Unconscious leaking is the most common condition but there are many different types of bladder and bowel control problems. Loss of urinary continence is fairly common immediately after a stroke and often results from a combination of sensory and motor deficits. Stroke survivors may lose the ability to sense the need to urinate or the ability to control bladder muscles. Some may lack enough mobility to reach a toilet in time. Loss of bowel control or constipation also may occur. Permanent incontinence after a stroke is uncommon, but even a temporary loss of bowel or bladder control can be emotionally difficult for stroke survivors.

Individualized strategies for overcoming incontinence can be determined by a healthcare professional conducting an evaluation.

Bladder and Bowel Training

Bladder and bowel training can permanently improve incontinence and help manage chronic symptoms. Bladder and bowel training programs are usually customized to individual needs.

	Changes in diet - some foods and liquids may affect bladder and bowel incontinence. Greater need to urinate after drinking coffee or alcohol. Spicy foods may affect bladder.
	Monitor intake - changing the timing, amounts, and types of liquids can help in control of urinary incontinence. Limiting the amount of drink before bedtime may help. Some foods may affect bowel control.
	Clothing selection - wear clothing that is easier to get off.
	Home modifications - have a urinal or commode easily that is accessible.

Managing Incontinence

	Wear disposable undergarments
	Place a bedside commode next to the bed
	Place a bed pad over the bed sheet Place a blue pad underneath the bed pad
	Place a blue pad on furniture seats
	Have a set of clean clothes in all bathrooms
	Place blue pads on car seats
	When travelling, plan travel time for frequent bathroom stops
	Bring extra clothes for long shopping trips
	Have a set of clothes in the car for accidents
	Keep hand wipes and liquid sanitizer in the house and car

If your loved one has incontinence, let them know that this is a very common side-effect of stroke.  Tell them that most stroke survivors initially have this side-effect after having one.  You can help by letting that person know you understand that his or her accidents are unavoidable and are not something they can control.  Let them know what the tips are for managing this problem.  Talk to their doctor about it. 

Note: If someone you love has incontinence, they may be embarrassed by his or her condition and are reluctant to talk about it.