Treatment of neurosis of the bladder. What do we know about bladder neurosis? Bladder neurosis treatment

Today, urological ailments are found in many people. Bladder neurosis is a neurohormonal disease, during which there is a disorder of urination with absent signs of an inflammatory process. In most cases, women of reproductive age suffer from the disease. This ailment can provoke neurosis and even long-term depression.

General information

Cystalgia (bladder neurosis, genital-bladder 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 large cases, the disease is noted in the female sex. The disease often takes on a chronic form with obvious exacerbations during menstruation and pregnancy. Bladder neurosis negatively affects the psychological side of the patient, in particular, has a huge impact on the social adaptation of a person. The states of depression and neurosis in this pathology are considered frequent.

Causes of pathology

Possible reasons for the development of bladder neurosis include:

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

With the transfer of cystalgia, the inflammatory process in the bladder is not detected. Basically, 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 previously suffered diseases or disorders in the small 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 small pelvis, when wearing tight clothing, and with excessive consumption of spicy, spicy or salty foods.

Symptoms and course of the disease

For cystalgia, the appearance of symptoms in the daytime is considered characteristic. Severe symptoms include the disorder of urination, pain and discomfort in the bladder, groin and urethra. Basically, pain manifestations have clear boundaries. The pains are dull in nature, are marked by constancy and appear regardless of the process of urination. In addition to pain syndromes, a disorder is distinguished during the process of urination.

Bladder neurosis is characterized by a duration of the course with acute periods of exacerbation. Exacerbations have seasonal manifestations, namely, they are especially pronounced in the autumn and winter seasons. The symptoms of cystalgia are mostly blurred. Against this background, strong changes in the patient's psyche are noticeable, 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 malfunctioning in it is 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 is a sexual background. Bladder neurosis is often recorded in women who are inclined to perceive sexual intercourse as a violent process. Masochistic inclinations and frigidity - also provoke the development of the disease. Sexual problems contribute to blood congestion in the pelvis, and this provokes mental exhaustion. As a result, this ailment is called psychosomatic cystitis. Cystalgia in women is a common disease that should not be overlooked.

Features of cystalgia in children

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

The most common reason for the development of the disease in children is psychological aspects. All childhood neuroses are associated primarily with parents. Severe fright during the process of urination or severe punishment from the parents in case of accidental emptying is the reason for the development of this disease. Functional impairment in the urinary system occurs due to the child's subconscious fear of emptying the bladder.

Therapy of this ailment in childhood is to identify and exclude the causes of the disease. In case of physiological abnormalities, it is important to visit a specialist as soon as possible and begin treatment of the disease. In case of disturbances in the work of the bladder against the background of psychological reasons, you should contact a child psychologist or psychiatrist. During treatment, the doctor explains to the child the groundlessness of his fears, thereby helping to eliminate the neurosis. However, an important role in the effective conduct of therapy is assigned to parents, 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 human life. There is a decrease in efficiency, frequent stress, increased irritability when communicating with people around. Psychogenic delay can serve as a rupture of the bladder or renal organs, as a result of which experts recommend seeking advice and the appointment of effective therapy at the first symptomatology of cystalgia. Possible complications include:

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

Diagnostics

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

• the transferred surgical interventions in the field of gynecology;
• the patient's sexual relations (whether the person experiences an orgasm, is there pain during intercourse);
• taking contraceptive drugs;
• check reproductive function and menstrual cycle.

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

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

Pathology treatment

In the treatment of neurosis of the bladder, 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 assigned individual visits to a psychologist, general strengthening methods of therapy, taking sedatives, pain relievers and antispasmodics. If there is a decrease in functionality in the ovaries, hormone replacement therapy is used. Prescribe a blockade using novocaine, corticosteroid medicines and a vitamin course.

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

Prevention

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

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

In women, some diseases of the genitourinary sphere are directly related to psychological problems. For example, cystalgia appears for various reasons, but strongly depends on stress and experienced anxiety, and its treatment is carried out by urologists in collaboration with psychologists.

What is the disease

Cystalgia (ICD-10 code - R39.8.0.) Is a urological disease accompanied by various urinary disorders, including pain. Synonyms for cystalgia are bladder neurosis, gallbladder neurosis, gallbladder-genital dysfunction, unstable bladder.

Pathology most often appears in women 20-50 years old, in men and in childhood it is extremely rare. There are no objective reasons for pain in the bladder, urine tests are normal, but symptoms are present with each or with individual acts of urination. For some women, pain is independent of urination.

Usually, protracted exacerbations of pathology occur:

• During the cold season;
• During pregnancy;
• During your period.

Pain and other disorders in women are most often associated with chronic, undetected infectious processes in the gynecological sphere, with circulatory disorders, with insufficient production of sex hormones, with impaired lymph circulation.

Also, all symptoms are partly neurogenic in origin - the patient may be affected by individual links of the central or peripheral nervous system.

If untreated, cystalgia quickly becomes chronic, the symptoms increase over time. Further, neurological complications develop - neuroses, depression, apathy, anxiety, insomnia. The disease negatively affects the social adaptation of a woman.

Causes of cystalgia

Cystalgia does not give an inflammatory process in the bladder itself. Initially, the cause of the disease is neurological abnormalities, experienced stress, protracted conflicts, dissatisfaction in intimate life. Most often, the disease appears in vulnerable, overly emotional patients. The progression and development of subsequent exacerbations, on the contrary, can be caused by various internal and external factors.

Here are the main ones:

• Ovarian dysfunction;
• Hormonal changes - menopause, pregnancy, abortion;
• Menstrual irregularities;
• Various allergic and autoimmune diseases;
• Chronic gynecological diseases of an inflammatory nature - vaginitis, cervicitis;
• Hypothermia;
• Surgical operations in the pelvic area;
• A sharp decrease in immunity;
• Weakening of the pelvic muscles;
• Wearing tight, tight clothing
• Eating spicy, salty foods;
• Endocrine pathologies.

Women with congenital disorders of the genitourinary system and women leading a passive lifestyle are more prone to this disease.

How does it manifest

Usually, the symptoms of the disease appear in the daytime, and when going to the toilet at night, almost no discomfort is observed. The main symptom of cystalgia is aching pains of varying intensity in the lower abdomen, in the groin during urination.

Other symptoms of cystalgia are as follows:

• Burning with urine;
• Discomfort in the urethra;
• Feeling of incomplete emptying of the bladder;
• Increased urination;
• Exit urine in small portions;
• Urinary incontinence;
• Irradiation of pain in the sacrum, lower back;
• Strong muscle tension for urination.

Also, pain can be present not only during urination, but also during intercourse, as well as for no reason. An exacerbation is often provoked by the intake of alcohol, spicy food, constipation, nervous tension, stress, shock.

The most serious complications can be prolapse of the vaginal walls, the development of inflammation in the genital area and even rupture of the bladder wall against the background of psychogenic urinary retention.

Diagnostics

Diagnostic measures should be carried out by an experienced urologist in conjunction with a neurologist. It is important to find out the anamnesis - previous operations, sexual problems, hormone intake, abortion, cycle disorders, etc. Since cystalgia resembles the symptoms of cystitis, a true inflammatory process in the bladder should first be ruled out.

For this, the following studies are performed:

1. General urine analysis;
2. Biochemical analysis of urine;
3. Bacterial urine culture;
4. Ultrasound of the bladder and kidneys;
5. CT, MRI, or contrast radiography;
6. Ultrasound of the pelvic organs;
7. Urethrocystography;
8. Examination by a gynecologist.

If other diseases are excluded, but taking into account the presence of the described symptoms, the woman is diagnosed with cystalgia.

Treatment principles

Treatment of cystalgia is necessarily complex, including taking medications with the appointment of a urologist, neurologist, psychotherapist. Often a woman needs a course of classes with a psychologist to normalize her emotional state. It is important to find the cause that caused the cystalgia and direct all efforts to eliminate it. Nutrition also needs to be normalized - remove salty, spicy foods, add more vegetables, fruits, whole grains, lean meat, fish.

Increased anxiety is also removed using physiotherapy:

• Acupuncture;
• Microcurrents;
• Magnetotherapy;
• Electrophoresis;
• Phonophoresis;
• Balneotherapy;
• Massage.

Cystalgia does not respond well to drug therapy, but adherence to all doctor's prescriptions, coupled with a proper diet, increased physical activity and treatment with a psychotherapist, will certainly give good results. Additionally, in case of problems in sexual activity, a consultation with a sexologist may be recommended.

Drug therapy

To eliminate the causes of cystalgia, different methods of treatment are prescribed:

1. With endometriosis, hormone therapy.
2. In case of violation of venous outflow - laparoscopic operations.
3. In case of hormonal imbalances - hormone replacement therapy.
4. With uterine myoma - surgical removal of the tumor.

Women of reproductive age with low ovarian function are given cyclic hormone therapy with gestagens and estrogens. Novocaine blockade will help to enhance the positive effect of hormones and relieve pain. In old age, women may be prescribed estriol preparations.

With a decrease in the contractility of the bladder, special medications are prescribed to enhance it. Against pain, antispasmodics are shown (Spazgan, Revalgin), in severe cases, corticosteroids (Hydrocortisone, Prednisolone) are administered. Taking vitamins is required. The psychotherapist selects a woman individually for treatment with tranquilizers, neuroleptics, antidepressants.

Traditional methods

Treatment with folk remedies for cystalgia can also give positive results. For example, it is useful to add mint and lemon balm to tea, which have a calming effect. You can also take infusions of hops, valerian, motherwort (a tablespoon in a glass of boiling water, leave for an hour). They drink 100 ml three times a day before meals in courses of 2-3 weeks. Oregano has proven itself well in the treatment of cystalgia; it is prepared and taken in a similar way.
In the video about the causes, symptoms and treatment of cystalgia in women:

Within the framework of the article, we will analyze what a neurosis of the bladder is, how to distinguish it from other common diseases, by symptoms similar to neurosis. How this type of neurosis manifests itself in children and adolescents. And most importantly - what to do in this situation, which doctor to go to and how to treat?

Neurogenic bladder is a term that defines those changes that can occur and disrupt the function of the bladder in diseases of the nervous system. A colossal number of people live with this, without going anywhere, and at the same time find themselves in awkward situations, since they lose control over the act of urination.

Of all the situations in which bladder neurosis occurs, the following conditions are the most common:

• cystalgia (simulated cystitis);
• paruresis (inability to empty the bladder);
• stress urinary incontinence.

As a rule, patients immediately turn to a urologist, and only after he has ruled out his pathologies, the treatment is carried out by a neurologist.

Cystalgia

It must be said right away that cystalgia has nothing to do with cystitis, although it is more often women who suffer from it. Symptoms are also similar - the patient, when she comes to the doctor's office, complains about:

• increased urination;
• pain and cramps when urinating;
• frequent urge;
• soreness in the genital area.

But after passing all the tests and carrying out cystoscopy, as a rule, the diagnosis of "cystitis" is not confirmed. And in this case, it is fundamentally important to contact a neurologist, since we are talking not about inflammatory, but about functional pathology of the bladder.

The bladder contains a lot of nerve endings that regulate its function. In some cases, they can be affected and give exactly the same symptoms as with cystitis. Such situations are as follows:

1. Herpetic infection.
2. Other infections of the reproductive system, previously observed. At the same time, they can no longer manifest themselves clinically, but are capable of affecting the peripheral nervous system.

Sometimes the cause can be stagnation with a sedentary lifestyle, especially in people prone to venous pathology. With venous stasis in the small pelvis, the nervous system is also affected.

For treatment, special drugs are prescribed that stop the flow of pathological impulses coming from the affected vegetative clusters. Further, research is carried out for infectious lesions of the nervous system, herpes immunoglobulins are examined, and PCR tests are prescribed. And also, without fail, prescribe venotonic drugs.

Paruresis

Paruresis is a neurosis of the bladder, when a person cannot urinate in the presence of other people. The prevalence of this disease is about 10-12%, and most often the problem occurs in men. In our culture, in fact, it is not accepted to do this, therefore, if we are talking only about the presence of other people, then one can judge not about the disease, but about the psychological state.

But there are conditions in which a person cannot urinate in a public toilet in a separate booth. Or he can’t go anywhere except at home, and he needs no one at home. Most often, with this condition, there is also a mass of anxiety-phobic syndromes and panic attacks. The condition is dangerous, as the bladder may rupture away from home.

What to do

If we talk about a psychological state in which it is impossible to empty the bladder in public, then here it is necessary for everyone to decide for themselves how important it is to pee in the square with all the crowd of people. The main treatment is behavioral therapy. That is, from the most comfortable urination in the presence of a loved one, gradually increase the complexity of the task.

If severe pararesis is observed, causing an inferiority complex, then a correction of the psychoemotional state by a neurologist will be required. Moreover, in addition to behavioral therapy, tranquilizers are used. This is done in the following way - a person drinks a pill with a lot of water, and an hour later he goes to a public toilet to relieve himself.

When depressive symptoms are present, antidepressants are added to the therapy in order to balance the nervous system. But such medicines are prescribed only by a doctor, since they are taken in courses of 3-4 months, and have side effects.

Stress urinary incontinence

Stress incontinence is urination at a time when a person does not plan to do so. These symptoms are most often present in women under tension or stress. This is associated, in most cases, with a decrease in sex hormones and weakness of the pelvic floor muscles. But there are other kinds of situations.

In the normal state of the genitourinary system, the urge to urinate first occurs, the brain receives a signal, and the person goes to the toilet to empty the bladder. But there are certain situations when in patients with neurological diseases the signal does not reach the brain, and the bladder begins to contract spontaneously.

This happens with multiple sclerosis. And the examination that must be done in this case is magnetic resonance imaging of the brain. In some situations, bladder neurosis with urinary incontinence can be due to injury or disease of the spinal cord.

Bladder neurosis in children

Most often, the neurosis of the bladder in children is expressed in the form of enuresis. This problem occurs in many families, and many parents are concerned about it. And often it is justified, because behind bedtime urinary incontinence there may be nothing to hide, except age, or there may be serious problems.

The most important thing is that the child must grow up to the situation when the command enters the brain, and the brain understands how to respond, that is, to give the command to go to the toilet.

At night, in addition to the fact that all reactions in the child are inhibited, there is also such a thing as morphofunctional immaturity. During sleep, the brain does not give the command for control, and the bladder, stretched out, is emptied.

When this process occurs systematically after four years, parents need to be wary. This could be:

• urinary tract infection;
• epilepsy, swelling;
• violation of the spinal nerve.

Therefore, there is no need to wait for the child to "outgrow" the problem, but be sure to show it to the doctor. During the examination, a urinalysis is taken, and an ultrasound of the pelvic organs is done.

You can independently control the daily volume of drunk and excreted fluid. If a lot is drunk, but a little is allocated, then this is a sign of kidney disease.

Often in children 3-6 years of age, nocturnal enuresis is the only sign of epilepsy. Therefore, a simple examination is carried out. The child sleeps all night in the hospital in a special cap with electrodes, and during the night an electroencephalogram is recorded on one side. On the other hand, video surveillance of the child is being conducted. Therefore, involuntary movement or urination allows the doctor to diagnose epilepsy and prescribe treatment.

Summing up, we conclude that bladder neurosis can be easily confused with other types of disease. In practice, sometimes even doctors confuse these diseases, so we strongly recommend not to self-medicate this type of neurosis, but to consult an experienced doctor and conduct a comprehensive examination.

The bladder is an unpaired organ of the excretory system, hollow inside. It is located in the small pelvis, and communication with the central nervous system is provided by parasympathetic, sympathetic and spinal nerves. Their ends 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 are also found in the walls of the bladder.

Parasympathetic innervation is responsible for the contraction of the walls of the organ, relaxation of the sphincter and the outpouring of urine. Sympathetic, on the other hand, helps to keep 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. it is able to independently induce or stop urination. With violations of the autonomic nervous system, the connection is broken. As a result, bladder neurosis develops, in which there is either frequent urination (until complete incontinence), or its retention.

The causes of the disorder:

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

Symptoms

The most pronounced symptoms that patients complain about:

1. uncontrolled urination;
2. false desires, when the bladder seems to be full, although this is not so;
3. lack of a feeling of fullness. In combination with spasms of the sphincter, it can lead to the return of urine into the ureters and further into 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 they will have to go to the toilet on schedule;
4. discomfort in the process, especially closer to completion;
5. pain - in the perineum, in the lower abdomen, above the pubis, in the lumbar region - during the emptying of the bladder, during intercourse.

Neurogenic bladder in a child

Bladder neurosis occurs in 10% of children. In young children, the symptoms are easy to identify - they are frequent urination up to incontinence and unbearable pain, but a delay in urine flow is also possible.

In the mild stage, most children are simply unable to hold the contents of the bladder while filling for a long time. If the spinal cord is affected at the level of the cone and its roots, they speak of true incontinence, when urine entering the bladder cavity is continuously excreted drop by drop. In children, this is caused by muscle atony in 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, competent treatment was not prescribed, then children may have:

1. bladder reflux;
2. secondary changes in the urinary system (chronic cystitis, etc.);
3. nephrosclerosis;
4. chronic renal failure;
5. pyelonephritis;
6. arterial hypertension;
7. early disability.

Diagnostics

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

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

Diagnostics and, preferably, treatment of 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 babies, they initially establish how often they urinate: they take into account all cases of urine excretion for several days. If a child goes to the toilet more than 8 times a day, then the bladder is hyperreflex, if 2-3 times, then it is hyporeflex.

Treatment

Treatment begins with determining the cause of the damage to the nervous system. First, all work is directed towards getting rid of the root cause. At the same time, prophylactic treatment of genitourinary infections with uroantiseptics and antibiotics is prescribed. Catheters are used as needed.

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

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

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

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

Bladder neurosis

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Today, urological ailments are found in many people. Bladder neurosis is a neurohormonal disease, during which there is a disorder of urination with absent signs of an inflammatory process. In most cases, women of reproductive age suffer from the disease. This ailment can provoke neurosis and even long-term depression.

General information

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

Causes of pathology

Possible reasons for the development of bladder neurosis include:

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

With the transfer of cystalgia, the inflammatory process in the bladder is not detected. Basically, 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 previously suffered diseases or disorders in the small 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 small pelvis, when wearing tight clothing, and with excessive consumption of spicy, spicy or salty foods.

Symptoms and course of the disease

For cystalgia, the appearance of symptoms in the daytime is considered characteristic. Severe symptoms include disorder of urination, pain and discomfort in the bladder, groin and urethra. Basically, pain manifestations have clear boundaries. The pains are dull in nature, are marked by constancy and appear regardless of the process of urination. In addition to pain syndromes, a disorder is distinguished during the process of urination.

Bladder neurosis is characterized by a duration of the course with acute periods of exacerbation. Exacerbations have seasonal manifestations, namely, they are especially pronounced in the autumn and winter seasons. The symptoms of cystalgia are mostly blurred. Against this background, strong changes in the patient's psyche are noticeable, 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 malfunctioning in it is 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 is a sexual background. Bladder neurosis is often recorded in women who are inclined to perceive sexual intercourse as a violent process. Masochistic inclinations and frigidity - also provoke the development of the disease. Sexual problems contribute to blood congestion in the pelvis, and this provokes mental exhaustion. As a result, this ailment is called psychosomatic cystitis. Cystalgia in women is a common disease that should not be overlooked.

Features of cystalgia in children

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

The most common reason for the development of the disease in children is psychological aspects. All childhood neuroses are associated primarily with parents. Severe fright during the process of urination or severe punishment from the parents in case of accidental emptying is the reason for the development of this disease. Functional impairment in the urinary system occurs due to the child's subconscious fear of emptying the bladder.

Therapy of this ailment in childhood is to identify and exclude the causes of the disease. In case of physiological abnormalities, it is important to visit a specialist as soon as possible and begin treatment of the disease. In case of disturbances in the work of the bladder against the background of psychological reasons, you should contact a child psychologist or psychiatrist. During treatment, the doctor explains to the child the groundlessness of his fears, thereby helping to eliminate the neurosis. However, an important role in the effective conduct of therapy is assigned to parents, 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 human life. There is a decrease in efficiency, frequent stress, increased irritability when communicating with people around. Psychogenic delay can serve as a rupture of the bladder or renal organs, as a result of which experts recommend seeking advice and the appointment of effective therapy at the first symptomatology of cystalgia. Possible complications include:

• swelling of the genitals;
• inflammatory processes of a chronic nature;
• 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:

• the transferred surgical interventions in the field of gynecology;
• the patient's sexual relations (whether the person experiences an orgasm, is there pain during intercourse);
• taking contraceptive drugs;
• check reproductive function and menstrual cycle.

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

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

Pathology treatment

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 assigned individual visits to a psychologist, general strengthening methods of therapy, taking sedatives, pain relievers and antispasmodics. If there is a decrease in functionality in the ovaries, hormone replacement therapy is used. Prescribe a blockade using novocaine, corticosteroid medications and a vitamin course.

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

Prevention

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

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

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What symptoms speak of a neurosis of the bladder

Bladder neurosis is a disease accompanied by damage to the nervous system, as a result of which symptoms of frequent urge to urinate or, conversely, its acute retention, appear.

Causes

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

There are diseases that often provoke urinary stagnation.

Bladder neurosis is a disease in which disorders of the urinary process are in no way associated with problems of the urinary system.

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

The bladder is a muscular organ that has two sphincters that relax and contract to drain urine.

This functioning is facilitated by the autonomic nervous system, which consists of the sympathetic and parasympathetic divisions.

The sympathetic section is responsible for maintaining urine, reliably contracting the muscles of the organ and promoting the closure of the sphincter.

The parasympathetic section, on the other hand, helps to relax the muscles, and then the sphincter, due to which urine leaves the bladder.

Signs

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

Frequent urge to urinate

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

Also, the patient 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 is fraught with the fact that patients have to visit the toilet on a schedule, and not as a result of the urge.

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

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

Effects

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

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

In connection with increased irritability, there are frequent quarrels with friends and relatives, respectively, on this basis interpersonal relationships deteriorate.

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

The symptoms of bladder neurosis should not be hidden, since this makes them even more aggravated, 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 that, doctors direct a set of preventive measures to prevent further infection of the bladder.

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

Unfortunately, in some cases it is necessary to carry out 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 with a decrease in water consumption by a quarter, the symptoms of neurosis decrease by 23%, and the urgency of emptying - by 34%.

We advise you to read:
• Feeling of a full bladder
• Bladder rupture consequences
• Bladder hurts and frequent urination
• Bladder disease symptoms

Bladder neurosis is put maybe if there is no good diagnostic equipment on the territory?

It was very painful for me to go to the toilet. The gynecologist says that the problems are not feminine, but with the bladder. I have a bladder neurosis. Tell me, if I stop being nervous, will it go away?

The treatment process should be accompanied by minimal fluid intake. But what about kidney and bladder diseases are advised to drink more clean water?

Is the bladder neurosis usually a single neurosis or plus some other neuroses of other organs, or are there mental disorders?

Dinah, there still has to be a certain amount of time. You can stop being nervous, the pain will go away, but as you start to get nervous again, the disease will recur. Your doctor should prescribe the right medication for both the bladder and the nervous system. Do not prescribe treatment yourself.

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

Bladder neurosis and its symptoms

More than 20% of the world's population faces the 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 delays in urination, which are psychogenic in nature. This form is usually called paruresis. It is difficult for patients who suffer from this syndrome, and in advanced cases, it is impossible to go to the toilet if other people are nearby. This problem is usually diagnosed in school, when teachers notice that the child is not going to the toilet.

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

Why does neurosis arise?

Various disorders of urination 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 any diseases of the genitourinary system are not detected, then the diagnosis is "bladder neurosis".

Two divisions of the autonomic nervous system regulate the work of the bladder - the sympathetic and the parasympathetic. The first one innervates the fibers and makes them contract, thus closing the sphincters and preventing urine from coming out.

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 unhindered passage of urine through the urethra.

Departments 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 strong arousal of one of its departments. Thus, either the first or the second type of neurosis develops.

How neurosis manifests itself

The patient with bladder neurosis is usually very shy and sensitive. He reacts sharply to any criticism and remarks, he is afraid that he will be condemned for something by other members of society.

This is due to the fact that because of the problem, such people feel very insecure, 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 perfectly healthy people, for example, a strong desire to go to the toilet before some important public performance. 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 features for paruresis:

• in order to avoid going to the toilet in public, patients severely limit themselves to the use of liquid food or drinks;
• to urinate such patients need complete solitude and silence (they spend more time in the toilet than a healthy person);
• such people cannot overpower themselves and urinate in public toilets, nor can they visit toilets anywhere at a party, 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 it becomes necessary to use a separate institution;
• patients avoid going to public places for a long time. Long trips and travels will also torture them.

People with pararesis cannot use public toilets

Nervous bladder symptoms:

• constant obsessive fear of not resisting and wetting in public;
• reduction to a minimum of fluid intake;
• 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 draws up a plan where he could go to the toilet on the way;
• patients constantly run to the toilet, trying to squeeze out every last drop from themselves, this becomes an obsession;
• some constantly wear adult diapers to avoid embarrassment;
• such people constantly condemn themselves, feel abnormal.

Pathology treatment

To cure the neurosis of the bladder, the patient will have to go a long way. Treatment consists of the use of medications, special gymnastics, physiotherapy procedures, and in some cases you have to resort to the help of a psychotherapist.

To get rid of pararesis, you can specifically 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 it.

Patients are haunted by the fear of peeing somewhere on the street

After the patient is able to calmly urinate, despite the fact that someone is standing under 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 there will be at least some sound insulation in the booth. Gradually it is necessary to complicate the places of visit.

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

Medicines are practically not used to treat the neurosis of this organ. Against the background of psychotherapy, various sedatives are prescribed that stabilize the work of the nervous system - valerian, Persen. In severe manifestations of 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 going to the toilet, such patients are advised to significantly limit their fluid intake, to about 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 necessarily be carried out by a qualified doctor. Self-medication can hurt yourself!

Bladder neurosis: symptoms and treatment

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

• The first - the most common - is psychogenic urinary retention (pararesis). It is difficult or impossible for a person with paruresis symptoms to urinate in the presence of other people. This is a fairly common problem, often first seen in school.
• The second symptom is the constantly felt urge to use the toilet, aggravated by nervous tension, as well as frequent urination. This manifestation of neurosis is often called the syndrome of a nervous (neurogenic) bladder, although this is not quite the 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 bladder neurosis is most often a sensitive, shy and conscientious person who fears judgment or criticism from others. In such people, symptoms may be mild, moderate, or severe.

The mild to moderate form is familiar to most men and women. Who didn't want to use the toilet, and urgently, before the start of an important speech? Yes, and everyone knows the awkwardness and the resulting difficulty in peeing in a cup in front of a doctor or nurse.

However, severe forms of neurosis of the bladder turn into a real phobia, identical, I must say, agoraphobia. Life can turn into a real nightmare. Signs and symptoms of a severe phobia:

• Avoiding long-distance travel and social events with large crowds.
• The need for complete privacy for urination;
• Fear that other people might hear a urinary noise or smell;
• Condemnation of oneself with unsuccessful attempts to urinate
• Inability to urinate in public restrooms or other people's homes;
• Inability to urinate at home when guests are present or someone is waiting outside the toilet;
• Feeling anxious to go to the toilet.

• Limiting yourself to drinks to reduce the need to urinate;
• Avoiding travel on public transport, going to public places.
• Feeling anxious if you need to go somewhere;
• Before leaving the house, you make a detailed itinerary with a "map" of toilets along the way;
• The thought is constantly present in my head: "What if I can't restrain myself?"
• Repeated visits to the toilet with "squeezing out drops" before leaving the house;
• Use of diapers for adults ("just in case");
• Self-condemnation, shame, feeling "abnormal".
• Embarrassment, inability to reach out to 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, your doctor will usually order a series of tests to make sure there are no physical obstructions or problems with your 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, it is not a physical illness, but a psychological one.

The autonomic nervous system, its sympathetic and parasympathetic divisions, are responsible for the work of the bladder. The first one contracts the fibers of the sphincter and, thus, retains urine. In contrast, the parasympathetic nerves relax the sphincter and contract the bladder wall so that urine can safely leave the bladder.

Negative emotions - fear, anxiety, anxiety, shame - can lead to overexcitation of one of the parts of the nervous system. As a result, there is a "clamp" of the sphincter and pathological retention of urine, or overstrain of the walls of the bladder and an "extraordinary" urge.

Consequences of psychogenic urinary disorders

Disorder of urination appears for various reasons, but the result is always the same. Disharmony affects all spheres of a person's life - the quality of work decreases, stress appears, relations with family and friends deteriorate, and much more. All this can arise at any moment.

In the case of pararesis, if the disease is left untreated, complications such as damage to the bladder and kidneys can occur.

It is necessary to look for solutions to this problem, and not keep 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 greater aggravation 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 manifestations of bladder neurosis. It constantly 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 of dealing with this violation 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, do not despair! There are simple but effective ways to combat this disorder. At the same time, you do not need to spend a lot of money or go to surgeons!

How to defeat bladder neurosis?

These 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 not cure the phobia.

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

1. Relaxation training - some exercises can help you reduce your anxiety;
2. Psychotherapy - methods that help to reduce stress "here and now", which means, to reduce the excitation of the nervous system and its negative impact on the bladder;
3. Complex therapy is a program that helps to establish the urinary system step by step.

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

Comprehensive pararesis self-help program

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.

For some people, a program based on the well-known method of systematic desensitization is appropriate. So, in case of a problem with difficulty urinating, you should start by drawing up a ranked list of places to urinate: from the easiest to the most problematic. For example, most people with pararesis find it easiest to pee alone at home. Most difficult, as a rule, in crowded and noisy public toilets. 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 move on to the difficult 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. Pee for a few seconds and then stop for a few minutes.
• Ask a friend to stand a little closer to the toilet. Go back to the toilet and urinate again for a few seconds, then stop.
• Continue to practice, with your friend coming closer and closer to the toilet. This can take several sessions over a period of time.
• Choose a small, quiet public toilet (once you get comfortable with urinating at home), then practice with your friend standing outside the toilet door.
• Use a friend to work through each step on a ranked list of hard-to-reach places until you can successfully pee in a crowded and noisy public toilet.

You can easily adapt this program for self-help in case of fear of "incontinence" and accompanying urges.

This therapy is more successful when 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. Do not force yourself "through force." You should see a significant improvement in your condition after just a few tries.

If there is no improvement, it means that you cannot do without the help of a psychotherapist and you need to use more effective methods. Everyone is different, and the standard treatment for psychogenic bladder disorder is not right for you. In your case, this should be an individual psychotherapy program. This will give you an excellent effect. What we sincerely wish you!

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