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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Bowel And Bladder Incontinence Be Treated?

I am 70 yrs old I have had diabetes and nerve issues. My back has me going to a pain DR. I also recently had a kidney stone. My counts are all under control. I am on 16 different perscriptions. I am know having a hard time controlling my bladder and my bowels. No matter what they give me it dose not resolve my pain issues especially with the focus on opiods. What can I do?
Tue, 28 Aug 2018
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General & Family Physician,  's  Response
Hi,

Changing your diet. Gradually increasing your fiber intake can help manage the diarrhea and constipation that can lead to fecal incontinence. Drinking plenty of fluids can also ease constipation, and restricting fluids at times can help manage overactive bladder or urinary incontinence.

Exercises. Kegel exercises can strengthen the sphincter muscles and pelvic floor. This can provide better control and ease bladder and bowel dysfunction. Ask your doctor whether they might help in your case and, if so, how to do them. Medications.

Some medications, including fiber supplements, can help control bowel dysfunction, and anti-diarrheal medications can help manage diarrhea. Prescription medications are also available to help bladder muscles relax to promote better bladder control.

Training. Programs that "train" the bowels and bladder can give you better control and manage dysfunction. This includes setting a regular schedule for using the toilet and attempting to urinate or have bowel movements at the same time each day.

Hope I have answered your query. Let me know if I can assist you further.
Regards,     
Dr. Rakesh Rai

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How Can Bowel And Bladder Incontinence Be Treated?

Hi, Changing your diet. Gradually increasing your fiber intake can help manage the diarrhea and constipation that can lead to fecal incontinence. Drinking plenty of fluids can also ease constipation, and restricting fluids at times can help manage overactive bladder or urinary incontinence. Exercises. Kegel exercises can strengthen the sphincter muscles and pelvic floor. This can provide better control and ease bladder and bowel dysfunction. Ask your doctor whether they might help in your case and, if so, how to do them. Medications. Some medications, including fiber supplements, can help control bowel dysfunction, and anti-diarrheal medications can help manage diarrhea. Prescription medications are also available to help bladder muscles relax to promote better bladder control. Training. Programs that train the bowels and bladder can give you better control and manage dysfunction. This includes setting a regular schedule for using the toilet and attempting to urinate or have bowel movements at the same time each day. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rakesh Rai