Bladder & Bowel Archive

More than half of US adults over 60 have diverticulosis, a condition where part of the wall of the colon bulges outward and forms tiny pouches. Diverticulosis does not cause symptoms, but if a pouch becomes inflamed or infected it becomes diverticulitis, which can be mild or more serious.

Scientists are testing potential vaccines that aim to prevent urinary tract infections (UTIs). Until then, strategies that may help ward off UTIs include drinking lots of water each day, emptying the bladder after sexual intercourse, using vaginal estrogen creams (for women), wiping front to back after gong to the bathroom (for women), taking a daily long-term, low-dose antibiotic, taking a single dose of an antibiotic after sex (if recurrent UTIs often follow sexual intercourse), or taking cranberry supplements.

Eating a fiber-rich diet helps to prevent constipation. There are a variety of laxatives for occasional irregularity.

Irritable bowel syndrome (IBS) affects up to 45 million Americans, two-thirds of whom are women. IBS is categorized into three types depending on which symptoms dominate: diarrhea, constipation, or a mix of both. Possible contributors include changes in gut bacteria, faulty nerve signals between brain and intestine, pelvic floor problems, and genetics. Newer treatment approaches target pathways involved in symptoms. Doctors are also repurposing older drugs for IBS, including certain antidepressants and the antibiotic rifaximin (Xifaxan).

Making one or more trips to the bathroom every night is the defining characteristic of a medical condition called nocturia. It can be caused by aging, lifestyle habits, or underlying conditions such as an overactive bladder or (in men) an enlarged prostate. Treating nocturia starts with lifestyle changes such as avoiding fluids several hours before bedtime, eliminating caffeinated drinks 10 hours before bedtime, and limiting evening alcohol intake. Medications, pelvic floor exercises, injections of botulinum toxin (Botox), or nerve stimulation treatments may also help.

While a man cannot directly give his female partner a bladder infection, he can increase her risk with vigorous or frequent sexual intercourse.

Bladder problems in women can increase due to childbirth, menopause, and aging. Additional contributors to bladder symptoms include weight gain, pelvic organ prolapse, and the types of beverages people drink, as well as how much and how often. Women should see a doctor about increasing leakage, urgency, frequency, or nighttime urination; cloudy or strong-smelling urine; pain or burning while urinating; pain during sex; or lower abdominal pain.

Men often have a hard time coping with incontinence (urine leakage). It can leave them feeling depressed or socially isolated. Types of leakage problems in men include urge, stress, and overflow incontinence. Treatment depends on the type of incontinence a man is experiencing. For example, overflow incontinence may get better with a procedure to reduce the size of the prostate; medications, injections in the bladder muscle, and pelvic floor exercises can help with urge incontinence.

Men do not have to worry about getting bladder infections from their female partners. Women can get urinary tract infections after sex, but this is a result of irritation at the opening of the urethra, which makes it easier for bacteria to enter.