Managing Incontinence & Living with Multiple Sclerosis (MS)

Incontinence is a common and often frustrating symptom for people living with multiple sclerosis (MS). As a caregiver, understanding the challenges and solutions is key to improving your loved one's comfort, dignity, and quality of life. From bladder leaks to bowel control issues, MS-related incontinence can be managed with the right tools, routines, and support.

Why Does MS Cause Urinary and Bowel Problems?

MS affects the central nervous system, disrupting nerve signals between the brain and the bladder or bowel. This disruption can lead to:

• Urinary urgency and frequency

• Stress or overflow incontinence

• Incomplete bladder emptying

• Constipation or bowel incontinence

These symptoms are often due to a condition called neurogenic bladder, where the muscles responsible for bladder function either contract too much or too little. Similarly, nerve damage can affect bowel control and movement.

Daily Strategies for Managing Incontinence in MS

1. Consistent Toileting Routines

Help your loved one follow a regular schedule for bathroom visits. This proactive approach reduces the likelihood of sudden urgency or accidents.

2. Monitor Fluids Wisely

Encourage steady hydration throughout the day, while avoiding bladder irritants like caffeine, alcohol, and spicy or acidic foods.

3. Use Reliable Incontinence Products

SPC offers a range of discreet, high-absorbency products that help individuals feel secure throughout the day and night. These include:

• Absorbent briefs and pull-ups for moderate to heavy leakage

• Bladder control pads for lighter leaks

• Disposable or washable underpads for bed or furniture protection

• Skin-friendly wipes and barrier creams to protect against irritation

Supporting Emotional Well-Being

Incontinence can be embarrassing or emotionally distressing for people with MS. As a caregiver, your approach can make all the difference:

• Use language that is respectful and compassionate.

• Normalize the use of incontinence products as tools for independence.

• Offer reassurance and privacy during hygiene care.

• Involve the individual in product and routine choices whenever possible.

Pelvic Floor Exercises for MS-Related Incontinence

Pelvic floor exercises, such as Kegels, help strengthen the muscles that support the bladder and urethra. For people with MS, fatigue or muscle weakness can make these exercises challenging—but not impossible.

How to start:

• Identify the correct muscles (the ones used to stop urinating midstream).

• Contract for 3–5 seconds, then relax for the same amount of time.

• Aim for 10–15 repetitions, up to three times daily.

Working with a pelvic floor physical therapist can be especially helpful, as they can modify exercises based on mobility and energy levels.

Managing Overactive Bladder (OAB) Symptoms in MS

OAB symptoms like frequent urination and urgency are common in MS. Here are some helpful management techniques:

• Bladder training: Gradually increase the time between bathroom visits.

• Avoid dietary triggers: Limit caffeine, artificial sweeteners, citrus, and alcohol.

• Medications: Antispasmodics or beta-3 agonists may help calm bladder activity.

• Advanced treatments: In more severe cases, therapies like Botox injections or neuromodulation may be considered.

Traveling with MS and Incontinence

With the right preparation, travel is absolutely possible:

• Pack a kit with wipes, pads, spare clothing, and disposable bags.

• Wear protective products that offer all-day comfort, like SPC’s absorbent pull-ups.

• Choose aisle seats when flying for easier restroom access.

• Plan regular stops during road trips and map out public restrooms in advance.

• Use moisture-wicking underpads for added protection on seats.

Can Physical Therapy Help with Bladder Issues in MS?

Yes. Physical therapy—especially pelvic floor therapy—is a valuable part of MS care. Therapists can help:

• Strengthen pelvic muscles

• Improve bathroom mobility

• Reduce falls and accidents

• Promote independence with safe toileting routines

They may also offer advice on adaptive equipment or bathroom modifications to simplify daily care.

Takeaway for Caregivers and Individuals with MS

Incontinence related to MS can be managed with a combination of compassion, consistency, and the right support tools. Whether it's choosing absorbent products from SPC or helping with daily pelvic floor exercises, your role makes a meaningful difference. Don’t hesitate to seek help from healthcare professionals and explore treatment options tailored to your loved one’s specific needs.

At San Pablo Commercial, we're a family-owned business dedicated to supporting seniors and caregivers by offering dependable, affordable incontinence supplies. From SPC disposable underpads to reusable underwear and sanitary pads, our range is designed for comfort and confidence. We understand the challenges of managing incontinence and strive to make it easier for you to stay clean, dry, and independent every day.