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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.