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    bladder control
    worn1 posted:
    Dr Stacy any suggestions on bladder control. What would cause the loss of the urge to urinate/ no sense of a full bladder and when you do try to urinate you have to push.
    There are none so blind as those that will not see
    Mark A Stacy, MD responded:
    There are many things that can cause bladder symptoms, so an evaluation by a urologist is extremely important. However, there are some bladder symptoms associated with PD. Dopamine is an important (brain) neurotransmitter in the initiation of voiding, so if you bladder symptoms are occurring when you are "off," it may be useful to take a dose of a dopaminergic drug (levodopa or a fast-acting dopamine agonist (apomorphine injection). The rigidity of muscles in PD may also be a problem, because the voluntary urinary sphincter will become less relaxed when you are off, and this will create a sense of urgency. This symptom may also improve with dopaminergic therapy, but also may respond to other drugs for bladder urgency.
    lovedogs1955 replied to Mark A Stacy, MD's response:
    Thanks for your input. Geez, it amazes me how this darn disease affects every body system there is. And even more amazing is how little the health professionals in general don't know a thing about it.
    cornwall responded:
    Is there any treatment for an overactive bladder and Parkinson Disease? My mother has had PD for about 3 years now and hhas recently started being unable to control her bladder especially at night.

    Thank you

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