I’m not sure what exactly is going on with my bladder these days. I know I have issues, had them for years, but they’ve seemed somewhat worse over the last few weeks. I am not sure if I don’t have some kind of bladder infection. The problem is that is varies day to day, something bladder infection tend not to do. However between my water pills and Toviaz, who knows.

Urinary tract infections don’t always cause signs and symptoms, but when they do they may include: https://www.mayoclinic.org/diseases-conditions/urinary-tract-infection/symptoms-causes/syc-20353447

• A strong, persistent urge to urinate

• A burning sensation when urinating

• Passing frequent, small amounts of urine

• Urine that appears cloudy

• Urine that appears red, bright pink or cola-colored — a sign of blood in the urine

• Strong-smelling urine

• Pelvic pain, in women — especially in the center of the pelvis and around the area of the pubic bone

I have none of that. If I have any discomfort, I don’t feel it thanks to dulled sensation in that area. What leads me to think something is wrong is the number of accidents I’ve been having. Thankfully I wear protective pads always but they use to be “just in case”, especially when I’m home. Lately they’ve been necessity and I’m going through sometime three a day!!! The biggest changing time at night. It is just very bizarre. It hasn’t ever been like that and certainly not at night. I just am not getting to the bathroom in time. Thankfully it is not happening while i sleep, small thing but a big grateful thing. Its like my warning meter suddenly went from an already pitiful five minute warning down to a five second warning. I can’t even get my blankets off that fast.

Then I go the complete other way. There are days that I haven’t taken my water pill and I have hesitancy. That’s where I feel the sensation that I need to go to the bathroom but can’t get the stream of urination to start. This is the main reason I’ve ruled out bladder infection. I don’t think I’d have both urgency and hesitancy and have an infection. I’ve had many UTI’s in my life so it isn’t like I don’t know what they are like.

Does that mean then that my MS symptom is getting worse or that I need a different medication? That is the part I may need to discuss with my doctor. I don’t make these decisions on a few weeks of issues. I need to see if this is going to continue to be an increasing issue. It’s frustrating I can tell you that. I’ve dealt with bladder issues for years and they only get worse and worse, unfortunately. This is one of the more disheartening symptoms of MS. ?