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    sudden bladder behaviour changes, no infection

    hey all,

    5 year post SCI. Have always managed bladder with a capped (no bag) SPC, not a ton of problems. Have feeling in my bladder so know when I need to 'void'.

    Was colonized with e-coli for a while and I had recurrent infection symptoms (decreased capacity, pain) from time to time while undergoing chemotherapy in 2015. Eventually e-coli became resistant to all oral antibiotics, so did 6 weeks ertapenum. Cleared the e-coli completely.

    Have had a couple random but treatable infections since. No infections since early February. Bladder function has been very steady.

    Somewhat non-scientific but I keep track of my voiding volume by simply counting. I formerly counted about 50-60 second per void, with very little variation outside of those amounts.

    Suddenly in last week my bladder volume has significantly decreased. I can barely make it to 40 seconds before needing to void. No pain otherwise that typically accompanies infections. Urine culture I took since the symptom began revealed no infection.

    If I had seen a steady decrease of bladder holding volumes over time I would just chalk it up to aging or whatever, but the suddenness makes me think something else is at play, although I don't know what.

    Going to put a call in to my urologist and likely a nurse at the rehab hospital but while I'm waiting for their return call, has any else experienced any sudden bladder behaviour problems not caused by infection? I don't take any medication to manage my bladder or bowels.

    I look forward to reading any responses. Thanks. :-)

    #2
    Sudden changes in bladder function can mean other things besides infection, although that is the most common. Anything that irritates the bladder could trigger it - a small stone, tugging on the catheter for too long, whatever may irritate it. My advice is to increase your fluids while waiting for your return phone calls. It may make a difference and will not harm you. How is your bowel program? That could also trigger this.
    ckf
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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      #3
      thanks for the reply ckf. My default position is just wait and see especially given it's not causing me any sleeping problems, it's more of an inconvenience. Have a nice weekend.

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        #4
        Probably a good option since it is not a major problem. Don't wait too long to see someone though if it gets worse.
        Have a good weekend.
        ckf
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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