Exposure to stress over a prolonged period can also have an impact, says Malik, citing a study which exposed rats to chronic stress over time to determine if it had any effect on bladder sensitivity. Researchers found that these rats had a lower threshold for pain and discomfort, and felt these stimuli more intensely, a phenomenon known as stress-induced hyperalgesia. It has also been determined that in stressful situations, the brain can trigger the release of a neurotransmitter called corticotropin-releasing factor CRF.
Malik adds that our levels of serotonin, the neurotransmitter responsible for regulating mood, attention and sleep, can also be negatively affected by stress.
There is also a strong correlation between an overactive bladder and anxiety, with symptoms of the one having being shown to exacerbate the other.
Similarly, we know the opposite; people with anxiety do have a chance of developing overactive bladder over the next 10 years. Malik recommends consulting with your doctor to determine if you do have pelvic floor dysfunction or overactive bladder, which can be treated.
These children: Tend to empty their bladders only 2 or 3 times a day compared with the normal 5 to 7 times a day. Often do not empty their bladders when they first wake up.
Often do not empty their bladders completely when they use the bathroom. To keep from wetting themselves, children may: Squat. Squirm, cross their legs, hold their thighs together, or use their hands to hold back the urine.
Stand very still, looking as if they will wet themselves if they move. When to call a doctor Daytime accidental wetting may be a normal part of a child's growth and development, or it may be caused by a medical condition. Call the doctor if: Your child has signs of a bladder or kidney infection , such as: Cloudy or pink urine or bloodstains on underclothes.
Urinating more often than usual. Crying or complaining when urinating. Urge to urinate frequently but usually passing only small quantities of urine. Your child is leaking dribbling when urinating or has a weak urine stream. The child may have a birth defect in the urinary system. Your child age 4 or older is having daytime accidental wetting and is leaking stool. The child may have stool blocking the intestines, caused by having constipation over a period of time.
Your child had bladder control but is wetting again. Evaluating daytime accidental wetting If you take your child to the doctor for help with the child's accidental wetting, a medical history and physical examination will be done to discover if the wetting is a symptom of a medical condition.
Depending on the results of the physical examination, the doctor may do other tests, such as: A urinalysis and urine culture and sensitivity test, if a bladder or kidney infection is suspected.
For more information, see the topics Urine Test and Urine Culture. An ultrasound , cystoscopy , or voiding cystourethrogram , if birth defects within the urinary system are suspected. Daytime wetting may be related to problems in the development of the urinary system.
A urodynamic study , if a lack of nervous system control of the bladder is suspected. Treatment If a child has both daytime and nighttime accidental wetting, the doctor may treat daytime wetting first, because children normally gain daytime control over their bladders sooner than nighttime control. Treatment for daytime wetting that is not caused by another medical condition may include: Medicine. She has won multiple awards from the Society of Professional Journalists and the Washington Newspaper Publishers Association for her reporting at a weekly newspaper near Seattle.
Laura holds a bachelor's degree in English literature and psychology from Washington University in St. Louis and an advanced certificate in science writing from NYU. Live Science. Laura Geggel. This can reduce quality of life and curtail job opportunities. The urinary sphincter must be relaxed for urine to flow from the bladder down the urethra.
For some people, an embarrassing incident starts the social phobia — for example, the inability to urinate into a cup in front of a doctor or nurse.
Worrying about the embarrassing incident makes the person feel anxious about urinating in the presence of others. Various physiological conditions can hamper urination. Prostatitis , for example, can make urination difficult for affected men. The doctor will usually perform a series of tests to make sure that nothing is physically wrong with your urinary tract.
Generally, the diagnosis is paruresis if you can urinate successfully when alone at home. The doctor may suggest the short-term use of drugs such as tranquillisers or antidepressants.
However, these drugs will only reduce anxiety, not cure the condition. In severe cases, the doctor may suggest that you learn self-catheterisation. A catheter is a slender tube inserted up the urethra and into the bladder to drain urine. You may like to consider joining a paruresis support group. In severe cases, it may be helpful to see a psychologist.
Treatment may include:. This page has been produced in consultation with and approved by:. Bedwetting is a problem for many children and punishing them for it will only add to their distress. Your bladder is a hollow organ that stores urine from the kidneys. Bladder cancer affects twice as many men as women. Bladder prolapse is when the bladder bulges into the vagina.
0コメント