stress incontinence

Peezing

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Now, that is one strange word isn’t it?! I use this word often but it may not be something that is commonly understood.

Peezing is when you sneeze and you pee, or leak urine. The reason this happens is because of the inability to properly distribute the pressure in your deep core system when you sneeze, with impaired signaling of the muscles in the pelvic floor which releases the urine without the bladder being full. Therefore, you leak urine.

Now, this may happen sometimes, this may happen all the time. Regardless, it is NEVER NORMAL. Please understand that there is help out there. You do not have to go about your life and leak urine forever every time your sneeze. It does not matter your age, it does not matter how many children you have had, what your birth experience was…it still is not normal. It can be taken care of.

When I have a patient who comes in Peezing, we first assess the ability to breathe properly. Then we assess the core and get a good idea of how your muscles are functioning and whether you are able to use your deep core well. Then we check how your pelvic floor not only functions strength wise, but more importantly relaxation wise. I find in the majority of my patients, the relaxation portion is the harder part.

You’ve heard me say it before, that I am not the biggest fan of kegels. Yes, they have their place, but they are not the only way. I find that with my patients Peezing, they more likely have tightness throughout their pelvic floor and inability to relax.

Some things you can do now to stop the peezing:
Pelvic floor muscle contraction as soon as you feel the sneeze come on.
Drink more water.
Work on diaphragmatic breathing.
Make sure you are focusing on some flexibility, relaxation throughout the pelvic floor.

But the biggest one….see a pelvic PT!