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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Urinary Incontinence And Abdominal Bloating?

My question is this.... Back in 2003 is when all my problems started. Now 13 years later, I still have no official diagnosis of MS but I am being treated by my neurologist, Pain Management and other physicians for my symptoms and pain, excluding any MS drugs. Recently, over the past few months, I have been noticing so many problems with my bladder function, i.e. losing urine at night when asleep, getting up out of bed, frequent voiding, erratic urinary stream, feeling of fullness all the time, etc. I am using pads now to protect my under clothing as well. I went to my GYN the other day because I thought maybe I had a bladder prolapse or something, but she said everything was fine and she thinks it is related to my MS (detrusor muscle), and she is sending me to a GYN/urologist for testing. She was also going to forward her records to my PMD and my neurologist as well. My question is, with these bladder problems, could I be getting closer to my MS diagnosis now 13 years later? I have always been concerned and also persistent in finding my diagnosis, afraid that without MS drug treatment, I would worsen. I would appreciate any feedback anyone might have to help me. Thanks, Terri
Mon, 23 Mar 2020
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General Surgeon 's  Response
Hello,

The urinary incontinence issue is pertaining to loss of bladder tone control at internal sphincter and trigone area with detrusor muscles. Associated uterine prolapse or cystocele has to be ruled out with physical check up. In my clinic, after clinical diagnosis, I do recommend a uroflowmetry in this regard for final wording comments of management guidelines.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Urinary Incontinence And Abdominal Bloating?

Hello, The urinary incontinence issue is pertaining to loss of bladder tone control at internal sphincter and trigone area with detrusor muscles. Associated uterine prolapse or cystocele has to be ruled out with physical check up. In my clinic, after clinical diagnosis, I do recommend a uroflowmetry in this regard for final wording comments of management guidelines. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon