lubricated or require additional lubrication. They also vary in various lengths to accommodate the different urethral sizes between ages and genders.

An external catheter is a non-invasive catheter option that’s ideal for men with urinary incontinence. The external catheter, sometimes called a condom catheter or Texas catheter, does not insert into the bladder but instead fits over the male penis much like a condom to collect leaking urine.

Having an ample supply of urinary catheters is a good idea since you shouldn’t reuse them. Also, you won’t want to run out of catheters if you need to catheterize multiple times a day.

Urinary Drainage Bags

KenGuard urinary drainage bag with tubingurinary drainage bag is primarily used to collect urine from a catheter, which is either external or internally inserted in the bladder. Some catheters, such as a Foley catheter or external catheter, are connected to a urinary drainage bag secured to the leg called a urinary leg bag. Others may prefer a type of urinary drainage bag that you can easily hang from a hook on a wheelchair or bedside. Many different sizes, brands, and styles of urinary drainage bags are available depending on the specific requirements. Urinary leg bags and urinary drainage bags come with flip or twist valves and come in both disposable and reusable styles.

Leg Bag Straps and Holders

Wearing a urinary leg bag doesn’t have to be uncomfortable. Many urinary leg bags come with long, awkward, latex straps that don’t seem to secure the bag just the way you would like. Fabric urinary leg bag straps can be more comfortable, economical, and minimize skin irritation. Velcro or button fasteners allow for easy adjustment of the straps for individual requirements. Fabric urinary leg bag straps with a velcro or button closure can eliminate bruising, pressure sores, pulled hair, circulation restriction, and burns caused by rubber latex straps.

A urinary leg bag holder on a man's leg shown as a wrapUrinary leg bag holders fit like a sleeve that slides up the leg to hold the urinary drainage bag without straps, such as the Urocare Urinary Leg Bag. The simple sleeve style provides a soft fit around the leg or thigh, resulting in a comfortable and discreet profile. Most urinary leg bag holders will accommodate various urinary drainage bags, but it is always wise to take measurements to make sure they will work together. Sticking with the same manufacturer for your urinary drainage bag and your leg bag straps or holders can help take out the guesswork of making sure they are compatible.

Lubricating Jelly and Wipes

Packets of 3 gram and 5 gram Surgilube catheter lubricantIf you are using an uncoated catheter (not pre-lubricated or hydrophilic), lubricating jelly is a must for making catheterization more comfortable and smooth. Using a catheter lubricant can not only help minimize friction, but it will also reduce the chances of urethral damage upon insertion. Catheter lubricants are sterile, greaseless, and water-soluble for easy clean-up and are available in tubes or foil packets for on-the-go convenience.

Having a supply of personal wipes will come in handy when cleaning up after self-catheterization when emptying a urinary drainage bag, or handling anything related to an incontinence episode.

Other Incontinence Supplies

Small image of a bed pad, personal pad, and a bag of Personally Delivered Daytime Protective UnderwearProtective underwear, incontinence briefs, urinary incontinence pads, and other urinary incontinence supplies can be essential for those living with incontinence or leakage. These products are designed to address light to severe urinary incontinence episodes and are available in various sizes, styles, and absorbencies. Preparation can help ensure you have enough incontinence supplies to help reduce the risk of worsening your condition and lead a healthy and dignified lifestyle.

For any questions about the catheters, incontinence products, or urinary supplies we offer, our Personally Delivered Product Experts are just a phone call away and ready to assist.

Popular Catheter & Urinary Supplies

ConvaTec Urine Night Drainage Container Set System

ConvaTec nighttime urine drainage container with tubing and adapter

McKesson Urinary Leg Bag with Anti-Reflux Valve

McKesson 1000 mL urinary leg bag with anti-reflux valve

GentleCath Glide Male Catheter

GentleCath Glide Male catheter in size 14 French and is 16 inches long

Surgilube Surgical Lubricant (Flip-top Cap)

Surgilube 4.5 ounce tube ideal for catheter lubricant
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Adult Pull-Ups and Briefs: What’s the Difference?

adult incontinence products - the difference between pull-ups and briefs

Knowing the difference between adult pull-ups and adult briefs is important when thinking about comfort and confidence. These types of adult incontinence products can be necessary when adults suffer from various kinds of medical conditions such as severe diarrhea, Alzheimer’s disease, dementia, or mobility impairment. Choosing the right style of adult incontinence products is one aspect of the situation, but these types of adult incontinence products also offer varying absorbencies that are suitable for each person’s unique needs. Let’s find out what makes adult pull-ups different from adult incontinence briefs.

What are Adult Pull-Ups?

personally delivered daytime and nighttime adult pull-upsJust as the name implies, adult pull ups are pulled onto the body and are designed to fit and feel just like regular underwear. Sometimes referred to as protective underwear, adult pull ups are constructed of soft, cloth-like material making them a more discreet and less bulky option. Adult pull-ups such as the Personally Delivered Daytime and Nighttime Protective Underwear feature leak guards and leg gathers that function to absorb and prevent leakage. Oftentimes, adult pull-ups include tear-away seams for easy and quick removal. Offered in a range of absorbency levels, adult pull ups or adult protective underwear can deliver the security the wearer needs to keep them dry throughout the day or all through the night.

When You Should Choose Adult Pull-Ups

attends premier adult pull-upsBecause adult pull ups are designed to be similar to traditional adult underwear, they are a preferred choice for those that are concerned about discreetness. Since they are constructed of soft, cloth-like fabric and are a thinner design, adult pull-ups can provide the wearer with more dignity. For adults suffering from incontinence but are still independent with mobility and dexterity, the adult pull ups or adult protective underwear may be the optimal choice. It is important to note that although adult pull-ups typically feature tear-away side panels for quick and easy removal, they are not able to be resealed again for further wear. The adult incontinence pull-ups are worn once and then disposed of.

What are Adult Briefs?

Adult incontinence briefs are also referred to as adult diapers with tabs and are a disposable adult incontinence product. Unlike adult pull-ups, adult briefs feature re-fastenable tabs on the sides that allow the adult diaper to be opened and closed for repositioning or changing out without the wearer removing their other clothing. Made of thicker layers of absorbent materials, adult incontinence briefs are also less discreet.

tranquility adult pull-ups featuring breathable sidesAlso offered in a range sizes and absorbencies, adult incontinence briefs can provide the wearer with leak protection, breathability for skin health, and odor control. The highly absorbent and super-fast drying core of the Tranquility SmartCore Disposable Briefs are effective for up to 8 hours and the breathable sides allow air to circulate.

When You Should Choose Adult Briefs

tena brand complete care adult pull-upsFor adults that are concerned about increased leak protection at night, adult briefs can provide them the security they need rather than the adult pull-ups. Because they are thicker and more absorbent, adult briefs may be a better choice for those with heavy incontinence. For daytime protection, adult incontinence briefs are made to be slightly less bulky and therefore absorb less.

If an adult is not fully independent and has limited mobility, a caretaker is usually involved. If this is the case, the adult diaper’s tabs allow the caregiver to easily change the adult brief without needing to remove other clothing. These tabs allow for repeated refastening to ensure maximum security and minimize leakage. Another feature that helps alert a caregiver when it is time to change the adult brief is a wetness indicator that’s included on The Tena Complete + Care Briefs.

One of the main takeaways from this discussion is that adult briefs feature tabs that allow for them to be changed without removing other clothing. However, these adult incontinence products are offered in a variety of sizes, styles, absorbencies, and brands too. Becoming familiar with all the options and differences between adult pull-ups and adult briefs can be challenging, but they are important to know when choosing what is suitable for the incontinence problem.

While you are here, be sure to check out all of the other incontinence products we carry as well. Whether you require added protection with a booster pad or just need light protection with our liners & pads, we are sure to have the incontinence product for your unique needs. Give us a call and one of our Personally Delivered Product Experts will be happy to guide you through the decision-making process.

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The Connection Between C-Sections and Urinary Incontinence

a woman with her hand on her pregnant belly

Finding out you’re pregnant can be a time that is full of excitement and joy! However, sometimes there may be some topics of concern that may come up along your journey. You might have a pre-existing health condition or a problem arises and your doctor may feel that having a traditional vaginal birth may be too risky. Some serious thoughts and conversations might lie ahead and the topic of delivering your child via c-section could be the safest choice.

What is a C-Section and When is it Needed?

What is a c-section?

Cesarean birth, which is often referred to as a c-section, is a surgical procedure performed by a doctor to deliver a newborn through an incision that is made in the abdomen and uterus. It may be a safer option rather than vaginal birth if the goal is to protect the newborn’s health or if the mother has a medical condition that can affect the pregnancy. A c-section can be either scheduled to coincide with the planned due date or it can be an emergency if the mother or baby’s health is in immediate danger.

What are some medical reasons a c-section may be needed?

mother looking at newborn in nurse's arms right after birthA c-section may be the best course of action to take due to potential complications that can make vaginal birth unsafe for the mother and/or her baby. A c-section can be necessary for any of the following reasons:

  • The baby is too large for a vaginal birth. A very large baby sometimes simply cannot fit through the vaginal opening without causing significant damage.
  • The baby is either sideways or breech (feet first instead of head first) in the womb. The position of the baby in this way can be dangerous as there is a risk that oxygen supply through the umbilical cord could be cut off if the baby gets stuck during delivery.
  • The mother has a medical condition such as high blood pressure or diabetes. High blood pressure can be risky during pregnancy due to the stress that is put on the heart. When there is a high amount of sugar in the blood, as with diabetes, nerves and blood vessels can be damaged. Both of these medical conditions can make a c-section more favorable for the safety of the mother and her baby.
  • If the mother has had a previous c-section, she is at a greater risk for complications during childbirth. There can be scar tissue buildup after each c-section making another incision more difficult and risk damage to the bladder or bowel.
  • The mother might have an infection that could potentially be passed on to the baby during vaginal birth. As a safety precaution, a c-section would be a better choice in this case.
  • When there are multiple babies in the womb, a c-section is a wise decision so that no harm is done to either the babies or the mother.

Can a C-Section Cause Incontinence?

Childbirth in itself causes strain and tears on a woman’s body. The uterus starts getting heavier as the infant grows and the surrounding structures begin to stretch and weaken. Some women think that having a c-section will prevent them from side effects of vaginal birth like urinary incontinence or fecal incontinence. However, studies have shown that having a c-section doesn’t protect women from suffering from urinary or fecal incontinence. Bladder issues after a c-section are quite common.

After the abdominal incision is made during a c-section, scar tissue is formed from collagen during the healing process. The collagen fibers of this scar tissue can extend deep into the layers below the skin and create bladder problems. Bladder issues after a c-section such as urinary incontinence can result when this scar tissue attaches to the wall of the bladder. After a woman gives birth, things begin to reduce back down in size, this scar tissue pulls on the bladder making her feel as though she needs to urinate more urgently (urge incontinence) or more often (overactive bladder).

How Long Does Urinary Incontinence from a C-Section Last?

Urinary incontinence from a c-section can take up to six months, or even longer for some women, to get their bladder functioning like normal again. There are several things that a woman can do to help the process along and get it back faster. In the interim, considering the use of incontinence products such as pads, liners, and protective underwear can help women get through the more difficult times.

How You Can Improve Urinary Incontinence Symptoms from a C-Section

Some of the ways a woman can treat urinary incontinence from a c-section to help her bladder get back to its normal function are:

Kegel Exercises

Strengthening the pelvic floor muscles after delivery is an important part of regaining bladder control. The stronger and more elastic these muscles are, the less stress or urge incontinence is experienced. Starting kegel exercises right after childbirth can greatly reduce urinary incontinence symptoms and get you on the path for normal bladder function sooner rather than later.

A Pessary Ring

A pessary ring is a small, soft, silicone vaginal ring that is inserted into the vagina. Women who can benefit from a pessary ring are those that have urinary incontinence that seems to be persistent. The pessary ring is placed inside the vagina to act as a “speed bump” for the urethra and left there throughout the day. Some women prefer to use a pessary ring only when they engage in activities, while others put it in place in the morning and remove it in the evening. This device can be very helpful for women experiencing bladder issues after a c-section.

Electrical Stimulation Therapy

By sending mild electrical currents to the muscles in the pelvic floor that are involved in urination, these muscles then contract. By repeating this electrical stimulation pulse, the pelvic floor muscles begin to strengthen, producing a similar effect to what kegel exercises do. A doctor can perform this therapy or the patient can be given a unit to use in the privacy of their own home to help relive their urinary incontinence symptoms.

Sling Surgery

One of the most common surgeries for urinary incontinence is sling surgery. In this minimally invasive procedure, the surgeon inserts a U- shaped, mesh sling that permanently lifts and supports the urethra like a hammock. This procedure is quick and important to note that it is also permanent, so women that choose this option should not consider any more pregnancies.

Lifestyle Changes

pregnant woman practicing yogaThere are many lifestyle changes that can also help women with urinary incontinence to regain bladder control. Many of these might be good to try before choosing some of the more permanent options.

  • Remain at a healthy weight. Carrying around extra pounds can put pressure on the bladder and lead to urinary incontinence.
  • Maintain a healthy diet. Alcohol, caffeine, and spicy foods tend to aggravate the bladder causing it to contract more often, making urine harder to control.
  • Stay hydrated. Try to drink the recommended 8 ounces of water each day. Avoiding water as a way to control the number of times you need to use the restroom can result in a urinary tract infection or dehydration. Both are not good for a healthy bladder.
  • Stop smoking. Nicotine causes bladder muscles to spasm and women who smoke also often have a chronic cough. Frequent coughing episodes lead to urinary incontinence because of the pressure continuously put on the bladder.
  • Pads, liners, and other incontinence products can help absorb leaks and help with urinary incontinence. There are so many options available to women that are concerned about discreetness and living a dignified lifestyle.
assortment of three incontinence products showing different pads and liners

As you can see, there is a connection between c-sections and urinary incontinence but you don’t have to let your bladder control your life. There are many options available to treat bladder issues after a c-section such as urinary incontinence, even if you feel that you have exhausted all other avenues.

For questions about any of the incontinence products we carry to help with urinary or fecal incontinence, give us a call. One of our Personally Delivered Product Experts is happy to help.

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Bedwetting and Nocturia as an Adult

woman resting in bed fitted with peach sheetsAs an adult, it may be embarrassing as well as confusing when you either wet the bed (nocturnal enuresis) or have the need to get up throughout the night to frequently void (nocturia). We often think that once we are out of our adolescent years, these types of incidents no longer happen. Unfortunately, as we age, our bodies change.

There are several reasons that an adult may suffer from bedwetting and nocturia. Hormonal changes, illness, kidney problems, an enlarged prostate, even medication can cause a person to produce more urine than normal. Regardless of age and gender, bedwetting and nocturia can happen to anyone at any stage in life. So what are some of the adult bedwetting or reasons why you might need to get up to use the restroom several times a night?

So What Causes Adult Bedwetting?

Nocturnal enuresis and nocturia may stem from an underlying health condition and should be taken seriously. The following are some potential adult bedwetting causes.

Hormonal Changes

Antidiuretic Hormone (ADH) is a hormone that we make less of when we are sleeping. This hormone is produced in the hypothalamus part of the brain and then released from the pituitary gland, which is at the base of the brain. ADH communicates with our kidneys and tells them to produce less urine. If a person does not make sufficient ADH, they are likely to have a bedwetting incident.

The Size of  Your Bladder

A small bladder can affect how much urine a person can hold, therefore leading to leaking on the bedsheets. The bladder itself is not actually small, it is the fact that the bladder muscles become overactive, causing a continuous need to void.

Having an Overactive Bladder

When a person has an overactive bladder, the urinary muscles spasm and cause a sudden urge to frequently use the restroom. This may happen when a person has a urinary tract infection, bladder stones, or an enlarged prostate. Other risk factors that might increase the chance of an overactive bladder are pregnancy, age, gender, weight, and having diabetes.

Suffering from Diabetes

If a person has diabetes, they do not process sugar (glucose) properly which leads to their bladder’s filling up quickly with large amounts of urine. The nerves may be affected that control bladder function and the increase in urine production can lead to nocturnal enuresis or nocturia.

Men That Have an Enlarged Prostate

In men, the prostate may become enlarged. Urine passes directly through the center of this gland as it travels from the bladder. With an enlarged prostate, urine may not flow normally as it is pressing on the urethral passage. This can cause the need to urinate more frequently, especially at night.

What You Might do to Prevent Adult Bedwetting

Since our bladder changes as we age, we sometimes are not prepared for some of the incidents that may happen when we are adults. Rather than accepting bedwetting and nocturnal enuresis as a fact of life, we should deal with it as a real issue that needs to be properly addressed. There are some things that you might be able to do to lessen or even halt the problem altogether.

collage of pills and alcoholic beverages Take Inventory of the Medicines You’re Taking

Sometimes, certain prescription medications may have side effects and may be one of many adult bedwetting causes. Wetting the bed and an increase in bathroom visits may be two of them. It may help to take the medication at an alternate time of day, but always consult with your doctor before making this decision on your own.

Observe Your Fluid Intake

A high intake of caffeine and alcohol can also raise the chances of suffering from nocturnal enuresis. Limiting the amount of these types of beverages you consume may help reduce the possibility of nocturia or nocturnal enuresis.

Could Constipation be the Issue?

When a person is constipated, their stool puts pressure on the bladder, which is directly in front of the rectum. This pressure makes it difficult to hold urine and can lead to bedwetting or making frequent bathroom runs throughout the night. It might be wise to monitor how frequently you are having regular bowel movements to avoid unnecessary suffering.

Empty Your Bladder Before Going to Bed

Emptying your bladder before you go to bed may have a great impact on avoiding incidents throughout the night. It is worth a try, however, if you are in need of further protection, there are incontinence products that you can use.

Consider Wearing or Adding Protection

personally delivered nighttime protective underwear for Bedwetting and Nocturia Our Personally Delivered exclusive brand of Overnight Protective Underwear uses the most advanced technology to provide maximum absorbency and leakage protection that will keep you drier, comfortable and protected all night long.

Depending on the severity of the bedwetting, there are a variety of incontinence products available for moderate to heavy bladder leakage. We carry everything from adjustable briefs, bladder pads, pantie liners, extra-large bed pads, and more for both men and women in a wide range of sizes.

It may be helpful to keep a bladder journal for a few days to track how often you are urinating or leaking and when this is happening. You can share this with your health care provider so they can better understand what you are experiencing.

We have provided a Bladder Journal for your convenience that you can download and print to record your daily activity related to this condition here: Bladder Journal

Bladder Journal

Bladder Journal page 1

As with any health concern, you should always speak to your doctor. There may be something you can do or small changes you can make that you aren’t aware of to fully stop this issue. If you have any questions about the products we offer that may help you with your condition, we are just a phone call away and our Product Experts are ready to assist you.

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Alzheimer’s & Incontinence

doctor holding sign that reads Alzheimer's and Incontinence How are They Related?

Understanding Incontinence in People with Alzheimer's

Alzheimer’s disease is a progressive illness of the brain that slowly destroys a person’s cognitive capabilities. This can begin to interfere with basic daily self-care functions. In the later stages of Alzheimer’s, incontinence is common.

There is a complex relationship between Alzheimer’s disease and incontinence. Because we cannot see the brain, we are unable to know when it is changing in a person affected by this disease. Alzheimer’s may cause incontinence by taking away a person’s ability to recognize the need to use the bathroom.

A person’s language, speech, reasoning, and judgement can all be affected with Alzheimer’s disease. When someone doesn’t understand a question or is unable to form the words to let someone know they need to use the facilities, time may run out resulting in a bladder or bowel accident. Memory loss also may cause one to be incapable of finding a restroom when they are experiencing urge incontinence.

elderly woman dressed in a black and white dress standing in front of mirror looking away

How to Manage Alzheimer's and Incontinence

When caring for a person suffering from Alzheimer’s disease, ensuring you have an understanding attitude is key. They are likely to feel embarrassed, ashamed, or even angry about the condition.

It is essential to have empathy when taking care of someone with Alzheimer’s and incontinence. Being supportive and reassuring the person that incontinence is a common condition will help to reduce their feelings of embarrassment.

Essential Tips for Family or Caregivers:

Ensure they have the right incontinence products – A person affected by Alzheimer’s can be protected all day with the right products. They’ll also have uninterrupted sleep and be more comfortable throughout the night. These products not only offer protection but can rebuild confidence and help improve quality of life. Diapers, underwear, pads, and liners are offered in multiple sizes to fit all body types.

attends, covidien, abeena, tranquility incontinence products in lineup

Establish a daily routine – Building a daily routine of going to the restroom will allow enough time for the person to regularly empty their bladder and bowels. Making going to the restroom a part of a routine can be very effective for those with Alzheimer’s since drastic changes are often uncomfortable for them.

Make sure they are drinking enough water – Six to eight glasses of fluids each day is essential. Withholding fluids can cause dehydration, which can lead to a urinary tract infection or increased incontinence. On the other hand, not drinking enough fluids, or not drinking them for long periods of time can lead to constipation. Drinking enough water paired with the daily routine above can lessen potential accidents.

Encourage your loved one to stay active – Believe it or not, gentle exercise every day can help with regular bowel movements. Just the shortest walks can be effective in increasing their health.

elderly woman with head on pillow and eyes closed gently smiling

Some of Our Best Product Picks for Managing Incontinence:

Personally Delivered Daytime and Overnight Protective Underwear packages next to each other

Personally Delivered Daytime & Nighttime Protective Undergarments – The most advanced technology is used to provide superior absorbency and leakage protection, better than many of the leading brands. These undergarments will keep you dry, comfortable, and confident throughout the day and/or night.

Abena Abri-Form Medium Absorbency Comfort Briefs

Abena Abri-Form Comfort Briefs – These fitted briefs are one of the leading adult diapers, known for their high quality and super absorbency. Four different absorbency levels are offered, providing all-around protection. Advanced features include stand-up leak guards, re-fastenable tape tabs, wetness indicator, and elastic in rear waistband.

Tranquility overnight personal care pads

Tranquility OverNight Personal Care Pads – These overnight care incontinence pads keep the skin dry and reduce odor while protecting delicate skin.

Tranquility belted undergarment

Tranquility Select Belted Undergarment – This secure fitting one-size-fits-all product has a pair of wide two button-elastic straps and a waterproof cloth-like outer layer. The soft absorbent mat is made with super-absorbent polymers, keeping the skin dry and protects against skin breakdown.

Life with Alzheimer’s can be manageable for both the patient and the caregiver. We at Personally Delivered have Product Experts to help you find the right home delivery incontinence supplies suited for your specific needs.

Speak to one of our caring Product Experts today! Toll-free (800) 777-1111

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