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5509293 tn?1428531475

Urge incontinence?

Hypothetically, if a person walked about an hour, after a cup of coffee, really needed to go and lost it five minutes from home, is that OK, a bit weird, normal or totally weird? I am thinking urge incontinence but reluctant to report for fear of 'oh that's so normal for your age and menopausal women etc.' No vaginal births. Right on the heels of a 10 day upper eyelid twitch.
10 Responses
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5265383 tn?1669040108
I've had a number of UTIs that turned out not to be, unfortunately.  Glad you have a referral!
Helpful - 0
5509293 tn?1428531475
Quick update. This was NOT UTI as it turns out. No bacteria.
So now I am being referred to urologist.
Helpful - 0
5509293 tn?1428531475
Thank you, everyone for your responses and helpful comments. I am getting some answers now. I did a urinalysis which showed leukocytes and got me a dx of cystitis and a prescription for antibiotics. I will get culture analysis back later in week. I am wondering now whether to wait for culture results or just start antibiotics. I have frequency and hesitancy and of course lost the entire bladderful, but no pain, cloudiness or anything else that seems to be typical of a UTI. Last time I had the incontinence thing the urinalysis was clear so I was kinda expecting it to be clear this time too. I guess that would have been too easy  : )
Thanks again : ) Chooky, continue to talking to your bladder. Who knows?! It might listen one of these days : ) Aspen, sorry about the extra meds : ( I hope they do what they are supposed to without further complicating the issues.
Helpful - 0
8107477 tn?1396557641
Hi :)

Often I just have to think about having a drink and I have the urge..and it's a go Now thing

Also often, I'll go but there is nothing, so I get off, pull pants up, and yep the urge is there again, but only have a small trickle

Makes me say..is that it!? You (bladder) got me rushing here just for that! Why even bother!!

I think it's more strange that I'm now having conversations with my bladder lol

Chooky :)
Helpful - 0
Avatar universal
Yes, I agree with JJ. The incontinence that typically comes with age, effects of childbirth, surgery, even coughing, sneezing or laughing is stress incontinence. The bladder suddenly experiences pressure or weakness it can't withstand, and it doesn't withstand it. Generally this means small leaks.

To my knowledge and from my own experience, urge incontinence is another thing altogether, and is often found with MS. For me, this is not a matter of leaks, but of losing an entire bladderful, with no possibility of shutting down the waterworks. There is no outside stress such as sneezing at play. The bladder muscles themselves simply malfunction because of faulty or absent nerve signals.

I also have issues with retention, hesitation and spasming, all caused by MS and verified by my uro-gyno through computer-controlled testing. Losing it completely is just another part of the MS funfest.
Helpful - 0
1 Comments
This is my experience as well.  I'm a bit worried about the med I'm going on because i'm not convinced some of my urgency is actually because of retention ...
987762 tn?1671273328
COMMUNITY LEADER
Yeah ha Lulu's here, hey babe :D

Um i'm not sure i understand the turn around, they weren't actually saying 'urge incontinence' isn't an MS issue, right? I'd get it if they were saying that even if you have MS it's still more commonly caused by childbirth, bladder surgeries, UTIs etc but then why do all the MS societies across the globe list urgency issues amongst the most common MS bladder issues lol i think i'm confused :D  

"The most common problem involves overactivity of the bladder’s detrusor muscle, which interferes with the storage of urine. An overactive detrusor muscle begins to contract as soon as a small amount of urine has accumulated. This can happen repeatedly and, each time, the contractions signal the need to urinate. This can result in the following symptoms of “overactive bladder”:

• Frequency and/or urgency: The sudden and intense urge to urinate, even if
voiding occurred just minutes ago. Dr. Marlene Murphy-Setzko, the director
of urologic services at the Mandell Center for MS in Hartford, Connecticut,
says that with urgency, you feel like “you have to get there quickly.” She
defines frequency as having to go more than eight times in 24 hours.
Together, urgency and frequency are the most commonly reported urinary
problems related to storage.

• Nighttime urgency (nocturia): Frequent and urgent urination that occurs
at night, leading to poor sleep, nighttime incontinence or both. Dr. Murphy
considers a person to have nocturia if they get up more than twice per night
to urinate.

• Incontinence: The inability to control when and where you urinate. This
might involve emptying the whole bladder, or just leaking a few drops.
Sometimes this occurs as an extreme form of urgency. "

http://www.nationalmssociety.org/NationalMSSociety/media/MSNationalFiles/Documents/NAEP_2015_book_FINAL.pdf

My bladder doesn't know what urination is all about anymore, if i'm lucky enough to get  a warning, i don't seem to get more than a few seconds before i'm already leaking, so my urge to go potty is a now-NOW kind of thing lol. I seriously wonder if my youngest knows women don't typically yell 'get out of the way' as they wobbly run to the loo :D poor kids probably got a very screwed up idea of what normal women are like...  

"Hypothetically, if a person walked about an hour, after a cup of coffee, really needed to go and lost it five minutes from home, is that OK, a bit weird, normal or totally weird?"

I honestly don't think once is ever outside of normal, especially if you ignored all the signals of needing to go and basically thought you could hold on until you got home but couldn't. The bladder would basically be screaming it needs to go, painful or very uncomfortable though but keep in mind the positioning of your body can be a factor, just sitting with a seat belt on can add pressure to an overly full bladder and make it harder to hold on.

Getting the urge to go and ignoring it for awhile, then getting them again and just standing up can cause a women to leak on the way, or not quite get there in time, again related to bladder straining and pressure. I personally wouldn't consider seeing a doc about a once off thing, if it happening more often, then definitely get it checked out..

Cheers.......JJ

    


Helpful - 0
572651 tn?1530999357
I just attended a session at an MS meeting that covered this point - urge incontinence is usually not related to MS but has some other physiological orgin such as child birth or previous bladder surgeries.  MS bladder has more to do with retention, hesitancy, and the leakage that occurs from errant signals.  Still talk to the doc and be sure.

Google key in lock syndrome and read more about this association of thinking you have to go and being so close but yet too far!! :-)
Helpful - 0
667078 tn?1316000935
Most MSers will have bladder issues. The bladder signals do not have to go through the brain.

The minute I think about it I have to go. Then I go through this thing where I am urinating and not feeling it at all. I just feel wet.

Alex
Helpful - 0
5265383 tn?1669040108
Sounds normal to me :P. Or desperately having to go, but then being able to wait through it, have the urge disappear, then lose it ten minutes later with no warning?  Oh wait, that's NOT normal ;).

I am about to try a medication,  I have put the meds idea off for months, but I reached tipping point yesterday.

I am a bit concerned though, because I do have the tendency to retain, and have had this as a side effect of a pain med as well.

However, it has come to the point where meds are more affordable than protective measures ...
Helpful - 0
645800 tn?1466860955
From WebMD:
The main symptom of urge incontinence is the sudden urge to urinate and the involuntary loss of urine at inappropriate times. For instance, you may leak urine in public or while you are sleeping.

So I would say that yes that is Urge Incontinence if this is happening more than just once.  They also said that having a C-section or any other pelvic surgery is a risk factor for this. I am assuming that since you mentioned no Vaginal births you have had a C- section.

The VA did a Urodynamic test for my bladder and found that as soon as any liquid entered my bladder it would start to spasm (contracting). At least in my case I had great results in helping this problem with TROSPIUM, though after about 2 years had to stop taking it due to weak stream. It has been almost a year since I stopped taking it and my bladder problem is starting to return again. So I am going to ask my GI doctor to start me back on the drug again this fall since my stream is also back to normal.

I hope this helps.
Dennis

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