Female rheumatoid arthritis patient for the past 3 years. recently developed urge incontinence problem. tried antibiotics no relief. what are the possible causes?

Urinary Incontinence: Studies show first step in evaluation of urinary incontinence is to ask the 3 questions if, when, and how does the patient experience urinary incontinence. Delirium, Infection, Atrophic Vaginitis, Pharmaceuticals, Psychological, Excessive Urine Output (eg hyperglycemia),Reduced Mobility, Retention, Stool Impaction all causes. Rheumatoid Arthritis patients can get autoimmune cystitis (bladder inf)

Urge incontinence: Urge to void accompanied by involuntary leakage of urine. More common in older women. It is believed to result from detrusor overactivity, leading to involuntary detrusor muscle contractions during bladder filling. This may be secondary to neurologic diseases, abnormal bladder, or idiopatic. This detrusor muscle overactivity is found in 21% of healthy, continent, community-dwelling elderly