Stroke often causes problems with bladder and bowel control. This can be a sensitive issue, but with support, most of these problems can be improved.
Hema from our Stroke Helpline Team shares some guidance:
Why has my bowel and bladder control been affected?
Continence issues can be caused by several things including the stroke itself, effects of medication and bladder infections. They can also happen if you have communication or mobility problems and can't ask for help or get to the toilet in time.
Who can help me?
Your GP or stroke team can refer you to your local continence service. Specialist nurses, known as continence advisers, will assess the causes of your problem and develop a plan to help you manage.
You might also be referred to a specialist consultant, such as a urologist or gastroenterologist, for further support.
If you care for a stroke survivor with bowel and bladder problems you can get advice and support from specialists. Organisations such as Bladder and Bowel UK can also provide support and information.
What can I do to manage my bladder and bowel problems?
- Know your own bladder and bowel patterns. Try to stick to your routine. Go to the toilet when you feel the need to, rather than ‘just in case’.
- Follow your continence adviser's training tips and exercises. It takes time for the effects to show, so persevere.
- Stay hydrated and eat plenty of fruit and vegetables to help avoid bladder infections and constipation.
- Keep as active as you can. This can help to reduce bladder leakage and stimulate your bowel.
- Get a ‘Just Can't Wait’ card or download the free app from bladderandbowel.org. This gives you access to toilets anywhere, including those not usually available to the public.
- Get a RADAR key from shop.disabilityrightsuk.org. The scheme is for people with disabilities or health conditions seriously affecting their continence.
- Wear clothes that are quick to remove, such as trousers with Velcro fastenings or elasticated waistbands.
- Take care of your skin. Clean with mild soap and dry thoroughly to prevent skin rashes and infection.
For more support
Download our ‘Bladder and bowel problems after stroke’ guide or call 0300 3300 740 for a printed copy.
Our Stroke Helpline Team are also here to help. Call us on 0303 3033 100 or email helpline@stroke.org.uk
Stroke News magazine
This article is featured in the spring 2024 edition of our magazine, Stroke News. Subscribe to our future editions available in print, on audio CD, or via email.