Study Voiding and PTSD

[MnM]

Why can't I find a hundred articles on how common voiding is for people with PTSD or CPTSD?

Everything I've read discusses proclivity for UTIs etc.... but nothing that nails down voiding. Anyone know of any studies on this?

Bladder dysfunction in sexual abuse survivors - PubMed

Sexual abuse survivors have a significantly higher incidence of genitourinary dysfunction symptoms, including stress and urge incontinence, and voluntary urinary retention. Abuse survivors should be questioned about these symptoms, and evaluation and therapy should be recommended. This...

pubmed.ncbi.nlm.nih.gov

 

[bellbird]

Stress, itself, is correlated with overactive bladder symptoms.
I've also recently found out that prazosin (the medication often prescribed for nightmares associated with PTSD, if you're not familiar with it) has a possible side effect of increased urinary frequency.

As for urinary frequency and PTSD, I did a quick search and found some papers that may be of interest, or at least a jumping off point.
I haven't looked to much into them, so hopefully they're helpful.

Nocturnal/daytime urine noradrenergic measures and sleep in combat-related PTSD

Prominent heightened arousal symptoms and clinical/laboratory findings implicate the central noradrenergic system in posttraumatic stress disorder (PT…

www.sciencedirect.com

Journal of Clinical Sleep Medicine

The official peer-reviewed journal of the American Academy of Sleep Medicine.

jcsm.aasm.org

Frontiers | Voiding Behavior and Efferent Bladder Function Altered in Mice Following Social Defeat but Not Witness Trauma

Psychological stress is associated with bladder dysfunction, however the local bladder mechanisms affected are not well understood. This study aimed to dete...

www.frontiersin.org

Urinary incontinence, depression and posttraumatic stress disorder in women veterans

To study associations between urinary incontinence (UI) symptoms, depression, and posttraumatic stress disorder in women veterans.This cross-sectional…

www.sciencedirect.com

Error - Cookies Turned Off

onlinelibrary.wiley.com

Longitudinal associations between mental health conditions and overactive bladder in women veterans - PubMed

Anxiety, depression, and prior sexual assault-common postdeployment problems for women veterans-influence the natural history of overactive bladder. Providers should screen for mental health conditions and sexual assault in women with newly diagnosed or persistent overactive bladder.

pubmed.ncbi.nlm.nih.gov

Posttraumatic stress disorder in interstitial cystitis/bladder pain syndrome: Relationship to patient phenotype and clinical practice implications - PubMed

We recommend that patients with IC/BPS and widespread pain have ongoing screening and monitoring of PTSD. We recommend using trauma-informed care practices with these patients to increase trust and safety, which could improve treatment compliance and follow-up.

pubmed.ncbi.nlm.nih.gov

Interpersonal Trauma as a Marker of Risk for Urinary Tract Dysfunction in Midlife and Older Women - PubMed

More than 20% of women in this multiethnic, community-based cohort reported a history of IPV, PTSD symptoms, or both, which were associated with symptomatic urinary tract dysfunction. Findings highlight the need to provide trauma-informed care of midlife and older women presenting with urinary...

pubmed.ncbi.nlm.nih.gov

Clinical management of bladder dysfunction caused by sexual abuse - PubMed

Although conservative treatment is recommended in these patients, surgical treatment may be inevitable in some cases. Successful surgical treatment is possible if an interdisciplinary approach with a close collaboration between psychotherapists and urologists is utilized.

pubmed.ncbi.nlm.nih.gov

One and the Same? Nocturnal Enuresis and Overactive Bladder in the Female Veteran Population: Evaluation of a Large National Database - PubMed

The association of NE with psychosocial characteristics and psychiatric illnesses persisted irrespective of the comparison population. Practitioners should investigate the diagnosis of NE in those female veterans with psychosocial issues.

pubmed.ncbi.nlm.nih.gov

Female Veterans With Diagnoses of Both Chronic Pelvic Pain and Overactive Bladder; How Do They Compare to Women Diagnosed With Interstitial Cystitis? - PubMed

There were more patients diagnosed with CPP and OAB compared with patients diagnosed with IC in this population of female veterans. Given the high rate of comorbid anxiety and depression in both groups, further study is warranted to determine whether these women are misdiagnosed.

pubmed.ncbi.nlm.nih.gov

Overactive bladder and mental health symptoms in recently deployed female veterans - PubMed

Overactive bladder symptoms occurred in 22% of recently deployed female veterans, and were associated with self-reported mental health symptoms and traumatic events including prior sexual assault. Screening and evaluation for bothersome urinary symptoms and mental health problems appear...

pubmed.ncbi.nlm.nih.gov

 

[MnM]

Yeah that's my point.... individual voiding symptoms are correlated, but not voiding as whole. People with PTSD/CPTSD have been shown to have general voiding symptoms - all inclusive puking, pissing, shitting, nausea, coughing, spitting, puking, sweating....

I was hoping there might be some research on the inclusive voiding symptomology.

 

[joeylittle]

AFAIK, voiding dysfunction in clinical terms relates to the whole process of urination, specifically. It's not inappropriate to refer to 'voiding the bowels', but I think 'evacuate' or 'defecate' is the more common clinical language.

So, I'm curious - When you're referring to voiding, you're including all these:

all inclusive puking, pissing, shitting, nausea, coughing, spitting, puking, sweating....

...basically equating any substance coming out of any orifice with 'voiding'. Am I reading you right?

 

[MnM]

Hm. I thought I recalled reading in one of my PTSD manuals the authors referring to voiding across the board... I did know voiding referred clinically to urination, but I seem to recall it being used inclusively... is there no inclusive word for the sudden and unconscious excretion of any or all bodily wastes?

I mean check out this TMI google search:

I mean it's well known that if someone is literally scared to death, anything and everything is going to excrete. And shock or threat can do the same thing. Animals also do this when terrified of death or close to. **Racking my brain for the term, if there is one to rack....*

 

[coraxxx]

Perhaps we can find the term in a more general sense through food poisoning since that would in principle trigger a full-evacuating-by-all means response?

 

[MnM]

Perhaps we can find the term in a more general sense through food poisoning since that would in principle trigger a full-evacuating-by-all means response?

I don't know if this is for me, and if it is, I don't know what it means....

 

[Tinyflame]

Voiding, yes, at least here is the medical term for urination. But in terms of all the other possibilities also mentioned (the 'food poisoning' analogy) I think it's common sense, perhaps more a consequence physiologically of stress, anxiety and the like. For example panic attacks, chest pressure and/or pain, irregular heartbeat, tense muscles (even dislocations), elevated (or decreased) blood pressure, impaired immune function, nausea, ulcers and bleeding ulcers, fainting, hives, shakes, autoimmune disorders, etc. Whether they be situational or prolonged, or in response to elevated stress or a consequence of prolonged levels of it (kindey damage, for example), or a consequence of poor or absent self care or damaging coping mechanisms (eg substance abuse to try to cope) I think it's inevitable. The mind and body are intimately contected, even if we don't recognize it or acknowledge it. (Much as a stressor and stress response can go underground, and appear later, or blow up at the time, or not be recognized at all until we look back, or our body gives out). JMHO though. For example, I think I've got a bleeding ulcer (again). Thats going to throw a lot of things off, in terms of systems and processes, how I feel and also what I choose. It is perhaps a combo of nature and nurture, propensities and situations and choices, then it shows up in different (varied) ways.

ETA, there is also much documentation on how there seems to be a link between people who, for example, often subjectively feel broken hearted to having heart problems, or people saying everything is a pain in the as*, to getting for example prostate cancel. But it is critical not to twist that in to blaming, and forget genetics and environment, or what medicine does not know. What is well documented however, is if for example someone says ~'I feel a stabbing pain in my stomach', and no equatable source can be found, but they are asked what else feels like a 'stabbing pain' (and they say for eg their relationship with their child), then talking about that problem can reduce or stop the pain in their stomach in many cases. Quite the connection, if you think about it.

 

[Sideways]

I mean it's well known that if someone is literally scared to death, anything and everything is going to excrete. And shock or threat can do the same thing.

The research you're looking for may be in the research linked to the sympathetic nervous system. The various bodily reactions you're describing are part of the SNS response, yeah?