Dietary Considerations
Weight Control. In women, pelvic floor muscle tone weakens with significant weight gain, so women are urged to eat healthy foods in moderation and to exercise regularly.
Fluid Intake. A common misconception among people with incontinence is that drinking less water will prevent accidents. In reality, limiting fluid intake has the following effects:
- The lining of the urethra and bladder becomes irritated, which may actually increase leakage.
- Concentrated urine also has a stronger pungency, so drinking plenty of fluids can help reduce odor.
Some experts recommend drinking two to three quarts a day.
Drinking plenty of cranberry juice may be particularly helpful. It is known to help prevent urinary tract infections. (Low calorie juices are available.)
People with incontinence, however, should stop drinking beverages 2 to 4 hours before going to bed, particularly those who experience leakage or accidents during the night.
Fiber-Rich Foods. Constipation can worsen urinary incontinence, so diets should be high in fiber, fruits, and vegetables.
Fluid and Food Restrictions. A number of foods and beverages may increase incontinence. Some experts suggest that people who eat or drink the following items should try eliminating one a day over a 10-day period and check to see if removing them improves continence:
- Caffeinated beverages (In one major 2003 study, tea drinking--but not coffee drinking--was associated with incontinence. In general, however, it might be useful to try avoiding coffee as well, including decaf coffee.)
- Carbonated beverages such as soda
- Alcoholic beverages
- Citrus fruits and juices
- Tomatoes and tomato-based foods
- Spicy foods
- Chocolate
- Sugars and honey
- Artificial sweeteners
- Milk and milk products
Considerations for Exercising
Some otherwise healthy adults stop exercising because of leakage. There are a number of methods for preventing or stopping leakage during exercise. The following are some tips:
- Limit fluid intake before exercising (but be sure not to become dehydrated)
- Urinate frequently, including right before exercise
- Women can try wearing pads or urethral inserts
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