Bladder & Bowel Concerns

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For women who want to regain confidence, freedom, and control over their daily lives.

Bladder and bowel concerns can significantly impact daily life, yet many women suffer in silence thinking these symptoms are just “normal” after childbirth or with aging. The truth is: common does not mean normal.

Control of your bladder and bowel is not just about the pelvic floor muscles, but is actually an interplay between the neural messages to and from the brain, your hormones, stress and your nervous system and your microbiome. A disruption to any of these working parts can result in symptoms developing. Understanding your symptoms and their underlying causes is the first step toward regaining confidence and comfort in your body.

It is never too late or too early to seek help.

Bladder & Bowel Concerns I Treat:

Bladder Dysfunction:

  • Stress urinary incontinence (leaking with cough, sneeze, laugh, exercise)
  • Urge urinary incontinence & overactive bladder
  • Mixed urinary incontinence
  • Urinary frequency, urgency & nocturia (frequent nighttime urination)
  • Nocturnal enuresis (bed wetting)
  • Interstitial cystitis / Bladder pain syndrome
  • Incomplete bladder emptying & voiding dysfunction
  • Post-micturition dribble
  • Straining or pain with urination
  • Recurrent urinary tract infections (UTIs)

Bowel Dysfunction:

  • Constipation & straining with bowel movements
  • Faecal incontinence, urgency, smearing & soiling
  • Flatal (wind) incontinence
  • Incomplete or obstructed bowel emptying
  • Dyssynergic defecation / Anismus (muscles not relaxing properly)
  • Pain with bowel movements
  • Haemorrhoids & anal fissures
  • Obstetric anal sphincter injuries (3rd & 4th degree tears)
  • Bowel prolapse (rectocele) & rectal intussusception

Frequently Asked Questions

How do I know if my symptoms need treatment?

If your symptoms are affecting your daily life—avoiding activities, planning outings around toilet access, waking multiple times at night, or feeling anxious about leaking—it’s time to seek help. Early intervention often leads to faster resolution.

What can I expect in an assessment?

We’ll take a comprehensive history of your symptoms, lifestyle factors, and relevant medical history. A pelvic floor assessment may include internal examination (always with your consent) to evaluate muscle strength, coordination, and tone. This helps identify whether your symptoms stem from weakness, overactivity, or coordination issues.

Will I just be told to "do Kegels"?

Absolutely not. If your muscles are already tight or overactive, strengthening exercises can worsen symptoms. My approach is tailored to your specific needs—whether you need to strengthen, relax, coordinate, or a combination of these.

Is it normal to leak after having babies or as I get older?

It’s common, but it’s not “normal” and it’s not something you have to accept. Whether you had babies 6 weeks ago or 30 years ago, it’s never too late to address these concerns and improve your quality of life.