Rick, has you friend been put on prophylactic bacterium? Sometime for pwps the
most simple solutions are overlooked and she also need to drink 8 glasses of
water a day if she can. And if she can stand it, avoid caffeine If she cannot
stand it ,then she should drink as little as possible. I answered on the list ,
because so many people out there have good knowledge. Nita

Rick Nuss wrote:

>     I was wondering if anybody from the list
> would be able to help this person.  We
> have been e-mailing each other recently
> and she could use some help.  She hasn't
> subscribed to the PD list yet but would
> appreciate any helpful information that you
> could give her.  She can be reached at:
> [log in to unmask]
> I'm a 37-year-old woman with mild PD who was diagnosed last November.  I
> went
> on Mirapex which controlled my symptoms well, but in January, I developed
> urinary  urge incontinence.  I have occasional bouts of urgency & frequency
> during which I feel like I have to go all the time, but only a little comes
> out, and I drip constantly, even after I try to relieve myself.  In between
> bouts, I have a constant drip.  I DON'T LOSE THE TOTAL CONTENTS OF MY
> BLADDER.
> My parkinsonologist said that my PD is too mild to cause urge incontinence.
> My pharmacist said that it is a side effect of Mirapex, so I switched to
> Permax for 3 weeks.  Things were slightly better after my urologist dilated
> the urethral opening; he said that I wasn't emptying my bladder fully, and
> that the "dribbling" was from overflow.  However, the bouts of urge
> incontinence continued, and Permax did not control my symptoms.  I couldn't
> write, which I need to do for my job.
> The urologist referred me to a neuro-urologist who did lots of tests that
> came out normal.  He said that my urge incontinence is from PD and not
> Mirapex.  Since the problem hadn't gone away and I attributed the
> improvement
> to the dilation, I went back on Mirapex.  The neuro-urologist doesn't
> believe
> in dilation, and prescribed Detrol and estrogen in the form of Estrace
> cream.
> I've been on them 4 weeks, and my problem is worse!  Now,  I leak all the
> time, and the drip has increased to a trickle.  My neuro-urologist doesn't
> know what to do with me because most people with urge incontinence have
> occasional leakage which stops after they relieve themselves.  Also, I've
> found that these bouts of  urgency & frequency are sometimes triggered by
> eating spicy foods or having a drink that contains caffeine, and by anxiety
> such as you would experience before surgery.
> Does anyone else out there have a CONSTANT drip or trickle, EVEN AFTER THEY
> RELIEVE THEMSELVES?  If so, what medications were you on when it started,
> how
> did you treat it, and were any of the treatments/medications successful?
> I'd appreciate any help that any of you can give me.  Three doctors haven't
> been able to help, so I need the advice of someone that has experienced
> this.