Living with multiple sclerosis presents a lot of challenges, and one of those that people may ignore is the issues with the bladder.
Problems with the bladder that stem from MS are urgency, frequency and inability to fully empty your bladder, thus creating disruptions in daily activities as well as affecting your sense of self-worth.
However, all these challenges are solvable. If you are experiencing bladder problems due to multiple sclerosis, then the first thing you need to understand are the causes and take specific approaches to regain control of your life.
Below are some ways or options to help you empower yourself, ranging from medications to changes in your diet, as well as mechanisms that will help you regain your bladder control.
It doesn’t matter whether you’re newly diagnosed or seeking more effective ways to manage long-term issues; here, you will find tips and advice from experts to improve your bladder health.
Understanding MS-Related Bladder Issues
MS impacts the central nervous system, making it difficult for the brain to relay information to other areas of the body.
Concerning bladder and bowel control, any disruption of the spinal cord and nerves that control urinary function may result in several complications. The two main types of bladder dysfunction in MS are:
1. Overactive Bladder (OAB)
Involuntary contractions of the bladder muscle cause overactive bladder, which frequently results in:
- Passing urine more often than normal (more than eight times daily).
- Unusual and frequent urges to urinate.
- Urge incontinence (when urine leakage occurs before getting to the bathroom.)
2. Urinary Retention
This occurs when the bladder does not empty, resulting in:
- Starting to urinate is painful or challenging.
- Weak urine stream.
- Inability to empty the bladder as desired.
- Potential of developing a urinary tract infection (UTI).
A few individuals may be suffering from a combination of these conditions, referred to as mixed bladder dysfunction. It is important to comprehend the nature of the problem when it comes to bladders so as to help manage them effectively.
How Bladder Issues Impact Daily Life
Bladder issues can have a profound impact on many facets of life, including:
1. Physical Health
- Increased Risk of Infections: Any urine left in the bladder results in bacterial growth and recurrence of UTIs.
- Kidney Damage: Persistently overfilled bladder can put a lot of pressure on the kidneys.
2. Emotional Well-Being
- Anxiety and Embarrassment: Social disengagement might result from a fear of mishaps.
- Stress: Constant concern about access to restrooms may increase stress, which worsens the condition of MS.
3. Lifestyle Restrictions
- Limited Travel: Organizing trips around the availability of restrooms may be very stressful.
- Interrupted Sleep: Sleep disturbances brought on by nocturia might make you feel drained or exhausted.
Taking Back Control: Practical Strategies
While bladder incontinence associated with multiple sclerosis might be complex, there are several viable treatments to help restore confidence and control. Here are several proven methods:
1. Stay Hydrated
Reducing fluid consumption to prevent frequent urination may seem appealing, but dehydration may irritate the bladder and raise the risk of UTIs. Instead, try to incorporate these tips.
- Distribute your fluid intake equally throughout the day by drinking smaller quantities.
- Steer clear of bladder irritants by consuming less alcohol, caffeine, and acidic liquids.
- Try to drink 6–8 cups of water daily, modifying it according to the weather and activity level.
2. Schedule Bathroom Breaks
Training the bladder can assist in controlling urine habits and lessen urgency. To begin first, you need to:
- Establish a Timetable: Even if you don’t feel the need, go to the bathroom every two to three hours.
- Gradually Increase Intervals: As bladder control improves, increase the time between restroom trips.
3. Perform Pelvic Floor Exercises
Losing bladder control and minimizing leaks can be managed by strengthening the pelvic floor muscles. To strengthen your pelvic muscles, you can practice exercises like:
- Kegel Exercises: To perform these exercises, try stopping urine midflow to identify your pelvic floor muscles. Once identified, contract and release these muscles. Aim to hold around 5 seconds and repeat this exercise.
- Work With a Physical Therapist: You can also work with a physical therapist who can teach you exercises tailored to your needs.
4. Wear Protective Products
Try to utilize incontinence products or adult diapers for urinary incontinence since they are not only discrete but cozy and efficient. Some of the most commonly used incontinence products include:
- Liner and Pad: For light leaks.
- Absorbent Underwear: For mild to severe incontinence.
- Incontinence Pads for Bed: For use at night.
With the help of these products, you can live your life worry-free and with peace of mind.
5. Practice Good Hygiene
Maintain proper hygiene and use these tips to prevent infections:
- Clean Thoroughly: After urinating, wash your hands well to get rid of bacteria and avoid accumulation.
- Avoid Harsh Soaps: Use mild, fragrance-free cleansers instead of harsh soaps to preserve the health of your skin and prevent inflammation.
- Change Frequently: regularly change your pads or liners to maintain cleanliness and avoid irritation or pain.
Medical Interventions for MS-Related Bladder Issues
In case lifestyle changes do not work, there are medical treatments that can help with the pain. Here are some options to discuss with your healthcare provider:
1. Medications
Certain medications can address specific bladder dysfunctions:
- Anticholinergics: Decrease contractions of the bladder muscle (for instance, oxybutynin, tolterodine).
- Beta-3 Agonists: Relax bladder muscles (for example, mirabegron).
- Alpha-blockers: Cause relaxation of the prostate and bladder neck and facilitate the unobstructed outflow of urine (e.g., tamsulosin).
- Antibiotics: Treat and prevent UTIs.
2. Catheterization
In patients with urinary retention, the patient may have to perform urethral catheterization. This process includes steps such as:
- Inserting a catheter to remove urine from the bladder through an external process with aseptic Technique.
- Doing it several times a day to ensure that it is not overfilled.
ISC (Intermittent self-catheterization) can be used in UTI prevention while emptying the bladder.
Take Control of Your Bladder Today!
Although dealing with bladder problems brought on by MS might feel daunting, you can recover control and enhance your quality of life with the correct techniques, care, and support.
Start by identifying your unique issues, making lifestyle changes, using eco friendly diapers, and consulting your healthcare practitioner for advice.
Remember that you are not alone on this journey; assistance and hope are always available.
