Stroke and Incontinence
Produced as part of the EnableMe podcast series from the Stroke Foundation.
Recorded 18 June 2019 | 33 minutes
During World Continence Week, the Stroke Foundation hosted a podcast to discuss bladder and bowel problems after stroke. The podcast features Sue Blinman from the National Continence Helpline, stroke survivor Jenny Ferrier, and Simone Russell from StrokeLine.
Have a good diet with lots of fruit and vegetables. A dietitian can help you get the right balance of fibre and fluid in your diet.
Drink adequate fluids to quench your thirst. Speak to your doctor about how much fluid intake is right for you. Water is the best fluid as this can help stop bladder irritation and improve bowel function (which can affect bladder control). Be aware that recommended fluid intake varies with hotter weather, more exercise and other health conditions.
Avoid 'bladder irritants'
These are drinks that make you need to go to the toilet more often. They include coffee, tea, chocolate drinks, cola drinks, alcohol and high sugar/high caffeine ‘sports’ drinks. For some people, tomato or citrus foods and drinks or dairy products can also be a problem. It is a very individual situation so try to be aware of your own food and drink sensitivities. A bladder diary may help you identify these.
Exercise as much as you can. A physiotherapist can help you with an exercise program that suits your needs.
Don't put off going to the toilet
Try going to the toilet at regular times (i.e. every 3 - 4 hours). Do not put off going to the toilet if you feel the need to empty your bladder or bowel – go as soon as you need to and make sure you completely empty your bladder or bowel when you go to the toilet.
Wear suitable clothing
Wear clothes that are easy to get undone quickly. Replace buttons with VELCRO® fasteners or wear pants with elastic waistbands. Set up your toilet and or bathroom so you can get to it quickly and easily – including finding it easily at night.
There are a number of products available to help you stay dry, secure and comfortable. These include disposable or re‐usable pads, pants, liners, absorbent underclothing, mattress protectors, doona covers and bed sheets. You can buy some of these products at your local supermarket, chemist or specialist retailer.
You may be eligible for financial assistance that can help with the cost of purchasing continence products.
Raised toilet seats rails on the wall beside the toilet can be of assistance. You may also want to keep a commode chair and portable urinal bottle next to your bed at night.
You can search for a range of continence-related product providers and services in our directories. Staff on the National Continence Helpline can also help you choose products and equipment to best suit your needs.
The National Continence Helpline is staffed by Nurse Continence Specialists who offer free and confidential information, advice and support. They also provide a wide range of continence-related resources and referrals to local services.