Both ‘Irritable’ and ‘Neurotic’ terms are synonymous, without any significant variation. Neurosis of bladder is generally symptom of hysterical women.
Causes
– History of Neurosis of temperament is the predisposing cause.
– Worry and anxiety – a Nervous temperament.
– Excessive loss of vital fluids (or excesses in venery).
– Improper Nutrition.
– Diseases of kidneys, ureter, uethra, rectum or vagina are reflected to the bladder.
– Traumatic conditions or organic changes in the bladder or its surrounding organs or tissues.
– Spasmodic irritation
– Rectal tenesmus.
Symptoms
– Much pain on urinating which is aggravated after the bladder has been emptied.
– Patient is rendered enormously nervous due to spasms of neck of bladder and urethra.
– Feeling of weight over pubic region but relief felt in the recumbent position.
– Quantity and quality of urine passed may be normal or else very profuse or even scanty.
Treatment: Cystoscopic examination will, in most cases, reveal actual status and condition ofthe bladder. Residual urine may also account for irritability ofthe bladder, as urine deposit for a longer period creates its own symptoms, with infection. It is certain that this disorder never results in fatality. There is hardly any change in physical or chemical qualities of urine – it could be hyperacidic, extremely concentrated or diluted. In true cases of neurosis ofthe bladder, appearance of mucosa is negative. The disease is liable to prolong and protractrate for a longer period. There is no danger to life but complete cure is always evasive. But, pain, tenesmus, scant flow of urine can be palliated and set in order/or removed but recurrence of symptoms cannot be totally ruled out.
As a first step get the cystoscopic examination done so as to know the present status. Bladder infection can be controlled by suitable antibiotics (dosage and use mentioned earlier) but get urine tested for c/s test and then use the most suitable drug. Acidity can be offset by Alkasol (ITSP 3-4 times a day) and pain and spasm relieved by spasmo-Proxyvon (one capsule to be given 4-6 hourly, fake plenty of liquid orally to flush out urine. Hot fomentations to pubic region may also palliate pain.