Narcolepsy is a fairly rare thing, so I know that one is probably a bit of a shot in the dark. But interstitial cystitis (aka bladder pain syndrome) isn’t quite as uncommon! I’ve had both for a few years now, but just started riding again after a several year break for university/grad school.
I suffered terribly from IC but had 6 months of bladder distillations which really helped! Since then, I have not had any issues.