What Causes Bladder Control Issues?

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Bladder Control Issues: What Causes It

Urinary incontinence is a common health condition where the patient experiences a lack of bladder control. While bladder problems can occur in anyone, they are more typical in women and older people. Bladder issues are often a symptom of other more serious medical conditions. Here are some possible underlying causes for a lack of bladder control.

Urinary Tract Infections

UTIs occur when the urethra is infected by bacteria. Because women tend to have smaller urethras, tract infections happen more often in women. Symptoms of a UTI include burning sensations during urination, dark or cloudy urine, frequent urges to urinate, pain in the lower abdomen, fever and chills. Doctors can test for urinary infections and prescribe antibiotics for patients who are infected.

Nerve Damage

A variety of neurological disorders can interfere with the nerve control over the bladder. Examples of diseases that cause bladder nerve damage include stroke, multiple sclerosis, spinal cord injury, Alzheimer’s disease and Parkinson’s disease.


Urinary incontinence during pregnancy is also known as stress incontinence. Hormonal changes and added pressure to the uterus can cause bladder control issues in pregnant women. Urinary problems can continue even after childbirth due to weakened pelvic muscles and an overactive bladder. Women who have experienced childbirth may also have damaged bladder nerves.

Enlarged Prostrate

Also known as benign prostatic hyperplasia (or BPH), enlarged prostate can cause urinary problems in males. An enlargement of the prostate gland can lead to blockage of urine in the urethra. Symptoms of an enlarged prostate include frequent urination, a strong urge to urinate, a weak urinary flow and a feeling of incomplete urination.


Urinary control issues is often a sign of diabetes mellitus. Diabetes involves abnormally high blood sugar levels in a person’s system. In reaction to this, the kidneys will try to flush excess glucose out of the blood and into the bladder. This causes more frequent urination breaks. Besides frequent urination, other signs of this condition include tingling hands or feet, increased thirst, fatigue, sudden weight loss and a blurry vision.


With menopause comes a decrease in the production of estrogen, the urethra lining becoming thinner, and the woman’s pelvic floor becoming weaker. This can lead to an overactive bladder, painful urination and uncontrollable leaks.


Obstructive uropathy happens when urine cannot pass through the ureter due to blockage. Obstruction can be due to pelvic injuries, tumors, blood clots, kidney stones and diseases in the digestive tract. Symptoms of obstruction include a slow or difficult urine stream, frequent urges to urinate, and blood in the urine.


The removal of the uterus is a major surgery that can lead to urinary problems later in life. For many women, having a hysterectomy actually increases the risk of developing urinary bladder control problems. For many cases, the problems developed only five years after the original hysterectomy. There are several probable reasons behind this phenomenon, including an overactive bladder, the weakening of the pelvic floor or a fistula developing during surgery. A fistula creates a connection between the vagina and the bladder or urethra, which causes urinary leakage.

Historically, the study of urine or urination patterns has been a great way for doctors to learn about a person’s health. If you are experiencing worrisome urination issues, then it might be time to consult a doctor or a health expert.

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