44 y/o female with new onset urge incontinence, nocturia and nocturnal enuresis. No idea what is causing it or why this is happening. Totally type A personality so not having control of such a thing is really taking a toll on me. That being said, I'm now retired and honestly the least stressed I've ever been in my life (aside from this issue). Plus I'm still single (was married to the USAF for 24 years) and now worried that I may be that way forever with this problem at hand. Totally freaking out about it all and trying to cope emotionally and physically. Have to wear heavy briefs/diapers 24/7 due to massive flooding several times a day and most nights. I have tried self-help for several months with very little improvement. Diet and lifestyle modifications including: restricted intake (30-40 oz per day, small amounts spread throughout day), stopped drinking about 2 hours before bed, kegals, timed voiding, bladder retraining, decreased sugary foods and stopped caffeine, alcohol, spicy foods, chocolate, acidic stuff, and citrus. Working (always) on losing weight which is definitely needed but has been stable for years. Yes, I have initiated the discussion with my neurologist and am now working with my PCM and womens health clinic for ongoing investigation, support and care. Thus far UA was negative and PVR was essentially normal (empty). Awaiting urology consult now (@ VA) but nervous about the potential testing and results. No idea what to expect (despite my extensive research) but trying to remain hopeful. My parents are both deceased so I can't ask them any questions. I did not have any wetting issues as a child that I'm aware of and none until now. I have talked to my sister and my aunt (who is a retired nurse and also my medical power of attorney) but haven't told anyone else and super paranoid that someone/anyone else will find out. Such an embarrassing and frustrating problem!
Could incontinence be caused by Ropinerole? Or Tizanidine? I have insomnia but stopped my Ambien when this problem started because I was afraid the night time accidents were due to over sedation and missing the signals. But that hasn't made a lick of difference in incidents thus far. Could pulling G's for 20 years have anything to do with this? I also have a long history of chronic constipation and straining, does that mean I may be stuck with this?