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The most awesome diet that I found that is very efficient and I am currently using is the Walsh protocol. For incontence avoid everything that has caffeine and citrus, solely the issue will stop, The following documents is from Ms Canada page: Management of storage dysfunction Try to drink approximately 8 glasses of fluid per day – especially water to flush wastes, bacteria, and mineral deposits from the urinary system. Limit intake of fluids that contain caffeine or alcohol. These substances act as bladder irritants and contribute to storage dysfunction. Also limit intake of citrus juices. Citrus juices make urine more alkaline than acidic, which favors the growth of bacteria. 2 Restrict fluid intake beginning approximately two hours before starting any activity where no bathroom will be available. Do not, however, restrict fluid intake on a continuous basis, as this increases the risk of infection by interfering with the normal flushing of the bladder. Wear an absorbent pad for extra protection. A variety of products are available for women and for men. Some men may choose to use a condom catheter (an external device that consists of a condom-like sheath that fits over the penis and is connected to a drainage bag strapped to the leg inside the trousers). Do regular pelvic floor (Kegel) exercises to help control incontinence in women (can also be adapted for use by men). A nurse or physical therapist can assist you to learn the proper technique, which involves contracting and relaxing the muscles that support the urethra, bladder, uterus, and rectum. Plan to urinate approximately every three hours while awake. Timed voiding can help train the bladder and reduce overfilling. Treatment of emptying dysfunction If your doctor determines that you are retaining more than 100ml of urine after voiding your bladder, they may recommend intermittent self-catheterization (ISC). This relatively simple technique works quickly and effectively to eliminate residual urine. Your doctor or nurse will instruct you on the proper procedure to insert and remove the catheter. Treatment of combined dysfunction For those who experience problems with both emptying and storage, a combination of strategies is usually recommended that includes intermittent catheterization to remove the residual urine, and an anticholinergic or antimuscarinic medication to relax the bladder’s detrusor muscle. If treatments with medications do not successfully manage your overactive bladder, your doctor may recommend onabotulinumtoxinA (BOTOX®). BOTOX is approved as treatment of urinary incontinence due to neurogenic detrusor overactivity resulting from neurogenic bladder associated with multiple sclerosis or subcervical spinal cord injury in adults who had an inadequate response to or are intolerant of anticholinergic medications. This powerful neurotoxin temporarily relaxes the overactive bladder muscle and is delivered by injection into the bladder muscle under cystoscopy --a procedure that allows the doctor to visualize the inside of the bladder. The effects of the medication typically last about nine months, at which time the injection can be repeated. The most common side effects with BOTOX include urinary tract infection and
Inability to walk when at the beginning of this desease I was able to walk or even drive long distances, the diet that I used was the instructions in the book healing Ms written by Anne borroch but the only thing that really helped me in that book was removing gluten and wheat and grains from my diet, also I changed the cooking oil to olive oil, also I removed caffeine and citrus to avoid burning sensation of my legs in the night and spasms in the night. But later I change it to Walsh protocol because of the fingers curling, I need to my fingers to right my exam, and everything has changed since I started using the Walsh protocol.