Aa
Urogyno visit today
A very thorough caring doctor, she was. My urodynamic testing was good--not retaining urine, don't have a floppy bladder, no stress incontinence problems. My physical exam with her today was also normal--nothing prolapsed, equal sensation on both side of my body, OK pelvic muscle strength, but could be improved.
The whole problem is the bladder contracting inappropriately. She convinced me I should try one of the medications for overactive bladder, and spent a bunch of time addressing the bowel issues, too, which are making the urinary incontinence problems worse. She did say that I have taught my bladder to get rid of urine by pushing it out instead of just letting it contract by itself. And all the straining with the bowel has contributed.
Going to try starting over with fiber and no laxatives and see if I can do that better. She said instead of psyllium like Metamucil to try a different type of fiber like Citrucel that doesn't cause gas. She and her nurse kept asking if my husband was with me, and I finally figured out they wanted to involve him, so I dragged him in for the post-exam discussion. I kidded him on the way home that he had just received a free gastrointestinal consult, because he has been having some bowel/fiber issues himself. He read all the handouts she gave me.
She wants me to do kegels and I don't think she understood that I'm doing at least 40 at one shot every day. I'll just up it to 3 times a day, when all she's asking for is 10 three times a day and building up endurance to 5 seconds or more. (I already do 10 seconds.) She also wants me to work on bladder training with timed voiding and learning to overcome the urge when it's not the right time. Don't run to the bathroom when the bladder contractions start--all you're doing is shaking your bladder while it's contracting. Sit or stand still, do some kegels and deep relaxing breathing, and the urge will pass in 15-20 seconds.
Got the prescription for the oxybutynin chloride filled and some citrucel bought, so tomorrow begins all the new regimens.
She is convinced my troubles are due to my neurological troubles, and seemed to be dancing around a "why aren't you on DMDs" sort of question. I explained all the normal tests that I've had and no new lesions. Maybe I will ask her to send something to my neuro. I go back to her in 6 weeks.
Other than being embarrassing and uncomfortable, and altogether good visit.
The whole problem is the bladder contracting inappropriately. She convinced me I should try one of the medications for overactive bladder, and spent a bunch of time addressing the bowel issues, too, which are making the urinary incontinence problems worse. She did say that I have taught my bladder to get rid of urine by pushing it out instead of just letting it contract by itself. And all the straining with the bowel has contributed.
Going to try starting over with fiber and no laxatives and see if I can do that better. She said instead of psyllium like Metamucil to try a different type of fiber like Citrucel that doesn't cause gas. She and her nurse kept asking if my husband was with me, and I finally figured out they wanted to involve him, so I dragged him in for the post-exam discussion. I kidded him on the way home that he had just received a free gastrointestinal consult, because he has been having some bowel/fiber issues himself. He read all the handouts she gave me.
She wants me to do kegels and I don't think she understood that I'm doing at least 40 at one shot every day. I'll just up it to 3 times a day, when all she's asking for is 10 three times a day and building up endurance to 5 seconds or more. (I already do 10 seconds.) She also wants me to work on bladder training with timed voiding and learning to overcome the urge when it's not the right time. Don't run to the bathroom when the bladder contractions start--all you're doing is shaking your bladder while it's contracting. Sit or stand still, do some kegels and deep relaxing breathing, and the urge will pass in 15-20 seconds.
Got the prescription for the oxybutynin chloride filled and some citrucel bought, so tomorrow begins all the new regimens.
She is convinced my troubles are due to my neurological troubles, and seemed to be dancing around a "why aren't you on DMDs" sort of question. I explained all the normal tests that I've had and no new lesions. Maybe I will ask her to send something to my neuro. I go back to her in 6 weeks.
Other than being embarrassing and uncomfortable, and altogether good visit.
Did you see Botox has now been approved by the FDA for urinary incontinence? It just got approval this week -I am so going to talk to my urologist about this.
http://www.medicalnewstoday.com/articles/233292.php
This is indeed a bit of good news for those of us who struggle with this MS symptom.
Lulu
http://www.medicalnewstoday.com/articles/233292.php
This is indeed a bit of good news for those of us who struggle with this MS symptom.
Lulu
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