Urinary Incontinence Specialist

Rachel E. Hall, MD -  - Board Certified Integrative/Holistic Medicine Physician

Expect Wellness

Rachel E. Hall, MD

Board Certified Integrative/Holistic Medicine Physician & Family Medicine Physician located in Columbia, SC

Urinary incontinence affects more women than men, and can be an extremely embarrassing problem that impacts your quality of life. At Expect Wellness in Columbia, South Carolina, Dr. Rachel Hall offers natural treatments for urinary incontinence. As a board-certified integrative/holistic physician specializing in family medicine, Dr. Hall takes a personalized approach to determining the underlying cause of the problem. Her goal is to help you control symptoms without medication, whenever possible. Call the office or schedule an appointment online.

Urinary Incontinence Q & A

What is urinary incontinence?

Urinary incontinence, or loss of bladder control, is a common problem for women that can negatively impact your quality of life. Incontinence often occurs after pregnancy or as you get older, but it doesn’t have to disrupt your life indefinitely.

You may experience urinary incontinence in a few different ways. Some adults have leaky bladders, while others have an increased need to use the bathroom, or sudden urges to get to a toilet immediately. Or you may have to get up many times during the night to empty your bladder, interrupting your sleep and making it hard to get adequate rest.

What are the most common types of incontinence?

Stress incontinence and urge incontinence (overactive bladder) are the two most common types of incontinence. Some people have one or the other, while some experience a mixture of both conditions.

If you experience stress incontinence, a small amount of urine may leak out when you cough, laugh, or exercise.

With urge incontinence, you experience a sudden urge to urinate and urine loss that’s uncontrollable.

Other types of incontinence include:

  • Overflow incontinence, or frequent dribbling of urine
  • Functional incontinence, in which a physical or mental impairment prevents you from getting to the toilet in time
  • Mixed incontinence, in which you experience several types at the same time

You may experience just a minor urine leak, or you may lose a moderate amount of urine more frequently, and it can become embarrassing and difficult to manage.

What causes urinary incontinence?

Stress incontinence is usually the result of weakened pelvic muscles which causes your bladder to shift from its normal position. In addition to age-related factors, your pelvic muscles may become weaker as a result of:

  • Pregnancy and vaginal deliveries
  • Being overweight or obese
  • Smoking
  • Having a hysterectomy
  • Physical activity over the years

Abnormal bladder contractions cause urge incontinence and are usually the result of nerve damage from other health conditions, such as diabetes or a stroke. Dr. Hall considers your health history and symptoms so she can determine the underlying cause of your incontinence and provide the most effective treatment for your specific condition.

What are the treatment options for urinary incontinence?

Nonsurgical treatments are always Dr. Hall’s first choice for improving incontinence. She may recommend dietary modifications or other lifestyle changes, as well as bladder training exercises that help you regain control over your bladder and strengthen pelvic muscles.

To seek help for incontinence, call the office or schedule an appointment online.