URINARY INCONTINENCE
Symptoms can range from involuntary leakage to incomplete bladder emptying.
Nerve Signal Disruption:
MS lesions interrupt the nerve pathways between the brain, spinal cord, and the bladder and pelvic floor.
Overactive Bladder:
An overactive bladder causes a strong and sudden urge to urinate, which can be difficult to control, leading to incontinence.
Under-active Bladder:
In contrast, an underactive bladder makes it hard to empty the bladder completely, potentially leading to urine retention.
Urge Incontinence: A sudden, overwhelming urge to urinate, often followed by involuntary leakage.
Stress Incontinence: Urine leaks when pressure is put on the bladder, such as during coughing or sneezing.
Environmental Conditions: It can be exacerbated by a cold environment.
Mixed Incontinence: A combination of both urge and stress incontinence.
Urinary Tract Infections (UTIs): Common in people with MS and can cause frequent, painful urination.
Kidney Damage: In the long term, unchecked bladder dysfunction can lead to kidney issues.
Consult a Healthcare Professional: Speak with your doctor to discuss your symptoms.
Diagnosis: A health professional can determine the cause of your bladder problems, including the possibility that it’s somewhat age related.
Treatment: Treatments may include medication (like Mirabegron), which relaxes the bladder muscle, pelvic floor muscle training, or other approaches depending on the type and severity of your incontinence.