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Urinary Incontinence

Medications Matter

Drugs aren't foods or drinks -- but some may worsen urinary incontinence. For instance, some blood pressure drugs, such as diuretics or calcium channel blockers, relax the bladder and boost urine output. Some antidepressants make it harder for the bladder to contract. Muscle relaxants relax bladder muscles, and sleeping pills curb your awareness that the bladder is full. So if you've got a bladder problem, ask your doctor if it could be a side effect of your drugs.

Balanced Approach

Let's say you have coffee and an orange with breakfast, a soda with lunch, a chocolate bar as a mid-afternoon snack, and spicy Thai food and a nice glass of wine for dinner. That may sound yummy, but all of those items may affect your bladder. What are you supposed to do -- give them all up at once? Not necessarily. You might take one step at a time, notice if it helps, and take it from there. Your doctor can help with diet and bladder problems, so don't hesitate to ask.

Processed Foods

Artificial flavors, preservatives, and additives like MSG and benzyl alcohol may irritate the bladder. To avoid these problem ingredients, you'll need to read nutrition labels carefully. Another good way to control what's in your food: Cook at home more often. Use bladder-friendly fruits, vegetables, and whole grains.

Condiments May Be a Problem

Lots of condiments contain acids or other bladder irritants -- so use them with caution. Mustard, soy sauce, vinegar, hot sauce, ketchup, and mayonnaise can all aggravate symptoms. To give your meals zing, instead try using tamer spices, extracts, and garlic.

Prunes: Blessing or Curse?

If you're taking overactive bladder treatments, prunes can help you with the constipation that goes along with it. Even so, these sweet, dried fruits can also be a bladder irritant. One way to help handle constipation is to boost the fiber in your diet. Try adding bladder-friendly, fiber-rich produce.

Aged Cheese and Sour Cream

Some people find that creamy, rich sour cream and cheese may make overactive bladder symptoms worse. Try switching to imitation sour cream or processed non-aged cheese if your bladder can't tolerate the real thing.

Banana, Grapes, and Apples

Along with citrus, other fruits may trigger urinary incontinence. Apples, bananas, and grapes may be some of those to blame. If you're having trouble with bladder control, it pays to know which foods -- and how much -- trigger your symptoms. If you suspect a food is a trigger, try excluding it from your diet, then adding small amounts back slowly.

Onions Bite Back

You may love onions, but you may want to steer clear of them if you have problems with overactive bladder. Can't bear to be without onions in your sandwich and recipe arsenal? Try cooking the onions, which may make them easier on your bladder. Or switch to the milder, onion-like shallot instead. Sometimes just eating a smaller amount can help.

Sweeteners

Sugar and artificial sweeteners may trigger bladder symptoms. As with many of the other foods and drinks that may affect the bladder, you may need to do some experimenting to learn whether sweeteners make a difference to you. You could take a break from sweeteners and see how your bladder responds.

Spicy Foods

Four-alarm chili. Fiery salsa. Wasabi. Spicy foods like these may do more than tingle your taste buds or make your eyes water. They can also be irritating for the bladder. Dialing down the spiciness may help keep you out of the bathroom. But that doesn't necessarily mean you're headed for a bland diet. Tinker with how much heat you can take without affecting your bathroom habits -- everyone is different, so finding your spice tolerance may be a matter of trial and error.

Carbonated Drinks

Fizzy drinks may irritate sensitive bladders. So if you've got an overactive bladder, you may want to try drinking carbonated beverages sparingly or skipping them completely. Fizzy drinks include soft drinks, club soda, seltzer water, and other "sparkling" waters. And if your taste runs to Champagne or other sparkling wines, keep in mind that besides their fizz, the alcohol in those beverages could also be a trigger for people with overactive bladders.

Cranberries and Cranberry Juice

Cranberries may help some people prevent bladder and urinary tract infections. However, because they are acidic they could spell trouble for some people with an overactive bladder. If cranberries bother you, cut your use. Reducing or eliminating acidic foods and drinks may have another benefit -- it may help tame heartburn.

Also Acidic: Tomatoes

Tomatoes are another acidic food that can trigger urge incontinence symptoms. And unfortunately for tomato lovers, it's not just the produce itself that's an irritant. Tomato-based foods like spaghetti sauce, chili, tomato juice, and ketchup can also increase leakage.

Pineapple: Also an Acidic Fruit

You may find pineapple isn't your friend either if you've got overactive bladder. That's because -- you guessed it -- pineapple is acidic, just like citrus. If you're looking to add a Caribbean perk to a dish, try switching to shredded coconut instead.

Acids: Citrus Fruits and Juices

Citrus fruits and citrus juices, like oranges, grapefruits, clementines, lemons, and limes, are all acidic. Because they can irritate the bladder, try cutting back to see if it eases your urinary urge incontinence.

Chocolate Has Caffeine, Too

Chocolate is another trigger for overactive bladder. Can't give up your daily fix? You may not have to. Along with cutting back or avoiding chocolate late in the evening, try switching to white chocolate instead.

Coffee, Tea, Energy Drinks, Colas

Caffeine can also stimulate the bladder and act as a diuretic, causing you to produce more urine. Drinking fewer -- or no -- caffeinated beverages could help you control an overactive bladder, but you might not have to quit coffee, tea, energy drinks, or colas cold turkey. Try switching to decaf beverages, low-acid coffees, and non-citrus herbal teas.

Alcoholic Beverages

Beer, wine, or liquor -- in any form, alcohol is dehydrating. But it dehydrates by increasing the amount of urine -- which means more bathroom visits. Alcohol also interferes with brain signals to the bladder about when to release urine. So if you have urinary "urge incontinence," also called overactive bladder (OAB), you may want to cut down on or eliminate alcohol.

Too Little Fluid

Skimping on fluids can backfire by irritating the bladder. How much water should you drink? That depends on many factors, such as your health and level of activity. Some experts recommend drinking about six to eight glasses of water per day. You also get about 20% of your total water intake from food.

Too Much Fluid

If you're always rushing to the bathroom, you might assume that the solution is to drink less. Wrong! If you drink less, your urine becomes highly concentrated, which can irritate the bladder. In fact, cutting back on fluids too much may make you run to the bathroom more, not less. There's one exception: try to reduce your intake a bit after 6 p.m. You'll be less likely to get up in the night to go to the bathroom.

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