Some people know firsthand what inflammation of the urinary system is. Especially women who are more susceptible to cystitis and pyelonephritis. If we talk about neurosis, then there are no organic changes with it, but still functional disorders interfere with living an ordinary life.
Symptoms of bladder neurosis vary depending on the type.
Today there are two of them:
- pauresis;
- neurogenic bladder.
In the first case, a person cannot relieve himself when there are people in the immediate area. Many people have encountered this. Most likely, childhood trauma associated with visiting the toilet during school years is to blame. And no wonder. After all, schools usually have open cubicles, and during breaks a huge number of visitors come into the toilet.
It is quite difficult to relax in such an atmosphere. Having matured, a person retains a pattern - as soon as he goes to the toilet, he needs some time to calm down and relax. The problem most often occurs in public toilets, but for some the situation is even more complicated - they cannot empty their bladder in the bathroom of their home if they can hear the active activity of household members nearby.
In the second case, we are talking about a “nervous” bladder, when, under any stress, a person needs to empty it. This often happens during a conflict or before speaking in front of a large number of people.
Bladder neurosis in children is not uncommon. If we talk about adults, then behind both types there is a strong fear of shame. It's different for children. They may react this way to anxiety after a traumatic event.
To get rid of the problem once and for all, you need to go to a psychotherapist and work through your phobias with him. When the fears are over, the bladder will return to normal on its own. The root of all misfortunes is sought in social phobia, which has been formed over the years in the difficult conditions of children's groups.
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 having 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.
Features of bladder neurosis in children
A child may develop urinary disorders due to high hormonal activity, heavy physical exertion, bladder atony, traumatic brain injury, infectious diseases of the nervous and excretory systems. Pathology is divided into two types: hyporeflex and hyperreflex.
A disorder of the first type is indicated by incontinence, frequent and strong urge to go to the toilet, and a small volume of urine in the bladder. Enuresis develops. The second type is characterized by fluid retention, stretching of the organ and its incomplete emptying, and constant leakage.
Neurosis entails the appearance of complications and the addition of infections:
- renal failure;
- constipation;
- inflammatory processes in the bladder and urethra, chronic cystitis;
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- pyelonephritis;
- reflux;
- nephrosclerosis;
- intoxication of the body.
In the absence of proper treatment, disability may occur.
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.
Diagnostics
It is advisable that treatment and diagnosis be carried out by a tandem of two doctors: a neurologist and a urologist. But this does not always work out; children’s clinics often do not have urologists.
What procedures are performed for diagnosis?
- Urodynamic study . Used with the use of new devices for studying the bladder. Records urination parameters and finds the cause of the disease.
- Ultrasound diagnostics . There are several types of such examination, but the most popular is transabdominal ultrasound. This type of analysis has earned its popularity for its versatility; it is suitable for men and women. It is carried out through the anterior abdominal wall using a special sensor. In this case, the patient must have a full bladder.
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. A 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.
Treatment of bladder neurosis
To decide whether to choose medical or surgical treatment, a comprehensive examination is necessary. It is unacceptable to let the patient withdraw into himself and deny the presence of the disease; this is fraught with infectious complications, rupture of the bladder and the transition of neurosis to a chronic form. If organ malformation and central nervous system injury are excluded, the following tests must be done to reveal latent conditions:
- urography;
- general urine analysis;
- detailed blood test;
- biochemistry;
- analysis according to Nechiporenko and Zimnitsky.
Based on the results, treatment for a neurological disorder or bladder disorder is organized. It is carried out jointly with a urologist and neurologist. The set of measures involves, at the first stage, identifying the psychological cause of the pathology and curing it with the help of antidepressants, antipsychotics, and sedatives. They relieve nervousness and improve the overall emotional state. Drug treatment is supplemented with exercises to train voluntary urination.
Therapeutic treatment is aimed at eliminating inflammation with the help of antibiotics and uroseptics, painkillers, immunomodulators and vitamin complexes. Effective procedures are reflexology, electrophoresis and ultrasound treatment. In some cases, a catheter may be used.
In severe cases of the disease, surgical intervention is possible; it helps to strengthen the muscles of the bladder and increase the elasticity of the walls. Giving up bad habits, following a diet, and staying in the fresh air contribute to treatment.
Signs of pathology in children are recorded at 3-4 years of age, when young patients are already able to control urination. Parents should be attentive to the behavior of children at this age. You need to worry about bedwetting in time, maybe the cause will not be critical yet. It is better to treat the disorder in early childhood.
For young patients, natural-based sedatives containing motherwort, chamomile, lemon balm, fireweed, and valerian are recommended. They can be taken for a long time, the result comes in a few weeks. For positive dynamics, you need to organize the correct daily routine for the child, daily walks, and normal nutrition.
It is necessary to exclude emotional trauma and stress; you should not punish a child for wet pants. For a complete cure, parents need to show tact and maximum patience, then they will be able to overcome the problem without shock and help the child in social adaptation.
Psoriasis is a serious skin disease of a recurrent nature, manifested in the form of a red rash with increased peeling. Sometimes the disease can be accompanied by inflammatory processes, joint pain and neurological disorders. Complex therapy should be aimed at eliminating symptoms and reducing influencing factors.
Consequences of neurosis
Constant nervousness associated with urination worsens the quality of life. Performance decreases, stress, irritability, and emotional tension are observed. Untreated paruresis can cause bladder and kidney dysfunction, even to the point of their rupture.
Possible complications:
- development of chronic inflammation;
- vesicular reflux;
- nephrosclerosis;
- pyelonephritis;
- prolapse of the vaginal walls;
- early disability.
