In a small new study, Parkinson’s disease patients who took caffeine pills had slight but noticeable improvements in movement problems.
The findings warrant further study, Canadian researchers said. And there are still questions – such as whether patients would develop a caffeine tolerance, eventually blunting the benefits of coffee or caffeine pills. For the new study led by lead researcher Dr. Ronald Postuma, from McGill University in Montreal, 61 people with Parkinson’s with a mean age in the mid-60s were randomly assignied to six weeks of caffeine pills or placebo. Participants in the caffeine group took 100 mg when they woke up and again after lunch for the first three weeks, then were bumped up to 200 mg twice a day for the rest of the study (A cup of brewed coffee typically has about 100 mg of caffeine).
After the study, people taking caffeine didn’t report a clear improvement in sleepiness. But that group did improve on an overall scale of Parkinson’s symptoms, including on measures of muscle rigidity and other movement problems. The average benefit was a decrease of about five points on the disease rating scale, according to findings published Wednesday in Neurology. Dr. Postuma said a typical patient who’s had Parkinson’s for a few years would have a score of 30 to 40.
About half of patients in both groups had some sort of side effects due to the caffeine or placebo pills, most commonly stomachaches.
People who drink caffeine throughout life are known to have a lower risk of getting Parkinson’s in the first place – but that doesn’t mean coffee, tea or caffeinated fizzy drinks necessarily have a direct effect on the disease and its symptoms. It could be that there are other differences between coffee drinkers and non-drinkers that put people at risk for disease, or that people with very early, undiagnosed Parkinson’s tend to stop using caffeine. But because of how caffeine acts on in the brain, and the relationship of those actions to other chemicals involved in Parkinson’s, it’s plausible caffeine could be playing a role itself, according to Dr. Postuma.
An earlier study into the effects of caffeine on incontinence showed that women with moderate incontinence shouldn’t be concerned. Although caffeine might have a shorter-term impact by making women need to urinate soon after eating or drinking something caffeinated as it increases the production of urine and may give some the urge to urinate, it wasn’t clear that a regular caffeine habit is tied to worsening incontinence over the long run.
Fashionable tight-fitting jeans can cause bladder weakness and long- term health consequences, medical experts have warned. The uber-cool skinny denims, favoured by celebs such as Russell Brand, Jude Law and Joey Essex can increase the risk of urinary tract infections and in some agonising cases, men can even suffer with twisted testicles.
A study of 2,000 British men, conducted by TENA Men, the leading male incontinence brand, has revealed that 10 per cent of men have experienced an unpleasant side-effect as a result of wearing skinny jeans.
Dr Hilary Jones, TENA Brand Ambassador and campaign spokesperson, said:
“Men who wear tight or ill-fitting trousers or underwear which is restrictive around the groin area could be damaging their health.
“Wearing tight-fitting clothing over a prolonged period of time can lead to urinary tract infections leading to over-activity of the bladder- a type of bladder weakness as well as a low sperm count and fungal infections.
“I have seen several cases of men who have twisted their testicles due to wearing jeans that are far too tight.
“My advice would be to make sure you leave plenty of room around the groin area and that your pants and trousers feel comfortable so you’re not being restricted in any way.
“Please don’t put style before health.”
Tight-fitting jeans around the groin area can put additional pressure on the bladder but can also lead to bacteria breeding and re-entering the body causing urinary tract infections; this increases the need to urinate more frequently and can cause severe pain. Of those men suffering from skinny jeans, half had experienced groin discomfort, over a quarter had bladder troubles and one in five suffered a twisted testicle. Worryingly, one in four regularly squeeze into jeans- with the biggest reasons given for enduring tightness being ‘to show I can still fit in them’ and ‘because they look good.’
In fact, three in ten has suffered discomfort from tight jeans and 40% of men admit they sometimes sacrifice comfort over style. One in seven British men regularly wear skinny jeans, but more than a third confess they don’t actually know their correct jean size, whilst when it comes to picking jeans, just 7% described softness and comfort as an important factor.
Zoe Brimfield, TENA Men Brand Manager said:
“With this survey we were keen to highlight that while men may like the look of tight-fitting jeans, it’s important that they are not compromising their health. Wearing skinny or ill-fitting jeans can lead to bladder weakness as a longer-term consequence. Male bladder weakness is more common than people think, with 1 in 9 men in the UK currently experiencing some form of the condition.”
Following on from the success of our new CASE SAVERS for TENA Pants Super Medium, we’ve now introduced similar great value savers for Disposable Bed Pads. Initially for Lille Bed 24”x16” (DBB09) and 24”x36” (DDB08). With prices from as low as 8p per pad for Lille Bed 24”x16” (DBB09) and 12p per pad for 24”x36” (DDB08), these Case Savers give up to a 30% discount from individual pack prices these offer a great opportunity to save money on everyday purchases.
Research from the University of Michigan, published last month shows caring for someone with faecal incontinence costs more than £3,000 per year when you include direct medical costs, direct nonmedical costs and other factors.
There are as many incontinence products on the market today as there are types and causes of leakage, and buying the wrong product can be an expensive mistake, choosing the right incontinence products can help minimize those costly mistakes, and this is why customer service and convenience is the core of our business.
Allanda help customers find the right product for their needs and save money by offering the following:
-Advice on choosing from more than 500 incontinence products in stock, from premium brands to lower-priced alternatives.
-Sample Packs to enable customers to try the different product types suitable for their needs before buying full packs.
-Free shipping on orders over £50.
-Automatically scheduled deliveries
-An online library of information for help and advice on incontinence types and management.
-Support information for carers.
We’re aim to provide more than just a fast, convenient and reliable service, we also aim to provide customers with the dignity and normalcy they deserve.
You know the old expression, “I laughed so hard that I…?” Many people can relate to the expression but in reality nobody talks much about stress incontinence in polite society. Howeve, if you do experience stress incontinence (or are caring for someone who does), you probably can’t help thinking about it, and can’t help hoping it doesn’t strike at an inopportune moment. It doesn’t get more inopportune than while you’re performing onstage before an audience of hundreds, as recently happened to singer Marie Osmond.
The 52-year-old let out a noticeable puddle during the farewell night of the Donny & Marie Cruise, which transports fans from Fort Lauderdale in Florida to the Bahama after an audience member’s question had both her and her brother, Donny, laughing hysterically.
Osmond was, as usual, performing with her brother, former pop star Donny Osmond of the Osmond Brothers. We don’t know what made her laugh so hard, but Marie erupted into such a fit of laughter that couldn’t control herself. .
Osmond wasn’t ashamed. Instead, she exclaimed, “I just peed my pants!” and wiped the stage where her little accident took place.
Leaking when you laugh or sneeze isn’t normal, of course. But it’s common, laughter is one of the top 10 bladder triggers. Among the causes for urinary incontinence in older women is a history of childbirth. (Osmond’s a mom of eight, although five, including her late son, Michael, were adopted.) Menopause is another risk factor.
How did the singer react to her mortifying “oops” moment? She went on with the show! At least at first, she tried to “slyly” mop the accident with her top, but as it became obvious what had happened, someone brought out a towel — and her brother doubled over with laughter before consoling her.
Although embarrassed, Marie reportedly laughed, too: “She ’embraced it,” said Donny. “It’s so important to be yourself.”
SCA, global hygiene company and the manufacturer of TENA Incontinence Pads and Pants has announced it’s sponsorship of World Continence Week. An annual initiative coordinated by the International Continence Society, World Continence Week takes place this week (June 18-24, 2012) with the goal of bringing together communities around the world to build a better understanding of incontinence through local events and online educational resources.
An estimated 33 million men and women experience incontinence in the U.S. alone, and a staggering number of them are unaware of the treatment options available to them. The TENA brand and the International Continence Society share a commitment to encourage a dialogue around the issue of incontinence in order to help eliminate stereotypes and provide resources for individuals experiencing the condition.
Less than half of women and men with urinary incontinence seek medical care. Incontinence can be caused by other medical problems, addressing it early can help prevent serious medical problems.
“Through public awareness and education, the International Continence Society and World Continence Week are helping individuals worldwide to address good bladder health and overcome the myths and stigma surrounding incontinence,” said Cheryle Gartley, founder and president of the Simon Foundation for Continence and co-author of the brand new book, Managing Life with Incontinence. “Incontinence is one of the last taboos in health care, and awareness and education are keys to defeating the stigma surrounding this symptom and helping to motivate those experiencing incontinence to seek medical help and to understand the many treatment options available today.”
For those experiencing the unexpected leak, TENA offers the following healthy habits to live fearlessly:
– Don’t ignore irregularities – Since incontinence can be a symptom of other problems in the body, it’s important to have it treated early. If something seems irregular, be sure to update your physician.
– Get educated on your options – Understanding the options available for improving your day-to-day life can help you select the course of action that is right for you — whether it be one or a combination of lifestyle changes, medications, surgery or specially designed personal care protection products.
– Drink adequately – Don’t avoid drinking enough water when experiencing incontinence. Drink 6-8 cups of fluids per day, more when it is hot or when exercising.
– Don’t ignore the need to go – Most people empty the bladder about every 3-4 hours during the day (4-8 times a day).
– Dietary changes can help – Foods and beverages containing caffeine, alcohol, and cigarettes can increase risk, while proper intake of vitamin D can help protect against incontinence.
More tips can also be found on our help and advice pages – http://www.allaboutincontinence.co.uk/help-and-advice.html
We’ve now added bulk discounts for the TENA Comfort range of shaped incontinence pads. With prices from only £0.21 per pad and savings of up to 33% over recommended prices. Bulk discounts can be found for TENA Comfort Normal, Plus, Extra and Maxi absorbencies.
There are discounts of 12-22% for orders of 6 packs across the range.
These incontinence pads are designed to be worn with TENA Fix Mesh Fixation Pants to ensure a close fit to the body. TENA Comfort Incontinence Pads are body shaped to give a close fit to ensure comfort and leakage security.
A fitting guide can also be downloaded – Tena Comfort Fitting Guide.
For those who need assistance with changing, such as those who are bedridden, you may find Belted All in One pads such as TENA Flex the better option as it is easier to change if the wearer is lying down.
We know that incontinence is not a topic most men are comfortable talking about … or even thinking about. Get a group of men together and the only plumbing problems you’ll hear about are the external, kitchen-sink variety. “It is a big problem for men, especially men who have ever undergone prostate surgery or prostate cancer operations or treatment,” said Dr. Andrew E. Bourne, an American urologist.
Bourne called it the “rule of men,” that they are strong and don’t want help, whatever the problem. “We don’t often seek medical advice for anything, whether it’s general medical problems or things that really bother us, like wetting our pants,” he said. “So we try and avoid those things, and we try and not discuss this with anybody, and there is a lot of embarrassment that goes along with it and a lot of discomfort.”
But eventually the need for help outweighs the embarrassment, Bourne said. While most of his patients are elderly men, incontinence can affect all men. It is, he said, one of the most common side effects of all prostate cancer treatments and the most common side effect of prostatectomy, with 39 to 63 per cent of prostate cancer patients experiencing some level of urinary incontinence for one year after surgery.
So the more educated you are about your urinary incontinence, the better off you are when it comes to managing it, Bourne said.
There are three different kinds of incontinence, stress, urge and overflow, with some combination also possible. Stress incontinence comes when bearing down, coughing or pressure on the abdomen causes urinary leakage. Urge incontinence involves an unwanted bladder contraction that causes leakage. Overflow incontinence comes when the bladder doesn’t empty and the urine is squeezed out bit by bit just because your bladder has reached capacity.
Bourne said there is also mixed urinary incontinence, a mixture of stress and urge incontinences. “And then sometimes we discuss things such as insensible incontinence, where a person just has no idea what type of incontinence they have due to lack of sensation,” he said.
While prostate problems are most often to blame for male incontinence, men can have overactive bladders, just like women, which can lead to urge incontinence, Bourne noted. “Something called interstitial systitis can cause symptoms of the bladder, leading to incontinence. And that does occur in men less frequently than in women,” he said. “Also, you can have neurologic problems. Men who have strokes, spinal cord injuries, different neurologic disorders, diabetes, things that affect the nervous system to the bladder and the sphincter that controls the urinary stream, whether stopping or starting or involuntarily holding your urine, that can be affected by any nervous abnormality.”
With summer arriving very suddenly this week, people’s thoughts suddenly turn to holidays and at Allanda we are very aware of the difficulties that can exist when travelling with those who have incontinence. Therefore when we saw some comments about how to make travel less stressful from the CareGiver Partnership we thought they were worth featuring.
Family travel can be highly rewarding, but it has the potential to be stressful as well, says Lynn Wilson, Co-Founder of The CareGiver Partnership.
“If you’re traveling with a loved one who needs special care due to issues such as a disability, heart condition or incontinence, the key to success is in planning,” says Wilson. “Consider the following summer travel tips, and increase the odds that your vacation truly will be a pleasure trip.”
– If a budget allows, professional assistance, such as from a specialized travel agent or skilled respite worker who travels with a family, can make planning and vacationing easier and more enjoyable.
– Medical clearance from a doctor, along with extra medication and copies of medical records, can offer peace of mind. Patients and caregivers should ask about medication side effects, such as when combined with sun or certain types of foods.
– Most airlines offer priority check-in and boarding and on-board wheelchair availability for passengers with special needs. It’s helpful to allow for longer connection times between flights and arrange wheelchair or cart transportation between terminals or gates.
– When driving with someone who’s elderly or disabled, allowing time for frequent stops for eating, stretching and using a restroom makes a trip more enjoyable.
– Hotels can accommodate needs through first-floor rooms, adjoining rooms, rooms close to elevators, or special accommodations for wheelchairs.
– Support stockings are a simple, inexpensive way to manage leg pain or numbness, which is common when a senior sits for prolonged periods. Frequent walking breaks also can help keep blood moving in legs and feet.
– Keeping a slower pace on a vacation, including designated rest periods, can help reduce stress for everyone.
– It’s easy to become constipated on vacation, sometimes due to sitting for longer periods or eating unhealthy foods. Drinking plenty of water and nutrition shakes, eating healthfully and stretching can help prevent constipation. Travellers who frequently get constipated might consider packing laxatives.
“If you are traveling and an elderly loved one is staying home, make sure a family member or other caregiver has emergency medical contact information, is stocked up on needed health care supplies, and knows his or her daily schedule,” says Wilson.
Uncomfortable tests sometimes done before surgery to treat the most common cause of urine leakage in women may be unnecessary, according to a new study involving 630 volunteers at 11 medical centres. Researchers found no difference in the success rate of urinary incontinence surgery for patients that received the testing and women who were simply screened for leakage in their doctor’s office.
Doctors “need to do a careful history and exam, and if you do that you probably don’t need an expensive, uncomfortable and invasive test,” said lead researcher Dr. Charles Nager of the University of California, San Diego.
About 260,000 women have surgery each year in the USA for stress urinary incontinence, urine leakage that can be triggered by coughing, sneezing or other physical movement. That type of incontinence affects up to half of women at some point in their lives.
A combination of tests is sometimes ordered before surgery, one measures urine flow while voiding. Another involves filling the bladder and measuring both the pressure inside the bladder and the abdominal pressure on the bladder with the help of a separate tube in the rectum.
The goal is to identify the best surgical technique for correcting the problem. Although good estimates are hard to find, “it seems like these tests are done most of the time,” said Nager. “In some countries testing is almost universally done.”
To see if the test results affected the success rate for surgery, participants first had an office evaluation where doctors looked for signs of leakage when a woman had a full bladder. Then, half the women with a confirmed diagnosis of stress incontinence were subjected to the additional tests.
Those types of patients, who demonstrate stress incontinence in the office but empty their bladder fine and haven’t had surgery before, account for most women with stress urinary incontinence, Nager said.
Based on a variety of questionnaires, the researchers found that after 12 months, surgery was successful in about 77% of women who did or didn’t get additional testing.
They also found the extra testing made no difference when it came to quality of life, patient satisfaction, voiding problems or other measures.
And although findings from the extra tests often led doctors to change their specific incontinence-related diagnosis, that didn’t affect how they managed patients surgically, according to findings published Wednesday in the New England Journal of Medicine.
“We therefore question the clinical importance of such diagnostic changes,” the researchers concluded.
Dr. J. Quentin Clemens of the University of Michigan Medical Center in Ann Arbor, a urologist who wasn’t connected to the research, said that although this type of study hadn’t been done before, the findings are consistent with what urologists would anticipate and with guidelines from the American Urological Association.
“I think it’s what people would have expected given the type of patients they were studying,” said Clemens.
He noted that the research involved women where the diagnosis was clear and the symptoms of stress incontinence were unambiguous.
“There are many patients where, after doing the basic workup, the diagnosis isn’t certain,” he said. And in those cases the follow-up testing can be “extremely important to make sure we’re doing the right thing,” said Clemens.
“Unfortunately, many physicians don’t even look for leakage,” Nager said. Some, he added, probably find it “easier and more lucrative” to just do the more advanced and expensive testing.
Automatically ordering that extra testing on all incontinence patients wouldn’t be consistent with guidelines, according to Clemens. The new research “helps to reinforce the message, so I think (the study) will have some effect,” he added.
The National Institute for Health and Clinical Excellence in the UK has also recommended against such pre-surgery tests for women who clearly already have stress incontinence.