Lately, my bladder always seems to leak or let loose completely when i push to defecate. age 47. is this an early stage of incontinence?

Get evaluated.: If you have significant leakage or changes to your bladder or bowel control, seek prompt evaluation. There are many possible causes, from structural and anatomic to neuromuscular which should be investigated. See you primary care physician first, and give a detailed account of when and how you began to experience this type of incontinence. A urologist may then be necessary depending on the cause.