[22M] With dual incontinence since childhood

What might be happening

Based on the information you have provided, here are some possible explanations for your dual incontinence:

• Trauma-Related Incontinence: Given your history of trauma, it's possible that your incontinence is related to psychological factors. Trauma can sometimes lead to conditions like post-traumatic stress disorder (PTSD), which can have physical manifestations, including incontinence.

  • Treatment: Treatment often involves a combination of psychological therapy and physical interventions. Cognitive-behavioral therapy (CBT) and other forms of counseling can be very effective.

• Neurological Disorders: Conditions affecting the nervous system, such as spinal cord injuries or multiple sclerosis, can lead to loss of bladder and bowel control.

  • Treatment: Treatment may include medications, physical therapy, and sometimes surgical interventions.

• Muscle or Nerve Damage: Damage to the muscles or nerves that control the bladder and bowel can result in incontinence. This could be due to a variety of reasons, including past trauma.

  • Treatment: Pelvic floor exercises, medications, and sometimes surgery can help manage symptoms.

• Infections or Inflammatory Conditions: Chronic infections or inflammatory conditions affecting the bladder or bowel can also lead to incontinence.

  • Treatment: Antibiotics for infections, anti-inflammatory medications, and other specific treatments depending on the underlying condition.

What you can do

1. Consult a Healthcare Provider: It's crucial to consult a healthcare provider for a thorough evaluation. They can help determine the underlying cause and recommend appropriate treatments.
2. Mental Health Support: Given your history of trauma, speaking with a mental health professional could be very beneficial. They can help address any psychological factors contributing to your symptoms.
3. Pelvic Floor Therapy: Consider seeing a physical therapist who specializes in pelvic floor therapy. They can teach you exercises to strengthen the muscles that control your bladder and bowel.
4. Medication Management: If you are currently taking medications like Oxybutynin, discuss with your healthcare provider whether the dosage or type of medication needs adjustment.
5. Hygiene Practices: Change your diaper every 4-6 hours, even if it isn't soiled, to maintain good hygiene and prevent skin irritation. Change it immediately if it becomes soiled.
6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

• Worsening Symptoms: If your symptoms worsen or you notice new symptoms, consult a healthcare provider immediately.
• Signs of Infection: Look out for signs of infection, such as fever, chills, or unusual discharge, and seek medical attention if they occur.
• Skin Irritation: Monitor for signs of skin irritation or sores, and consult a healthcare provider if you notice any issues.

Remember, while I can provide information and suggestions, it's essential to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.