is this bladder problem related to ms

[sally456]

It started with a bladder infection about 18 years ago. I took anti-biotics and it went away.  Not long after it felt like another uti, but not exactly. It felt like i had to go all the time, even right after empting.  Urologist found i could empty bladder fully, found nothing wrong and years later i went to another urologist who tested me for interstitial cystitis where i went into the hospital and helookid inside my bladder. He said i didnt have it, although, he didnt really believe that IC was a real disease. Anyway, i had the bladder problem for about 7 years and then it miraculously subsided right after i gave birth to my first child.  Since then it has hardly bothered me.  oh, the last urologist did find a microscopic amt of blood in urine everytime he tested it.  Its been almost 18 years, and i have been to an MS specialist, tho it was 14 years ago. I was tested for ms (brain & spine MRI & spinal tap) and he said i didnt have it.  I have since had vision problems though.  Anyway, my question is in MS does this type of bladder problem exist..this would have been my first symptom, and would it last for 7 years (feeling like I always have to urinate, and also feeling like I have to urinate during sex)...and then subside directly proceeding childbirth?  It waxes and wanes now, but most of the time it feels totally normal.  I have had 2 instances of hesitancy in the morning and a few episodes of urgency.  I am so afraid of an ms diagnosis that i wont go to another neurologist....thanks for your help.

[Kevin Pho, MD]

With the neurological testing you have had, it is less likely that MS is present.  

That being said, MS can sometimes lead to neurogenic bladder - which can increase the risk of bladder infections.

The cystoscopy you had is a pretty comprehensive test of the lower GU tract - things like bladder cancer would then be a less likely cause of blood in the urine.  

Regarding the urinary symptoms, you can consider urodynamic studies.  These are specialized tests arranged by a urologist to determine lower GU function.  

You can consider these tests in conjunction with your urologist.  If MS is a concern, you can discuss whether a second neurological opinion is necessary.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_b

[sally456]

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[sally456]

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