Constipation urinary incontinence

Reproductive disorders Endometrial disorder Leukorrhea Uterine disorder Uterovaginal prolapse Vaginal discomfort Urinary system disorders Micturition frequency Urinary incontinence Gastrointestinal disorders Abdominal pain Constipation... 

Keywords Constipation Peptic ulcers Dryness of the mouth Renal failure Urinary incontinence Osteoporosis Sarcopenia Orthostatic hypotension Vertigo... 

Adverse reactions occurring in at least 3% of pediatric patients include abnormal gait, aggressive reaction, anorexia, ataxia, confusion, constipation, difficulty with concentration/attention, difficulty with memory, dizziness, epistaxis, fatigue, gastroenteritis, hyperkinesia, increased saliva, injury, insomnia, nausea, nervousness, personality disorder (behavior problems), pneumonia, psychomotor slowing, purpura, skin disorder, somnolence, speech disorders/related speech problems, urinary incontinence, viral infection, weight decrease. 

Tremors, constipation, confusion, cough, anxiety, urinary incontinence Serious Reactions... 

Dry mouth Constipation Urinary retention Tachycardia Disturbed vision Medications for urge incontinence... 

Side effects/ adverse reactions Frequent Nausea, vomiting, diarrhea, anorexia Occasional Abdominal pain, insomnia, depression, headache, dizziness, fatigue, rhinitis Rare Tremors, constipation, confusion, cough, anxiety, urinary incontinence Adverse/toxic Overdose can cause cholinergic crises (increased salivation, lacrimation, urination, defecation, bradycardia, hypotension, increased muscle weakness). Treatment aimed at general supportive measures, use of anticholinergics (e.g., atropine)... 

A 68-yr-old man drank pokeweed tea as a treatment for constipation. He experienced a loose bowel movement, diaphoresis, confusion, tremor, muscle weakness, salivation, vomiting, urinary incontinence and syncope (Jaeckle and Freemon, 1981). He became unconscious for 10 or 15 min. Breathing was deep and rapid at 22 breaths per minute. After arrival at the hospital his blood pressure increased from 74/54 mm Hg to 120/80 mm Hg over the course of an hour. 

Worldwide constipation is a common problem in children. Estimated prevalence rates have varied from 4 to 37% (Yong et al. 1998 Van der wal et al. 2005 De Araujo Sant Anna and Calcado 1999 Zaslavsky et al. 1988, Maffei et al. 1997). Constipation may vary from mild and short-lived to severe and chronic and is sometimes associated with fecal and urinary incontinence, urinary tract infections and abdominal pain. The prevalence of fecal incontinence ranges in children from about 0.3% to 8% (Van der Wal et al. 2005 Bellman 1966 Howe and Walker 1992). In a study by Loening Baucke (2006), a prevalence rate of 22.6% for constipation, 4.4% for fecal incontinence and 10.5% for urinary incontinence in a US primary care clinic was found. In this study on 482 children the fecal incontinence was coupled with constipation in 95% of their children. From the 10.5% prevalence rate for urinary incontinence, 3.3% were found for daytime only, 1.8% for daytime with nighttime and 5.4% for nighttime urinary incontinence. And it was concluded that fecal and urinary incontinence was significantly more commonly observed in constipated than non-constipated children. 

Fecal and urinary incontinence are significantly more commonly observed in constipated than non-constipated children. Constipation and/or encopresis is commonly associated with nonneurogenic bladder-sphincter dysfunction. Comprehensive treatment is mandatory for successful management of affected children. Idiopathic urethritis might be a manifestation of underlying dysfunctional elimination syndromes. 

Most cases of daytime and nighttime wetting are functional forms of urinary incontinence resulting from nonneurogenic bladder sphincter dysfunction, clinically manifested by frequency, urgency and urge incontinence. UTls, covered bac-teriuria, VUR, constipation, encopresis and structural abnormalities of the urinary tract are often associated. 

Loening-Baucke VA (2006) Prevalence rates for constipation and faecal and urinary incontinence. Arch Dis Child Jul... 

Urinary tract Urinary system adverse reactions, especially enuresis, have been associated with clozapine [SED-15, 832] with an estimated incidence greater than 6%. The mechanisms include overflow incontinence after urinary retention due to the anti-muscarinic action of clozapine or a cholinomimetic activity, and reduced internal urethral sphincter tone caused by aj adrenoceptor blockade enuresis has also been attributed to a non-specific action of clozapine such as excessive sedation, lowering of the seizure threshold, and constipation exacerbating urinary retention and over-fiow. Secondary enuresis in a 21-year man with schizophrenia settled with resolution of his psychotic symptoms but later remerged after starting clozapine [SS ]. 

Less common adverse events fatigue, headache, elevated liver enzymes, elevated blood glucose, urinary retention, incontinence, euphoria, depression, paresthesias, xerostomia, taste alteration, anorexia, abdominal pain, diarrhea, constipation, respiratory depression, cardiovascular depression, chest pain, syncope, paradoxical increase in spasticity, impotence/inabiUty to ejaculate (intrathecal), asceptic meningitis (intrathecal). 

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