Using the toilet
Having problems controlling the bladder and bowels is common after a stroke. Incontinence may be caused by nerve damage, loss of muscle control, change of diet and being bedbound.
Communication and mobility problems can make it worse - the person may find it difficult to make other people understand that they need the toilet, or they may not be able to get to the toilet in time.
Most people regain control quickly, but help is available from the following if necessary.
- A continence adviser - a specialist nurse who can develop a rehabilitation plan, including bladder retraining to help ‘hold on’, pelvic floor exercises to strengthen muscles, and continence aids like pads and bed covers.
- A physiotherapist who can teach exercises to improve walking and using a commode or toilet.
- An occupational therapist who can advise on how the person’s home can be adapted or what equipment would make it easier to use the toilet.
Links
Audio version - Stroke rehabilitation (2977 kb)
Brain attack
Recovery and rehabilitation
Physiotherapy
Occupational therapy
Speech and language therapy
Swallowing
Vision
Psychological changes
Helping rehabilitation
Support at home
Rehabilitation in the community
