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Types, causes and symptoms
 
Finding about more about bladder problems and why you are experiencing them is your first step towards controlling them and enjoying a better quality of life.  
 
Types of bladder problems  
 
Overactive bladder and stress urinary incontinence are common bladder problems.  
 
Overactive bladder  
 
Having an overactive bladder means just that – the bladder muscles become more active and this leads to the feeling of needing to pass water even if the bladder is not full. Sometimes this urge can be unexpected and you may feel desperate to reach a toilet as soon as possible. The sudden urge to go to the loo is called urgency and, if you don’t get there in time, is known as urgency incontinence. Some people need to go very often (called frequency) or have to get up frequently during the night (called nocturia).  
 
Stress urinary incontinence  
 
Stress urinary incontinence is leakage from your bladder that occurs when you sneeze, laugh, cough or exert yourself, for example when exercising, or getting up from a chair. It usually happens because the muscles in the pelvic floor or sphincter are weak or damaged.  
 
Mixed urinary incontinence  
 
Although overactive bladder and stress urinary incontinence are separate conditions, some people suffer from the symptoms of both at the same time. This is called mixed urinary incontinence.  
 
If you do suffer from mixed urinary incontinence it is then important to try to work out what is causing the biggest problem so your doctor or nurse can give you the best advice on how to cope.  
 
Causes of incontinence  
The cause of an overactive bladder is often not known. It can sometimes be caused by an infection in the bladder or may occur in people who have diabetes or have had a stroke.  
 
Stress incontinence is normally the result of weakened pelvic floor muscles. This may be worsened if you are pregnant or overweight, as this will put additional pressure on your bladder, making it even harder for you to keep your urine in. If you suffer from constipation or have had a bad cough, you may also be prone to stress incontinence.  
 
Symptoms of incontinence 
Any kind of unexpected bladder weakness or leakage may be a sign of an overactive bladder or stress urinary incontinence. 
 
View graphic depictions of incontinence  
 
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