I too am double incontinent, and for similar reasons.
My bowel incontinence is caused by a paralyzed GI system. My bladder incontinence is caused by a spinal nerve injury. The bladder issue is managed with Myrbetriq; the bowel problem is managed by several medications, enemas and diet. The problem with Myrbetriq is that it causes high blood pressure, which can be fatal, because I have several cardiac and blood vessel anomalies. For years I managed bladder issues with a sphincterotomy. Instead of an occasional flood, I leaked small amounts continually, which was much easier to manage; I hope to have the sphincterotomy renewed this summer (COVID 19 permitting), which will permit me to stop using Myrbetriq.. The GI paralysis is much more difficult to manage. I take Nullo or another internal deodorant with every solid meal. I also take a stool softener with every solid meal. I use a strong laxative about once or twice each week, a glycerin suppository most evenings, enemas as needed, and my physical therapist is teaching me bowel massage. The diet is a real challenge. Fiber (oranges, grapefruit, prunes, oatmeal, cabbage, etc.) is forbidden. When I disobey that order, I can get intense bowel pain. However, lack of fiber is constipating, hence the medications. Most of my therapy sessions are devoted to matching diet to medication for optimal effect. Although I hope this will be useful for you, do not take it as gospel. I don't. Continual experimentation is the order of the day. Report back when you can, and good luck.
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