What next... its all happening

Having bladder and bowel issues again, which is causing lack of sleep and causing fatigue and so being off work... annoying as already on trans-anal irrigation (periston) for the bowels, but continuing to have problems, speak to the specialist on Monday about options which may inc stoma? Anyone else in this situation or been through it, is it better.... Then see the urology specialist the foollowing week and as up at least 4-5 times a night will be looking for indwelling catheter or supra-pubic.... In amongst that I have Occ health appointment to look at my hours and sickness and how they can support me better (company have been great to date and want the best for me....) So there could be some changes afoot....