Brief Answer:
Treatment of bladder complaint and weight gain

Detailed Answer:
Hi, thanks for asking from HCM


I can understand your concern. MS can cause autonomic disturbances which manifest as urinary bladder and bowel complaints. If you have developed urgency, pressure in bladder, it means you are having "Upper motor neurone bladder". The urgency and pressure in bladder can be treated by

: Avoid water/fluids 2 hour before going to sleep
: Avoid diuretic (urine inducing) food or drink like caffeine, alcohol, juices
: You can decrease intake of water if you do not have kidney issues. Drink no more than 2 litre water in day
: Bladder training - It means your train your bladder by going toilet at particular set time and gradually increase time duration between set time. It will help you in controlling pressure while traveling.
: Bladder strengthening exercise or Kegel exercise - consult physiotherapist to learn about it. It will help you in controlling urge.

Coming to medical treatment of urgency and pressure
: you can take either of following drugs
- Oxybutinine
- Darifenacin
- Imipramine
- Solifenacin

All these drugs act by inhibiting bladder contracting muscle or tightening sphincter. Usual side effects of all these are dry mouth, constipation, dryness, allergy. You have to consult doctor before starting it. Usual therapy is to start one drug and if no relief, increase dose or add another.
You can also use "urethral insert" or "external urethral barrier (patch)' which are applied in urethra or at opening to stop dribbling. It usually prevent incontinence. However it increase chances of infection. So maintain hygiene.

Now coming to your weight gain
I don't know what drugs are you taking. It might be due to stress or drugs side effects. You have to consult it with your doctor or mention it. You are doing every bit to reduce weight, but still I will mention some tricks to reduce it
: Start drinking lemon water without sugar in morning.
: Avoid junk food/fatty food.
: You can increase uptake of high metabolic rate inducer food like chilly, apple, oats, XXXXXXX etc.
: Do exercise daily with more aerobics. Do it with the help of trainer
: Avoid mental stress.
: Avoid steroids if possible. Sometimes they are prescribed to treat MS.

Hope it will help you. Thanks. Take care.

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