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How can I effectively counsel patients on lifestyle modifications to prevent urinary incontinence?
Answer
When counselling patients on lifestyle modifications to prevent urinary incontinence, advise them to follow a balanced diet, including adequate fibre intake, to improve stool consistency and prevent symptoms of faecal incontinence 3.
Encourage physical activity, following standard guidelines such as the UK Chief Medical Officers' physical activity guidelines, to help prevent pelvic floor dysfunction 3.
Advise women with a body mass index over 25 kg/m2 that weight loss can help reduce symptoms of urinary incontinence and overactive bladder 3.
Discuss the importance of modifying fluid intake if it is too high or too low, as both excessive and inadequate fluid intake may lead to lower urinary tract symptoms 1,2,3.
Recommend reducing caffeine intake, especially in women with overactive bladder, as caffeine may exacerbate symptoms 1,2,3.
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