Senior News: February 2002
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Bladder
Fitness #4 Change your foods, change your life
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Bladder Fitness #4
Change your foods, change your life
by Jennifer Stephens
We have talked about overactive bladders and some behavioral changes that
naturally eliminate incontinence.
We have discussed techniques for calming down urge and how your water
intake and other fluids impact calming down urge.
We find that many people with overactive bladders can completely correct
it by avoiding foods and beverages that irritate the lining of the bladder.
I haven't heard the conclusive explanation for why bladders become more
sensitive as we age, but for many of us they do. Perhaps that thick mucousal
lining of the bladder thins as does our skin, and therefore the bladder's
lining isn't as well protected as when we were younger.
In any event, some categories of foods and fluids are particularly bothersome
for many people. If you have any symptoms of urgency or frequency - do
you go to the bathroom more often than every three to four hours? - it
may be well worth your effort to do a little test for a week.
Here is the test
The following foods often irritate bladders causing increased urgency,
increased frequency, irritation and increased leakage. I suggest you keep
bladder activity records for one week, keeping track of how often you
have to go to the bathroom and how often you have leakage. If you're really
ambitious you can measure how much you urinate which will give you and
your physician useful information.
For the first three days eat and drink like you normally do while you
keep your records. Then, for three to four days, eliminate all of the
foods and beverages listed below. Keep your fluid intake up with plenty
of water for a daily intake of two quarts of fluid or more.
* Beverages: coffee, tea, decaf coffee, decaf tea, carbonated drinks (even
carbonated water); citrus, cranberry or apple juices;
* Fruits: citrus fruits, pineapple, cranberries, strawberries, apples,
guava, peaches, plums, cantaloupes, watermelon, grapes,
* Vegetables: tomatoes, tomato products, onions, rhubarb,
* Odds and ends: chocolate, alcohol, ketchup, mustard, barbecue sauce,
pepper, chilies, pickles, vinegar, rosehips, hibiscus, spiced meats, NutraSweet
and Saccharine
If you eliminate the foods and fluids listed above and you notice a significant
decrease in how often you have to go to the bathroom, how often you have
leakage or how easy it is to calm down the urge, then you know one thing
or some things are irritating your bladder. It doesn't mean everything
on the list is irritating your bladder, maybe oranges, maybe tomatoes,
very possibly tea or coffee. Start adding things back into your diet one
at a time to determine what if any symptoms return with each item.
Most people agree that giving up or restricting the intake of irritating
foods and fluids is worth the joy of reclaimed bladder control.
Jennifer Stephens, MA, CBT, can be contacted at 707-268-8217 or by e-mail
at stephens_ jennifer@juno.com.
The first two parts of this series ran in September and October 2001;
the third part ran in January 2002. If you'd like copies of the previous
articles, you can come by our offices at 1809 Albee Street (upstairs)
and pick them up.
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