Bladder and bowel problems, like incontinence, become more common as you age. People aged 85 years are 5 times more likely to experience severe incontinence compared to people aged 65 to 84.
As you age, the way your bladder and bowel work, changes. These changes include:
- the bladder can’t hold as much wee (urine)
 - bladder muscles weaken
 - enlarged prostate gland
 - need to go to the toilet more at night (nocturia)
 - weakness in your bottom muscles due to childbirth or injury
 - loss of sensation in your bottom
 - softening of poos
 
These changes can often be a sign of other health problems.
As well as incontinence, changes in your bladder and bowel health can also cause:
Bladder and bowel problems can develop or get worse if you also have:
- decreased mobility
 - reduced brain function – including dementia
 - poor nutrition
 - side effects from medication
 - very thin skin
 
What can you do to help?
If you are struggling with a bladder or bowel problem there is help available. With the right advice and treatment, problems can often be cured or managed.
Some things you can do are:
- take the bladder questionnaire
 - regular pelvic floor exercises
 - have a bladder control check up
 - see your doctor for a management plan
 
If you are caring for someone with a bladder or bowel problem, see our advice for carers.