Leaking urinePeshab ka rissna

Yeh alamat kya hai

Peshab ka rissna matlab aisa peshab nikalna jis ka aap ka iraada na ho. Yeh chand boondein ya bohat zyada ho sakta hai, kabhi kabhar ya roz ho sakta hai, aur mardon, auraton aur bachon ko ho sakta hai. Yeh aam hai, aap ki ghalti nahi, aur aisi cheez nahi jo aap ko bas bardasht karni ho.

Doctor rissne ko is ki wajah ke mutabiq groh mein baantte hain: zor lagane par rissna, maslan khansi, chheenk, hansi, wazan uthane ya daurne par (stress leaks), achanak tez hajat par rissna (urge leaks), aur bohat bhare bladder se boond boond tapakna (overflow). Kuch log peshab khatam karne ke baad chand boondein tapkate hain, aur doosre isliye ke woh waqt par toilet nahi pohanch pate. Bohat se logon mein aik se zyada andaaz hote hain.

Aam wajohat

• Bladder ke nikaas ka kamzor sahara (stress leaks). Yeh aurton mein zachgi ke baad, menopause ke baad, wazan zyada hone par, lambi khansi ya qabz mein zor lagane aur bhari wazan uthane se aam hai. Mardon mein prostate ke operation ya radiotherapy ke baad ho sakta hai.
• Overactive bladder (urge leaks). Bladder ka patthay ghalat waqt par sikudta hai (dekhein overactive bladder guide). Infection, pathri, qabz, chai, aur cola, aur nas ke masail is mein izafa kar sakte hain.
• Bladder jo khaali na ho (overflow). Wajah mardon mein barhi hui prostate ya peshab ki tang nali, diabetes ke saath kamzor bladder patthay, ya nas ka nuqsan ho sakti hai (dekhein enlarged prostate guide aur neurogenic bladder guide).
• Peshab ka infection, jis se rissna ho sakta hai jo ilaaj ke baad theek ho jata hai (dekhein peshab ki jalan guide).
• Waqt par toilet na pohanch pana, maslan jorhon ki bimari, stroke ke baad kamzori, kamzor nazar, yaadasht ke masail, ya jab toilet door ho ya istemal karna mushkil ho.
• Dawaiyan. Pani ki goliyan, neend ya sukoon ki kuch dawaiyan, aur doosri rissna paida kar sakti hain. Meherbani karke khud na chhorein. Apne doctor se poochhein.
• Hamal, aur aurton mein neeche aaya hua bladder ya rahm (prolapse).
• Mardon mein peshab ke baad rissna. Khatam karne ke baad chand boondein aana aam hai, khaas tor par boorhay mardon mein.

Agar peshab hamesha rissta rahe aur aap bilkul qaabu na rakh sakein, khaas tor par mushkil zachgi, operation ya pelvis ki radiotherapy ke baad, to meherbani karke doctor ko batayein. Yeh fistula ho sakta hai, jo bladder aur vagina ke darmiyan ghair-mamooli raasta hai. Iska ilaaj ho sakta hai, yeh aap ki ghalti nahi, aur na saza hai na koi lanat (dekhein vesicovaginal fistula guide).

Bachon mein din mein rissna ya raat ko bistar geela karna bachon ke bladder ke masail guide aur bedwetting guide mein hai.

Jaanch aam tor par kaise hoti hai

Aap ke doctor poochhenge ke aap kab aur kaise rissate hain, kitna, kya pehle se ehsaas hota hai, kitne pad istemal karte hain, kitni baar peshab karte hain, kitni achi tarah khaali hota hai, aap ki zachgi aur operation ki tareekh, aur dawaiyan. Woh aap ka pait dekhenge, aur auraton mein pelvic muaina ya mardon mein prostate aur nas ka muaina kar sakte hain. Woh aap se khansne ko keh sakte hain ke rissna hota hai ya nahi. Aam tests yeh hain:

• Chand din ki bladder diary, yeh dikhane ke liye ke aap kitna peete hain, kitni baar peshab karte hain, aur kab rissate hain.
• Peshab ka test, infection, khoon aur shakkar ke liye.
• Peshab ke baad bladder scan, yeh dekhne ke liye ke bladder khaali hota hai.
• Khoon ke tests, kidney ka kaam aur shakkar dekhne ke liye.
• Kidneys aur bladder ka ultrasound.
• Dhaar ka test aur bladder scan aur, agar wajah wazeh na ho ya operation ka irada ho, urodynamics, jo bladder ka dabao aur bahao tafseel se napta hai.
• Bladder ka flexible camera test, agar peshab mein khoon ho ya aur nishaniyan jinhein qareeb se dekhna ho.

Ab kya karein

• Chhupayein nahi. Meherbani karke doctor ko dikhayein. Zyadatar rissne mein behtari aati hai, aksar operation ke baghair.
• Pelvic floor ki warzish karein. Un pattho ko sikodein jin se aap peshab ya hawa rokte hain, chand second rokein, dheela chhorein, aur dohrayein, roz kai baar. Farq mehsoos hone mein kuch hafte lagte hain. Mardon aur auraton dono mein yeh patthay hote hain. Jahan physiotherapist dastiyab ho, woh sahi tareeqa sikha sakta hai.
• Jaldi ke liye bladder ko sikhayein. Jab tez hajat aaye, saakin rahein, pelvic floor sikodein, aahista saans lein, aur toilet tab jayein jab hajat dheeli ho. Aahista aahista baaron ke darmiyan waqt barhayein.
• Aam tarah peete rahein. Paani kam karne se peshab tez aur zyada khafa karne wala ho jata hai. Is ke bajaye chai, coffee, cola, energy drinks aur sharab kam karein.
• Agar aap ka wazan zyada hai, to wazan kam karne se rissna kam ho sakta hai. Har qism ka tambaku chhor dein aur lambi khansi ka ilaaj karwayein, kyunke khansi rissna paida karti hai. Qabz ka ilaaj karein.
• Apni khaal ki hifazat karein. Pad ya dhone wali hifazat istemal karein, aksar badlein, saade paani se dhoyein, achhi tarah sukhayein, aur agar khaal dukhe to barrier cream lagayein.
• Pehle se plan karein. Ghar se nikalne se pehle aur lambe safar se pehle peshab karein, toilet ki jagah jaan lein, aur kapron ka aik aur jora saath rakhein.
• Namaz aur roz marra zindagi. Rissna namaz, roze aur milne julne ko mutasir kar sakta hai. Ilaaj is ko kam kar sakta hai, aur hamari urinary incontinence guide roz marra zindagi ki baat karti hai. Mazhabi sawalaat ke liye kisi mustanad aalim se mashwara kar sakte hain.
• Doctor ke mashwaray ke baghair jari booti ya "bladder control" ki goliyan na kharidein, aur apne doctor ko apni tamam dawaiyan batayein.
• Urologist ko dikhayein agar peshab mein khoon ho, aap bladder khaali na kar sakein, operation ya zachgi ke baad rissna ho, ya saade iqdamaat se madad na mili ho.

Aam sawalaat

What this symptom is

Leaking urine means passing urine when you do not mean to. It may be a few drops or a flood, it may happen now and then or every day, and it can affect men, women and children. It is common, it is not your fault, and it is not something you simply have to accept.

Doctors group leaks by what causes them: leaks with effort such as a cough, sneeze, laugh, lift or run (stress leaks), leaks with a sudden strong urge (urge leaks), and dribbling from a bladder that is too full (overflow). Some people leak a few drops after they finish passing urine, and others leak because they cannot reach the toilet in time. Many people have more than one pattern.

Common causes

• Weak support at the bladder outlet (stress leaks). This is common in women after childbirth, after menopause, with being overweight, with a long-term cough or constipation straining, and heavy lifting. In men it can happen after surgery or radiotherapy for the prostate.
• An overactive bladder (urge leaks). The bladder muscle squeezes at the wrong time (see the overactive bladder guide). Infection, stones, constipation, tea, chai and cola, and nerve problems can add to it.
• A bladder that does not empty (overflow). The cause may be an enlarged prostate or a narrow urine tube in men, a weak bladder muscle with diabetes, or nerve damage (see the enlarged prostate guide and the neurogenic bladder guide).
• A urine infection, which can cause leaks that clear once it is treated (see the burning when passing urine guide).
• Difficulty reaching the toilet in time, for example with arthritis, weakness after a stroke, poor eyesight, memory problems, or when the toilet is far away or hard to use.
• Medicines. Water tablets, some sleeping or calming medicines, and others can cause leaks. Please do not stop them yourself. Ask your doctor.
• Pregnancy, and a bladder or womb that has dropped (prolapse), in women.
• Leaking after passing urine in men. A few drops after finishing is common, especially in older men.

If urine leaks all the time and you cannot control it at all, especially after a difficult labour, an operation or radiotherapy in the pelvis, please tell a doctor. This can be a fistula, an abnormal passage between the bladder and the vagina. It is treatable, it is not your fault, and it is not a punishment or a curse (see the vesicovaginal fistula guide).

In children, leaking in the day or wetting at night is covered in the bladder problems in children guide and the bedwetting guide.

How it is usually investigated

Your doctor will ask when and how you leak, how much, whether you feel a warning, how many pads you use, how often you pass urine, how well you empty, your childbirth and surgery history, and your medicines. They will examine your tummy, and may do a pelvic examination in women or a prostate and nerve examination in men. They may ask you to cough to see whether a leak happens. Usual tests are:

• A bladder diary for a few days, to show how much you drink, how often you pass urine, and when you leak.
• A urine test, for infection, blood and sugar.
• A bladder scan after passing urine, to check that the bladder empties.
• Blood tests, to check kidney function and sugar.
• Ultrasound of the kidneys and bladder.
• A flow test and bladder scan and, if the cause is not clear or an operation is planned, urodynamics, which measures bladder pressure and flow in detail.
• A flexible camera test of the bladder, if there is blood in the urine or other signs that need a closer look.

What to do next

• Do not hide it. Please see a doctor. Most leaking can be improved, often without an operation.
• Do pelvic floor exercises. Tighten the muscles you would use to stop passing urine or wind, hold for a few seconds, relax, and repeat several times, daily. It takes some weeks to notice a difference. Men and women both have these muscles. A physiotherapist can teach the correct way where one is available.
• Train the bladder for urgency. When a strong urge comes, stay still, squeeze the pelvic floor, breathe slowly, and walk to the toilet only once the urge eases. Slowly stretch the time between visits.
• Keep drinking normally. Cutting fluids makes urine stronger and more irritating. Cut down tea, chai, coffee, cola, energy drinks and alcohol instead.
• If you are overweight, losing weight can reduce leaks. Stop all tobacco and have a long-term cough treated, because coughing causes leaks. Treat constipation.
• Protect your skin. Use pads or washable protection, change them often, wash with plain water, dry well, and use a barrier cream if the skin is sore.
• Plan ahead. Pass urine before leaving home and before long journeys, know where the toilets are, and carry a spare set of clothes.
• Prayer and daily life. Leaking can affect prayer, fasting and social visits. Treatment can reduce this, and our urinary incontinence guide talks about daily life. For religious questions, a trusted scholar can advise you.
• Do not buy herbal or "bladder control" tablets without a doctor's advice, and tell your doctor about all your medicines.
• See a urologist if there is blood in the urine, if you cannot empty your bladder, if you leak after surgery or childbirth, or if simple steps have not helped.

Common questions