This Is MS Multiple Sclerosis Community: Knowledge & Support

Hi all,
I m having bladder dysfunction since 2003.Initially it started like i feel the sensation and try to void but it won't ,with lot of efforts (putting pressure at the pelvic region ) ,i somehow used to pass it ,but may not be completely. Now it is like i feel like urinating and it automatically passed out (some portion and as i walk it keeps coming out ,may be because of the contraction of muscles and i have to put pressure to completely void),i have no control over it.Unless i void it completely the legs disobey and walking becomes impossible.
I have visited a number of Urologist / Neurologist and had the tabs prescribed ,but in vain.Should i call it incontinence ?How should i present it before the doctors ?
Recently an urologist suggested me for having an operation Are there any such procedure to tackle such situation ?The urge for urination is neither too frequent nor otherwise.yeh.after having tea of coffee it is sure i will have an urge for urination.
I had an ultrasound recently and every thing comes normal.Kindly advise / suggest me.

Bibek--As the "different" thinker here (I think excess insulin is at the start of the MS cascade), I have my own unique idea on this bladder dysfunction. Since I KNOW that insulin thickens and stiffens smooth muscles and the sphincter and muscles around the bladder are smooth muscles, I think bladder dysfunction is the result of excess insulin. (The same explanation applies to constipation because the peristalsis -- the rhythmic contractions that move material through the intestines -- is handled by the smooth muscles surrounding the intestines.)

I believe your doctors will call the problem you describe "incontinence." For many people, the condition is improved by intermittent self-catheterization, which is less drastic than surgery and which may be adequate at this time. At least, it is something to discuss with your urologist.

Hi Bibek,

I'm sorry you're having this problem, and it sounds like it's complicated enough that you should pay attention to your urologist, although you may want to get a second opinion before resorting to surgery. I would.

I only have a couple of suggestions that might help:

1. Stop drinking coffee and tea. I have the same type of bladder issues, but I don't have many accidents because they only happen when I drink caffeine - Diet Coke for me. I don't drink coffee/tea at all, and only sip on a Coke when I'm very close to a bathroom. It's weird, but I drink several bottles of water a day and that rarely causes a problem.

2. Try doing Kegel exercises every day. They really helped me. According to Mayo: "If you do them the right way, Kegel exercises can help you prevent or control urinary incontinence."

http://www.mayoclinic.com/health/kegel- ... es/WO00119

Good luck to you!

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Dx'd with MS & HNPP (hereditary peripheral neuropathy) 7/03 but must have had MS for 30 yrs before that. I've never taken meds for MS or MS symptoms except 1 yr experiment on LDN. (I found diet, exercise, sleep, humor, music help me the most.)

Totally emphasise with your symptoms have similar problems. And totally agree with euphoniaa's points - except the Diet Coke I dont like the chemical sweetners stick with the water.

Also ensuring that my bowel is voided properly I have found helps - if you can find it training from a GI specialist nurse would be good for this.

Surgery is a v big step. But self cath and botox may be a route for you. See http://www.mssociety.org.uk/about_ms/sy ... index.html

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John
I am what I am