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Creating Waves of Awareness

Urinary Incontinence

Urinary incontinence is a condition in which the urine leaks out involuntarily. It affects men, women and children. (Bedwetting) 

It is twice as common in women than in men. Thirteen million Americans suffer from this problem. It affects millions in India and Pakistan, especially women, who for cultural reasons avoid bringing the subject to the fore, like many other problem.

This problem has a profound effect on the life of a person, of both genders. In women it can be the cause of depression and isolation from social scene.


Physiology of Incontinence

Continence and micturition are the result of the balanced activity of the muscles of the urinary bladder and urethra. Under normal condition the urethral pressure normally exceeds the bladder pressure. This results in urine remaining in the bladder. It is interesting to note that under normal condition while, coughing, laughing, or sneezing the intra-abdominal pressure results in an increase in both the urethral and bladder pressure, but as differential pressure remains the same there is no voiding of urine; Normal voiding takes place when urethral pressure reduces and bladder pressure rises. Urinary incontinence results when there is imbalance in these two pressures for various reasons.


Causes of Incontinence

Polyurea may occur due to diabetes mellitus, central diabetes insipidus, nephrogenic diabetes insipidus, brain disorders like multiple sclerosis, Parkinson’s disease, strokes, and spinal injury. Use of caffeine and colas may contribute to incontinence.

In men over forty, enlargement of prostate, or cancer of the prostate can contribute to this disease.


Use of certain medication, such as blood pressure medication, which tend to relax muscles leading to incontinence. Diuretics, which increase production of urine putting pressure on the bladed. Anti depressant, can act both ways, they can induce or retard incontinence.


Types of Incontinence

  • Stress incontinence: due to insufficient strength of pelvic floor muscles.
  • Urge incontinence: due to sudden urge for no specific reason there is voiding of urine.
  • Overflow incontinence: due to bladder pouring out urine even after their normal discharge, often termed dribbling of urine.
  • Functional incontinence:  It happens when there is a need to go to rest room when one feels the urge or need, but one is physically unable to make it to the toilet for multiple reasons. Such as poor mobility, anger, depression, poor eye sight,poor dexterity, or even unable to find a washroom during a journey.

Homeopathy and Incontinence

Homeopathy has lot to offer on this subject, but treatment will depend on extremely careful case taking, based on “ Location, Sensation, Modality” and Concomitant symptoms, whether the approach is acute, constitutional, or miasmatic.


I will mention here that Synthesis Repertory which is part of the RADAR software enlists 246 medicines for “ INVOLUNTARY URINATION” or incontinence. Out of this there are 17 grade one remedies; Following are thoseAIL, APIS, ARG- N, ARS, ARS-I, BELL, CAUST, DULC, LYC, NAT-MUR, NUX- M PHOS, PSOR, PULS, R-TOX, SEP, and STAPH.

It is not necessary that only grade one medicine will work better, but based on the correct case taking any selected from the list can bring about fruitful result;


Incontinence and Yoga

I personally consider yoga as an adjunct to any homeopathic treatment. It connects body, mind and soul and I always recommend this as part of the treatment. There is one “asana” called “ Mula Bandh” which the ancient text says that if practiced diligently it can alleviate and even cure urinary incontinence. Kiegel exercise is also based on the Mula Bandha yoga method. 


  1. Go to the toilet and urinate. Stop the urine in midstream. The muscles you use to stop urinating are the same muscles you will want to use in the next step while in a Yoga asana. If you are still unsure of how to contract the correct muscles, place a finger within the vagina and squeeze to feel a tightening sensation around the finger.
  2. Next go to a quiet room and sit in a comfortable asana such as sidhasana ( perfect pose)
    or sukhasana(the easy pose). The back and spine need to be straight. No slouching.
  3. Pull up the perineum by contracting the entire pelvic floor just as if you are trying to stop
    urine from flowing. At the same time, contract the muscles around the anus as if you are trying to keep from passing gas. Concentrate on the perineal area and the energy, which may be perceived as muladhara chakra, located there. Hold for 3 seconds.
  4. Release and relax all muscles contracted in step 3 for a count of 10.
  5. Repeat steps 3 and 4 nine more times for a total of 10-three second contractions with intermittent relaxations.
  6. Perform this beginning stage of mula bandha daily for three months. During that time, gradually increase the amount of time spent in step 3 to 10 seconds.

I hope that my effort to bring awareness on this vital health issue of urinary incontinence brings help to those who are facing this challenge and derive some benefit from it. If it be so my purpose is served.

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Comment by sajjadakram on December 1, 2012 at 10:32pm
Comment by Dagný Ösp Helgadóttir on June 4, 2011 at 5:31pm
This exersise is to be remembered by all, and women of childbearing age use it often but it seems to be forgotten with age. Good remindal dr. Wequar
Comment by Dr. Wequar Ali Khan on June 1, 2011 at 11:33am
Debby thank you for editing and making it more professional,and of course for liking it;
Comment by Debby Bruck on May 31, 2011 at 11:52pm
This exercise may be done anywhere at any time. Just must remember to do it.

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