#MedicalCase
For Psychiatry friends: cause of urinary frequency only when mind is free. (Psychiatry)
Choudhary Devendra., MCH UROLOGY, MS GENERAL 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 sleepDiscussions
Dr. Choudhary 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.
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
Psychiatrist
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
Psychiatrist
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.
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 .
General Practitioner
Hi
check grade of eating disorder [anorexia or bulimia] and correct accordingly .
04.Feb, 11:00pm
Dr. Nidhi Jain
Psychiatrist
Hi,
tablet amityptyline 50-100mg works well. reduces depression somatic symptoms as well as reduce urine frequency due to anticholinergic side effects.
Psychiatrist
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
Mehwish Mursaleen
Psychologist Counselor
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
Psychologist Counselor
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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