How do I know if incontinence is related to MS? Under the assumption that an individual under 50 who has just been to the bathroom and who really needs to go after an hour while walking and empties bladder completely involuntarily, is not within the range of normal -even after a coffee- is that a correct assumption? - I need to know if this could be relevant to an MS workup before I report and get dismissed yet again with 'nothing to worry about.' Thank you : )
Urinary frequency (the need to go in an hour) has many causes, mostly benign. Urinary incontinence unrelated to coughing, sneezing, straining or bending over (what is called stress incontinence) is definitely abnormal in someone under 50. There are many possible causes other than MS. A good urologist and neurologist working together should be able to figure out the cause of your problem. Good luck.
Revere (Rip) Kinkel MD
Director of the Multiple Sclerosis Program
Director of Hillcrest Neurology
Professor of Clinical Neurosciences
University of California San Diego