Reasons For Overlap Between Bladder Problems And Irritable Bowel Syndrome
Researchers have until now failed to identify the prime reason, because of which irritable bowel syndrome patients remain at higher risk in case of urinary or bladder problems and vice versa. However, they succeeded to identify various underlying factors, which may eventually result in far better understanding of each factor that comes into play.
Indeed, proximity of human organs associated with elimination procedure recommends about interaction among large numbers of muscles and nerves present in any system. Other valuable reasons associated with the overlap between the bladder and bowel symptoms include dysfunction of shared yet centralized nervous system and shared inflammation. By obtaining a better understanding about underlying causes, doctors will provide relatively more effective diagnose and treatments and, thereby, provide the appropriate system relieving solution. Another positive thing in this case is that researchers have succeeded in finding evidences, which aim to bring improvements in the function of any one from two systems may result in functional improvement of the other one.
Diagnosis And Testing For Ibs
Conditions such as: Coeliac Disease, Crohns Disease, Ulcerative Colitis and Endometriosis all have similar symptoms to IBS. So its important not to self-diagnose and see your doctor as soon as you can.
Your doctor may:
- Give you a physical examination
- Ask you to have a blood test
- Ask you to have a stool test
- Ask about your medical history
- Ask about your pain when it comes on and what makes it better or worse
- Ask about your bowel movements including how often you go, how easy this is and what your faeces look like
Your doctor may also refer you for a sigmoidoscopy or a colonoscopy. This involves using an endoscope . A bowel biopsy may also be taken for examination in a laboratory to help rule out more serious conditions.
However, if youre under 50 and have typical symptoms of IBS, you may not need any further tests. Where your doctor maybe concerned, is if you have any of the following other symptoms which could point to other more serious conditions.
- sudden weight loss
- symptoms developing after age 60
- Family history of bowel problems
- diarrhoea without other symptoms
Diarrhea Right After Eating
Frequent bouts of diarrhea are a common IBS symptom. This symptom is also common with inflammatory bowel disease , a group of conditions that cause inflammation of the intestines. It is also seen in celiac disease, which is an immune reaction to a protein found in wheat and other grains.
The simple act of eating can cause contractions in your intestines. This can lead to diarrhea.
A couple of other conditions could also cause this symptom. These conditions are less common. If you have a sudden, immediate diarrhea right after eating, talk to your doctor. Your doctor may want to consider:
- Bile acid malabsorption, when too much bile acid reaches your large intestine
- Dumping syndrome, when food moves too quickly from your stomach to the small intestine
These conditions are relatively rare. It is still possible that diarrhea after eating is a symptom of your IBS. Still, it may be a good idea to talk to your doctor about other possibilities.
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Can Ibs Cause Urinary Problems
Many people who suffer from IBS also experience urinary problems. These include overactive bladder syndrome and interstitial cystitis, also known as painful bladder syndrome. Men with IBS may also be prone to chronic prostatitis a swollen prostate gland that can lead to urinary problems.
A Japanese study from 2013 highlighted the overlap between the IBS and OAB specifically. It found that IBS affected around one third of participants with OAB. In comparison, it only affected 20% of those without OAB. Similarly, it found that OAB affected 14% of participants with IBS and just under 8% of people without. So, what is the link between IBS and bladder problems? Lets take a look.
Factors Which May Cause Both The Conditions And Their Respective Treatment
Uterine fibroids noncancerous growths of the uterus. The treatment for this condition includes medications, removal of uterus, or removal of the fibroids. One technique makes use of ultrasound surgery, that treat the fibroids without affecting the uterus.
Pregnancy during this crucial period, extra fluid gets processed through the kidneys because of increased blood flow in the body thus, frequent urination. And pregnancy also elevates the progesterone levels in the body. This slows down the movement of food through the intestines thus, causing constipation. Eating fiber rich foods is recommended to deal with constipation. Alcohol, tomato-based products, spicy foods, carbonated drinks, and artificial sweeteners tend to irritate the bladder and worsen frequent urination. So such foods must be avoided.
Hypercalcemia characterized by the level of calcium in the body being above than what is considered as normal. And among other signs and symptoms, increased urination and constipation could also occur. The treatment for hypercalcemia aims at bringing down the calcium to safe level. For this, medication such as diuretics to help flush excess calcium, drugs for preventing bone breakdown, and corticosteroids may be used. Dialysis may also be required to get rid of excess waste and calcium from the blood.
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Living With Bowel Incontinence
You can help manage bowel incontinence by following a bowel care plan and using the toilet before you leave home. You can also make sure you carry your medications, supplies, fecal deodorants, and a change of clothes with you.
Anal discomfort, itching, and irritation can be common. Here are some ways to help manage these symptoms:
- Wash the anal area after a bowel movement or use baby wipes.
- Use a moisture-barrier cream in the anal area.
- Use wick pads or disposable underwear.
- Change soiled underwear frequently to keep the anal area clean and dry.
Changes In Bladder Voiding Parameters
As an immediate comparison with the clinical symptoms of OAB and IC/PBS, there have been a number of well-documented studies into the effects of transient colitis on bladder voiding. During the acute phase of trinitrobenzesulfonic acid -induced colitis in rodents, when colonic inflammation is pronounced, there are consistent changes in bladder voiding parameters. This includes deceased micturition intervals, decreased voided volumes, and decreased bladder capacity, as well as increased micturition frequency . By 7 days post-TNBS administration, colonic inflammation has begun to spontaneously resolve, with a corresponding increase in the integrity of the colonic wall. By 28 days post-TNBS, there are no observable histological changes in the colon compared with healthy control mice . However, changes in bladder micturition parameters remain altered at 10 and 12 days post-TNBS and may persist long term . Accordingly, these studies indicate that transient experimental colitis can have profound acute and long-term effects on bladder function following resolution of the initial inflammatory stimuli. This provides us with the closest possible analogy to the symptoms of urgency, urge incontinence, and frequency observed in humans with OAB and IC/PBS .
Table 1. Reported changes in bladder function in response to experimental colitis
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How To Prevent Urinary Problems In Ibs
There are also some steps that people with IBS can take to prevent urinary problems or stop them from becoming worse.
One of the most effective methods for preventing urinary problems is strengthening the pelvic floor muscles. The best way to do this is to perform regular Kegel exercises. They involve tensing the muscles that stop the flow of urine and prevent you from passing gas.
It is possible to do Kegel exercises while standing, sitting, or lying down. However, it is important that the bladder is empty before starting:
- Relax in a comfortable position and take a few deep breaths.
- Tighten the pelvic floor muscles and hold for three to five seconds, then release.
- Relax for three to five seconds and repeat.
- Perform 10 repetitions, three times a day.
Bladder Breaks and Training
Some other helpful techniques include scheduling bathroom breaks and bladder retraining. Holding on for a few extra minutes each time you need to urinate can help to increase bladder strength.
How Does Urinary Tract Infection Cause Diarrhea
Sometimes a UTI causes diarrhea even though there is no infection of the colon or rectum, despite the infection in the urinary tract. The exact cause why this occurs is not clearly understood. It it is believed that inflammatory chemicals in the infected portion of the urinary tract can also act on the colon.
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What The Caregiver Can Do
- Encourage or help the patient with appropriate skin care after using the bathroom. Use warm water and pat the area dry.
- Help the patient keep a diary that records specific foods or drinks that may affect how frequently the patient goes to the bathroom.
- Help the patient maintain a bladder or bowel plan.
- Encourage the patient to go to the bathroom at consistent time frames during the day, like after a meal.
- Encourage regular daily exercise, as permitted by the health care team.
Can Irritable Bowel Syndrome Affect Your Bladder
The connection between bowel function in the human body and bladder is apparent in large numbers of clinical disorders, including syndromes related to chronic pelvic pain, inconsistency in bowel movements and urinary tracts as well as organic diseases, which involve functional bowel disorders, colon and over active bladder.
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Changes In Gut Microbes
Bacteria, fungi, and viruses naturally live in your intestines and help keep your system healthy. But people with IBS might have developed an imbalance in the gut microbiome that has contributed to their condition, creating an unhealthy GI environment.
However, researchers arent sure if a gut imbalance causes IBS or if IBS causes the gut imbalance.
Treatment For Ibs And Urinary Problems
There are several treatment options that can help with both urinary problems and IBS. However, the most appropriate methods will depend on the exact cause:
Overactive Bladder Syndrome
People with OAB and IBS may benefit from treatment with anticholinergic drugs. They work by targeting the neurotransmitter acetylcholine to regulate smooth muscle contractions in the bladder and bowel.
Another option is tricyclic antidepressants. These medicines alter activity in the central nervous system to control bowel and bladder activity.
In severe cases, Botox injections may be useful as they can help to relax the bladder muscles.
Tricyclic antidepressants may also be useful for treating interstitial cystitis. In addition, doctors may prescribe non-steroidal anti-inflammatory drugs to relieve inflammation and pain.
Another medication for interstitial cystitis is a drug called Elmiron. However, this medicine can thin the blood and patients should not use it alongside NSAIDs.
Finally, treatments such as physical therapy, biofeedback and nerve stimulation may offer some relief.
In some cases, prostatitis can be the result of an infection. Therefore, antibiotics may be an effective treatment.
Anticholinergic medications and drugs called alpha blockers might also help. The latter work by blocking adrenaline receptors to relax smooth muscle.
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Can Ibs Cause Frequent Urination
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How Stress Triggers Ibs
Since some researchers believe that a miscommunication between your brain and gut causes IBS, its not surprising that stress and anxiety can trigger increased sensitivity in your GI tract.
So, even if youve eaten a particular food before with little or no consequence, you might have a stronger reaction to it when feeling anxious or stressed. The increased sensitivity will either speed up your system, causing diarrhea or slow down your system, causing constipation.
In the long term, anxiety intensifies IBS, which you can read more about here.
Keep in mind that stress isnt what causes IBS but its a major symptom trigger for some people.
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Bad Taste In Your Mouth
Over email with Bustle, Jen Bruno, certified holistic health coach and personal trainer at J.B. Fitness, explains that a bad taste in your mouth, that does not come from food, like garlic, for instance, can signify IBS. If you notice a sour, gross taste without any clear explanation, it might be worth checking with a doctor.
Supportive Therapies And Treatments
Some people also find the following therapies and supportive treatments helpful:
- physiotherapy massaging the pelvic floor muscles may help reduce any strain on your bladder
- bladder retraining where you gradually learn to be able to hold more pee in your bladder before needing to go to the toilet
- psychological therapy to help you cope with your symptoms and their impact on your life
- transcutaneous electrical nerve stimulation where a small battery-operated device is used to relieve pain by sending electrical impulses into your body
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Simple Measures To Prevent Constipation
Here are some simple steps to normalize your bowel functions:
- Increase fiber intake by adding more fruits, whole grains, and vegetables
- Drink more water and tea!
- Walk, run and exercise to be more physically active.
If you are a caregiver to an elderly person, keep in mind that when you fight constipation with too many laxatives it can lead to diarrhea and increase the chances of unhygienic conditions around the genital region, that in turn can cause urinary infections. Most infections arise from E. coli bacteria, which lives in the colon. Also, after female menopause, there is a decrease in the protective normal vaginal bacteria, so if stool bacteria gets into that area it can easily grow and travel into the bladder.
Bottom line , fight constipation! But also remember to practice good personal hygiene habits and double down on preventive methods to decrease the number of E. coli in your gut, improve vaginal health, and use D-Mannose to decrease your chances of contracting a UTI.
How Are Antibiotics For Uti Selected
If you arrive at a clinic with a UTI, there are three things your doctor doesnt yet know:
Which pathogen is causing your infection
Which classes of antibiotic will effectively treat that bacterium
The resistance of that bacterium to different antibiotic classes
Your doctor may send your urine sample to a lab for testing, but if you are in a lot of discomfort in the meantime, they may prescribe according to a few common guidelines on how UTI antibiotics are selected, along with their best-educated guess.
If your antibiotics arent working, there are a few possible reasons why:
It might not be the right antibiotic
Your symptoms may be caused by more than one organism so your antibiotic might not be treating the entire bacterial community
Your symptoms may not be caused by bacteria
You may have an embedded infection that requires longer term treatment.
Ineffective antibiotic treatment may in fact contribute to the recurrence of UTI by allowing bacteria to increase their resistance to that type of antibiotic.
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Why Are You Peeing A Lot
Urinary frequency means you have to urinate often, which can interfere with your normal day-to-day life. Youre always on the lookout for a restroom and cannot go long periods of time without using the bathroom. You always need the aisle seat at the movies or on an airplane and have to make multiple pit stops on road trips.
At night it is difficult to sleep without being woken up multiple times by your bladder . You may even have to wear an adult diaper or pads for fear of wetting your clothes. The severity of urinary frequency can vary, but it can easily interfere with your quality of life.
Other symptoms include feeling the need to urgently urinate , having trouble holding urine in , having pelvic pain or pressure, or feeling like you can never fully empty your bladder.
Common causes of frequent urination include dietary factors, urinary tract infections, bladder conditions, or difficulty emptying your bladder.
Common treatment of frequent urination include:
- Healthy lifestyle changes
- Leakage of a small volume of urine immediately or shortly after urinating
- Feeling like bladder does not fully empty
The prostate gland in men helps produce semen, the fluid that contains sperm. Over many years, the cells of this gland can become enlarged . Fortunately, an enlarged prostate is not dangerous. Benign prostatic hypertrophy is not prostate cancer and does not increase the risk of prostate cancer.
What Are Some Bladder Management Points To Remember If I Have Multiple Sclerosis
- Adequate fluid intake is 1½-2 quarts of fluid a day. The urge to urinate comes about 1½ -2 hours after drinking something.
- Caffeine, aspartame, and alcohol are all bladder irritants.
- Smoking also is irritating to the bladder.
- Limiting fluid is harmful.
- It is not normal to leak urine, wake up more than once at night to urinate, or to have frequent urinary tract infections.
- Bladder infections in people with MS may result in an increase in MS symptoms, spasticity, and fatigue.
Plan of action
- Drink fluids all at once . If you sip, sip, sip you will feel the urge to urinate frequently. Try to go about 1½ to 2 hours after you drink.
- Stop drinking fluids about 2 hours before bedtime urinate right before bedtime.
- If you tend to get frequent bladder infections you are probably not emptying your bladder completely.
- Taking cranberry pills may keep your urine more acidic and decrease the bacteria in your urine.
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