Imagine a middle-aged woman who says: “Whenever I cough or laugh, a little urine leaks out… I can’t control it.” She may also complain of: Weak bladder control, Worse in cold weather, Feels embarrassed and starts avoiding social situations. Causticum helps when the bladder loses control due to weakness ... especially during sudden pressure like cough or sneeze.More common in women, elderly, or after childbirth Associated with muscle weakness or nerve weakness.