Let’s talk: Changes that come with age

Expert answers to your toughest questions

Growing older leads to changes that might be uncomfortable to ask about, but they’re worth discussing. Geisinger geriatrician and primary care doctor Ricky Heath, MD, addresses some concerns here to help you raise them with your own provider. Keep in mind they may answer differently, depending on your situation.

I’ve noticed some urine leaking. Is this something that just happens with age, or should I be concerned?

Changes in bladder control are common as we age, and they can have many causes. In some cases, it may be temporary, like a urinary tract infection. Medications, like diuretics, can contribute to urine leakage. Women may have stress incontinence due to hormonal changes, while men may need evaluation for prostate concerns.

Even if it’s embarrassing, mention urinary leakage to your doctor. We can help you build daily habits, like a consistent bathroom schedule and fully emptying your bladder, to improve control over time. Or we might recommend pelvic floor exercises or medications.

Why ask? Understanding the cause is the first step to finding the right treatment and relief.

I’ve had a few minor falls recently. Should I be worried?

Feeling unsteady is worth discussing. Vision changes, nerve damage, muscle loss or vitamin deficiencies can all lead to falls, as can certain medications.

At home, simple changes like improving lighting and removing tripping hazards can lower your risk. And exercise! Staying as active as you can is the best way to maintain your strength and balance. Using a cane or a walker could give you extra stability, too.

Discussing balance issues could keep you from breaking a hip. Your doctor can help you stay on your feet.

Why ask? With the right measures, you can reduce your risk for this leading cause of injury in older adults.