A recent study found that almost 80 percent of people with MS experience bladder dysfunction.
Bladder issues in MS happen when nerve signals to the bladder and urinary sphincter are blocked or delayed because of MS lesions in the brain and/or spinal cord.
Not all bladder issues are caused by nerve damage. Other causes include urinary tract infections, enlarged prostate in men, pregnancy and childbirth in women, abdominal surgery, and caffeine and alcohol consumption.
Lifestyle Changes
- Keep a diary of diet, medications and any trouble with bathroom trips
- Stay well hydrated
- Maintain a healthy weight and avoid constipation
- Stop smoking
- Limit caffeine, alcohol, fizzy drinks, spicy food and citrus fruit/juices
- When out and about, use protection and wear easily removable clothes
Treatments
- Bladder training helps to regain control over urination
- Pelvic floor exercises strengthen the muscles that support the bladder
- Different types of catheter can be used for varying periods of time
- Research shows that nerve stimulation is effective for symptoms of overactive bladder
- Medications are available to address specific bladder problems
- Surgery is a last resort for bladder dysfunction that does not respond to other treatments
