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.