Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
Pain in lower abdomen, more so when bladder is full and loss of control of bladder,
bloating and firm abdomen is indicative of the following:
-There can be intestinal problem like
enteritis that cause bloated abdomen with firmness.
-There can be concurrent
urinary tract infection.
This can be diagnosed by the following ways:
Clinical evaluation by a Doctor so that a clinical diagnosis and further supportive investigations can be done to see for the diagnosis and plan for management.
I would advise:
-X-ray of abdomen in standing position to see for any
intestinal obstruction, cause of bloating.
-
Ultrasonography for genitourinary system, ovary and all.
-Tests of stool, blood and urine to see for the cause.
All these things will an appropriate diagnosis and further management protocol.
Hope I have answered your query. Let me know if I can assist you further.
Regards.