Incontinence in the elderly can be the result of a number of factors. In Mrs Browning’s case, straining to empty the bowels has weakened the pelvic floor muscles, resulting in stress incontinence. 

As result of urine being retained in the bladder for long periods of time, Mrs Browning has recently developed a UTI, which was successfully treated with amoxicillan.

After Mrs Browning’s constipation was alleviated through dietary changes, she was still experiencing less frequent moments of stress incontinence when coughing, sneezing or getting up from a chair. She was therefore prescribed specific exercises to strengthen her pelvic floor muscles.  Over time, this should significantly reduce Mrs Browning’s incidences of incontinence.

In the meantime, low absorbency hygiene products appropriate for stress incontinence have been recommended.