@Honeeecombs Sorry to hear about all your issues growing up - hopefully the autism centre will be able to help.
@sport @Maymay941 Sport, it's interesting that they actively suggested it was linked. It certainly explains my issues growing up and beyond. Unfortunately, there doesn't appear to be a huge amount about of research about it. Most of the stuff online is just about issues with toilet training autistic kids and not much about adults.
When I found out about deficits with interoceptive awareness and autism it certainly made a lot of sense. I have issues regulating my temperature (people often remark how I can wear so much when it's hot or so little when it's cold) and often don't get hungry when I need to eat. Lack of awareness re toileting signals is also a problem. It's definitely gotten better as I've aged due to working on it but it got to a point where it's as good as it's going to get. Here's an article about it:
Article. I would say my incontinence issues were mild pre-Long Covid and most of the time I'd make it to the toilet in time but wearing protection made my life a lot easier and lessened my anxiety. Plus, my IBS issues have gotten worse as I've aged.
There is a research article which highlights the prevalence of bladder and bowel disfunction in autistic people:
Research Article.
I think one of the big issues is the problems around the terms 'high' and 'low' functioning when it comes to autism. I think the assumption tends to be that only those who are really low functioning have issues with toileting and have to wear protection but it's a spectrum across multiple aspects. Just because someone can appear high functioning doesn't mean there are lots of hidden issues.
The lack of awareness about how big the impact of autism can be also isn't helpful. Before I was in a wheelchair I'd get odd looks from people for using disabled toilets because I outwardly seemed to be a healthy young person. However, due to sensory overload issues, communal toilets are too overwhelming and I often needed to change my nappy or pull-up. The Changing Places campaign has been great for highlighting the need of many autistic people for somewhere to change.