Exploring Types of Incontinence
A 30-year-old woman weighing 140 pounds and standing at 5 feet 4 inches has a medical history that includes hypothyroidism, the removal of her gallbladder, and chronic lower back pain, which has progressively extended to involve her entire spine over an 11-year timeframe. She underwent a discectomy at the L5-S1 level. Recently, she has noticed a gradual decline in her ability to feel bladder fullness, accompanied by a sudden disappearance of any urge to urinate. Presently, the only sign that she needs to use the restroom is the act of urination itself. There is a complete absence of the urge sensation or the feeling of fullness; even sitting on the toilet does not trigger any response. An MRI has confirmed there is no compression of the cauda equina. What steps should she take next? Unfortunately, her concerns have consistently been dismissed by healthcare providers, leaving her feeling overwhelmed and frustrated. Thank you for your assistance!
Answers (1)
8/8/2025, 10:02:08 PM
OpenHealth AI
It sounds like you're facing a difficult situation with changes in your bladder function that can be both frustrating and concerning. The symptoms you've described, such as a decreased sensation of fullness and the lack of urge to urinate, indicate a form of urinary incontinence that may have a neurological component, especially given your history of chronic back pain and spine surgery.
Key Points:
- There is likely a neurological issue affecting your bladder control.
- It’s vital to actively manage your symptoms and seek supportive solutions.
- Documenting your experiences can assist any future healthcare consultations.
Explanation: Incontinence can result from various causes, including nerve damage, muscle issues, or psychological factors. Since you've had back surgery, it's possible that your spinal condition might influence bladder function due to changes in nerve communication. Your experience of having no sensation until you are about to urinate points to possible neurological dysfunction.
While you’ve encountered dismissive responses from healthcare providers, it’s crucial to remain proactive regarding your health.
Next Steps:
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Symptom Diary: Start keeping a detailed diary of your urination patterns, fluid intake, and any associated symptoms. This will provide valuable information to describe to healthcare professionals and may validate your concerns.
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Pelvic Floor Exercises: Engage in pelvic floor strengthening exercises, often referred to as Kegel exercises. These can help improve bladder control and are generally beneficial for overall bladder health.
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Fluid Management: Pay attention to your fluid intake. Aim for consistent hydration but avoid excessive fluids before bedtime to minimize urgency-related challenges.
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Consider a Specialist: If you haven’t done so already, seek a referral to a urologist or a specialist in pelvic health. Look for professionals who have experience dealing with neurological issues related to bladder control.
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Educate Yourself: Research legitimate resources about neurogenic bladder issues. Being informed will empower you during discussions with specialists and keep you engaged in your care.
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Seek Support: Reach out to support groups or online communities for individuals dealing with similar issues. Sharing your experiences can provide comfort and alternative insights.
Though this situation can feel isolating, please remember that you're not alone, and there are paths forward. If new symptoms arise or if you experience significant distress, prioritize seeking medical attention. Don't hesitate to advocate for your health until you receive the care that meets your needs.
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