Ageing & incontinence

What happens when they get older?

What’s the first thing to do if a loved one loses control of their bladder and/or bowels? Try not to panic. It may be awkward and embarrassing for both of you at first. But be assured: is a common problem and there many are ways you can help them to deal with it.

If you’ve watched a loved one get older, you’ve probably noticed changes to their physical condition. Maybe they’re not as fit or trim as they once were. Possibly their eyesight and hearing aren’t so good these days. 

And it’s very common for people to develop symptoms that affect how they store or pass urine – so called ‘urinary symptoms’ – including incontinence.  

Incontinence can be embarrassing and frustrating for your loved one. Going to the toilet, a private function they once took for granted, is suddenly beyond their control.  

You can help by being understanding, and by trying not to be embarrassed or judgmental about their situation. Learn more about incontinence, and the practical things you can do for your loved one. Care for them in a loving manner and it could bring the two of you closer together. 

To understand your loved one’s condition better, consider what’s happening to their body and what might be causing their symptoms.

Why is your loved one becoming incontinent?

There are many causes as to why someone would develop urinary symptoms, including diseases and conditions – many of which become more common with advancing age. Examples of these diseases and conditions include: 

  • Overactive bladder 

  • Stress urinary – caused by weakened pelvic floor muscles 

  • An enlarged . Benign prostate enlargement is common in men aged over 50. It's not a cancer and it's not usually a serious threat to health. 

  • Infections – to any part of the urinary system 

  • Diabetes 

  • Sleep apnea 

  • Diseases or conditions that make it difficult to get to the bathroom in time or make it difficult to remove clothing in time 

There are also a number of changes that occur in the body as it ages, meaning organs, muscles and nerves might stop working effectively together.  

To be able to maintain control of when and where we pass urine (‘continence’ – the opposite of ‘incontinence’), we need support from the pelvic floor muscles and sphincter muscles to contain urine within the bladder. These important muscles assist to maintain urinary and faecal continence. When we get older pelvic floor muscles and sphincter muscles can become altered in their ability, leading to incontinence.

But it can also be that nerves connecting the brain and bladder could be sending the wrong signals. 

Finally, changes in hormones mean that our kidneys produce more urine later in the day / evening, which partly explains waking during the night to pass urine. 

The following changes could be contributing to incontinence:   

 

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Learn more

In being a caregiver, it may be helpful  to understand the ageing process and how it affects mobility and cognitive ability. Learn more about age-related changes and how you can help your loved one in the following articles: 

 

Sources 

[1] Weinstein JR, Anderson S. The aging kidney: physiological changes. Adv Chronic Kidney Dis. 2010 Jul;17(4):302-7. doi: 10.1053/j.ackd.2010.05.002. PMID: 20610357; PMCID: PMC2901622.