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Incontinence & Pelvic Health • Serving Nassau & Suffolk County

Medical Solutions for Bladder and Bowel Control

Incontinence is often dismissed as a normal part of aging, but it is actually a treatable medical condition. Geriatric Physician Consultants identifies the reversible causes, from infections to medication side effects, to restore your loved one's dignity, protect their skin, and prevent the isolation that comes with fear of accidents.

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What Is the "DIAPPERS" Approach?

We use the clinical "DIAPPERS" mnemonic to identify reversible causes of incontinence that can be cured rather than just managed with pads. This includes screening for Delirium (confusion), Infection (UTIs), Atrophic Vaginitis (hormonal changes), Pharmaceuticals (diuretics/sedatives), Psychological issues, Excessive Output (heart failure/diabetes), Restricted Mobility, and Stool Impaction. By treating these underlying triggers, we often resolve the leakage without invasive procedures.

Happy seniors talking while taking a walk in the park in summer

Is It "Just Old Age" or a Medical Issue?

Incontinence is a leading cause of nursing home placement, but it doesn't have to be. A consultation with Dr. Desire is critical if you are observing:

Sudden Onset

If leakage starts abruptly, it is likely due to a reversible cause like a UTI or new medication, not permanent aging.

Skin Breakdown

Chronic moisture leads to "Incontinence-Associated Dermatitis" and painful pressure ulcers that can become infected.

Fall Risk

Rushing to the bathroom, especially at night ("nocturia"), is a primary cause of hip fractures in seniors.

Social Isolation

If your loved one refuses to leave the house out of fear of an accident, their mental and physical health will deteriorate rapidly.

Guidance for Managing Incontinence at Home

Identifying Triggers

We help you review the "DIAPPERS" checklist to see if simple issues, like constipation or mobility, might be causing the accidents, giving you actionable steps to take at home.

Tracking Patterns

We teach you how to keep a "Bladder Diary" to track fluids and accidents. This data is incredibly valuable when you visit the urologist.

Medication Awareness

We point out which common bladder medications are known to cause confusion in seniors, empowering you to discuss "brain-safe" alternatives with the prescriber.

Environmental Tips

We suggest practical home modifications, like bedside commodes or better lighting, to make the bathroom easier for your loved one to find and use safely.

Dr. Nathanael Desire from GPC Consultants

Treating the Bladder without Fogging the Brain

General doctors often prescribe strong medications for "overactive bladder" that are on the "Beers Criteria", a list of drugs dangerous for seniors because they cross the blood-brain barrier and cause confusion. Dr. Nathanael Desire prioritizes brain health. We use localized topical treatments and safer medication classes to stop the leaks without causing cognitive decline. We also address "fecal incontinence" by managing fiber, hydration, and "timed voiding" schedules to restore a predictable bowel routine.

Navigating Daily Life on Long Island

We focus on "continence confidence." By coordinating with pelvic floor specialists and wound care experts, we help patients regain the security they need to attend social events, visit family, and live without the constant fear of embarrassment.

Common Questions About Incontinence

1. Is incontinence inevitable as we age?

No. While changes occur, losing control is usually due to a specific medical issue like infection, medication side effects, or constipation. Treating the cause often stops the leakage.

2. Why do you check for constipation?

Severe constipation (stool impaction) can press against the bladder and urethra, causing urinary leakage. Clearing the bowel often fixes the bladder issue immediately.

3. Are bladder medications safe?

Some are not. Older "anticholinergic" drugs are linked to dementia risk. We review your loved one's medication list to identify these high-risk drugs and provide you with the names of newer, "brain-safe" alternatives (like Beta-3 agonists) to discuss with their prescribing doctor.

Medical Consultations from GPC Consultants

Restore Dignity and Independence.

You have questions. Dr. Desire has answers. Claim your complimentary session today and get the clarity you need to move forward with confidence.