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What Causes Loss of Bladder Control?

By K. Gierok
Updated Feb 26, 2024
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A loss of bladder control can be very embarrassing, and unfortunately is caused by a number of conditions. The most common cause of a loss of bladder control is pregnancy, though the condition can also be related to an infected or enlarged prostate. In addition, some prescription medications are to blame for a decrease in bladder control, specifically those which work as muscle relaxants. Neurological conditions, like stroke, epilepsy, and other similar diseases, may also contribute. Often, individuals who experience this condition are encouraged to undergo physical or occupational therapy to learn how to better control bladder function.

Pregnancy is one of the most common conditions linked to a loss of bladder control. Often, women who are pregnant experience a decrease in the strength of the bladder and urethra, due to increased weight. While loss of bladder control often disappears with child birth, some women may continue to experience the condition long after the baby has been born. This is most often the case in women who have had several pregnancies, which has repeated stress on these parts of the body.

Men who have an enlarged or infected prostate may also experience a loss of bladder control. As with pregnancy, when the infected or enlarged prostate is treated, loss of bladder control also is typically alleviated. In some cases, men may need to undergo complete removal of the prostate in order to ensure the best overall results. Other times, medications may be provided to treat the underlying condition.

Studies have suggested that some medications may be to blame when it comes to a loss of bladder control. Medications that relax the muscles are the most likely to cause this condition. As alcohol commonly acts as a muscle relaxant, it can also result in decreased bladder control for some individuals. Those who experience a decrease in bladder control after starting a new medication should provide this information to their physician, as in some cases an alternative medication can be provided that doesn't produce the same side effects.

Some neurological conditions, such as stroke, epilepsy, or Alzheimer's disease, are linked to a decreased bladder control. In some cases, surgeries that intentionally or unintentionally target certain nerves may also lead to the condition. Often, patients are encouraged to undergo occupational or physical therapy in order to learn how to better control their bladders.

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Discussion Comments

By MrsPramm — On Sep 19, 2014

@irontoenail - Sometimes, but not always. Unfortunately, I think quite a few women live in shame because they have bladder control problems and don't know why. They lose control when they laugh or sneeze or cough and might even be afraid to go out in public.

Often it's because, when you give birth your pelvic floor muscles can weaken, and they can basically just exercise them back into health. That's not a dangerous condition, and it's something that is extremely common.

By irontoenail — On Sep 18, 2014

@Ana1234 - People will even blame the kid and say they are doing it on purpose to get attention. I've heard that same accusation leveled at elderly people in abusive rest homes, which is even more disgusting. Loss of natural bladder control is not something that anyone should take lightly and is often linked to serious medical conditions.

By Ana1234 — On Sep 17, 2014

I read an article the other day that implicated constipation in a loss of bladder control for toddlers and young kids. Apparently what often happens is that they don't realize that they have a blockage in their colon and it presses against their bladder, so they end up wetting the bed.

People are so used to the idea that wetting the bed is always psychological that they don't even try to find a physical cause for it, even though that's probably more common.

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