Which Specialist to See for Urinary Issues in Young Women? - Obstetrics and Gynecology

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When it comes to urinary issues in young women, particularly those like yourself who are experiencing bedwetting and urinary leakage during physical activities, it is essential to consult the right specialist. In your case, both a gynecologist (婦產科) and a urologist (泌尿科) could be relevant, but the most appropriate first step would typically be to see a urologist. Urologists specialize in urinary tract issues, including conditions affecting the bladder, urethra, and kidneys, and they can provide a comprehensive evaluation of your symptoms.

Your symptoms of bedwetting (nocturnal enuresis) and urinary leakage during activities like jumping or sneezing suggest a possible issue with bladder control. Nocturnal enuresis can occur for various reasons, including stress, hormonal factors, or even an overactive bladder. The daytime urinary leakage you experience, especially during physical exertion, may indicate stress urinary incontinence, which is not uncommon in young women and can be exacerbated by factors such as pelvic floor weakness or insufficient pelvic support.

Given your age and the nature of your symptoms, it is also important to consider lifestyle factors. You mentioned that you might not be drinking enough water (less than 1500 ml per day). Dehydration can lead to concentrated urine, which may irritate the bladder and contribute to urgency or discomfort. Ensuring adequate hydration is crucial for maintaining urinary health. Additionally, practicing Kegel exercises is a great step towards strengthening your pelvic floor muscles, which can help improve bladder control over time.

As for cleaning your mattress after an incident of bedwetting, here are some effective methods:
1. Immediate Action: As soon as possible, remove any bedding and mattress covers. Blot the area with a clean, dry cloth to absorb as much moisture as possible.

2. Cleaning Solution: Mix a solution of equal parts white vinegar and water. Spray this solution onto the affected area of the mattress. Vinegar helps neutralize odors and disinfects the area.

3. Baking Soda: After applying the vinegar solution, sprinkle baking soda over the damp area. Baking soda will absorb moisture and odors. Let it sit for several hours or overnight if possible.

4. Vacuum: Once the baking soda has had time to absorb, vacuum it up thoroughly.

5. Drying: Ensure the mattress is completely dry before putting any bedding back on. If possible, place the mattress in a well-ventilated area or use a fan to speed up the drying process.

6. Protective Measures: Consider using a waterproof mattress protector to prevent future incidents from soaking into the mattress.

In summary, your best course of action is to consult a urologist for a thorough evaluation of your urinary symptoms. They can help determine the underlying causes and recommend appropriate treatments or lifestyle modifications. Additionally, maintaining good hydration and practicing pelvic floor exercises can be beneficial. If you have further concerns or if your symptoms persist, do not hesitate to seek medical advice.