Bladder problems arise ghostwriter/ from a number of frequently redirected here observed urinary tract disorders and affect a large part of our population. The most often seen problems are frequent and/or excessive urination, pain associated with urination and loss of urine. The most common underlying disorders are:
Cystitis: viral and bacterial bladder infections affect the majority of women and sometimes also men.
Urinary incontinence: condition where involuntary loss of urine is a social or hygienic problem.
Overactive Bladder (= unstable bladder): the bladder does not store urine as it should, but sends out signals of urgency too often.
Interstitial Cystitis (= urgency and frequency syndrome): an inflamed bladder wall of unknown origin with pain and severe urgency.
Bladder cancer: the sixth most common cancer in the United States and abroad.
Bladder problems can have a number of different causes. In order to set the correct diagnosis your general practitioner or urologist needs detailed information on how often and how much you pee, what you drink and how often you leak urine. Bladder problems may derive from urological disorders that respond better to treatments when diagnosed at an early stage. Postponing medical examination may therefore reduce the success rate of treatment in more advanced stages of the disease. ‘Better safe than sorry’ definitely holds true in this context.
The frequency of urination and the amount of urine that your body produces per day depends on a number of factors, like the amount of fluid that you drink, the amount of sweat that you produce and a number of genetically predefined conditions. Because of this multitude of influencing factors, there is no fixed number of ‘normal pees per day’ or ‘normal urine amount per day’ and therefore no hard criteria to define what is frequent urination. Before your doctor can formally confirm the diagnosis frequent urination, he will usually ask you to fill in a so-called voiding diary during 1 or more days. In this diary you enter all of your daily fluid intakes, the frequency and volume of your pees and your moments of urine loss (if applicable).
Painful urination is a frequently observed symptom. Most women occasionally have pain during urination; 5 to 10% of them suffers from prolonged periods or even a lifelong pain sensation during or after urination. The most frequently occurring cause is cystitis, an inflammation of the bladder. Other causes can be an overactive bladder (OAB), interstitial cystitis or bladder cancer. Painful urination in men over 50 is usually caused by prostate disorders and is often accompanied by other symptoms, like the need to frequently empty the bladder or a weak urinary stream.
If you consult a doctor because you feel pain when peeing, he will most likely ask you to carefully fill in a voiding diary during 1 or more consecutive days. In that way, the doctor obtains a good image of your lower urinary tract function and the kind and severity of your symptoms. A voiding diary is like a fingerprint of your bladder’s behavior and thus forms the basis for urological diagnosing. Depending on the information in the voiding diary, your urologist may decide upon further diagnostic procedures to identify the cause of your painful urination. This is the first step towards prescribing the best treatment for your specific problems.
Loss of urine or urinary incontinence is frequently observed problem. An estimated 25% of all women with 1 or more children suffers from incidental or recurring periods with loss or urine. And many men above 50 feel the need to frequently empty the bladder or suffer from a weak urinary stream; usually prostate problems are the primary cause for such symptoms. Urinary incontinence is an important public health issue with severe social consequences; in some cases it may even lead to social isolation of affected patients.
We generally discriminate between stress- and urge-incontinence. People with stress incontinence have a chronically weakened of the sphincter of the bladder. They lose urine whenever there is an increase in the abdominal pressure caused by physical exercise, lifting heavy things (like a child) or when laughing, coughing or sneezing. A special form of stress incontinence, that is recently coming out in the open, is coital incontinence (losing urine during sexual intercourse). People with urge-incontinence usually feel a sudden, strong urge to urinate and an inability to get to the toilet in time. Next to the pure stress- and urge-incontinence forms, there are mixed forms as well, caused by a variety of less frequently observed conditions. A proper diagnosis is therefore extremely important in order to find the most effective treatment.
Many people with urinary loss symptoms postpone a visit to their general practitioner and help themselves with sanitary napkins or diapers. As a matter of fact, a significant part of the diapers sold in shopping malls finds its way to the bathroom of the parents instead of to the baby room. Incontinence is therefore a disorder that is usually presented to a healthcare professional in a more advanced stage. Often the problem has then already caused substantial physical and psychological suffering. A real pity, knowing that many forms of incontinence can be treated effectively when diagnosed at an early stage.
Voiding diary or micturition diary is a term used by urologists, gynecologists and other healthcare providers. A voiding diary is an overview that lists the amount of fluid you drink and the amount of urine you produce during a 24-hour period (or multiple periods). In a voiding diary you register each individual drink with its volume, each pee with its volume (by using a measuring cup) and each incident of urine loss. For each of these moments, you also indicate how much urge you felt and whether or not you had pain at, before or after that specific moment.
If you consult a urologist because you feel that you suffer from urinary problems, he will most likely ask you to carefully fill in a voiding diary during 1 or more consecutive days. In that way, the doctor obtains a good image of your lower urinary tract function and the kind and severity of your problems. A voiding diary is like a fingerprint of your bladder’s behavior and thus forms the basis for urological diagnosing. Depending on the information in the voiding diary, your urologist may decide upon further diagnostic procedures to identify the cause of your urinary problems.
A voiding diary used to be a paper form that was handed out to the patient for entering his or her data with a pen. iP Voiding Diary overcomes the typical downsides of pen-and-paper-based voiding diaries, like insufficient user compliance, difficult to read manual entries and inconsistent terminology. The digital voiding diary in iP Voiding Diary excels in quickly capturing all required urinary information in a user-friendly and intuitive way. Next to that, the reporting module in iP Voiding Diary is a true revolution in the way medical data are being displayed. By using clear info graphics and by comparing your results to international standards, you gain immediate insight in your fluid-management systems and the corresponding findings. From now on, the standard for deploying voiding diaries is going to be the digital format of iP Voiding Diary.
iP Voiding Diary, in short iP, is a mobile application for the iPhone and iPod touch. This app makes it very easy to build a superior voiding diary by entering what you drink (water, soda, coffee, tea and alcoholic beverages) and what you pee (volume measured in a measuring cup). Next to these findings you indicate the amount of urge that you felt before peeing and if you had any pain during a specific pee. iP also allows you to precisely register the moments of urine loss that you may have and the activities that caused these leakages. In short: a completely filled in voiding diary in iP provides you with a comprehensive overview of your voiding behavior and bladder functioning. This information may prove to be very helpful for yourself, your general practitioner or any other healthcare professional.
You can find iP Voiding Diary in the App Store and download it for free. The app works on the iPhone and iPod touch.
iP can be used both on the iPhone and the iPod touch. Some urologists install iP on hospital-owned iPods and provide their patients with such a device in order to allow them to collect the required information for a certain number of days. In that way, iP is even available to people without their own smartphone. At this stage, iP is not available for other operating systems than iOS (Apple), but an Android version is expected early in 2012.
After starting the app, you may choose to immediately purchase 1 or more so-called Cycles, each of which provides 24-hours of data recording time. As soon as that period ends, your findings will be accessible in the reporting section. Your results are visible in a fancy info graphics report, which you may also send out by email as a pdf-file to yourself or your doctor. If you prefer to test-run the app without immediately storing your data, you may choose the Demo Mode. In this mode, you can try out the full functionality of the app (excluding reporting) and quickly learn how to interpret the intuitive user interface. In this way you feel more comfortably later on when purchasing active Cycles to start actual data capturing and reporting. When there is no Cycle in use for data recording, the Demo Mode is always available to the user in order to show others how the app works. Don’t forget to read the tutorial that explains the various screens in the app; you can find that tutorial in the information section of the app.