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IBS and Irritable Bladder: A Connection

IBS and Irritable Bladder: A Connection

Through my early and mid-twenties, my bathroom issues were restricted almost entirely to GI stuff. My bladder functioned just fine and it didn’t even occur to me to be grateful for that. I just assumed it would stay that way. Even before I developed IBS in college, I always had a bit of sensitive gut, so it seemed I was primed to eventually get full blown IBS. However, even with endometriosis scattered all inside my abdominal cavity, my bladder remained unfazed. Yet, when I hit my late twenties and entered graduate school and everything changed.

Bladder issues

A few months before moving from the Washington D.C. area to Burlington, Vermont to pursue my Master’s degree, I began to get a lot of mid-cycle bleeding, often painful and sometimes heavier than mere spotting. By September, I noticed I was also experiencing a lot of frequency and urgency to empty my bladder, even when it wasn’t even half-full. Even more alarmingly, if I put off going to the bathroom and sneezed or something like that, I would leak. I even wet my bed one night, something I had never done before, even as a young child.

I went to a gynecologist, who sent me to a specialist–who determined that I had about a dozen polyps in my uterus via an ultrasound. No doubt, these growths, which I had removed surgically right before the holidays, were putting some pressure on my bladder. But even after their removal, my bladder symptoms continued and I was referred to a uro-gynecologist. This doctors diagnosed me with overactive bladder. She made a mistake of telling me to do 50 kegels daily, which actually severely exacerbated my symptoms.

She then put me on medication that had such serious side effects (migraines, nausea and blurred vision), I could only take them twice a week. My bladder symptoms definitely eased considerably, but did not completely abate. I finally went to a different uro-gynecologist, who instead noticed that I had a very tight pelvic floor and did not need to strengthen, but rather relax, my pelvic muscles, which were often in spasm. She did a more thorough diagnostic work up that included a cystoscopy (when a thin scope is put through the urethra into the bladder in order to view it) and determined I had pelvic floor dysfunction and Interstitial Cystitis (IC). I was sent to a special physical therapist for eight weeks of pelvic floor therapy along with weekly bladder distillations (where the bladder is filled with a liquid combination of baking soda and lidocaine to relax inflammation).

Connection between IBS and irritable bladder

I began to feel much better from my treatments, and also became more careful about what I ate, avoiding overly acidic foods (which can also aggravate my IBS anyway). The pelvic floor dysfunction and irritable bladder symptoms were likely impacted by the trauma of my endometriosis and IBS. It turns out that the intersection between IC and IBS is relatively common, especially in female patients. In particular, the Interstitial Cystitis Association reports approximately one-third of IC patients also have IBS.1

Additionally, a 2010 peer review study in the Journal of Urology found that of a self-reported survey of 205 patients with IC, 38.6% also had IBS compared to only 5.2% of a control group without IC. In fact, IC patients in this study had IBS in higher amounts than other disorders the researchers compared for overlap, including fibromyalgia (17.7%) and chronic fatigue syndrome (only 9.5%).2 While the connection between IBS and IC isn’t entirely clear or known yet, it makes some sense when you think about the close proximity of the bladder and bowels in the body and how they may be impacted by similar/the same traumas or issues that affect motility and can cause spasm.

Do you suffer from irritable bladder symptoms or IC, as well as IBS? How have you handled reconciling treatments for both disorders?

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.

  1. Irritable Bowel Syndrome. (n.d.). Retrieved July 18, 2018, from
  2. Nickel, J. C., Tripp, D. A., Pontari, M., Moldwin, R., Mayer, R., Carr, L. K., . . . Nordling, J. (2010). Interstitial Cystitis/Painful Bladder Syndrome and Associated Medical Conditions With an Emphasis on Irritable Bowel Syndrome, Fibromyalgia and Chronic Fatigue Syndrome. The Journal of Urology, 184(4), 1358-1363. doi:10.1016/j.juro.2010.06.005


  • Laura Kiesel author
    5 months ago

    I am so sorry you are dealing with this. I am hoping your doctor was able to provide some answers or at least point you in the direction of someone who can. If you are not satisfied with their answers, or feel they aren’t giving it the attention it deserves, remember you have a right to seek out a second opinion. I did experience some similar symptoms that you described, which in my case was due to pelvic floor dysfunction and for which physical therapy and some medications and treatments helped a lot. It may or may not be that in your case, though, but I hope you are able to find some answers and solutions soon!

  • Nicole0276
    5 months ago

    This article is me 100 percent. I am going to my OBGYN tonight because I have such tight spasm in the pelvic area and frequent urinating trips. On top of IBS-C, I now where panty liners to catch the dribbles if I cough or sneeze. I even wet the bed which I never even did as a child. I fear it so I wear a pose at night. Im only 42 but after my three c-section and having horible scar tissue from that my pelvic can’t relax. It gets tight when I have to pee or if the bowls are putting pressure around that area. Did you get a tight feeling where it felt like you pelvic area was hard until you urinated? would love to talk since I am new to this and freaking out I have cancer because that is the other thing I worry about medical issues and stress is at a 100. Thinking of it being the worse.

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