The Distressing Problem of Urinary Incontinence Will No
Longer Diminish the Quality of Life
A loss of bladder control that may
occur due to several biological factors such as primary polydipsia, central or
nephrogenic diabetes insipidus, uncontrolled diabetes mellitus, polyuria, etc.
is referred to as UI or urinary incontinence. While polyuria usually causes
increases the frequency and urgency to urinate, it does not necessarily lead to
urinary incontinence.
Colas, caffeine, and other stimulate
the bladder. In men over the age of 40, an enlarged prostate or sometimes, even
prostate cancer may be responsible for this condition. Radiation and certain
types of drugs can also cause incontinence.
Many clinical trials conducted
recently indicate that medical cannabis based cannabinoid therapy may reduce
the incidence of the distressing, embarrassing, and rather common problem of
urinary incontinence. This disorder has a profound impact on the overall
quality of life and though it is a treatable medical condition, the underlying
embarrassment discourages and prevents people from reporting this problem to
medical practitioners.
There are several other diseases such
as spina bifida, MS (Multiple Sclerosis), Parkinson's disease as well as spinal
cord injury and strokes that may interfere with the function of the nerves in
the bladder, thereby leading to an involuntary leakage of urine. These diseases
trigger nerve damage, weaken the bladder muscles, and cause inflammation.
More than 1 in 10 Americans over 65
years of age are known to suffer from incontinence and women suffer a lot more
than men with this problem. Investigators at Oxford's Centre for Enablement in
Britain reported in the February 2003 issue of the journal Clinical
Rehabilitation that compared to placebo in patients suffering from MS and
spinal cord injury, self-administered doses of whole plant cannabinoid extracts
dramatically improved bladder control. These initial findings were followed up
by investigators at London's Institute for Neurology in a pilot and open-label
study of medical cannabis or MMJ extracts for bladder dysfunction. A group of
15 patients with advanced multiple sclerosis were tested for the effect that medical
marijuana
had on their symptoms of urinary incontinence.
Investigators reported that following
this cannabinoid based therapy; patients noticed that there was a significant
decrease in the number, urgency, and volume of incontinence episodes.
Additionally, their problem of nocturia and the overall frequency of the
episodes also declined to a great extent. The study concluded that medical
cannabis based extracts are not only safe but also an effective treatment
method for patients with advanced MS who suffered from urinary incontinence and
other problems. The results of this study were confirmed in a randomized,
multi-center, placebo-controlled trial in 2006 involving 630 patients who were
given oral doses of THC or medical
marijuana
extracts.
Medical researchers reported that from
baseline to the end of treatment, the test subjects experienced as much as a
thirty eight percent reduction in incontinence episodes. A 33 percent reduction
in the severity of the same symptoms was observed in patients who were
administered THC. The clinical effect of cannabis in helping patients cope with
their symptoms of incontinence was clearly established. At the 2006 annual
meeting of the American Urological Association, preclinical data presented also
indicated that cannabis analogs can decrease bladder over-activity and bladder
inflammation in animals significantly. Following these reports and the data
collected, experts are now recommending the use of cannabinoids as potential
'second-line' agents for treating the problem of urinary incontinence in
humans.
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