Maybe it’s just a small dribble after a sneeze, or that sudden urge to go that sends you rushing to the bathroom — only to come up short.
Urinary incontinence is a common condition affecting over 25 million Americans, but a staggering 44% say they aren’t comfortable discussing it with their doctor.
That’s according to a recent Carewell survey of more than 1,000 Americans living with urinary incontinence, which found many are going to extreme lengths to hide the uncomfortable — and often embarrassing — health issue.
Toilet troubles
Incontinence, or the accidental loss of urine, can strike for a variety of reasons. Short-term culprits include urinary tract infections, constipation, pregnancy and some medications, according to the Mayo Clinic.
Persistent cases could be linked to underlying physical issues or age-related changes, such as weakened pelvic floor muscles, an enlarged prostate, nerve damage or even neurological conditions like Parkinson’s or multiple sclerosis.
While incontinence tends to be more common in older adults, it can affect people of any age. In fact, Carewell’s survey found that 1 in 4 respondents were in their 40s when they first reached for incontinence products like pads and pull-up pants.
“People use the word “diapers” with such shame and disgust as if they’ve reached this point of no return,” Jessica C.Guthrie, a caregiver, advocate and educator, told The Post. “But in reality, whether it’s a postpartum mother, post-surgery, or even a person living with a form of dementia, incontinence is normal and common.”
The silent struggle
Despite being a widespread issue, Carewell found that 53% of people felt embarrassed and 34% downright ashamed when they first realized they needed help with their urinary incontinence.
More concerning, only 56% felt comfortable talking to their doctor about it — while more people would rather discuss their leaks with an AI chatbot than a licensed pharmacist.
Even worse, 1 in 7 Americans using incontinence products said they don’t feel comfortable discussing the issue with anyone.
The shame and stigma surrounding urinary incontinence have forced many sufferers to go without the tools they need.
In the Carewell survey, nearly 1 in 2 respondents said they have delayed or avoided purchasing incontinence products due to embarrassment, with 54% of men and 44% of women admitting to this struggle.
“Incontinence has been ‘otherized,’ when in reality we all will be faced with it ourselves or with people we care for,” Guthrie said.
“The use of [incontinence] products and supports allows people to remain even more independent, have a sense of normalcy, and be able to engage and enjoy life with others,” she added.
Shopping in secret
When it comes to buying incontinence products, many prefer the privacy of online shopping, with nearly half of survey respondents opting for home delivery.
For those who brave in-person shopping, 42% turn to self-checkout to avoid potentially awkward encounters with cashiers, while 25% try to “hide” the products by piling other items into their carts.
Carewell also found that 17% of people shop late at night or in quieter stores to keep things discreet.
Some take it even further: 1 in 10 Americans are so determined to avoid being recognized that they’ll travel 20 miles or more just to buy incontinence products, while another 7% ask someone else to make the purchase for them.
Life with leaks
Urinary incontinence isn’t just a bladder issue — it’s a life-changer. Studies show that those grappling with the condition are more likely to experience mental health struggles, including depression, anxiety and low self-esteem.
The challenges that come with incontinence often lead to social isolation, with many concerned about potential accidents.
According to the Carewell survey, 43% of people worry about leaks in public, 33% plan their outings around restrooms and 31% carry extra around clothes or supplies.
Notably, 24% admitted to avoiding travel or social events altogether.
It doesn’t stop there. People also report changing their behaviors in ways that could hurt their health.
Thirty-five percent of those surveyed said they’ve altered their diet or fluid intake to manage incontinence, while 13% reported cutting back or stopping exercise altogether.