Managing Urinary Symptoms in Multiple Sclerosis (MS)
Bladder issues are very common in MS patients. Studies show that ~70%-80% of MS patients may experience some degree of bladder problems over time. Symptoms include: Urinary Hesitancy (hesitancy in starting urination); Urinary Urgency (feeling pressure to urinate urgently and frequently); Urinary Incontinence (the loss of bladder control); Nocturia (needing to wake up at night in order to urinate); and Urinary Retention (inability to completely empty the bladder).
Bladder dysfunction could significantly impact MS patients' overall health, sleep quality, independence, and confidence and should be taken very seriously. Hence, it's very important to consult with your healthcare provider about any bladder issue you experience. There are several very effective solutions your healthcare provider may recommend you , including:

- Diet change: limit your caffeine, alcohol
_ Adequate fluid intake before bedtime
- Behavioral change: such as, creating routines for when you go to the restroom, using absorbent products, mechanical aids, etc.
- Kegel exercises: it strengthens the pelvic floor muscles and help with bladder incontinence. Please consult with your doctor or a physical therapist for instructions.
- Medications: Fortunately, there are several effective medications to address bladder issues in MS patients. Your doctor could prescribe an appropriate medication for your symptom.
- Surgery: If none of the above-mentioned treatments works, your doctor may recommend you an operation.
Having a healthy bladder is crucial to MS patients as it allows them to live their life to the fullest. Please always consult with your doctor and healthcare providers about your bladder issues and how to mitigate them.
- Please don't hesitate to share your experiences and concerns below and get feedbacks from like-minded people.
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Good tips for everyone with bladder issues :(