Bladder Dysfunction


It was Christmastime and Target was as busy as ever. I had gotten everything I on my list, wrapping paper, tape, some presents. It was getting late and I was tired. I used to love shopping, but now it just takes it out of me, especially when the stores are busy. My husband said he would go get the car as he usually does and I wrapped up inside, getting a few last things, browsing for a few more minutes. Finally I got in line to check out. Obviously it was longer than normal during this time of year, but that usually doesn’t bother me, being a former Target employee, I know they handle the lines fairly well. I started chatting with the girl at the register when it was my turn. The usual conversation, about the crowds, if your shopping is done, etc.

Then, it happened. I didn’t notice it at first, it can be sneaky like that. But then I felt it, the warmth and urgency that I have felt so many times before.

I panicked.

Bladder Dysfunction in MS

Bladder dysfunction is one of the most commonly reported symptoms from MS patients, with up to 80% being affected. If an individuals system is working properly, urine will collect slowly in the bladder and cause it to expand. When enough fluid has accumulated nerves in the bladder will send signals to the spinal cord which will send signals to the brain that the bladder needs to be emptied. When the person is in the bathroom, the brain sends signals to the spinal cord which triggers the bladder and sphincter to open.

Dysfunction occurs when lesions are present and inhibit nerve signals from reaching their intended destination. With so many signals being sent in between the brain and the spinal cord multiple times, it’s no wonder bladder dysfunction is such a common problem! The specific dysfunction can happen for two reasons, the bladders spastic or the bladder isn’t emptying all the way because the sphincter is spastic.

Because of either cause, there can be many symptoms present including:

  • Urgency– The need to urinate may come on (very) quickly and suddenly
  • Hesitancy– The urge to urinate is present, but starting to urinate can take a long time or it’s difficult to keep it flowing.
  • Frequency– The urge to urinate happens much more often than usual, often times at night which can cause sleep disturbances (otherwise known as nocturia).
  • Incontinence– Either having a sudden urge to urinate and the flow starting immediately, or being unaware that there is leaking happening.

If bladder dysfunction continues without treatment, it can lead to severe symptoms and can lead to permanent damage to the urinary tract. This occurs when urine is left in the bladder and can lead to urinary tract infections, bladder infections, kidney infections or stones.  Also. these issues can also lead to emotional distress and avoidance of social situations or isolation.

Thankfully, there are many ways to treat bladder dysfunction with either lifestyle modifications, medications or procedures. Lifestyle modifications include both dietary and behavioral changes. Dietary changes include liming caffeine and alcohol (as these can be irritating to the bladder) as well as limiting fluids several hours before bed time if you struggle with waking up in the middle of the night.

Behavioral interventions include timing fluid intake as well as urinating on a regular schedule to help train the bladder. Other interventions include:

  • Pelvic floor physical therapy is also a great option. This targets muscles that are attached to the pelvic bone and sacrum that control bladder and bowel function. This method utilizes biofeedback, neuromuscular stimulation and home exercises to strengthen pelvic floor muscles which improves muscle control.
  • Percutaneous tibial nerve stimulation is another alternative option. This is where a very small electrode is inserted into the ankle which transmits a signal to the sacral plexus. This treatment does for 30 minutes per week for 12 weeks has been shown to reduce urinary frequency, nighttime urination and incontinence.
  • Intermittent self-catheterization is sometimes recommended for individuals who have difficulty fully emptying the bladder. With this treatment, a small tube (catheter) is inserted into the urethra to empty the bladder, then removed.

There are many medications available to help control spasticity and to promote the flow of urine. Some include baclofen, oxybutynin and terazosin. If symptoms persist after these interventions are tried, there are surgical options available as well.

Dealing with bladder issues during day to day life can be tiring and isolating, but there are ways to plan ahead.

  • Plan frequent stops. I am unapologetic about having to stop every half an hour to go to the bathroom and you shouldn’t be either.
  • Use protection. Some days are worse than others and I can usually tell what kind of day it will be early in the morning. On the ‘bad’ days, I add a layer (or two) or protection to my undies. It has come in handy more than I’d like to admit. And, I always carry a few pads with me just in case I need to add some in the middle of the day.
  • Have a change of clothes handy. For the worst case scenario, have an extra pair of everything on hand. I’ve been stuck without this, and it’s not fun. Worried about what others might say? Just say you’re a klutz and spilled water/tea/kombucha on your pants and you have to change pronto!
  • Have support. This is one of the most embarrassing, demoralizing, isolating symptoms we can deal with. Having someone to talk to about it changes everything.
  • Stay hydrated! I know it sounds counter-intuitive, but my bladder symptoms really act up when I am dehydrated. Plus, being dehydrated can bring on a whole bunch of other symptoms and issues, not good!

I always tell my husband, if I could make one symptom magically disappear, this would be it. But I’ve found that through lifestyle changes and paying attention to my body,  I am more able to manage my bladder dysfunction. I know that around my cycle, when I am dehydrated and when I drink coffee, my bladder symptoms act up. So being extra prepared on some days, really helps me both mentally and practically.

Bladder dysfunction is no joke, and can cause a boat load of other issues if left untreated. But thankfully there are many ways we can manage the symptoms and not let it run and ruin our lives.

My panic quickly grew to terror. ‘This has never happened in public before, what do I do?’ I thought to myself. I didn’t feel like I could run away from all of my things to the bathroom, I felt trapped. I rushed through the transaction as fast as I could in a socially acceptable way, and then ran to the bathroom. The damage was done and I began to cry. I gave myself a few more moments of pity before running from the bathroom to my awaiting husband and car. He could tell by my speed and tears that something had happened. Immediately he began asking what was wrong, “Just drive” was all I could muster. Eventually I was able to calm down to gesture toward my pants and said

“yeah, that just happened”.

I’M ALISSA!

I help women who have also been diagnosed with Multiple Sclerosis make specific and personalized diet, lifestyle & subconscious changes so that they can begin to heal their body, reduce disease symptoms, and return to a life they love.hey there,

follow along on Instagram:

I think I’ve said this in every group I’ve run and with every client I meet with.

(A gross oversimplification disclaimer)
But this: 
people pleasing, being all or nothing, perfectionist (I could go on) 

Is (part of) why we got MS.

These patterns we play out each day are the hardest thing to change- and they also keep us with high stress, high MS symptoms and feeling like crap in our bodies.

Changing these patterns takes awareness, focus and support- all of which you get in Holistically Healing MS.

•If you want the ability to say NO when you’d usually just say yes.. (stop overriding yourself)
•If you want to be ok with putting your needs first (cause I know you’re not lol)
•If you want to finally feel like you’re good enough and doing enough (cause you are)

Join us in HHMS. Along with lifestyle strategies, we go process the emotional burden all those patterns have- which helps to move through them.

Comment HHMS below and I’ll send you the link.

I think I’ve said this in every group I’ve run and with every client I meet with.

(A gross oversimplification disclaimer)
But this:
people pleasing, being all or nothing, perfectionist (I could go on)

Is (part of) why we got MS.

These patterns we play out each day are the hardest thing to change- and they also keep us with high stress, high MS symptoms and feeling like crap in our bodies.

Changing these patterns takes awareness, focus and support- all of which you get in Holistically Healing MS.

•If you want the ability to say NO when you’d usually just say yes.. (stop overriding yourself)
•If you want to be ok with putting your needs first (cause I know you’re not lol)
•If you want to finally feel like you’re good enough and doing enough (cause you are)

Join us in HHMS. Along with lifestyle strategies, we go process the emotional burden all those patterns have- which helps to move through them.

Comment HHMS below and I’ll send you the link.
...

18 8
At some point you have to start trusting the things you’re doing will help and stop jumping to a new thing each week.

Giving up gluten one week?
Then dairy the next?
Maybe jumping into an exercise class a week later?

At some point you gotta pick 1-3 things and stick with them long enough to give them time to make changes in your body!!

Not just a day or week either.

Yes change can happen fast, but usually not that fast. You need to stick with things for long enough to see if they’ll help.

Often you give up before it has a chance to shift anything.

If you’ve been bouncing from thing to thing, throwing random things at the wall and hoping they stick, hoping something will move the needle an inch so you feel even a little bit better.. 

My course Holistically Healing MS is for you.

This is the place to find what works for you, to decrease your MS symptoms.

Comment HHMS below and I’ll send you details.

At some point you have to start trusting the things you’re doing will help and stop jumping to a new thing each week.

Giving up gluten one week?
Then dairy the next?
Maybe jumping into an exercise class a week later?

At some point you gotta pick 1-3 things and stick with them long enough to give them time to make changes in your body!!

Not just a day or week either.

Yes change can happen fast, but usually not that fast. You need to stick with things for long enough to see if they’ll help.

Often you give up before it has a chance to shift anything.

If you’ve been bouncing from thing to thing, throwing random things at the wall and hoping they stick, hoping something will move the needle an inch so you feel even a little bit better..

My course Holistically Healing MS is for you.

This is the place to find what works for you, to decrease your MS symptoms.

Comment HHMS below and I’ll send you details.
...

6 2
At one point I wanted:

•To be able to comfortably go on a walk again with my boyfriend (now husband)

•To not feel like an anxious mess every time I thought about the future (and potential disability)

• To not have waves of pain coursing throughout my body 

I don’t want those things anymore,
because I have them all.

No, I’m not totally cured of feeling anxious about the future, and I still have days (like today tbh) where I feel like a load of 💩

The difference is: 
I can manage all the symptoms
and anxiety
and feeling like 💩
better and differently than I did before, using all the tools I have accumulated over the 15(!!) years I’ve lived with MS as a patient and practitioner.

And these are the tools I share with my clients.

And the tools I share with you inside my Holistically Healing MS course.

This course is an 8 week journey into supporting your MS body so that it can begin to heal.

I know you have the same dreams as I did, 
I know because you’ve told me we’ve talked about them 🤩

I want you to have those things too.

Holistically Healing MS waitlist is closing tomorrow, comment HEALING and I’ll add you to the list.

At one point I wanted:

•To be able to comfortably go on a walk again with my boyfriend (now husband)

•To not feel like an anxious mess every time I thought about the future (and potential disability)

• To not have waves of pain coursing throughout my body

I don’t want those things anymore,
because I have them all.

No, I’m not totally cured of feeling anxious about the future, and I still have days (like today tbh) where I feel like a load of 💩

The difference is:
I can manage all the symptoms
and anxiety
and feeling like 💩
better and differently than I did before, using all the tools I have accumulated over the 15(!!) years I’ve lived with MS as a patient and practitioner.

And these are the tools I share with my clients.

And the tools I share with you inside my Holistically Healing MS course.

This course is an 8 week journey into supporting your MS body so that it can begin to heal.

I know you have the same dreams as I did,
I know because you’ve told me we’ve talked about them 🤩

I want you to have those things too.

Holistically Healing MS waitlist is closing tomorrow, comment HEALING and I’ll add you to the list.
...

14 6
I was talking to a client this week and she talked about how mad she was that she has a chronic illness.

How frustrated she was that she has to “manage this dumb disease” and “has to pay attention to everything she does”.

She also went onto say that she really wants to do all the helpful things, but just can’t get out of these stuck and frustrated feelings.

I get it- I definitely remember feeling similar feelings years ago. And I’m sure you’ve been here as well and might still be there at times.

I wanted to share the reframe that really helped her:

I told her, instead of focusing on “managing your disease”,
what if you thought about how you can set your future self up for feeling better/success/health.

Take the disease totally out of it.
What is 1 thing you can do to help your future self today?

She paused for a moment and I could almost see the light bulb go off in real time (one of my fav moments lol).

She said: that feels so much better and more doable.

If you’ve also been struggling with frustrated feelings about “managing your disease” these are the types of conversations we’ll have in Holistically Healing MS.

Yes I’ll be sharing about diet strategies, movement to help symptoms and stress management techniques, but we’ll also dive deeper into your feelings about it all.

Over the many years I’ve been working with clients, I’ve discovered that these thoughts, feelings and beliefs you have about yourself and your health are the biggest thing to stand in your way.

And when you have support to work through these feelings, you’re able to feel so much better faster.

Only those on the HHMS waitlist will get the presale price, and the opportunity to join the waitlist is dwindling (waitlist gets access next weekend!).

Comment WAITLIST below and I’ll add you to the list!!

I was talking to a client this week and she talked about how mad she was that she has a chronic illness.

How frustrated she was that she has to “manage this dumb disease” and “has to pay attention to everything she does”.

She also went onto say that she really wants to do all the helpful things, but just can’t get out of these stuck and frustrated feelings.

I get it- I definitely remember feeling similar feelings years ago. And I’m sure you’ve been here as well and might still be there at times.

I wanted to share the reframe that really helped her:

I told her, instead of focusing on “managing your disease”,
what if you thought about how you can set your future self up for feeling better/success/health.

Take the disease totally out of it.
What is 1 thing you can do to help your future self today?

She paused for a moment and I could almost see the light bulb go off in real time (one of my fav moments lol).

She said: that feels so much better and more doable.

If you’ve also been struggling with frustrated feelings about “managing your disease” these are the types of conversations we’ll have in Holistically Healing MS.

Yes I’ll be sharing about diet strategies, movement to help symptoms and stress management techniques, but we’ll also dive deeper into your feelings about it all.

Over the many years I’ve been working with clients, I’ve discovered that these thoughts, feelings and beliefs you have about yourself and your health are the biggest thing to stand in your way.

And when you have support to work through these feelings, you’re able to feel so much better faster.

Only those on the HHMS waitlist will get the presale price, and the opportunity to join the waitlist is dwindling (waitlist gets access next weekend!).

Comment WAITLIST below and I’ll add you to the list!!
...

11 2
My reality has changed a whole bunch over the years.

I started out with only a few symptoms. But I could get through the day.

Until all of a sudden I couldn’t.

All within a few years I went from “fine” to:
Having horrible symptoms, had 3 relapses and found myself with “aggressive MS”

This was not ok with me.

Eventually, I took my life into my own hands and rethought how I did most things.
I realized I had to make some changes, or else idk what else was gonna happen to me.

So I did.

I changed my diet.
I changed how I worked out.
I changed my job in the name of stress management.

This is just the tip of the iceberg.

If you want this transformation for you too (I know it’s possible) I’m launching my signature course: Holistically Healing MS in a few weeks. 

This is the course you need to get started on this path for yourself.

Only the waitlist is gonna get the pre sale price… 
Comment WAITLIST below and I’ll add you to it!!

My reality has changed a whole bunch over the years.

I started out with only a few symptoms. But I could get through the day.

Until all of a sudden I couldn’t.

All within a few years I went from “fine” to:
Having horrible symptoms, had 3 relapses and found myself with “aggressive MS”

This was not ok with me.

Eventually, I took my life into my own hands and rethought how I did most things.
I realized I had to make some changes, or else idk what else was gonna happen to me.

So I did.

I changed my diet.
I changed how I worked out.
I changed my job in the name of stress management.

This is just the tip of the iceberg.

If you want this transformation for you too (I know it’s possible) I’m launching my signature course: Holistically Healing MS in a few weeks.

This is the course you need to get started on this path for yourself.

Only the waitlist is gonna get the pre sale price…
Comment WAITLIST below and I’ll add you to it!!
...

49 9
This is the reality I lived, I want you to experience it too.

No, this is not a quick fix.
No, these results wont happen overnight.
No, this won’t cure you.

BUT-

Yes, you can have your life back.
Yes, you can feel better than you do right now.
Yes, your current reality doesn’t have to be a forever reality.

My success years ago was all thanks to the diet changes and the work I put in to know exactly how to eat to support MY body and MS at the same time. 

Yes it took a few months, but what it gave me back was my life- and that’s priceless. 

I’m spilling all the beans on what this process looks like and how to do it in my upcoming Masterclass:
5 Secrets To Creating Your Own MS Diet. 

Comment CLASS below and I’ll send you the link to sign up!!

This is the reality I lived, I want you to experience it too.

No, this is not a quick fix.
No, these results wont happen overnight.
No, this won’t cure you.

BUT-

Yes, you can have your life back.
Yes, you can feel better than you do right now.
Yes, your current reality doesn’t have to be a forever reality.

My success years ago was all thanks to the diet changes and the work I put in to know exactly how to eat to support MY body and MS at the same time.

Yes it took a few months, but what it gave me back was my life- and that’s priceless.

I’m spilling all the beans on what this process looks like and how to do it in my upcoming Masterclass:
5 Secrets To Creating Your Own MS Diet.

Comment CLASS below and I’ll send you the link to sign up!!
...

14 5
This is my vision for the masterclass I’m hosting next Monday.

I want this to be an interactive experience where you learn how to best take care of yourself and MS symptoms through the food you’re eating.

Instead of:
- feeling hesitation and confusion around what foods are best for MS
- not making changes because you’re afraid you’ll do it wrong 
- saying no again to going out to eat with friends 

Find the freedom and confidence you’ve been looking for.

Comment CLASS below and I’ll send you the link to sign up!!

This is my vision for the masterclass I’m hosting next Monday.

I want this to be an interactive experience where you learn how to best take care of yourself and MS symptoms through the food you’re eating.

Instead of:
- feeling hesitation and confusion around what foods are best for MS
- not making changes because you’re afraid you’ll do it wrong
- saying no again to going out to eat with friends

Find the freedom and confidence you’ve been looking for.

Comment CLASS below and I’ll send you the link to sign up!!
...

11 3
Do any of those hit home? 
 If yes… comment MASTERCLASS below.. I got you

Do any of those hit home?
If yes… comment MASTERCLASS below.. I got you
...

14 3

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