The World Kidney Day is jointly launched by the International Society of Nephrology and the International Federation of Kidney Foundations since 2006. It is an annual event to increase awareness and draw attention to the urgent global need for early detection and prevention of kidney disease.

World Kidney Day 2016 is held on 10 March, with the theme “Kidney Disease & Children. Act Early to Prevent it.”

Certainty encourage you to keep an active and healthy lifestyle.

“Be Certain, Be Confident with Certainty”

EN | BM | CH
discover incontinence
Feeling overwhelmed and frustrated?
you're not alone
Incontinence management is a slow and bumpy journey. Caring for loved ones could be painstakingly demanding when you are coping with their incontinence. Do not worry as these feelings are absolutely normal.

Remember, incontinence is treatable.
you're not alone
Incontinence management is a slow and bumpy journey. Caring for loved ones could be painstakingly demanding when you are coping with their incontinence. Do not worry as these feelings are absolutely normal.

Remember, incontinence is treatable.
Types of incontinence

i. Stress incontinence

Stress incontinence occurs when the pressure inside your filled bladder is greater than the strength of your urethra to stay closed (the urethra is the tube through which urine passes out of your body). Any sudden extra pressure on your bladder, such as laughing or sneezing, can then cause urine to leak out of your urethra. Your urethra may not be able to stay closed if the muscles in your pelvic floor muscles are weak or damaged, or your urethral sphincter (the ring of muscle that keeps the urethra closed) is damaged.

ii. Urge incontinence The frequent need to pass urine can be caused by a problem with the detrusor muscles in your bladder’s wall. These muscles relax to allow the bladder to fill, then contract when you let the urine out in the toilet. Sometimes the detrusor muscles contract too often, creating an urgent need to go to the toilet. This is known as having an 'overactive bladder'.


iii. Overflow incontinence Also called chronic urinary retention, is often caused by a blockage or obstruction to your bladder, and you won’t be able to empty it completely. Meanwhile, pressure building in your bladder causes frequent leaks. Another cause may be your detrusor muscles not fully contracting.


iv. Total incontinence Total incontinence occurs when your bladder cannot store any urine at all. It can result in you either passing large amounts of urine constantly, or passing urine occasionally with frequent leaking.

Total incontinence can be caused by:

• a problem with your bladder from birth

• injury to your spinal cord can disrupt the nerve signals between your brain and your bladder

• a bladder fistula - a small tunnel-like hole that can form between the bladder and a nearby area, such as the vagina, in women


Who is most at risk? Other risk factors that can cause urinary incontinence include:

Family history – there may be a genetic link to urinary incontinence, so you may be more at risk if other people in your family have experienced the problem

Increasing age – urinary incontinence becomes more common as you reach middle age and is particularly common in people over 80

Having lower urinary tract symptoms (LUTS) – a range of symptoms that affect the bladder and urethra
Reference: http://www.canadiancontinence.ca/EN/index.php
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