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Warning-sign checks

Incontinence/oab: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Get emergency help if bladder symptoms begin suddenly with:

    • New weakness or numbness in one or both legs
    • Numbness around the buttocks, genitals, or inner thighs
    • New loss of bowel control
    • Inability to pass urine with increasing lower abdominal pain

    This combination can indicate serious pressure on the nerves at the base of the spine.

    Sudden bladder loss accompanied by facial drooping, arm weakness, speech difficulty, or confusion also needs emergency assessment.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical advice for visible blood in the urine, pain or burning during urination, fever with urinary symptoms, or new severe pelvic or back pain.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine medical appointment if leakage, urgency, or frequent urination is new, persistent, worsening, or affecting sleep and daily activities.

    Assessment is also appropriate if you have trouble emptying your bladder, repeated urinary infections, pelvic pressure, or side effects from treatment.

Every sign above is quoted from the sofidex article on Incontinence/oab. If you are not sure, err upward — it is always reasonable to be checked.