At Flourish Physical Therapy we treat bowel and bladder dysfunction.

Pelvic floor muscles

Bladder

Urinary urgency: a sudden, intense urge desire urinate which can cause emotional upset and fear of not making it to the toilet. We’ve seen some patients have sympathetic nervous system responses with urgency (sweating, increased heart rate, etc). Some people find urge deferral techniques to be helpful strategies. This may be associated with urinary frequency.

Urinary frequency: the typical amount of trips to the bathroom is 5-7 times per day. This may be different according to your water intake and activity level. Some people needing more water for breastfeeding, singing, sports, etc). Patients who suffer from urinary frequency might go every hour, twice and hour, or even 3-4 times per hours. This may or may not be associated with pain or discomfort at the bladder and/or urethra.

Nocturia: night time voids

Overactive bladder (OAB) syndrome: urinary urgency, (with or without leakage) usually accompanied by frequency and nocturia. As with all bladder storage and leakage diagnosis, UTI and other pathologies must be ruled out.

Leakage (a few types, not exhaustive):

  • Urge urinary incontinence – involuntary loss of urine associated with urgency.
  • Stress urinary incontinence – involuntary loss of urine with an activity such as coughing, sneezing, laughing, or picking up an object (a kiddo, groceries, etc)
  • Mixed urinary incontinence – leakage with both the urgency and activity component

Bowel

Constipation: less than 3 bowel movements a week with stool consistency that is dry, hard, and difficult or painful to pass. Constipation can be caused by surgery, poor diet and hydration, pelvic floor muscle incoordination, lack of activity, side effects from medicine, motility issues, inflammation, and functional disorders. As with any medical condition it is important to be properly diagnosed so you know what the proper treatment is for you.

Fecal incontinence: involuntary passage of solid or liquid stool. This can happen postpartum after tearing, due to dietary sensitivities, post-surgical, and other reasons. Gas incontinence is also commonly seen postpartum and when the pelvic floor muscles are weak.

Irritable bowel syndrome:  a cluster of symptoms that may include abdominal pain, diarrhea and/or constipation, without any visible signs disease in the GI tract. While working on getting the root cause figured out (which may include working with nutrition, acupuncture, and other modalities along side your GI doc), physical therapy and yoga can be useful adjunct to care.