Urinary incontinence in women has widely been accepted as a result of aging. We now know this is not true. As I have mentioned in several previous blogs, you don’t have to be wet. There are many cures for the multitude of causes of urinary incontinence. But what if the problem has really nothing to do with your bladder. What I’m talking about is referred to as “Functional Incontinence”. Functional incontinence is when a person has a physical condition that limits his or her ability to get to the toilet in a timely fashion, and the bladder will reflexively empty in a normal fashion. For example, someone who recently broke a hip or leg cannot walk quickly to the bathroom to empty the bladder. This can be very frustrating not only for the patient but for family members. I often have patients brought to my office by family members who complain that, let’s say their mother, smells like urine and they want me to fix her incontinence . After a detailed history and physical I find that ...
Living with multiple sclerosis for more than 9 years now, I’ve come to be able to ‘read’ my disease fairly well. I can predict when symptoms may act up, such as during the summer heat and humidity, and I usually know when I should call the doctor . Earlier this spring, however, I completely misread my symptoms.
At first, I started experiencing urinary urgency and extra fatigue. My schedule had been very busy so I wasn’t surprised that I was feeling a little rundown. Over the years, bladder dysfunction has been one of my more mild MS symptoms, so I thought that I maybe I was on the verge of a relapse. But I didn’t want to call the neuro’s office because my schedule was just too busy to think about MS. That, and perhaps I was in a bit of denial.
Then I had a day or two of extraordinary pain upon urination with some visible blood in the bowl. Last year, I had experienced similar symptoms but twice tested ...
BLADDER DYSFUNCTION is common in multiple sclerosis, in people with minimal symptoms and those with major impairments. Effective bladder management strategies make it possible for people with multiple sclerosis to pursue daily activities and participate in the world with comfort, dignity and confidence. With appropriate diagnosis and treatment, the incidence of bladder complications is greatly diminished. It is important to remember that:
* Bladder symptoms may be responsible for withdrawal from social and vocational activities.
* Frequency, urgency, and incontinence may negatively affect interpersonal interaction. * Bladder involvement may threaten the individual’s health, with complications leading to serious morbidity. * Bladder symptoms are often mismanaged, precipitating such problems as acute urinary retention, damage to the detrusor (primary bladder muscle) and urinary tract infections (UTIs).
NEUROGENIC BLADDER DYSFUNCTION
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