Urinary incontinence or loss of bladder control can occur when the muscles of the bladder are too weak or too active. The symptoms range from mild leaking to uncontrollable wetting. Weak bladder muscles can cause stress incontinence and lead to accidents when the individual sneezes or laughs, while overactive bladder muscles can lead to frequent urge for urination. The treatment depends upon the underlying cause and may include medications, exercise and invasive surgeries. Some herbs may also help manage urinary incontinence but their effects have not been completely studied and they should be used only under the supervision of a doctor.
Cranberry
Juice and extracts obtained from the cranberry fruit may help promote kidney health and prevent the occurrence of urinary tract infections, which are one of the main risk factors for incontinence, says the June 2008 edition of HEALTHBEAT published by the Harvard Medical School. Although the exact mechanism of action of cranberry extract has not yet been established, the article states that active ingredients of cranberry such as salicylic acid and polyphenols may inhibit the binding of the bacteria to the bladder wall, thereby preventing infections. Cranberry extract and juice are generally safe to use, although excessive consumption can lead to upset stomach and diarrhea. Always consult a doctor before using cranberry juice for urinary tract infection treatment.
Saw Palmetto
Saw palmetto is extracted from the ripe fruit of the American dwarf palm tree and is available in tablet, capsule, infusion and tea forms. The University of Maryland Medical Center, (UMMC, recommends 160 mg of standardized saw palmetto extract, two times a day, to treat men with enlarged prostate related urinary incontinence. The herb is well tolerated by most individuals. Side effects, according to the National Institute of Complimentary and Alternate Medicine, are usually mild and include gastric disturbances. It is important to talk to a doctor before taking this herb.
Pygeum
The bark of the pygeum or Pygeum africanum plant contains anti-inflammatory phytosterols that inhibit the formation of prostaglandins responsible for prostate enlargement, says Rita Elkins, the author of the book "Natural Treatments for Urinary Incontinence." The book recommends 50 to 100 mg of pygeum extracts, twice daily, to treat prostate enlargement and urinary incontinence associated with it. Side effects and contraindications of pygeum have not been well documented and it should not be used without consulting a physician.
St. John's Wort
UMMC suggests that 300 mg of standardized extract of St. John's wort, two or three times daily, may help relieve the symptoms of urinary incontinence. An animal study published in the July 2004 edition of the "Urology" reported similar results. MedlinePlus, however, states that St. John's wort may cause side effects such as anxiety, irritability, upset stomach and rash. It can also interfere with several medications and hence, should be used only after consulting a doctor.
References
- HEALTHBEAT: Cranberry products prevent UTIs, research finds
- University of Maryland Medical Center: Urinary Incontinence
- NCCAM: Saw Palmetto
- "Urology"; Inhibitory effect of the antidepressant St. John's wort (hypericum perforatum) on rat bladder contractility in vitro.; Capasso R et al; July 2004
- "Natural Treatments for Urinary Incontinence"; Rita Elkins; 2000
- MedlinePlus: St John's Wort
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