Home Roses Neurosis of the genitourinary system. Frequent urination as a symptom of neurosis. Treatment of bladder neurosis

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Neurosis of the genitourinary system. Frequent urination as a symptom of neurosis. Treatment of bladder neurosis

Neurosis occurs against the background of changes in the functioning of the nervous system. The disease is accompanied by psychological and physiological abnormalities, similar to many somatic pathologies. Bladder neurosis occurs in 20% of people, most of whom are elderly.

Symptoms of the disease

Signs of urinary cystitis can manifest themselves in different directions.

Papuresis is urinary retention. The patient cannot bring himself to go to the toilet in the presence of a stranger. The first signs are noted even at school age.
The second direction is frequent urge and urination during neurosis. Symptoms intensify under the influence of psychotraumatic factors.

Each form is associated with social phobic disorders. Patients suffering from this pathology have a special psychological portrait. More often than not, these people are shy, highly dependent on the opinions of others, and do not tolerate criticism and condemnation well. The disease is diagnosed in mild, moderate and severe forms.

Every person had a mild and moderate form of bladder neurosis. A severe form of the disease forms a strong phobia and has the following symptoms:

an urgent need to be alone while urinating;
limiting your fluid intake;
refusal to travel and visit crowded places;
moral torment that intensifies after an unsuccessful trip to the toilet;
difficulties with the process of urination even at home, when guests arrive, someone is waiting outside;
Increased anxiety when you need to go to the toilet.

Psychological symptoms of bladder neurosis with frequent urges differ only in a couple of points. A person suffering from incontinence carefully plans his route when leaving home. He always follows the path where the toilets are located. Before leaving the house, patients go to the restroom several times, trying to get everything out of themselves. Out of fear, many people start using adult diapers, even if there is no reason to do so. Patients are embarrassed to seek help to find out where the toilet is. They consider themselves inferior.

In both cases, the pathology provokes a decrease in performance and a depressed state. With paruresis, serious damage to the kidneys and bladder can occur. The basis of all symptoms is self-doubt and increased emotionality. Untreated bladder neurosis leads to personality disorders with a breakdown in social ties.

Pathogenesis

Bladder neurosis is not accompanied by physiological disorders in the structure of the organs of the genitourinary system. When taking tests, foreign microorganisms are not detected in the urine.

Urine is released due to relaxation and contraction of internal muscles. These processes are controlled by the autonomic nervous system. A person does not consciously control them. The sympathetic and parasympathetic departments, controlled by the ANS, malfunction, so urinary retention or incontinence occurs. The sympathetic part of the brain signals the muscles to contract and the sphincter closes. The parasympathetic department is about relaxation, and it opens.

Getting rid of the problem

Neuroses are reversible diseases provoked by psychological stimuli. The main task is to eliminate the cause or find an alternative picture of perception, which will allow the personality to adapt to the problems. To cure bladder neurosis, you need:

use effective relaxation techniques;
implement a comprehensive program, the purpose of which is to gradually adapt the person to the standard urination regime.

Drug therapy

In the treatment of urinary neurosis, Phenibut and Rexetine are used, depending on the symptoms. The drugs are available with a prescription. Medications are prescribed for a short period of time due to the increased risk of side effects and addiction. The dosage is prescribed by the doctor individually for each patient. The medications are taken according to the schedule.

"Phenibut" for bladder neurosis is used to restore neurotransmitter connections in the brain, improve sleep, and relax the nervous system. The drug belongs to the group of nootropics. Has a tranquilizing and restorative effect. Stimulates brain activity, accelerates regeneration processes. By improving blood circulation in the brain and recovery processes, it reduces anxiety. Improving the condition of the nervous system helps relax spasming muscles. The drug is well absorbed by the body. 3 hours after administration, the medicine is excreted by the kidneys. Side effects may include:

irritability;
pain;
drowsiness;
dizziness;
increased anxiety.

"Rexetine" belongs to the group of antidepressants. It has a psychostimulating effect and reduces the feeling of fear. Once in the gastrointestinal tract, it is well absorbed by the body. The positive effect is achieved 7-14 days after the start of administration.

Taking the drug can improve the patient’s psychological state and mood, and reduce nervousness. Weakened patients and elderly people are prescribed a minimum dosage. Dysfunctions of any systems can be observed as side effects.

When taking these medications, you must strictly follow your doctor's instructions and adhere to the dosage. To prevent addiction from developing, they should not be taken for more than 1 month. Having reached the required concentration, it must be gradually reduced. If the patient abruptly ends the course, withdrawal syndrome will occur and the disease will return again.

Symptoms and treatment for bladder neurosis in women are completely similar to those in men. The only difference is pain in the area of the ovaries and sacrum. Women are prescribed painkillers.

Complex therapy uses various combinations of vitamins and medications that have a positive effect on the genitourinary system. Uncomplicated cases of bladder neurosis can be successfully treated with the use of mild sedatives. They are represented by single- and multi-component herbal preparations: “Valerian”, “Persen”, “Sedavit”, lily of the valley, peony.

Psychotherapy

The issue with the treatment of bladder neurosis is quite delicate. For most patients, admitting a problem to others, even those closest to them, is very difficult. Psychologists use cognitive behavioral moderation. Classes allow you to find the true cause of a nervous breakdown and adapt to it. Gradually, during the sessions, curious situations with urination are sorted out and they try to find ways to solve the problem.

For patients with papuresis, homework assignments are provided that involve urinating in a public toilet or at home when guests come.

During psychocorrectional classes, patients are taught various relaxation techniques. This includes breathing techniques that allow you to quickly relax the nervous system in a stressful situation, and meditation practices.

Conclusion

Bladder neurosis is a serious disease that, without proper treatment, can cause bladder rupture, kidney damage and personality destruction. The first symptoms appear already in childhood. Do not try to treat the disease yourself. In patients with this pathology, a closed course of the disease occurs, when the symptoms of neurosis provoke a somatic deviation in the form of urinary retention or incontinence, they worsen the mental state.

The bladder is an unpaired organ of the excretory system, hollow inside. It is located in the pelvis, and communication with the central nervous system is provided by parasympathetic, sympathetic and spinal nerves. Their endings approach the muscles that envelop the organ shell in three layers. A large number of nerve ganglia, receptor nerve endings and scattered neurons of the autonomic nervous system were also found in the walls of the bladder.

Parasympathetic innervation is responsible for contraction of the walls of the organ, relaxation of the sphincter and discharge of urine. The sympathetic one, on the contrary, helps to retain the contents of the bladder and is involved in the contraction of the sphincter.

Both groups of nerve fibers are partially controlled by the consciousness of an adult, i.e. he is able to independently induce or stop urination. When the autonomic nervous system is disrupted, communication is disrupted. As a result, bladder neurosis develops, in which either frequent urination (to the point of complete incontinence) or retention appears.

Causes of the disorder:

damage to the spinal cord, especially its lumbar region, because in that area the autonomic ganglia of the pelvic organs are located, and there is also an intersection of parasympathetic and sympathetic nerves coming from the vessels, rectum, as well as the genitals and bladder;
progressive diseases - neuropathy or multiple sclerosis - of the nervous system, as well as alcoholism and diabetes. They change the normal pattern of nerve impulses. As a result, in addition to problems with the bladder, weakening of hearing and vision, and skin sensitivity are simultaneously detected.

Symptoms

The most pronounced symptoms that patients complain about:

uncontrolled urination;
false urges, when it seems that the bladder is full, although this is not the case;
lack of feeling of fullness. In combination with sphincter spasms, it can lead to the return of urine to the ureters and further to the kidneys, which is fraught with inflammation, as well as pathological expansion of the bladder. Then the person simply will not feel the urge, and he will have to go to the toilet on a schedule;
unpleasant sensations during the process, especially closer to completion;
pain - in the perineum, lower abdomen, above the pubis, in the lumbar region - during emptying the bladder, during sexual intercourse.

Neurogenic bladder in a child

Bladder neurosis occurs in 10% of children. In young children, the symptoms are easy to identify - frequent urination, including incontinence and unbearable pain, but urinary retention is also possible.

In the mild stage, most children are simply unable to hold the contents of the bladder when it is full for a long time. If the spinal cord is affected at the level of the conus and its roots, they speak of true incontinence, when urine entering the bladder cavity is released drop by drop continuously. In children, this is caused by atony of the muscles of this organ. With complete muscle atony, part of the urine is retained in the bladder cavity, causing cystitis.

A neurogenic bladder in children in the absence of spinal or head injuries indicates problems with the nervous system.

If, despite the obvious symptoms, proper treatment was not prescribed, then children may develop:

vesicular reflux;
secondary changes in the urinary system (chronic cystitis, etc.);
nephrosclerosis;
chronic renal failure;
pyelonephritis;
arterial hypertension;
early disability.

Diagnostics

Having established characteristic symptoms, a diagnosis should be made by examining:

urodynamics, due to which the specificity and level of organ dysfunction are determined;
ultrasonography, urography, which allows you to detect organic changes.

Diagnosis and, preferably, treatment for both children and adults are prescribed jointly by a urologist and a neurologist. To diagnose a neurogenic bladder, instrumental, radionuclide and x-ray examination methods are used.

When working with children, they initially determine how frequent their urination is: all cases of urine leakage over several days are taken into account. If a child goes to the toilet more than 8 times a day, then the bladder is hyper-reflexive, if 2-3 times, then the bladder is hypo-reflexive.

Treatment

Treatment begins with determining the cause of the damage to the nervous system. First, all work is aimed at getting rid of the root cause. At the same time, preventive treatment of genitourinary infections with uroantiseptics and antibiotics is prescribed. Catheters are used if necessary.

In some cases, reflex urination is produced. For this purpose, catheters, nerve impulses, and pharmaceuticals are used.

Sometimes surgical intervention is required regarding the autonomic ganglia and nerves, muscles of the bladder neck.

Treatment is necessarily accompanied by a reduction in the patient’s daily fluid intake: it has been proven that symptoms cease to bother the patient when limited to the minimum acceptable norm, i.e. 1.6 l. If fluid intake was reduced by another 25%, symptoms decreased by 23%, frequency of nighttime urges decreased by 7%, and urgency decreased by 34%. If you refuse half the recommended volume of drinking, you will experience headaches and thirst.

Having discovered characteristic symptoms, some patients try to solve the problem on their own and start using diapers or pads. This approach is fraught with the emergence of powerful psychological discomfort: a person constantly feels anxious, he is ashamed, anxious, and he is not confident in himself. Timely treatment prescribed by a doctor will significantly improve the quality of life and prevent serious complications.

Bladder neurosis

General information

Cystalgia (vesical neurosis, genital-vesical dysfunction, bladder neurosis, unstable bladder) is a common urological pathology, which is accompanied by large-scale urination disorders. The manifestation of symptoms of inflammatory processes is not typical. In most cases, the disease occurs in females. The disease often takes a chronic form with obvious exacerbations during menstruation and pregnancy. Bladder neurosis negatively affects the psychological side of the patient, in particular, it has a huge impact on a person’s social adaptation. Conditions of depression and neurosis are considered frequent in this pathology.

Causes of pathology

Possible causes of the development of bladder neurosis include:

various gynecological diseases;
ovarian dysfunction (with menstrual irregularities, menopause, various hormonal changes);
mental factors (frequent and protracted conflict situations, dissatisfaction with sexual life);
the body's predisposition to various allergic reactions;
impaired blood and lymph circulation in the bladder area;
abortions;
surgical interventions in the pelvis;
neurogenic disorders in the bladder;
special congenital structure of the genitourinary system;
disruption of the functionality of the body's immune forces.

When suffering from cystalgia, the inflammatory process in the bladder is not detected. Mostly, bladder neurosis manifests itself in emotional and vulnerable women. An unstable psychological background is considered the main factor in the progression of the disease after previous diseases or disorders in the pelvis (cystitis, vaginitis, hypothermia, stressful situations, and others). The listed reasons stimulate the nerve endings located in the walls of the bladder and in the urethra. Cystalgia manifests itself when leading an inactive lifestyle, with weak muscles in the pelvis, when wearing tight clothes and with excessive consumption of hot, spicy or salty foods.

Symptoms and course of the disease

Cystalgia is characterized by the onset of symptoms during the daytime. Severe symptoms include poor urination, pain and discomfort in the bladder, groin and urethra. Most pain manifestations have clear boundaries. The pain is dull, persistent, and appears regardless of the process of urination. In addition to pain syndromes, there is a disorder during the process of urination.

Bladder neurosis is characterized by a long course with acute periods of exacerbation. Exacerbations have seasonal manifestations, namely, they are especially pronounced in the autumn and winter seasons. Symptoms of cystalgia generally appear vaguely. Against this background, strong changes are noticeable in the patient’s psyche, as a result of which the level of social adaptation decreases due to unexpected manifestations of the symptoms of the disease.

Features of cystalgia in women

The nervous system and dysfunction in it are the main reason for the development of cystalgia. As a rule, the disease is observed in very vulnerable and overly emotional women. One of the factors in the manifestation of the disease includes sexual overtones. Bladder neurosis is often recorded in women who are inclined to perceive sexual intercourse as a violent process. Masochistic tendencies and frigidity also provoke the development of the disease. Sexual problems contribute to blood stagnation in the pelvis, and this provokes mental exhaustion. As a result, this disease is called psychosomatic cystitis. Cystalgia in women is a common disease that should not be ignored.

Features of cystalgia in children

Cystalgia in childhood is characterized by urinary incontinence and pain. If this syndrome occurs in a child, you should pay attention to the psychological state of the little patient. The main symptom of bladder neurosis in children is a frequent urge to urinate, during which the child experiences severe pain. The reason lies in long-term abstinence, which leads to even more severe pain. Daytime and nighttime manifestations of enuresis are considered a symptom of an unstable bladder in a child.

The most common reason for the development of the disease in children includes psychological aspects. All childhood neuroses are associated, first of all, with parents. Severe fear during the process of urination or strong punishment from parents for accidental emptying is a reason for the development of this disease. Impaired functionality in the urinary system occurs due to the child’s subconscious fear of emptying the bladder.

Therapy for this disease in childhood consists of identifying and eliminating the causes of the disease. In case of physiological abnormalities, it is important to visit a specialist as soon as possible and begin treatment for the disease. If there are disturbances in the functioning of the bladder due to psychological reasons, you should contact a child psychologist or psychiatrist. During treatment, the doctor explains to the child that his fears are unfounded, thereby helping to eliminate neurosis. However, parents play an important role in effective therapy, namely, they should completely change their attitude towards the little person. Bladder neurosis in children is a problem in which all family members should be involved.

Complications and consequences

Bladder neurosis disrupts work in all areas of a person’s life. There is a decrease in performance, frequent stress, and increased irritability when communicating with other people. Psychogenic delay can lead to rupture of the bladder or kidney organs, as a result of which experts recommend that at the first symptom of cystalgia, seek advice and prescribe effective therapy. Possible complications include:

swelling of the genitals;
chronic inflammatory processes;
prolapse of the vaginal walls.

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Diagnostics

Diagnosis is based on the results of a thorough clinical examination. During the examination, special attention is paid to the following factors:

previous surgical interventions in the field of gynecology;
the patient’s sexual relations (does the person experience orgasm, is there pain during sexual intercourse);
taking contraceptive medications;
check reproductive function and menstrual cycle.

As a rule, the diagnosis of cystalgia is made by excluding other diseases in the bladder and urethra. To do this, the genital organs are examined, laboratory tests of urinary fluid, and X-ray and radiological methods are prescribed to determine the functionality of the renal organs and urinary tract.

To exclude various organic diseases in the bladder, cystoscopy, ultrasound, urethrocystography and other types of diagnostics are used. Patients with a pronounced emotional disorder are referred to a neurologist in order to exclude neurogenic dysfunction of the bladder.

Treatment of pathology

In the treatment of bladder neurosis, complex measures are prescribed. The course of therapy is monitored by several specialists. For effective therapy, it is important to find the root cause of the disease and remove inflammation in the genitourinary system. The patient is prescribed individual visits to a psychologist, restorative methods of therapy, taking sedatives, painkillers and antispasmodics. If there is a decrease in functionality in the ovaries, hormone replacement therapy is used. A blockade is prescribed using novocaine, corticosteroid medications and a vitamin course.

The psycho-emotional state is corrected with the help of sedatives, antipsychotics, tranquilizers and antispasmodics. Experts recommend therapeutic exercises and physiotherapy. Sometimes they resort to surgical intervention, in particular, laparoscopic ligation. Treatment of cystalgia is characterized by a long course with acute complications. In some cases, a specialist prescribes placing the patient in a psychoneurological dispensary due to suffering mental trauma.

Prevention

For preventive purposes, it is recommended to visit balneological procedures, psychotherapeutic sessions and special massage rooms. Such corrective methods should be carried out several times a year. This approach will help eliminate the symptoms of cystalgia and help the person return to a healthy lifestyle. Also, prevention of bladder neurosis involves the exclusion of alcoholic beverages and dishes with hot, salty and spicy ingredients. Moderate physical activity and consistency in sexual activity are recommended.

Malfunctions in the functioning of any internal system of the body have a negative impact on the entire human body as a whole, and the genitourinary system is no exception. In case of any violations, you should seek the help of qualified specialists for a full examination and subsequent prescription of effective treatment. It is important not to forget that in the initial stages the disease is treated faster and there is a greater chance of preventing complications.

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What symptoms indicate bladder neurosis?

Bladder neurosis is a disease accompanied by damage to the nervous system, resulting in symptoms of frequent urge to urinate or, conversely, acute retention.

Causes

Since bladder neurosis is associated with a disorder of the urinary process, doctors initially determine in the patient whether there are physiological obstacles to its implementation.

There are diseases that quite often provoke stagnation of urine.

Bladder neurosis is a disease in which disturbances in the urinary process are in no way related to problems of the urinary system.

The causes of this pathology lie in nerve cell disorders. That is why this disease is classified as a psychological pathology.

The bladder is a muscular organ that has two sphincters that perform the functions of relaxation and contraction, due to which urine flows out.

The autonomic nervous system, consisting of the sympathetic and parasympathetic divisions, contributes to this functioning.

The sympathetic division is responsible for urinary continence by reliably contracting the muscles of the organ and promoting the closure of the sphincter.

The parasympathetic department, on the contrary, promotes relaxation of the muscles, and then the sphincter, due to which urine leaves the bladder.

Signs

Neurosis has another medical name - cystalgia of the bladder, but it definitely does not have any common causes associated with cystitis. Only the symptoms are very similar, indicating problems and the need to urgently begin treatment.

Frequent urge to urinate

Frequent urge to urinate or false urge are the most likely symptoms indicating the development of bladder neurosis.

The patient also begins to realize that he is unable to independently control the process of urination. In this regard, symptoms arise that are characterized by a feeling of incomplete urine output.

In addition, patients complain that they do not feel the bladder itself at all. This can lead to patients having to go to the toilet on a schedule rather than as a result of urge.

At this moment, pain begins to appear in the lower part of the person’s body (in the lower back, perineum, above the pubic part). Pain can appear at different times.

The process of urination itself is accompanied by other symptoms in the form of pain and discomfort.

Consequences

Unfortunately, neurosis of the urinary organ is not as harmless as it might seem at first glance. Regardless of the reasons for which the patient developed neurosis, disharmony in all cases tightly penetrates into all spheres of human life.

Its performance is impaired, and its quality also decreases. A person is exposed to frequent stress, which he cannot deal with on his own.

Due to increased irritability, frequent quarrels arise with friends and relatives, and, accordingly, interpersonal relationships deteriorate on this basis.

Due to psychogenic retention of urinary fluid, a rupture of the bladder or kidney may occur, which is why doctors recommend paying attention to the symptoms of neurosis and seeking help to begin treatment.

Symptoms of bladder neurosis should not be hidden, since this makes them even worse, the pathology takes root, and treatment becomes much more difficult.

Medication assistance

Initial treatment is aimed at identifying the root cause that provoked the appearance of such a pathology. After this, doctors direct a set of preventive measures to prevent further bladder infections.

For this purpose, antibiotics and uroantiseptics can be prescribed. To relieve symptoms of urinary retention and prevent further complications associated with congestion, the patient is catheterized.

Unfortunately, in some cases it is necessary to undergo surgical treatment, which involves surgery on the muscles and nerves of the bladder.

The entire treatment process should be accompanied by minimal fluid intake. Doctors confirm that when water consumption is reduced by a quarter, the symptoms of neurosis are reduced by 23%, and the urgency of emptying by 34%.

Feeling of bladder fullness
Bladder rupture consequences
Bladder pain and frequent urination
Bladder disease symptoms

Bladder neurosis can be diagnosed if there is no good diagnostic equipment on site?

It became very painful for me to go to the toilet. The gynecologist says that the problem is not with the woman, but with the bladder. I have bladder neurosis. Tell me, if I stop being nervous, will it go away?

The treatment process should be accompanied by minimal fluid intake. But in case of kidney and bladder diseases, is it recommended to drink more clean water?

Bladder neurosis is usually a single neurosis or plus some other neuroses of other organs, or are mental disorders observed?

Dina, a certain period must still pass. You can stop being nervous, the pain will go away, but when you start to get nervous again, the disease will recur. Your doctor should prescribe a suitable medicine for both your bladder and to calm your nervous system. Don't prescribe treatment for yourself.

I didn't even know this could happen. I was looking for the causes of my pain. For me, they also become more frequent when urinating, as soon as I get very nervous. Now I’ll run to the doctor and let them prescribe treatment. I don't want to start a problem.

Bladder neurosis and its symptoms

More than 20% of the world's population experiences symptoms of bladder neurosis, most of them are elderly people. Pathology can manifest itself in the form of two radically different clinical pictures, everything will depend on the type of neurosis.

The first type is more common than the second. It is characterized by constant urinary retention, which is psychogenic in nature. This form is commonly called paruresis. Patients who suffer from this syndrome find it difficult, and in advanced cases, impossible to go to the toilet if there are other people nearby. This problem is usually diagnosed at school when teachers notice that the child does not go to the toilet.

The second type is often also called neurogenic bladder. It manifests itself in the form of a constant desire to go to the toilet; the urge is so strong that it is impossible to restrain it. In addition, they can become significantly more frequent or intensified due to nervous stress on the body.

Why does neurosis occur?

Various urination disorders can develop due to the presence of any other pathologies in the body, for example, prostatitis, cystitis, pyelonephritis. To exclude such causes of symptoms, the attending physician should prescribe additional examinations. If no diseases of the genitourinary system are detected, then a diagnosis of “bladder neurosis” is made.

The functioning of the bladder is regulated by two parts of the autonomic nervous system - sympathetic and parasympathetic. The first one innervates the fibers and causes them to contract, thus closing the sphincters and preventing urine from escaping.

The second section is responsible for relaxing the muscles that hold the sphincters, and its activation also provokes contractions of the walls of the organ. This facilitates the smooth passage of urine through the urethra.

Divisions of the autonomic nervous system

This condition is considered to be not a physical illness, but a psychological deviation. Since it can be provoked by stress, severe fear or joy, in general, any very vivid emotions. This is due to the fact that strong experiences overload the nervous system and can lead to too much stimulation of one of its departments. Thus, either the first or the second type of neurosis develops.

How neurosis manifests itself

A patient who suffers from bladder neurosis is usually very shy and sensitive. He reacts sharply to any criticism and remarks, he is afraid that other members of society will judge him for something.

This is due to the fact that because of the problem, such people feel very insecure and are afraid that they will be exposed.

Depending on the severity of the clinical picture, bladder neurosis can be divided into three degrees of severity - mild, moderate, severe. The first two forms can also appear in completely healthy people, for example, a strong desire to go to the toilet before some important public speech. But a severe degree develops into a phobia and terribly interferes with a person’s life.

Depending on what type of neurosis the patient has, his behavior may differ slightly. Characteristic signs for paruresis:

to avoid visiting the toilet in public, patients severely limit their intake of liquid food or drinks;
in order to urinate, such patients need complete privacy and silence (they spend more time in the toilet than a healthy person);
such people cannot overcome themselves and urinate in public toilets, and they also cannot visit toilets anywhere, even with close friends;
patients are embarrassed to go to the toilet if someone else is at home (especially if someone is waiting in line to see a white friend);
they constantly have a feeling of anxiety, sometimes even panic, when the need arises to use a separate establishment;
patients avoid going to public places for long periods of time. Long trips and travel will also be torture for them.

People suffering from paruresis cannot go to public toilets

Symptoms of nervous bladder:

constant obsessive fear of not being able to resist and wet yourself in public;
reducing fluid intake to a minimum;
an increasing feeling of anxiety that occurs if such a patient needs to leave the house, especially for a long time;
before going even to the store, the patient carefully makes a plan where along the way he could go to the toilet;
patients constantly run to the toilet, trying to squeeze out every last drop, this becomes an obsession;
some always wear adult diapers to avoid embarrassment;
Such people constantly condemn themselves and feel abnormal.

Treatment of pathology

To cure bladder neurosis, the patient will have to go a long way. Treatment consists of the use of medications, special exercises, physiotherapeutic procedures, and in some cases it is necessary to resort to the help of a psychotherapist.

To get rid of paruresis, you can deliberately provoke situations in which it is difficult to relax and go to the toilet and try to overcome them. For example, asking someone close to you to be near the toilet door when the patient visits.

Patients are haunted by the fear of wetting themselves somewhere on the street

After the patient can urinate calmly, despite the fact that someone is standing at the door, you need to move on to the next stage - visiting a public toilet. To begin with, it is better to choose a place where there will be fewer people, and the booth will have at least some sound insulation. Gradually we need to make the places to visit more difficult.

In the fight against a neurogenic bladder, the most important thing is to find harmony within yourself. The patient must learn to relax his nervous system and not react to stimuli. To do this, you need to come up with relaxation methods; each person must choose them for himself. For some, it’s enough to distract themselves from the world around them and, for example, add numbers in their heads. It is important not to panic and fight your fear.

Medications are practically not used to treat neurosis of this organ. During psychotherapy, various sedatives are prescribed that stabilize the functioning of the nervous system - valerian, Persen. In case of severe manifestations of the pathology, drugs of stronger groups are prescribed - tranquilizers and antidepressants.

To prevent the occurrence of concomitant diseases, patients with neurosis are prescribed a course of antibiotic therapy. And in order to alleviate the condition and think less about visiting the toilet, such patients are advised to significantly limit their fluid intake, to approximately 1.5–1.6 liters during the day.

ATTENTION! All information on the site is for informational purposes only and does not claim to be absolutely accurate from a medical point of view. Treatment must be carried out by a qualified doctor. By self-medicating you can harm yourself!

Bladder neurosis: symptoms and treatment

Bladder neurosis can manifest itself in the form of two differently directed symptoms.

The first - the most common - is psychogenic urinary retention (paruresis). A person with symptoms of paruresis finds it difficult or impossible to urinate in the presence of other people. This is a fairly common problem, often first appearing at school.
The second symptom is a constantly felt urge to go to the toilet, intensified as a result of nervous tension, as well as frequent urination. This manifestation of neurosis is often called nervous (neurogenic) bladder syndrome, although this is not an entirely correct name.

Both forms of neurosis are accompanied by various variations of fears of public shame. They are quite common types of social phobia, ranking second after fear of public speaking.

Symptoms of bladder neurosis

A person with symptoms of bladder neurosis is most often a sensitive, shy and conscientious person who is afraid of judgment or criticism from other people. These people may have mild, moderate, or severe symptoms.

The mild to moderate form is familiar to most men and women. Who hasn’t wanted to go to the toilet, and urgently, before the start of an important speech? And everyone knows the awkwardness and resulting difficulty of urinating in a cup in front of a doctor or nurse.

However, severe forms of bladder neurosis turn into a real phobia, identical, it must be said, to agoraphobia. Life can turn into a real nightmare. Signs and symptoms of severe phobia:

Avoiding long trips and social events with large crowds of people.
The need for complete privacy for urination;
Fear that other people may hear urinary noise or smell;
Judging oneself when attempting to urinate unsuccessfully;
Inability to urinate in public toilets or other people's homes;
Inability to urinate at home when there are guests in the house or someone is waiting outside the toilet;
Feeling anxious when having to go to the toilet.

Limiting drinks to reduce the need to urinate;
Avoiding traveling on public transport and going to public places.
Feeling of anxiety when having to go somewhere;
Before leaving home, you draw up a detailed route with a “map” of toilets along the route;
There is a constant thought in my head: “What if I can’t hold back?”
Repeated visits to the toilet with “squeezing out drops” before leaving the house;
Using adult diapers (“just in case”);
Self-judgment, shame, feeling “abnormal.”
Confusion, inability to approach passers-by to ask where the toilet is.

Causes of bladder neurosis

Various physiological conditions, such as prostatitis, can interfere with urination. To diagnose the cause of the disorder, the doctor will usually order a series of tests to make sure there are no physical obstructions or problems with the urinary tract.

The term “neurosis” is used when examinations show that a person does not have any problems with the urinary system. This means that the root of the problem lies not in any organic damage to the nerve cells, bladder, cerebral circulation, etc., but in a nervous “failure.” That is, this is not a physical disease, but a psychological one.

The autonomic nervous system, its sympathetic and parasympathetic divisions are responsible for the functioning of the bladder. The first contracts the sphincter fibers and thus retains urine. Parasympathetic nerves, on the other hand, relax the sphincter and contract the bladder wall so that urine can leave the bladder smoothly.

Negative emotions - fear, anxiety, worry, shame - can lead to overexcitation of one of the parts of the nervous system. As a result, a “clamp” of the sphincter occurs and pathological urinary retention, or overstrain of the bladder walls and an “extraordinary” urge.

Consequences of psychogenic urination disorders

Urinary disorder appears for various reasons, but the result is always the same. Disharmony affects all areas of a person’s life - the quality of work decreases, stress appears, relationships with family and friends deteriorate, and much more. All this can happen at any time.

In case of paruresis, if the disease is not treated, complications such as damage to the bladder and kidneys may occur.

It is necessary to look for solutions to this problem, and not remain silent about it. Indeed, for many, the topic of bladder neurosis is taboo - there is neither the strength nor the desire to discuss it with loved ones, which leads to an even worsening of the situation.

Finding the right treatment is the beginning of the road to recovery

You may not show it, but you feel isolated, constrained and insecure due to the manifestations of bladder neurosis. It always seems that if people around you find out about your problem, they will start laughing at you.

That is why it is extremely important to start looking for methods to combat this disorder in time in order to be able to lead a normal life. The disease cannot be ignored, as it can lead to serious disruptions in work and communication, as well as affect self-confidence and the ability to travel.

However, don't despair! There are simple but effective ways to combat this disorder. At the same time, you don’t need to spend a lot of money or go to surgeons!

How to overcome bladder neurosis?

Such disorders are considered reversible and generally easy to treat. Your doctor may suggest temporary use of types of medications such as tranquilizers or antidepressants. However, these drugs can only temporarily reduce the feeling of anxiety, but do not cure the phobia.

A high-quality solution to problems with urination should include the following measures:

Learning relaxation techniques - some exercises can help you reduce anxiety;
Psychotherapy - methods that help reduce stress “here and now”, and therefore reduce the excitement of the nervous system and its negative impact on the bladder;
Complex therapy is a program that helps to improve the urinary system step by step.

The psychologist and the patient begin to develop a comprehensive program only when the activities in paragraphs. 1-2.

Comprehensive self-help program for paruresis

Naturally, a psychologist who has the appropriate qualifications should select psychotherapeutic methods and develop a program for getting rid of bladder neurosis. However, in some cases, a person can try to get rid of bladder neurosis on their own.

Some people may benefit from a program based on the well-known method of systematic desensitization. So, in the case of a problem with difficulty urinating, you should start by compiling a ranked list of places to urinate: from the easiest to the most problematic. For example, most people with paruresis find it easiest to urinate alone at home. The most difficult situations are usually in crowded and noisy public restrooms. And also, you should find someone, perhaps a close friend or relative, who could support you.

The next idea is to start with the easiest places and work your way up to the hard ones:

Ask your friend to stand as close to the toilet as possible so that you feel comfortable and safe while you try to urinate. Urinate for a few seconds and then stop for a few minutes.
Ask a friend to stand a little closer to the toilet. Return to the toilet and urinate again for a few seconds and then stop.
Keep practicing with your friend moving closer and closer to the toilet. This may take several sessions over a period of time.
Choose a small, quiet public toilet (once you are comfortable with urinating at home) and then practice with a friend standing outside the toilet door.
Use a friend to work through each step of the ranked list of hard-to-reach spots until you can successfully urinate in a crowded and noisy public toilet.

You can easily adapt this program for self-help with fear of “incontinence” and accompanying urges.

This therapy is more successful if it is practiced frequently, perhaps 3-4 times a week. You should also avoid any negative thoughts while you are trying to urinate.

It is also important to persistently and consistently follow the plan, step by step. Don't force yourself "through force." You should see significant improvement in your condition after just a few attempts.

If improvement does not occur, then you cannot do without the help of a psychotherapist and you need to use more effective methods. Everyone is different, and the standard solution to the problem of psychogenic bladder disorder is not suitable for you. In your case, this should be an individual psychotherapy program. This way you will achieve an excellent effect. What we wish for you from the bottom of our hearts!

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Bladder neurosis can manifest itself in the form of two differently directed symptoms.

The first - the most common - is psychogenic urinary retention (paruresis). A person with symptoms of paruresis finds it difficult or impossible to urinate in the presence of other people. This is a fairly common problem, often first appearing at school.
The second symptom is a constantly felt urge to go to the toilet, intensified as a result of nervous tension, as well as frequent urination. This manifestation of neurosis is often called nervous (neurogenic) bladder syndrome, although this is not an entirely correct name.

Both forms of neurosis are accompanied by various variations of fears of public shame. They are quite common types of social phobia, ranking second after fear of public speaking.

Symptoms of bladder neurosis

However, severe forms of bladder neurosis turn into a real phobia, identical, it must be said, to agoraphobia. Life can turn into a real nightmare. Signs and symptoms of severe phobia:

How does paruresis manifest?

Symptoms of nervous bladder (“incontinence”)

Avoiding long trips and social events with large crowds of people.
The need for complete privacy for urination;
Fear that other people may hear urinary noise or smell;
Judging oneself when attempting to urinate unsuccessfully;
Inability to urinate in public toilets or other people's homes;
Inability to urinate at home when there are guests in the house or someone is waiting outside the toilet;
Feeling anxious when having to go to the toilet.

Limiting drinks to reduce the need to urinate;
Avoiding traveling on public transport and going to public places.
Feeling of anxiety when having to go somewhere;
Before leaving home, you draw up a detailed route with a “map” of toilets along the route;
There is a constant thought in my head: “What if I can’t hold back?”
Repeated visits to the toilet with “squeezing out drops” before leaving the house;
Using adult diapers (“just in case”);
Self-judgment, shame, feeling “abnormal.”
Confusion, inability to approach passers-by to ask where the toilet is.

Causes of bladder neurosis

Consequences of psychogenic urination disorders

In case of paruresis, if the disease is not treated, complications such as damage to the bladder and kidneys may occur.

Finding the right treatment is the beginning of the road to recovery

However, don't despair! There are simple but effective ways to combat this disorder. At the same time, you don’t need to spend a lot of money or go to surgeons!

How to overcome bladder neurosis?

A high-quality solution to problems with urination should include the following measures:

Training - Some exercises can help you reduce anxiety;
Psychotherapy - methods that help reduce stress “here and now”, and therefore reduce the excitement of the nervous system and its negative impact on the bladder;
Complex therapy is a program that helps to improve the urinary system step by step.

The psychologist and the patient begin to develop a comprehensive program only when the activities in paragraphs. 1-2.

Comprehensive self-help program for paruresis

Some people find a program based on the well-known . So, in the case of a problem with difficulty urinating, you should start by compiling a ranked list of places to urinate: from the easiest to the most problematic. For example, most people with paruresis find it easiest to urinate alone at home. The most difficult situations are usually in crowded and noisy public restrooms. And also, you should find someone, perhaps a close friend or relative, who could support you.

The next idea is to start with the easiest places and work your way up to the hard ones:

Ask your friend to stand as close to the toilet as possible so that you feel comfortable and safe while you try to urinate. Urinate for a few seconds and then stop for a few minutes.
Ask a friend to stand a little closer to the toilet. Return to the toilet and urinate again for a few seconds and then stop.
Keep practicing with your friend moving closer and closer to the toilet. This may take several sessions over a period of time.
Choose a small, quiet public toilet (once you are comfortable with urinating at home) and then practice with a friend standing outside the toilet door.
Use a friend to work through each step of the ranked list of hard-to-reach spots until you can successfully urinate in a crowded and noisy public toilet.

You can easily adapt this program for self-help with fear of “incontinence” and accompanying urges.

This therapy is more successful if it is practiced frequently, perhaps 3-4 times a week. You should also avoid any negative thoughts while you are trying to urinate.

If improvement does not occur, then you cannot do without the help of a psychotherapist and you need to use more effective methods. Everyone is different, and the standard solution to the problem of psychogenic bladder disorder is not suitable for you. In your case it should be . This way you will achieve an excellent effect. What we wish for you from the bottom of our hearts!

Bladder neurosis can occur in many people. It should not be confused with, an example of which is cystitis.

During neurosis, the organs of urine emission are absolutely healthy, but their functionality can bring significant inconvenience to a person. The disease is accompanied by damage to the nervous system, which causes symptoms of frequent desires to empty the bladder or delays in doing so.

A patient with signs of urinary neurosis in most cases is a sensitive, shy and conscientious person, fearing judgment or critical remarks from his own environment. Symptoms in these patients may be mild, moderate, or severe.

Why does neurosis occur?

Various types of disorders develop due to the presence of other pathologies: prostatitis, cystitis, pyelonephritis. To exclude these causes of symptoms, the specialist will prescribe the necessary examination. If the genitourinary organs are not identified, then a diagnosis of Bladder Neurosis is made.

The sympathetic and parasympathetic parts of the nervous system are responsible for the functioning of the urinary tract. The first forces the fibers to contract, preventing urine from escaping.

Another section is responsible for relaxing the muscles that hold the sphincters. Its activity can provoke contraction of the inner walls of the bladder. This helps urine pass smoothly through the ureteral canal.

This condition is not considered a disease, but a psychological disorder. It is caused by stress, severe fears, and various emotions of a vivid nature. From strong excitement, the nervous system is overloaded, any of its departments can become very excited. This is how one of the types of neurosis develops.

How does the disease manifest?

This problem has another name - . But there are no general reasons linking it with cystitis. The only signs that are similar are those that indicate the emergence of a problem and signal that a course of treatment should be started urgently.

Frequent desires to urinate or false sensations are the most likely symptoms confirming the development of bladder neurosis. The patient begins to understand that he cannot control the output of urine himself. For this reason, symptoms appear, characterized by the sensation of urine not being released in full.

Patients may complain that they no longer feel their own bladder. This is aggravated by the forced measure of going to the toilet on a schedule, without waiting for the urge to do so.

At such moments, pain begins to occur in the lower abdomen, in the lumbar region, above the pubis or in the perineum. Pain can occur at any time.

The process of urination may be accompanied by discomfort and pain.

Modern diagnostic methods

It is very important to undergo laboratory and instrumental tests when identifying signs of urinary neurosis. The laboratory method involves passing the necessary tests.

Based on X-ray examinations, the following are performed:

survey radiography;
conventional urethrocystography;

Excellent methods of instrumental examination include the kidneys.

Treatment of pathology

To get rid of neurosis, it is necessary to carry out a long course of treatment. It will consist of the use of medications, special physiotherapeutic procedures. Sometimes a psychotherapist is also prescribed.

To defeat the disease, you can deliberately provoke circumstances in which it is difficult to relax and go to the toilet, and try to overcome them. For example, ask someone nearby to be near the toilet door when the patient enters.

When the patient calmly empties his bladder, not paying attention to the person standing under the door, it is necessary to begin a new stage - start visiting a public toilet. At the first stage, a place that is not too crowded is selected, with a booth that has some kind of sound insulation. Gradually the place to visit becomes more complicated. A patient who works diligently on this issue will be able to get rid of the problem soon.

When fighting neurosis, you should determine the harmony in your own body. The patient should learn to relax his own nervous system, not paying attention to irritating factors.

For this purpose, relaxation options are developed that take into account the individual characteristics of each patient. For example, for some, a simple distraction from the world around him and the harmless addition of numbers in his mind will be sufficient. It is very important not to panic and fight your own fear.

Medications are almost never used in the treatment of bladder neurosis.

Compositions of a calming nature can be prescribed to help stabilize the functioning of the nervous system - Valerian, Persen. In cases where the pathology is severe, stronger medications are prescribed in the form of tranquilizers or antidepressants.

To prevent the occurrence of concomitant diseases, the patient may be prescribed antibiotic therapy. To alleviate your general condition and get rid of thoughts about visiting the toilet, you should significantly limit your liquid intake, lowering the norm to one and a half liters per day.

Consequences

It must be remembered that urinary neurosis can result in serious problems. Despite the causes of the disease, discomfort in each case can penetrate into any area of a person’s life. Performance problems occur and quality decreases. A person experiences numerous stresses that he is no longer able to deal with on his own.

Against the background of increased irritability, quarrels with loved ones are observed, and mutual relationships with them deteriorate.

Due to psychogenic urinary retention, either the kidney can be affected, so it is because of this that doctors advise paying attention to the symptoms of the disease and undergoing examinations in order to begin the fight against the disease.

The symptoms of neurosis should not be hidden, so as not to further aggravate the situation.

Comprehensive self-help program

Remember that only a psychologist with the required qualification level can choose methods of psychotherapy and draw up programs aimed at treating urinary neurosis. But there are times when the patient can try to get rid of this problem on his own.

A certain category of people will benefit from a program based on the well-known method of permanent desensitization. If you have problems with urination, you need to start making a detailed list of places of this process - from the simplest to the most problematic.

It is believed that many people suffering from bladder neurosis prefer to go to the toilet at home, being completely alone. Difficulties arise in most cases when visiting a public toilet. Therefore, you will have to find someone who can support you in self-treatment:

A friend should stand behind the door so that when you pass urine you feel only comfort.
When urinating, you can change the location of your friend, gradually moving him closer to the toilet door.
After some time, such exercises can be started in a public toilet, choosing the least crowded place.

You can easily adapt such a program for yourself if you are worried about urinary incontinence. This therapy is successful if performed frequently, three to four times a week. Try to avoid negative thoughts until you empty your bubble.

Try to carry out your plan consistently; you should not act “under duress.” You should feel a significant improvement in your condition after just a few approaches.

If there are no positive changes, you need to visit a psychotherapist to apply more effective methods. People's bodies are different, and standard methods for solving problematic issues may not suit you. In this case, you will have to draw up an individual psychotherapeutic course program in order to achieve the expected effect.

Bladder neurosis can occur in many people. It should not be confused with inflammation, an example of which is cystitis.

Why does neurosis occur?

Various types of disorders develop due to the presence of other pathologies: prostatitis, cystitis, pyelonephritis. To exclude these causes of symptoms, the specialist will prescribe the necessary examination. If diseases of the bladder and genitourinary organs are not identified, then a diagnosis of Bladder Neurosis is made.

The sympathetic and parasympathetic parts of the nervous system are responsible for the functioning of the urinary tract. The first forces the fibers to contract, preventing urine from escaping.

How does the disease manifest?

This problem has another name - urinary cystalgia. But there are no general reasons linking it with cystitis. The only signs that are similar are those that indicate the emergence of a problem and signal that a course of treatment should be started urgently.

Patients may complain that they no longer feel their own bladder. This is aggravated by the forced measure of going to the toilet on a schedule, without waiting for the urge to do so.

At such moments, pain begins to occur in the lower abdomen, in the lumbar region, above the pubis or in the perineum. Pain can occur at any time.

The process of urination may be accompanied by discomfort and pain.

Modern diagnostic methods

It is very important to undergo laboratory and instrumental tests when identifying signs of urinary neurosis. The laboratory method involves passing the necessary tests.

Based on X-ray examinations, the following are performed:

survey radiography;
conventional urethrocystography;
excretory urography.

Ultrasound of the bladder and kidneys, cystoscopy, and urodynamic studies are considered excellent methods of instrumental examination.

Treatment of pathology

To get rid of neurosis, it is necessary to carry out a long course of treatment. It will consist of the use of medications, special gymnastic exercises, and physiotherapeutic procedures. Sometimes a psychotherapist is also prescribed.

When fighting neurosis, you should determine the harmony in your own body. The patient should learn to relax his own nervous system, not paying attention to irritating factors.

Medications are almost never used in the treatment of bladder neurosis.

Consequences

Against the background of increased irritability, quarrels with loved ones are observed, and mutual relationships with them deteriorate.

Due to psychogenic urinary retention, the bladder or kidney can rupture, so it is because of this that doctors advise paying attention to the symptoms of the disease and undergoing examinations in order to begin the fight against the disease.

The symptoms of neurosis should not be hidden, so as not to further aggravate the situation.

Comprehensive self-help program

A friend should stand behind the door so that when you pass urine you feel only comfort.
When urinating, you can change the location of your friend, gradually moving him closer to the toilet door.
After some time, such exercises can be started in a public toilet, choosing the least crowded place.

Try to carry out your plan consistently; you should not act “under duress.” You should feel a significant improvement in your condition after just a few approaches.

Neurogenic bladder

Bladder neurosis occurs as a result of damage to the nervous system and manifests itself as rare (only 2-3 times a day) or frequent (8 times a day) urination. About 22% of people are familiar with the problem, most of whom are elderly.

Neurogenic bladder
Nature of the phenomenon
Symptoms
Neurogenic bladder in a child
Diagnostics
Treatment
Bladder neurosis treatment
Bladder neurosis: symptoms and treatment
Symptoms of bladder neurosis
Causes of bladder neurosis
Consequences of psychogenic urination disorders
Finding the right treatment is the beginning of the road to recovery
How to overcome bladder neurosis?
Comprehensive self-help program for paruresis
Bladder neurosis: symptoms and treatment of organ neuroses
Pathogenesis
Symptoms
Treatment
Drug treatment
Bladder neurosis and its symptoms
Why does neurosis occur?
How neurosis manifests itself
Symptoms and treatment of bladder neurosis
Symptoms of the disease
Treatment methods
Features of bladder neurosis in children
Bladder neurosis - symptoms, treatment
Symptoms
Treatment
Bladder neurosis
Pathogenesis
Symptoms
Treatment
Drug treatment
Frequent urination as a symptom of neurosis
Features of the pathological process
Symptoms of neurosis
Consequences of neurosis
Treatment of pathology

Nature of the phenomenon

Causes of the disorder:

damage to the spinal cord, especially its lumbar region, because in that area the autonomic ganglia of the pelvic organs are located, and there is also an intersection of parasympathetic and sympathetic nerves coming from the vessels, rectum, as well as the genitals and bladder;
progressive diseases - neuropathy or multiple sclerosis - of the nervous system, as well as alcoholism and diabetes. They change the normal pattern of nerve impulses. As a result, in addition to problems with the bladder, weakening of hearing and vision, and skin sensitivity are simultaneously detected.

Symptoms

The most pronounced symptoms that patients complain about:

uncontrolled urination;
false urges, when it seems that the bladder is full, although this is not the case;
lack of feeling of fullness. In combination with sphincter spasms, it can lead to the return of urine to the ureters and further to the kidneys, which is fraught with inflammation, as well as pathological expansion of the bladder. Then the person simply will not feel the urge, and he will have to go to the toilet on a schedule;
unpleasant sensations during the process, especially closer to completion;
pain - in the perineum, lower abdomen, above the pubis, in the lumbar region - during emptying the bladder, during sexual intercourse.

Neurogenic bladder in a child

A neurogenic bladder in children in the absence of spinal or head injuries indicates problems with the nervous system.

If, despite the obvious symptoms, proper treatment was not prescribed, then children may develop:

vesicular reflux;
secondary changes in the urinary system (chronic cystitis, etc.);
nephrosclerosis;
chronic renal failure;
pyelonephritis;
arterial hypertension;
early disability.

Diagnostics

Having established characteristic symptoms, a diagnosis should be made by examining:

urodynamics, due to which the specificity and level of organ dysfunction are determined;
ultrasonography, urography, which allows you to detect organic changes.

In some cases, reflex urination is produced. For this purpose, catheters, nerve impulses, and pharmaceuticals are used.

Sometimes surgical intervention is required regarding the autonomic ganglia and nerves, muscles of the bladder neck.

Bladder neurosis treatment

Bladder neurosis: symptoms and treatment

Bladder neurosis can manifest itself in the form of two differently directed symptoms.

The first - the most common - is psychogenic urinary retention (paruresis). A person with symptoms of paruresis finds it difficult or impossible to urinate in the presence of other people. This is a fairly common problem, often first appearing at school.
The second symptom is a constantly felt urge to go to the toilet, intensified as a result of nervous tension, as well as frequent urination. This manifestation of neurosis is often called nervous (neurogenic) bladder syndrome, although this is not an entirely correct name.

Both forms of neurosis are accompanied by various variations of fears of public shame. They are quite common types of social phobia, ranking second after fear of public speaking.

Symptoms of bladder neurosis

However, severe forms of bladder neurosis turn into a real phobia, identical, it must be said, to agoraphobia. Life can turn into a real nightmare. Signs and symptoms of severe phobia:

Limiting drinks to reduce the need to urinate;
Avoiding long trips and social events with large crowds of people.
The need for complete privacy for urination;
Fear that other people may hear urinary noise or smell;
Judging oneself when attempting to urinate unsuccessfully;
Inability to urinate in public toilets or other people's homes;
Inability to urinate at home when there are guests in the house or someone is waiting outside the toilet;
Feeling anxious when having to go to the toilet.

Limiting drinks to reduce the need to urinate;
Avoiding traveling on public transport and going to public places.
Feeling of anxiety when having to go somewhere;
Before leaving home, you draw up a detailed route with a “map” of toilets along the route;
There is a constant thought in my head: “What if I can’t hold back?”
Repeated visits to the toilet with “squeezing out drops” before leaving the house;
Using adult diapers (“just in case”);
Self-judgment, shame, feeling “abnormal.”
Confusion, inability to approach passers-by to ask where the toilet is.

Causes of bladder neurosis

Consequences of psychogenic urination disorders

In case of paruresis, if the disease is not treated, complications such as damage to the bladder and kidneys may occur.

Finding the right treatment is the beginning of the road to recovery

You may not show it, but you feel isolated, constrained and insecure due to the manifestations of bladder neurosis. It always seems that if people around you find out about your problem, they will start laughing at you.

However, don't despair! There are simple but effective ways to combat this disorder. At the same time, you don’t need to spend a lot of money or go to surgeons!

How to overcome bladder neurosis?

A high-quality solution to problems with urination should include the following measures:

Learning relaxation techniques - some exercises can help you reduce anxiety;
Psychotherapy - methods that help reduce stress “here and now”, and therefore reduce the excitement of the nervous system and its negative impact on the bladder;
Complex therapy is a program that helps to improve the urinary system step by step.

The psychologist and the patient begin to develop a comprehensive program only when the activities in paragraphs. 1-2.

Comprehensive self-help program for paruresis

Naturally, a psychologist who has the appropriate qualifications should select psychotherapeutic methods and develop a program for getting rid of bladder neurosis. However, in some cases, a person can try to get rid of bladder neurosis on their own.

The next idea is to start with the easiest places and work your way up to the hard ones:

Ask your friend to stand as close to the toilet as possible so that you feel comfortable and safe while you try to urinate. Urinate for a few seconds and then stop for a few minutes.
Ask a friend to stand a little closer to the toilet. Return to the toilet and urinate again for a few seconds and then stop.
Keep practicing with your friend moving closer and closer to the toilet. This may take several sessions over a period of time.
Choose a small, quiet public toilet (once you are comfortable with urinating at home) and then practice with a friend standing outside the toilet door.
Use a friend to work through each step of the ranked list of hard-to-reach spots until you can successfully urinate in a crowded and noisy public toilet.

You can easily adapt this program for self-help with fear of “incontinence” and accompanying urges.

This therapy is more successful if it is practiced frequently, perhaps 3-4 times a week. You should also avoid any negative thoughts while you are trying to urinate.

Bladder neurosis: symptoms and treatment of organ neuroses

paruresis;

Pathogenesis

Worth seeing: Situation Neurosis

Symptoms

Treatment

Worth seeing: Phobic neurosis

Drug treatment

Bladder neurosis and its symptoms

Why does neurosis occur?
How neurosis manifests itself
Treatment of pathology

The first type is more common than the second. It is characterized by constant urinary retention, which is psychogenic in nature. This form is commonly called paruresis. Patients who suffer from this syndrome find it difficult, and in advanced cases, impossible to go to the toilet if there are other people nearby. This problem is usually diagnosed at school when teachers notice that the child does not go to the toilet.

Why does neurosis occur?

Divisions of the autonomic nervous system

Hyperreflexive bladder

How neurosis manifests itself

A patient who suffers from bladder neurosis is usually very shy and sensitive. He reacts sharply to any criticism and remarks, he is afraid that other members of society will judge him for something.

This is due to the fact that because of the problem, such people feel very insecure and are afraid that they will be exposed.

Depending on what type of neurosis the patient has, his behavior may differ slightly. Characteristic signs for paruresis:

to avoid visiting the toilet in public, patients severely limit their intake of liquid food or drinks;
in order to urinate, such patients need complete privacy and silence (they spend more time in the toilet than a healthy person);
such people cannot overcome themselves and urinate in public toilets, and they also cannot visit toilets anywhere, even with close friends;
patients are embarrassed to go to the toilet if someone else is at home (especially if someone is waiting in line to see a white friend);
they constantly have a feeling of anxiety, sometimes even panic, when the need arises to use a separate establishment;
patients avoid going to public places for long periods of time. Long trips and travel will also be torture for them.

People suffering from paruresis cannot go to public toilets

Symptoms of nervous bladder:

constant obsessive fear of not being able to resist and wet yourself in public;
reducing fluid intake to a minimum;
an increasing feeling of anxiety that occurs if such a patient needs to leave the house, especially for a long time;
before going even to the store, the patient carefully makes a plan where along the way he could go to the toilet;
patients constantly run to the toilet, trying to squeeze out every last drop, this becomes an obsession;
some always wear adult diapers to avoid embarrassment;
Such people constantly condemn themselves and feel abnormal.

Patients are haunted by the fear of wetting themselves somewhere on the street

If the patient works hard on himself, the problem will soon go away.

In the fight against a neurogenic bladder, the most important thing is to find harmony within yourself. The patient must learn to relax his nervous system and not react to stimuli. To do this, you need to come up with relaxation methods; each person must choose them for himself. For some, it’s enough to distract themselves from the world around them and, for example, add numbers in their heads. It is important not to panic and fight your fear.

Symptoms and treatment of bladder neurosis

Bladder neurosis is a disease resulting from damage to the central nervous system, which has symptoms such as frequent urination or prolonged retention. Since neurosis is associated with impaired urine excretion, the doctor must examine the patient for the presence of physiological pathologies that can interfere with the excretion of urine from the body.

Since the disease is associated with damage to the nervous system, a violation of the urination process of this nature is not considered a pathology of the excretory system. It refers to psychological disorders. The bladder is an organ responsible for the accumulation and drainage of excess fluid through the contraction of its muscular sphincters. The functioning of this organ is controlled by the autonomic nervous system, which includes the sympathetic and parasympathetic divisions. The first controls fluid retention by promoting muscle contraction and keeping the sphincter closed. The second section is responsible for relaxing the organ, due to which urine is removed from the body.

Another name for bladder neurosis is cystalgia, but this disease has nothing to do with cystitis. Only the first signs of these diseases are similar, indicating the need for treatment.

Symptoms of the disease

Frequent urination with frequent false urges are characteristic signs of bladder neurosis. It is possible to develop conditions in which the patient is unable to control the processes of urine excretion. This contributes to the appearance of symptoms of incomplete emptying of the bladder after visiting the toilet. In addition, the patient may complain of a lack of urge to urinate, this is due to the fact that with bladder neurosis, people try to go to the toilet according to a schedule, and not according to natural needs.

At the same time, pain may begin to be felt in the lower abdomen, in the lumbar region, perineum and pubis, occurring spontaneously. Often, a feeling of discomfort and pain is accompanied by every process of removing fluid from the body. Bladder neurosis is a dangerous disease; regardless of the causes, it significantly worsens the patient’s quality of life, causing disruption in all areas of life. Often the disease causes loss of ability to work and the development of depressive disorders due to the inability to deal with constant stress. The patient becomes irritable, which leads to problems in his personal life, communication with friends and relatives.

Treatment methods

With prolonged neurogenic urinary retention, bladder rupture and kidney infections may occur, which is why it is necessary to pay attention to any, even the most minor, disturbances in the process of urine excretion and consult a doctor in a timely manner. You should not isolate yourself and try to hide the signs of the disease: if treatment is not started in a timely manner, it becomes chronic.

Before starting treatment, the doctor must identify the cause that led to the development of the disease. Further therapy will be aimed at preventing the development of genitourinary tract infections. The therapeutic course includes taking uroseptics and antibiotics. To eliminate signs of urine stagnation in the bladder, catheterization is necessary. Drug treatment should be combined with special exercises aimed at developing the ability to control the process of urination and eliminating signs of neurosis.

In some cases, surgery is performed to strengthen the bladder muscles. Throughout the treatment process, the patient should reduce fluid intake. It was confirmed that when drinking less water, the intensity of neurosis manifestations decreases by 20%, spontaneous urination begins to occur 2 times less often. It is not possible to get rid of the disease on your own, since surgical and drug treatment must be accompanied by psychotherapy.

Features of bladder neurosis in children

In young patients, this disease manifests itself in the form of pain and enuresis. Like other nervous diseases, bladder neurosis must be treated at an early age. Parents should consult a doctor if their child begins to go to the toilet more often than usual. Urination can be accompanied by intense pain, which is why children try to endure it until the last moment. Prolonged retention of urine in the bladder leads to increased pain. Urinary incontinence with neurosis can occur both at night and during the day. The process of urination occurs spontaneously, so the child does not feel the urge.

There are several reasons for the development of the disease in children. Neurosis can develop as a result of spinal cord injuries or diseases of the excretory system. In girls, it can be a consequence of gynecological diseases. However, most often the development of bladder neurosis is facilitated by psycho-emotional shocks. The child may have been frightened when going to the toilet or punished for accidentally urinating. He begins to restrain the urge to urinate, reducing the amount of fluid excreted. In such cases, you should explain to the child what cannot be tolerated.

Bladder neurosis in children is a consequence of improper parental behavior. You cannot force a child to sit on the potty for a long time, or punish him for wetting his pants. In order to rid him of the disease, it is necessary to eliminate the underlying cause. If there are no physiological diseases, the child should be shown to a neurologist or psychotherapist. The doctor will help the child get rid of unreasonable fears and cure neurosis. To avoid relapse of the disease, parents must reconsider their behavior towards the child.

Bladder neurosis - symptoms, treatment

Symptoms

A neurohormonal disease that is a bladder disorder is called cystalgia (bladder neurosis). It differs from cystitis in that the latter has microbes in the urine, which is not present in the former. And in terms of symptoms they are almost identical. One of the most common symptoms of cystalgia is frequent urination during neurosis, as well as:

false urge to urinate;
problems with urinary control;
discomfort when urinating (mainly at the end);
pain: in the lower abdomen, in the perineum, above the pubic region, in the lumbar region - all this can manifest itself outside the act of urination, as well as during sexual intercourse;
the patient may not feel his bladder;
feeling of not completely emptying the bladder.

Cystalgia can be provoked by:

diseases of the nervous system;
cold;
constipation;
alcohol;
spicy dishes;
irregular daily routine;
spinal cord damage.

It is also worth noting that the disease affects any age, and therefore bladder neurosis in children is no exception.

Treatment

The nervous system permeates the entire body, so the work of any organ or process can be disrupted due to disturbances in its functioning. Thus, cystalgia can occur due to diseases of the nervous system, and then the normal transmission of nerve impulses can be disrupted, resulting in hearing, vision and skin sensitivity disorders.

And if bladder neurosis occurs due to abnormalities of the nervous system, therefore, treatment should be from the psychological side, i.e. it is necessary to treat the psyche, and the greatest influence on it can only be exerted through the mind. Nowadays, there are 2 ways to work with the psyche:

psychotherapy;
psychotechnics.

An experienced psychotherapist can provide sessions and, to some extent, alleviate the state of neurosis. But for a complete recovery, the specialist must be really, really good.

Psychotechnics is an alternative to a psychotherapist. In addition, there is psychotechnics that has proven itself exceptionally and has surpassed even psychotherapy sessions. And in the process of using it, you become a psychologist with a deep understanding of the human psyche.

The system is designed for homework, alone. The time and deadlines for this are determined independently. For more detailed information, please contact the creator of the system:

Bladder neurosis

Bladder neurosis is a delicate problem that affects many people. Neurosis should not be confused with inflammatory processes of the genitourinary system, such as cystitis. With neurosis, the urinary organs are organically quite healthy, but their functional side causes serious inconvenience to the person.

There are two types of neurosis, each of which is equally common:

paruresis;
neurogenic bladder syndrome.

The first is the classic type of syndrome: a person cannot empty his bladder if other people are nearby. According to statistics, the vast majority of people suffer from paruresis, and the origins of this phenomenon can be sought back in a person’s school days. Over time, when the anxiety disorder takes hold, a person, entering a toilet stall, cannot calm down for a long time in order to relax his muscles and defecate. In extreme cases, bladder neurosis torments a person even at home, within the walls of his own bathroom.

Bladder neurosis of the second type is called “neurogenic,” although it would be correct to call it “nervous.” With this type of pathology, a person experiences the urge to urinate in any stressful situation, during a conflict, or in public speaking.

Both of these types are united by one large and widespread neurosis - a pathological fear of public shame. It is important to understand that problems with urination are only the tip of a person’s fears and anxieties. Therefore, when trying to get rid of a problem, it is necessary to look for its root, which, most often, lies in social phobia.

Pathogenesis

Our body is controlled by the nervous system, or more precisely, by two of its departments – the sympathetic and the parasympathetic.

The sympathetic department is responsible for mobilizing the body in case of danger. When it is activated, the muscular system tenses, the heartbeat quickens, the pupil dilates, and the person is ready to run away from danger or attack an enemy.

It is important to remember that the nervous system was formed millions of years ago, when the skills of running away and attacking were more effective than negotiating and persuading, as they are now. But our psyche continues to live according to the laws of the past, ignoring civilization and the cultural aspect.

The parasympathetic department responds to relaxation and accumulation of strength. The human muscles are relaxed, the digestive tract is ready to digest food. These two departments are never included in work together; they alternate each other, providing a regime of activity and rest for a comfortable and productive life.

With neurosis, the activity of these two parts of the autonomic nervous system is disrupted; they can arbitrarily replace each other without any reason, which can be observed during a classic panic attack.

With bladder neurosis, a conflict between the sympathetic and parasympathetic divisions also occurs. The parasympathetic system gives the go-ahead for urination, and the brain sends a signal to the muscles and bladder sphincter to relax. But the sympathetic system instantly intervened in the process and orders all muscles to tense and the urination process to stop.

Thus, a person experiences a strong desire to empty the bladder, but physically cannot do it.

Symptoms

Symptoms of bladder neurosis are not limited to the phenomenon when the urge to empty does not result in immediate emptying.

If we are really talking about neurosis, and not about an inflammatory process or injury, the pathology has a number of signs, while paruresis and neurogenic bladder syndrome have different symptoms.

Signs of paruresis include:

feeling of fear at the thought of going to the restroom outside the home;
inability to go to the toilet even at home if there are strangers visiting;
avoiding public toilets or bathrooms in the homes of friends and acquaintances;
panic fear that someone might hear the noise made when urinating or smell it;
the need for lengthy “self-tuning” in the toilet before emptying.

In cases of advanced neurosis, a person begins to become more sophisticated in trying to get rid of the need to visit the toilet in front of strangers: he tries to drink less fluids or leave the house less if he lives alone.

Neurogenic bladder syndrome is a neurosis in which a person “does not trust” his bladder and is afraid that it will let him down and disgrace him at the most unexpected moment. Like a neurotic with paruresis, he maintains strict control over his diuresis. And if she plans to leave the house, she sharply reduces the amount of liquid she drinks and tries to go to the toilet at home, even in the absence of the urge. In addition, symptoms of neurogenic bladder include:

drawing up in your head a detailed map of the “toilets” where you can go on any route, while the person wants to find out the location of the “toilets” himself, without asking people questions personally;
a constant feeling of internal anxiety, drawing pictures in his head of how he will not be able to restrain the urge and will have a bowel movement right in front of everyone;
frequent urination during neurosis with minimal portions of urine;
use of adult diapers for prevention.

Of course, life with such symptoms becomes unbearable. All a person’s plans are put into practice only after a resolution is made by bladder neurosis. And, if a person is offered an interesting, profitable and fun business that will jeopardize the sensitivity of the process of urination, the person will most likely refuse. And if he agrees, he will not receive any pleasure from the event - all his thoughts will revolve around, no matter how it sounds, the bladder. In the language of psychology, this is called a dominant.

Treatment

Many people mistakenly believe that since neurosis is not a disease, but a psychological problem, then it cannot be treated, you can only adapt to sad circumstances and “carry your cross.” But this position is fundamentally wrong, because organ neuroses are perfectly treatable. True, today the term “organ neurosis” has been replaced by the concept of psychosomatics, and a psychotherapist is involved in its treatment.

Treatment of bladder neurosis begins with the realization that the problem really exists, life with it is far from normal, but there are a huge number of people with the same problem, including those who were able to cope with neurosis and begin to live a full life.

The psychotherapist will try to help find what is the true cause of fear. This is not necessary in order to find the culprit, for example, that neighbors in the country were “watching” at the door of the toilet and laughing. But a sober look at the situation, that such a tiny episode could entail such global consequences, can help a person take the first step towards deliverance.

But neuroses, unfortunately, are not treated through theoretical reasoning in the therapist’s soft chair. It is necessary in practice to replace the pathological pattern with a normal one. To do this, you need to overcome the problem gradually, without causing severe stress.

If a person has paruresis type neurosis, he can ask a loved one to stand outside the toilet door while emptying the bladder. Let him first stand outside the door for a couple of seconds, then longer, and in the end he will accompany you as an hour-long trip to the toilet from beginning to end. After this, you can make a “foray” into a public toilet and continue to use other people’s toilets until the problem goes away.

Therapy for neurogenic bladder

In this case, a person needs to learn to cope with his own nervous system, apply existing relaxation methods or come up with his own. There are methods that have been successfully used for many years: a person immerses himself in the “here and now” environment, observes his surroundings, and relaxes the body. After the nervous system has stabilized, a person will be able to clearly understand his feelings: whether he wants to go to the toilet or not.

Drug treatment

Treating the symptoms of bladder neurosis with medications is quite possible, but only against the backdrop of a properly designed psychotherapy program.

Anti-anxiety medications are the most commonly used.

Depending on the severity of the neurosis, these can be herbal preparations (“valerian tincture”), tranquilizers, and antidepressants.

Thus, you can forget about the symptoms of organ neurosis in a few weeks with the help of competent treatment, regaining your confidence and a full life.

Frequent urination as a symptom of neurosis

Bladder problems occur at any age in both children and adults. They cause a lot of trouble because you have to constantly go to the toilet. This is especially unpleasant if a person does not have the opportunity to constantly visit the restroom. In children, this problem can cause complexes and mental disorders. Finding out why this happens is sometimes not so easy, because frequent urination is observed not only due to physiological reasons, but also due to neurosis.

Features of the pathological process

Initially, the specialist will need to find out whether there are any physiological reasons causing difficulty in urinating. Indeed, due to various pathological processes and kidney problems, a person may experience stagnation of urine. To treat, you will have to eliminate the factor that caused the problem and take diuretics (diuretics).

With bladder neurosis, there are no physiological disorders and the urinary tract is without pathologies. The essence of the problem lies in the malfunction of the nervous system, so doctors classify this pathology as a disease caused by a mental disorder.

The outflow of urine occurs thanks to 2 sphincters in the bladder, which relax and contract as needed. The process is controlled by the autonomic nervous system (ANS), that is, a person cannot consciously control the process.

The following sections of the ANS are responsible for the work of sphincters in the bladder:

Sympathetic. It serves to contract muscles and, accordingly, to close the sphincter. Thanks to the sympathetic department, a person can retain urine in the body;
Parasympathetic. It is designed to relax muscle tissue, including the sphincter. It is the parasympathetic department that serves to remove urine from the body.

If a person experiences problems in these departments, then all the blame lies with bladder neurosis and you need to know its symptoms and methods of treatment, especially when the problem occurs in children.

Symptoms of neurosis

Bladder neurosis in medicine is called cystalgia, but contrary to what most people think, this pathology has nothing to do with cystitis. The only thing that connects them is similar symptoms, for example, frequent urination.

If a patient has bladder neurosis, then he cannot fully control the process of urination.

The reason may be hidden in stress at work, problems in the family, emotional and physical stress and other factors that can disrupt a person’s psyche. Symptoms include a constant need to go to the toilet or urinary incontinence. Often the urge turns out to be false or the bladder cannot be completely emptied due to incorrect functioning of the sphincters located in it. This causes other symptoms, such as pain in the lower abdomen. In some situations, sick people no longer feel the bladder and they have to go to the toilet on a schedule, as there are signs of incontinence.

In children, the problem is associated with the fact that their parents do not take good care of them. After all, in children, frequent urination can occur due to fear, for example, of getting their pants dirty or getting a bad mark. Constant stress and heavy mental and physical work can also be a reason that influences the appearance of neurosis.

Children are strongly affected by screams, so bladder neurosis is a fairly common occurrence for them, especially if the child grows up in a dysfunctional family. The symptoms in a baby are the same as in an adult, namely pain in the lower abdomen, constant urge to go to the toilet and urinary incontinence.

Consequences of neurosis

If, after identifying the first symptoms, you do not begin to treat the problem, then undesirable effects will arise due to it, such as:

Low performance;
Constant stress and nervousness;
Quarrels with loved ones and acquaintances

Such consequences are not the worst, because without proper treatment, the kidney or bladder can be damaged due to delayed urine output. This problem is especially relevant for children, as they may be embarrassed by their problem and endure until the end. Parents in such a situation should be vigilant and ensure that their child does not show symptoms of the disease.

Treatment of pathology

First, you will need to find out the cause of the problem in order to eliminate it, since otherwise the situation will not be corrected. The doctor will have to find out whether the person had any stress or heavy loads that influenced the development of neurosis, and then prescribe a course of treatment.

Medications will include sedatives and drugs to eliminate the consequences of the pathology. These include antibiotics and special antiseptics. In the most severe cases, catheterization will have to be performed to remove stagnant urine. To improve the effect of the course of therapy, it is advisable to go to nature or just lie at home listening to quiet music.

The specialist will advise children and adults in a severe psycho-emotional state to undergo treatment with a psychiatrist, since eliminating mental disorders is not so easy. Typically, such therapy brings excellent results, so you should not be embarrassed about visiting a specialist.

Frequent urination due to neurosis is quite common, and when the first symptoms occur, treatment should be started immediately. Otherwise, people will have serious consequences that cannot be eliminated with sedatives and antiseptics.

Bladder neurosis is not inflammation, but no less serious problem

Kinds

There are two types of neurosis, each of which is equally common:

paruresis;
neurogenic bladder syndrome.

In stressful situations, the urge to urinate begins

Pathogenesis

Our body is controlled by the nervous system, or more precisely, by two of its departments – the sympathetic and the parasympathetic.

It is important to remember that the nervous system was formed millions of years ago, when the skills of running away and attacking were more effective than negotiating and persuading, as they are now. But our psyche continues to live according to the laws of the past, ignoring civilization and the cultural aspect.

If you have a strong desire to empty your bladder, you cannot do so.

Thus, a person experiences a strong desire to empty the bladder, but physically cannot do it.

Symptoms

Symptoms of bladder neurosis are not limited to the phenomenon when the urge to empty does not result in immediate emptying.

If we are really talking about neurosis, and not about an inflammatory process or injury, the pathology has a number of signs, while paruresis and neurogenic bladder syndrome have different symptoms.

Signs of paruresis include:

feeling of fear at the thought of going to the restroom outside the home;
inability to go to the toilet even at home if there are strangers visiting;
avoiding public toilets or bathrooms in the homes of friends and acquaintances;
panic fear that someone might hear the noise made when urinating or smell it;
the need for lengthy “self-tuning” in the toilet before emptying.

In the toilet you have to spend a long time adjusting before you have a bowel movement.

drawing up in your head a detailed map of the “toilets” where you can go on any route, while the person wants to find out the location of the “toilets” himself, without asking people questions personally;
a constant feeling of internal anxiety, drawing pictures in his head of how he will not be able to restrain the urge and will have a bowel movement right in front of everyone;
frequent urination during neurosis with minimal portions of urine;
use of adult diapers for prevention.

Treatment

Many people mistakenly believe that since neurosis is not a disease, but a psychological problem, then it cannot be treated, you can only adapt to sad circumstances and “carry your cross.” But this position is fundamentally wrong, because organ neuroses are perfectly treatable. True, today the term “organ neurosis” has been replaced by the concept of psychosomatics, and a psychotherapist is involved in its treatment.

It is advisable to consult a doctor for treatment

Therapy for paruresis

Therapy for neurogenic bladder

Drug treatment

Treating the symptoms of bladder neurosis with medications is quite possible, but only against the backdrop of a properly designed psychotherapy program.

Anti-anxiety medications are the most commonly used.

Depending on the severity of the neurosis, these can be herbal preparations (“valerian tincture”), tranquilizers, and antidepressants.

The doctor may prescribe an anti-anxiety drug - valerian tincture

Thus, you can forget about the symptoms of organ neurosis in a few weeks with the help of competent treatment, regaining your confidence and a full life.