LOss of Bladder Control

[Jordan719]

About a month ago I started hacing frequency of urination, more and more frequent. One night I went to the ER in with severe pressure and pain in the pelvic area, doctor thought that I had an irritated bladder b/c I had been drinking alot of juices.  I also developed a back problem from being overweight and exercising--pushups, situps, jumping jacks in the middle of this.  I had a CT scan of abdome and bladder ultrasound that came out clear a few days after the ER. although my urine came up clear a local urologist thought I had a UTI and prescribed Utira C.  Well problem kept up, frequency and then pain in pelvic area, but no pressure as it first started as.  I also went to an out of town doctor who thought that I had kidney stones.  He put me on a diet.  About 2 weeks later my back had gotten real bad and I could hardly sit up at all.  Twice in one day I lost control of my bladder, I went to the bathroom, thought I was done, and wet my self as soon as I pulle my pants back up, then the next night I had a severe loss of bladder control and went to the ER.  My MRI was clean.  I stopped taking the UTira and then did not have any more severe losses of control.  But I have had a few accidents since then, and had a medium one just now.  I think that they happen more when my back pain(which is sometimes in the low butt) is up.  One of my mom's friends says there is some muscle that can pull on the uriter.  Is this my problem?  Help please.

[Vanessa Lacuesta]

Hi,

Prior to taking the medication, was a baseline urinalysis done?Was a urine culture done also?

Your symptoms of frequency,urgency and pain in the pelvic area may suggest an underlying urinary tract infection (cystitis) or a prostatic infection.

It is possible to have injured a mucle or a nerve during one of your exercises.This may contribute to the pain. However, a musculoskeletal cause may not explain the increase in urinary frequency and urgency.A nerve disorder may also be considered. However, there seems to be no other associated symptoms like weakness, tingling and burning sensation in other parts of the body.

A repeat urinalysis may be done to assess your response to the medications. A complete prostate examination including culture of prostate secretions may also be needed. Continue to observe your symptoms. Maintain a healthy diet.Avoid alcohol,coffee and spicy food.

[Jordan719]

It seems like the incontinence and urgency come and go.  I have not had any more losses(mid-major losses) of control since those other two.  I think there have been a total of 3 urine analysis done and all came up clear.  There was one done the first night I was in pain when I was in ER, and all he said was there was a few crystals, and one or two white blood cells I think.  He said he wasn't worried and he thought the bladder was inflamed from excessive intake of juice, and he said I needed to drink more free-base water.  But I never got very far here because my primary care doctor immediately put me on something else and started sending me places.  I also had my Prostate checked twice with no culture of secretions.  I also had MRI of brain that came up clear.  The other day when I was drinking alot of water and emptying my bladder, it was like I could feel it emptying and it felt sore.  That has not repeated much.  Also it seems like I have more frequent urges, or I have sudden immediate urges that feel like I am about to loses control, when I am laying on my side alot.  I am trying to heat healthy and keep track of stuff.  I don't drink, or drink coffee.

[Jordan719]

Could there be a bowel problem that could cause this stuff?

[Jordan719]

and a couple of times when I was emptying and tried to force the rest out you know, the little finishing squeeze you give to clear everything out, kind of made it feel sore/slightly painful.

[Jordan719]

and also when the problem had first started I felt a kind of pressure/pain building up as I would reach climax/ejaculate, very similar to the spot and type of bladder/pelvic pain I had been having.  Then when it was over, so was that feeling.

[Vanessa Lacuesta]

Hi,

Symptoms of urgency, pain and urinary retention seems to point to an obstructive cause. The primary differential will be a prostate problem. You have mentioned that the prostate has been checked twice.Did they find anything in the prostate?

Was a transrectal ultrasound done to evaluate the prostate?PSA levels may also be monitored.

Do you have any change in bowel movement? At this point a stool examination may also be done.

If the abdominal CTscan or MRI ( you had either done right?) comes back normal, you may need to have a cystoscopy done to visualize the bladder.

[Jordan719]

Umm there had been a change in stools, but I had thought that was because I had been drinking much less water, and caused constipation.  I had CT and MRI, both came back clear.  To transrectal ultrasound done.  I don't know when I will be able to see a urologist here, there are only 3 in town and they are booked months in advance.

The pain, urgency, and retention were symptoms that have passed.  I have not had pain in a while, only occasional times when it feels like I have to get to the bathroom immediately, the frequency is not what is used to be, and I now only have occasional small losses of bladder control, and it is always after I am done using the restroom and leave.  Thanks for all the help so far.  This has been going on for a while and is still kind of unsolved.