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Water, Water, Everywhere!

By Riva Preil

Water is drowning the competition! Since the 1980s, water has provided seriously stiff competition with soda company sales. Michael C. Bellas, chief executive of the Beverage Marketing Corporation, predicts that by the end of this decade, bottled water sales will exceed carbonated beverage sales. From 1993 to 2005, sales of lightweight plastic water bottles grew at a rate of 20% each quarter. Even the First Lady, Michelle Obama, has joined the water bandwagon, and encouraged Americans to drink more water last month along with Coke, (Dasani), PepsiCo (Aquafina), and Nestle Waters. The fact that water has become much more affordable in recent years adds to its appeal, and some stores sell water for as cheap as eight cents a (half liter) bottle! For more details about the increasing popularity of water, please refer to the New York Times article, Bottled Water Sales Rising as Soda Ebbs, by Stephanie Strom.

From your pelvic floor’s perspective, water is a bladder’s best friend. As opposed to coffee, caffeinated teas, and carbonated beverages (all of which are IRRITANTS), water is a NON-IRRITANT. Think of the bladder, also known as the detrusor muscle, as a balloon with elastic-like properties. It is meant to expand fully and completely upon filling. Once adequately filled, the stretch receptors in the bladder wall send the message to your brain which indicates that it is time to go to the bathroom and empty the bladder. However, the bladder is sensitive to the type of fluid that enters. Certain drinks, such as alcohol, caffeine, carbonated drinks, citrus juices and artificial sweeteners are considered bladder irritants. This means that even a small amount of irritant can make the bladder “feel fuller†than larger amounts of non-irritant (aka water)! This fake feeling of fullness causes premature urge sensation, and very often patients will reports that they void frequently, even multiple times per hour, and they also report the feeling of incomplete emptying of the bladder (“I have to go again 10 minutes laterâ€). Counter intuitively, the solution is to drink MORE water, ideally eight cups per day! By hydrating the bladder with ample non-irritating water, irritants present in the bladder become diluted, and it allows for improved filling-emptying dynamics. Also…eliminating the aforementioned irritants (my apologies to all you coffee lovers) helps as well.

—FAQ

Frequently Asked Questions

Pelvic Floor Disorders and Treatment

What is pelvic floor dysfunction and why does it happen?

Pelvic floor dysfunction is extremely common and occurs when the muscles, tissues, or nerves of the pelvic floor are weakened, tightened, or injured by trauma, chronic strain, or overuse. Pelvic floor disorders can result from traumatic injury such as a fall, from sporting activity, surgery, or childbirth. They can also happen from more chronic issues, such as infection or chronic inflammation such as endometriosis. Pelvic floor disorders can be a consequence of poor alignment or posture, overuse, or improper movement. The pelvic floor muscles surround the urethra, rectum, vagina and prostate; therefore, if there is a dysfunction in these muscles it can result in urinary, bowel, or sexual dysfunction in people of all ages.

Who should I see to get a proper diagnosis?

Many healthcare providers don’t assess – or don’t know how to assess – the pelvic floor muscles and nerves, so it’s important to get a proper diagnosis from a practitioner who specializes in pelvic floor dysfunction and pelvic pain. Too often patients tell us that they’ve been to 10 different doctors and healthcare providers and their symptoms have not improved, or have worsened. Find a specialist right away and get on the path to healing as quickly as possible.

Why do healthcare providers miss (or misdiagnose) pelvic floor dysfunction?

Long story short, the medical practice is divided into areas of the body: Urology. Orthopedics. Gynecology. But the body itself doesn’t have walls; every system interacts with everything else. Sometimes providers are so laser-focused on what they treat that they miss the whole picture. 

As more and more research emphasizes the importance of physical therapy as part of a complete treatment regimen, more and more physicians are learning how to recognize and treat pelvic floor disorder. In the meantime, if you’re not getting relief from your current treatment, make an appointment with a pelvic floor specialist to learn more.

How does pelvic floor dysfunction affect sex?

Pelvic floor muscles have a huge impact on sex. Muscles that are shortened or tight and are unable to elongate will not allow for good blood flow into the genitals. This can result in pain, weaker erections, diminished sensation, inability to orgasm, and even decreased lubrication. Pelvic floor PT can help with these issues by enhancing blood flow and improving muscle function. 

How can pelvic floor dysfunction cause bloating?

Pelvic floor dysfunction, a condition characterized by the inability to correctly relax and coordinate pelvic floor muscles, can significantly contribute to bloating due to its impact on gastrointestinal functions. When these muscles are not functioning properly, it can impact the ease of emptying and make it difficult for your body to pass stool and gas through the intestines. This obstruction leads to an accumulation of waste and gas in the gastrointestinal tract, causing bloating and abdominal discomfort.

Is it true there’s internal massage?

There can be. We do perform internal soft tissue mobilization of the pelvic muscles that are inside your pelvis and are accessible only through the vagina or rectum. We never do internal treatment without your consent and understanding.

What makes someone a pelvic floor PT vs a regular PT?

All pelvic PTs get additional training in pelvic floor internal treatment through continuing education and at our clinic. 

We pride ourselves on the level of training we provide, not just at the beginning but throughout the time our therapists spend at Beyond Basics. We know that learning is a life-long process.  We also provide additional training in physiology of the GI system and urinary system as well as sexual health and function and nutritional training. Most PT programs and schools do not provide the depth and breadth of knowledge that we provide all our PTs at Beyond Basics.

Get help now from a pelvic floor therapist.

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