A continence specialist is a healthcare professional who helps people manage bladder and bowel control issues. Parkinson’s doesn’t just affect movement; it can also impact the nerves that control bladder and bowel functions. This can lead to issues such as constipation, poor medication uptake, urinary frequency, and incontinence. These symptoms can significantly affect quality of life, but fortunately, exercise, diet, and lifestyle changes can help manage these continence issues effectively.

What does a continence specialist do?

A continence specialist can help in managing bladder and bowel issues you may experience with Parkinson’s. They may help in a range of areas, including:

  1. Assessment: They assess your continence issues, including the frequency and severity of symptoms.
  2. Education: They provide information on the causes of incontinence and how to manage it effectively.
  3. Management plans: They develop personalised management plans that may include lifestyle changes, pelvic floor exercises, and dietary adjustments.
  4. Product recommendations: They suggest appropriate continence products, such as pads, catheters, or special underwear.
  5. Support and counselling: They offer emotional support and counselling to help you cope with the psychological impact of incontinence.
  6. Referrals: They can refer you to other healthcare professionals, such as dietitians, physiotherapists, or urologists, for further treatment.

Continence specialists work in various settings, including hospitals, clinics, and community health centres. They play a crucial role in improving the quality of life for individuals with continence issues.

Why should I see a continence specialist?

To help treat the major symptoms of:

Bladder control: People with Parkinson’s may experience urinary frequency (the need to urinate more often), urgency (a sudden, strong need to urinate), and incontinence (leakage). This happens because Parkinson’s can affect the autonomic nervous system, which controls bladder functions.

Bowel control: Constipation is a common issue due to the slowing of movements in Parkinson’s that also affects the digestive system. Parkinson’s can also affect the muscles involved in bowel movements, making it harder to pass stool regularly.

Addressing these symptoms starts with proactive management:

  1. Consult with healthcare professionals: Talk to your GP or a continence specialist about your symptoms. They can provide valuable advice and may refer you to additional resources.
  2. Pelvic floor exercises and bladder training: Pelvic floor exercises strengthen the muscles that control urination. Bladder training can help increase the time between trips to the bathroom.
  3. Dietary adjustments: Increase fibre intake to help with bowel regularity. Stay hydrated, as dehydration and too much fibre can exacerbate constipation.
  4. Medications: Some medications can help manage bladder and bowel issues. Your doctor can prescribe the right one based on your specific needs.
  5. Lifestyle changes: Regular exercise can improve overall muscle tone and function. Establishing a routine for bathroom visits can also be beneficial.

Managing bladder and bowel issues with Parkinson’s involves a combination of medical advice, practical steps, and supportive resources. By taking these steps, you can greatly improve your quality of life and maintain independence.

Learn about how to manage constipation and your Parkinson’s symptoms from a Neurological Nurse:

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