Skip to content

    Stroke Health Center

    Font Size
    A
    A
    A

    Stroke: Bladder and Bowel Problems - Topic Overview

    Urinary incontinence

    Some people who have a stroke suffer loss of bladder control (urinary incontinence) after the stroke. But this is usually temporary. And it can have many causes, including infection, constipation, and the effects of medicines.

    If you have problems controlling your bladder, your doctor may:

    Recommended Related to Stroke

    WebMD My Story: Recovering From Stroke

    A year ago last October I got up at 4 a.m., went to the bathroom, and came back to bed -- and all of a sudden everything started spinning. I got up and fell back down. I had blurry and double vision. I was extremely nauseous and vomited for hours. It crossed my mind that I might be having a stroke -- I've been a stroke nurse practitioner for 8 years -- but I thought, this is too ironic. I'm 44. I'm healthy. I have no known risk factors. I don't have high blood pressure, high cholesterol, or diabetes...

    Read the WebMD My Story: Recovering From Stroke article > >

    • Test a urine sample to see if you have an infection.
    • Do tests to see how you urinate, which can help you and your doctor decide what treatment might work best for you.
    • Help you develop a schedule of regular bathroom use that fits your abilities.
    • Suggest that you wear protective clothing or a pad.
    • Prescribe medicines, depending on the cause of your bladder problems.

    Some things you can do to prevent bladder leakage include:

    • Emptying your bladder at regular intervals, including when you first wake up and at bedtime.
    • Controlling your liquid intake, such as drinking liquids at regular intervals and limiting fluid intake after dinner.

    Urinary retention

    You may have trouble emptying your bladder completely (urinary retention). Urinary retention is common, especially right after a stroke, but it usually improves over time.

    If you have urinary retention problems, your doctor may:

    • Place a tube (catheter) into your bladder to prevent too much urine from building up. This is used only if absolutely needed. (For more information, see the topic Urinary Incontinence in Men or Urinary Incontinence in Women.)
    • Have you avoid medicines with certain side effects that cause the bladder to retain urine.
    • Prescribe medicines, depending on the cause of your bladder problems.
    • Test a urine sample to see if you have an infection (common with urinary retention problems).

    Constipation

    Stroke by itself does not cause constipation. But constipation often occurs after a stroke because you are not drinking enough liquids, are in bed most of the time, or are taking certain medicines as part of your treatment. If your constipation is severe, stool can become lodged (impacted) in the bowel.

    If you are concerned about any of your symptoms, call your doctor before you try home treatment. Constipation can be treated at home.

    If you are constipated:

    • Drink extra liquids, especially water.
    • Set a regular time for using the toilet.

    If you continue to have problems with constipation, your doctor may recommend a bulking agent (such as Metamucil), a stool softener, or regular use of a laxative or enema.

    WebMD Medical Reference from Healthwise

    Last Updated: September 09, 2014
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
    1
    Next Article:

    Stroke: Bladder and Bowel Problems Topics

    Today on WebMD

    brain illustration stroke
    Know these 5 signs.
    brain scans
    Test your stroke smarts.
     
    woman with migraine
    Is there a link?
    brain scan
    Get the facts.
     
    brain scans
    Quiz
    woman with migraine
    Article
     
    brain scan
    Article
    headache
    Video
     
    senior man stretching pre workout
    Article
    Floor level view of therapist helping stroke patie
    Article
     
    concerned woman
    Article
    Lowering Cholesterol Slideshow
    SLIDESHOW