When problems occur within the complex system of nerves and muscles that control the bladder and the passing of urine, life can become very difficult. But this may be a gradual process.

There are several reasons why people may be reluctant to discuss symptoms with a doctor. Often bladder problems can be accepted as a normal part of aging. People may be embarrassed to discuss the issue because of its nature. The reality is that the idea of a urinary accident in public is your worst nightmare.

Rather than seeking medical advice, some people gradually adapt to the situation as the bladder problem worsens.

There are several signs and symptoms to be aware of. If you find you have any of these, a doctor’s advice could be helpful.

• Do you visit the toilet more than eight times in any 24-hour period?
• Do you get up frequently during the night to go to the toilet?
• Have you had incidences of not making it to the bathroom in time?
• Do you sometimes feel an overpowering urge to urinate?
• Do you ever experience leaking on physical exertion or coughing/sneezing?

If you experience any of the above, you may need medical advice.
There are many different lifestyle and medical approaches depending on the type of bladder problem you have. The first step is to explain your symptoms to your doctor who can then present you with all the options.

Sometimes a urinary tract infection (UTI) may cause similar symptoms. Another very common symptom of a UTI is a burning sensation when you urinate. Prostate problems also cause a wide range of urinary symptoms.

People with certain medical conditions may experience urinary problems. These include diabetes or prostate problems, damage to the nervous system caused by stroke or disease such as MS, Parkinson's and Alzheimer's.

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