Submissions from Readers

Urine Problem After Stroke

by sayed
(India)

Question: My father attacked with stroke and currently not in control of urine.He says he doesn't know the urine is coming until it comes.


Answer: Urinary incontinence is very common after stroke especially in the beginning stages. Many patients will regain control over their bladder as they heal from their stroke. Others may continue to have incontinence. Tips to follow include:

•Establish a toileting schedule (i.e. - set a timer for every 2 hours to go to the bathroom which helps train the bowel and bladder)

•Practice Kegel exercises which strengthen the pelvic floor.

•Ask your physician about medications for overactive bladder if the condition persists

•Examine medications with your M.D. to make sure they are not causing urinary or bowel problems

•Tell your father to notify staff or family immediately of the need to urinate or move his bowels as soon as it comes on - waiting can lead to accidents.

•Limit fluids in the evening before bed

•Limit caffeine

•Use disposable undergarments until he can regain control





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Bladder and Incontinence Problems

Bladder Sensation

Question:Is it common for stroke survivor to repeatedly say they have to go to the bathroom even after having just urinated?

Answer: Some stroke victims have trouble with getting the bladder to empty completely after a stroke, so they feel that they have to urinate more often. This is often due to decreased control of the detrussor muscle, the primary muscle that controls the bladder. The muscle can become overactive trying to empty the bladder even when it is not full. Urinary tract infections are common after stroke as well and can cause frequent urination. If needed, there are medications to help with both of these conditions so consult a physician if the urge to urinate persists.



Incontinence Problems
by Jerry
(New Brighton, PA)

Question: I had a stroke in 2000. I had incontinence as a result of the stroke, but I regained continence six months later. My question is, can incontinence come back as a result of my disability from the stroke?

Answer: If you regained continence and maintained it for years after a stroke, it is unlikely that any new problems with incontinence would be related to the past stroke.


To learn more about bladder and bowel incontinence after stroke, please visit www.stroke-rehab.com/bowel-and-bladder-incontinence.html

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