#MedicalCase

For Psychiatry friends: cause of urinary frequency only when mind is free. (Psychiatry)

Dr. Devendra., MCH UROLOGY, MS SURGERY, MBBS

 

Medical Case Details:

How to treat a patient having psychogenic urinary symptoms ie only when he thinks about them. Normal when engaged in work or sleep

 


    Discussions


    Dr. Mehmet Akif Camkurt
    Psychiatrist

    What kind if urinary symptoms?

    03.Feb, 11:26pm

    Dr. Devendra
    Urologist

    Frequency of urination have to go repeatedly to pass urine with associated urgency (difficulty holding urine). these symptoms only after they think of it or not occupied by some work.

    04.Feb, 11:42am

    Dr. Manjunadh M Nair
    Psychologist Counsellor

    Well.It could be part of anxiety spectrum or actively thinking abput it resulting active contraction of destrusor or its overactivity.Its pretty common symptom in patients with anxiety disorder.I would recomend using duloxetine at a dose of 20 to 40 mg.It will reduce anxiety symptoms plus improve functioning of internal sphictors.If the patient has other significant anxiety symptoms,escitalopram is another option
    Regards

    ▲ 3
    04.Feb, 01:01pm

    Dr. Mehmet Akif Camkurt
    Psychiatrist

    It may be due to OCD? Thoughts about urination, and then a kind of compulsion to urinate. If The type of thougts are intrusive, OCD should be considered in differential diagnosis.
    My recommendation would be initiating either sertralin or duloxetin.

    ▲ 1
    04.Feb, 03:37pm

    Dr. Udaya Nath Sahoo
    General Practitioner

    Hi
    check grade of eating disorder [anorexia or bulimia] and correct accordingly .

    04.Feb, 11:00pm

    Dr. Nidhi Jain Bukharia
    Psychologist Counsellor

    Hi,
    tablet amityptyline 50-100mg works well. reduces depression somatic symptoms as well as reduce urine frequency due to anticholinergic side effects.

    ▲ 2
    03.Apr, 07:37pm

    Dr. Devendra
    Urologist

    Thanks to all experts for their opinion.

    05.Apr, 07:52pm

    Dr. Mehwish Mursaleen
    Psychologist Counsellor

    Its more likely to be psycho somatic symptoms because the root cause is a thought. psychotherapy would be the best option to treat unconscious conflicts of the patient. although medication for somatic complaints can be effective side by side

    27.Apr, 02:47pm



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