![]() ![]() RELATED: The Dos and Don’ts of Managing an Overactive Bladder Through Diet 2. She tells her patients to limit fluid intake after dinner to avoid nighttime urination. “There is no need to decrease your water intake overall this can lead to dehydration, which can lead to constipation,” says Kaplan. Limiting your consumption of coffee, tea, and soda may help, says Epstein. Your body needs six to eight cups of fluids daily, but you can modify what you drink and when. The following are some treatment options. “This can range from simple observation to precise measurements using sophisticated instruments to better measure how the bladder and urethra are working,” says Kaplan.īladder problems can often be managed effectively with certain lifestyle adjustments, medication, physical therapy, or devices. ![]() A urologist may perform urodynamic testing, or urodynamics, which examines the lower urinary tract function, including pressure, volume, and how the bladder is storing and releasing urine, according to Stanford Health Care. Your doctor may refer you to a urologist - a specialist in diseases of the urinary tract - for a complete checkup, diagnosis, and treatment plan. “Early intervention leads to fewer complications and improved quality of life,” she says. You should talk to your provider right away if you experience urinary symptoms so that the appropriate therapy can be prescribed, says Epstein. RELATED: UTIs and MS: How to Prevent This All-Too-Common Problem Gaining Control of MS-Related Bladder Problems “When people have bladder incontinence, they may not emotionally feel they can engage in sexual activity,” she adds.īladder dysfunction can also cause problems with sleep, says Epstein. You may be worried about having a bladder accident or feel uncomfortable because you are constipated, says Kaplan. The excess moisture caused by urine leakage can also make irritation and yeast infections more likely, per MedlinePlus.īladder dysfunction can also lead to constipation, bowel urgency, and bowel incontinence, especially when people try to self-treat by not drinking enough water, says Kaplan.īoth bladder and bowel problems can also cause sexual dysfunction. Left untreated, bladder dysfunction can lead to bladder infections or kidney damage, according to Cedars Sinai Health System. Untreated bladder issues may also lead to loss of self-confidence and independence, according the National MS Society. It can be emotionally and socially isolating.” “I’ve had patients who don’t want to leave their home because they are afraid that they will have an accident. “It is an embarrassing and uncomfortable situation and can have a major effect on quality of life,” says Dr. Kaplan, MD, a neurologist at Brigham and Women’s Hospital in Boston.Īnother big problem is that doctors don’t always talk about bladder dysfunction with their patients. Many people with MS aren’t aware that bladder dysfunction is an MS-related issue and don’t bring it up with their doctors, says Tamara B. ![]() RELATED: What You Need to Know About Multiple Sclerosis Complications Social, Emotional, and Physical Consequences of Bladder Dysfunction Retention, a condition in which the bladder never empties completely.Hesitancy, or having difficulty starting to urinate.The muscles around the urethra (the tube through which urine exits the body) may remain contracted - even when you are trying to urinate. In underactive bladder, the bladder fails to empty completely. Incontinence, or loss of bladder control.Nocturia, or waking up at night to urinate.Frequency, or taking trips to the bathroom more than eight times in 24 hours.Urgency, an intense feeling that you need to urinate immediately. ![]() In overactive bladder, the muscles controlling the bladder contract involuntarily and too frequently before the bladder actually fills with urine, according to the National MS Society. ![]()
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