How to manage Multiple Sclerosis (MS) and Incontinence?
Multiple Sclerosis (MS) is a chronic condition where the body’s immune system “attacks” the myelin in the central nervous system. This damage affects the nerves that send messages to your muscles, making them harder to control. Bladder issues, including incontinence, are very common in people with MS. According to the National MS Society, around 80 percent of people with MS experience bladder control problems.
Incontinence can range from occasional leaks to a sudden, strong urge to empty the bladder, often before reaching the toilet. However, bladder control issues in MS can be managed effectively, and they don't have to dominate your life. There are several successful management approaches that can help you regain control. Working closely with healthcare professionals will ensure you find the right solution for your needs.
Understanding Bladder Function and Multiple Sclerosis (MS)
What Causes Bladder Issues in MS?
Bladder dysfunction in people with MS typically falls into the following categories:
- Incontinence: Difficulty controlling the release of urine.
- Urge incontinence: A sudden and urgent need to urinate.
- Frequency: Needing to urinate more often than usual.
- Hesitancy: Difficulty starting urination or maintaining a steady stream.
These symptoms occur because MS can disrupt nerve signals between the brain and the bladder. However, there are several ways to manage these issues effectively.
Bladder Management Strategies for MS Patients
Work with Healthcare Professionals
It’s crucial to discuss your symptoms with a healthcare professional. Most healthcare providers have experience dealing with incontinence and MS, and they can help you develop a personalised plan that suits your condition.
Keep a Bladder Diary
Tracking your bladder habits can provide valuable insights for both you and your doctor. Keep a record of:
- What you drink and eat.
- Medications you take.
- How often you visit the toilet.
- Any issues with starting or stopping urination.
- Bladder-related accidents.
This information can help your healthcare provider tailor a management plan to your specific needs.
Lifestyle Changes to Improve Bladder Control in MS
Hydration and Diet
Staying hydrated is essential for bladder health. However, certain drinks, like those containing caffeine, fizzy drinks, and alcohol, can irritate the bladder. Consider reducing your intake of these beverages, and aim to maintain a healthy weight, as excess weight can put pressure on the bladder.
Pelvic Floor Exercises
Pelvic floor exercises strengthen the muscles that help control urination. These exercises can benefit people of all genders with MS by improving bladder control. You can find detailed instructions on how to do pelvic floor exercises on the NHS website.
Products and Medications for Incontinence in MS
Continence Products
There are a variety of continence products, such as pants and pads, available to help manage light to heavy incontinence. Other products like catheters or sheaths may also be recommended based on your symptoms and needs.
Medications
Your doctor may prescribe medications that help manage bladder function. These can be an essential part of your treatment plan, so it's important to follow the prescribed regime and report any side effects to your healthcare provider.
Conclusion
Incontinence can be a challenging aspect of living with Multiple Sclerosis (MS), but with the right management plan, you can regain control of your bladder. By working closely with healthcare professionals, making lifestyle adjustments, and using appropriate products or medications, you can effectively manage these symptoms and improve your quality of life. Always consult with your doctor to find the best approach that works for your body and your lifestyle.
Feel free to explore our full range of incontinence solutions here!
Bladder and bowel incontinence may be caused by conditions which can be treated medically. Please consult your physician for medical advice and guidance.
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