Aa
A
A
A
Close
Multiple Sclerosis Community
9.16k Members
378497 tn?1232147185

Urinary questions

I should know this kind of thing because I did my postdoc in urology, but that was PEDIATRIC urology and I'm...old (er).

So....these urinary things. Does this sound familiar to anyone: Feel urgency, go, hardly anything there. Sometimes, go without feeling any urgency at all and, pardon the expression, output is elephant-like. Sometimes, nothing left but still feel need to go.

I don't have a UTI.

Thanks,
E
6 Responses
198419 tn?1360245956
Very familiar, although, I'm not sure if my issues are related to the MS, or delivering children. . .
I thought you'd find this informative:
_____________________________

http://www.unitedspinal.org/publications/msqr/2007/08/17/understanding-and-managing-the-bladder-problems-that-accompany-ms/

Let’s take a closer look at the actual locations of the command and control centers both in the spinal cord and in the brain. This knowledge will provide the framework to better understand what can go wrong at these centers.

Within the spinal cord there are two key areas involved in the control of bladder function. The first is located in the lowest two thoracic segments of the cord and the upper two lumbar segments of the cord (T-11–L-2). This area is important because of the nerves that originate at these levels (called sympathetic nerves) that inhibit the bladder muscle from contracting and also tell the bladder outlet (urethral sphincter) to contract. This center sends a clear message to the bladder to store urine. In a normally functioning system, this message is continuously being sent to the bladder. To override it, other strong signals have to tell this center to quiet down (and allow voiding to occur).

Our second area of interest is located in the lowest aspect of spinal cord (sacral cord levels 2–4). Nerves originating from this level go to the bladder muscle and tell it to contract. The chemical messenger that these nerves respond to is acetylcholine. This is important to know because as we will see later, one way to treat urgency and incontinence due to over-activity in these “cholinergic” nerves is to give medications called anticholinergics that would block this “contract” message to the bladder. . . . . . .

Avatar universal
The Hopkins neuro quizzed me about this. I said I hadn't had any problems, but he sort of pressed, and then it came to me that sometimes the time between the need to go and the wild need to go right this minute or it's all over can be very short. I had just chalked it  up to aging (hardly a spring chicken), but he turned to the resident and said, "Note: micturition urgency."

Interesting that these signals are from the spine. He doesn't seem concerned with my spine.

ess
Avatar universal
hi girls,

don't forget the concious area of urinary process. That begins in the the frontal lobes . think about potty trainning, the steps on learning come from there .
Then it goes sto the brain stem, pons. So if someone with a neurologic illneess has an y damage to either those areas. Those areas rely to the spinall areas, then the bladdder. So damage anywhere downn the line would havve recoarse. Here is a little info....

http://www.jstage.jst.go.jp/article/jsmr/41/3/41_117/_article

i actually tried an InterStim therapy trial, my wondeerful uro was very brave to give me a chance with it. UNfortunately it was not sucessful, since i have damage in my sacral. nerves.

147426 tn?1317269232
The process of peeing is actually very complicated and involves the brain, brainstem and spine, as that very good article shows.  An interruption at any point can cause tremendous problems.  E, your symptoms are not typical of the older woman (>40, lol) who has had kids)

A high spinal cord lesion  (above T6) can cause a person to demonstrate symptoms of urinary frequency, urgency, and urge incontinence but will be unable to empty his or her bladder completely. This occurs because the urinary bladder and the sphincter are both overactive, a condition termed detrusor sphincter dyssynergia with detrusor hyperreflexia (DSD-DH).

E - this is a good article

http://www.medhelp.org/posts/show/428586

MS is caused by focal demyelinating lesions of the central nervous system. It most commonly involves the posterior and lateral columns of the cervical spinal cord. Usually, poor correlation exists between the clinical symptoms and urodynamic findings. Thus, using urodynamic studies to evaluate patients with MS is critical.

The most common urodynamic finding is detrusor hyperreflexia (bladder contracts too often and too forcefully), occurring in as many as 50-90% of patients with MS. As many as 50% of patients will demonstrate DSD-DH (Bladder contracts, but sphincter spasms shut not allowing the urine to pass). Detrusor areflexia (bladder muscles are weak, casuing retention and inability to empty fully) occurs in 20-30% of cases. The optimum therapy for a patient with MS and incontinence must be individualized and based on the urodynamic findings.

50% to 90% is a large chunk of us!

Quix

378497 tn?1232147185
Thanks for the feedback and info. You'd think I'd know things like "innervation from T and L spine," but I don't, really. That's what comes of focusing too much on the trees and forgetting about the forest.

Gracias--
E
338416 tn?1420049302
As for relief from these symptoms...  My neurologist has told me that without a serious incontinence problem, he's not going to prescribe anything for me.  And I don't - I have some serious urgency, but if I get there in time, no problem.  It's just the coughing, sneezing, and laughing I have to watch out for.  (Was it Loudon Wainwright?  "Don't fart, don't laugh, and don't sneeze!")

What I do for the bloating and bladder cramps is take Midol.  It seems to help a little.  And I don't wait any longer.  When I have to go, I get into the little room and go.  After a couple of mini-accidents, I decided it wasn't worth it.
Have an Answer?
Top Neurology Answerers
987762 tn?1331031553
Australia
5265383 tn?1483811956
ON
1756321 tn?1547098925
Queensland, Australia
1780921 tn?1499305393
Queen Creek, AZ
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Find out how beta-blocker eye drops show promising results for acute migraine relief.
In this special Missouri Medicine report, doctors examine advances in diagnosis and treatment of this devastating and costly neurodegenerative disease.
Here are 12 simple – and fun! – ways to boost your brainpower.
Discover some of the causes of dizziness and how to treat it.
Discover the common causes of headaches and how to treat headache pain.
Two of the largest studies on Alzheimer’s have yielded new clues about the disease