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Megan A. Arroll - What’s Up With Your Bladder?

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Megan A. Arroll What’s Up With Your Bladder?

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Approximately 14 million people in the UK live with some form of bladder complaint. This equates to over one in five people, so even if you dont personally experience the embarrassing and intrusive symptoms of bladder dysfunction, it is likely that you know someone who does. Bladder dysfunction does not discriminate as these problems affect all ages and genders. Despite the fact that these health issues are very common, it can be difficult to discuss them with family, friends and even a doctor. Many people suffer needlessly in silence even though there is now a wide range of investigations and treatments that can lead to effective and long-lasting symptom relief. This book guides you through the different conditions associated with bladder dysfunction, how you can help yourself, what to expect if you need to undergo investigations and the numerous evidence-based treatments that are available - both mainstream and complementary - so that you will no longer need to feel reluctant to broach the subject with your GP - meaning you can find your way back to good health.

Megan A. Arroll: author's other books


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Megan would like to dedicate this book to her best friend Tessa Lacey. Tess, I hope you know how much you mean to me your support over the years has kept me going, especially during the wedding planning! I dont really know what Id do without you, bestie, and I thank the moon and stars every day that you landed in my life. Love ya.

Christine would like to dedicate this book to all the fantastic people in Pop Chorus Suffolk, especially her two adoptive sisters Donna Wiles and Linda Perkins. Thanks to both of you for everything weve shared; 20162017 has been amazing, the best, and I look forward to all the great experiences yet to come. I love you lots!!

Finding ways to cope with bladder illness is often a slow, painful and bewildering experience. Bladder Health UK provides information and support to anyone suffering from chronic bladder illness and welcomes this comprehensive and engaging book which is suitable for both the sufferer and the medical professional.

Bladder Health UK

Contents

We would like to thank Bladder Health UK, firstly for all the wonderful work they do in this area, and secondly for permitting us to include some of their material in this book. We thank the charity also for their kind words regarding our work.

We would also like to thank Elaine Miller who fitted us into her tremendously busy schedule while she was on her sell-out Edinburgh Fringe run of shows. Your vast knowledge and unique take on all things down below was not only insightful but refreshing!

Next, we would like to thank Jo Johnstone, as always, for her expert proof-reading and feedback. We would also like to thank Sophia Woodward, who carefully read our manuscript and provided detailed feedback the book has benefited from her suggestions.

Finally, we would also like to thank all the people with bladder conditions who kindly gave their time to share their personal experiences of bladder problems and who gave permission to use their narratives in the book.

Whats Up With Your Bladder? is the third book Megan and Christine have worked on together and Christine says the last!

We came to writing books for patients following our own health issues. Weve documented these experiences in our other books (see IBS: Navigating Your Way to Recovery also published by Hammersmith Health Books) but as health (and illness unfortunately, for some) is a lifelong journey, things have changed since the IBS book was published. Megan was diagnosed in August of 2016 with Elhers Danlos syndrome (hypermobility type, also called Type 3) which accounts for the seemingly random constellations of symptoms shes experienced for a quarter of a century, including bladder symptoms.

In Whats Up With Your Bladder?, weve focused on the most common bladder issues, such as stress incontinence and overactive bladder syndrome, but weve also included a chapter on bladder cancer as many of us fear cancer when we have bodily symptoms. However, bladder cancer is relatively rare and the incidence is decreasing (most likely due to the drop in numbers of people smoking).

Overall, bladder symptoms are very frequent if youve never experienced bladder trouble its likely that you know someone who has or does, even if they dont talk about it. There is still a great deal of stigma attached to incontinence and this is why we thought it so important to talk about this hidden problem that so many people suffer from in silence. We hope by doing so, readers will be encouraged to seek help and recover their health.

Of all the thing that people find difficult to talk about, incontinence is always discussed in hushed tones. People manage their symptoms alone, often for years, instead of speaking to their GP. I think thats often because of a belief that incontinence cannot be helped, which is a myth. Most people can improve, if not resolve, their bladders impact on their day-to-day lives. That is why I am pleased to see Dr Arroll and Prof Danceys book. They make the anatomy, function and evidence-based advice so clear that I am confident that reading this book will improve your bladder health.

Elaine Miller, physiotherapist and stand-up comedian www.gussetgrippers.co.uk

You may already have a diagnosis of one of the conditions covered in this book. In that case you may want to go ahead and turn to the relevant chapter, but we would encourage you to read also as this is a general introduction.

The book then goes onto explain in brief the anatomy of the urinary system (). Weve included this information as it can be helpful for us to know how our bodies work, and what can go wrong, when coming to terms with an illness. Having some knowledge of these concepts can also make it easier to talk to doctors about symptoms and understand why theyre suggesting a particular treatment. Developing a good relationship with your GP or specialist can help in many ways it can be empowering to have knowledge of our condition, make it easier to discuss somewhat embarrassing symptoms and share the burden of ill health.

The next chapter of the book (

Then, ).

describes the kinds of medical investigations that you might undergo in order to gain a diagnosis. You may have already experienced some of these and find the information familiar. If youre on the start of your journey with bladder problems and have an investigation coming up, you may want to read this chapter first. There are signposts to other chapters which you can go back to later.

, we look at medications and surgical procedures for urinary problems. Because the symptoms of bladder conditions often overlap, we havent divided the chapters on treatment in terms of each diagnosis; rather, weve grouped different types of treatments and therapies together. We would recommend that you try the dietary, exercise and lifestyle advice first to see if symptoms reduce or resolve from these changes. All medications and surgical procedures pose side effects and risks so, if possible, its best to use these types of interventions only if the things you can do yourself dont help to get symptoms under control.

In

Finally, we end the book with a chapter on additional things you can do to support your bladder and overall health. These include practical tips on how to access toilets when out, discreet products and general advice on how to manage stress and get a good nights sleep.

We sincerely hope you find this book useful.

Respondents reported stigma associated with urinary frequency and urgency, not just UI [urinary infection]. In particular, they reported feelings of embarrassment and shame associated with having to make frequent trips to the bathroom when in the company of others.

Elstad and colleagues (2010)

In this chapter we discuss:

  • how common bladder problems are and how they affect peoples lives
  • the reasons why this type of health issue is still stigmatised in Western society
  • how the bladder and bowel work and how these organs affect, and interact with, one another (People often have problems with both the bladder and the bowel so knowing how these organs are interconnected can help understanding of this symptom.)
  • the impact of sleep disruption due to bladder problems, and
  • how lack of understanding and support from family and friends can affect life for people with both bladder and bowel issues.
How common are bladder problems (bladder dysfunction)?

Approximately 14 million people in the UK live with some form of bladder complaint. This equates to over 20% of the population, so even if you dont personally experience the embarrassing and intrusive symptoms of bladder dysfunction, it is likely that you know someone who does.

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