cm90210
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TLDR: My doc thinks my urinary problems over the past 10 months are caused by psychological issues - is this normal? Has this happened to you? Should I give up seeking for an alternate explanation? Have you ever heard of this? Am I being “gas lit”?
[Read the full story below]
I’ve shared on many prior threads that I’ve had a variety of bouts of bedwetting over the past 10 years or so - and most recently have been dealing with daytime urgency. I have seen a couple different urologists over the past 5 months and have tried a couple different medications (one was at a major medical school medical center). My prostate is fine, cystoscopy was normal, all blood work is normal, not consistently retaining urine after I pee, no ongoing infections, etc. None of my docs can really explain any kind of physical or medical cause for my recent urgency (some days I’m having to go to the bathroom every 45 or 60 minutes). In the 10 years prior, no one has been able to give me any reason or cause for the bedwetting either.
I’m taking Mybetriq right now for the past several months and I find a decided positive difference between when I’m on the med and when I go off (I’ve dropped it a few times because I wasn’t sure). But even it doesn’t resolve everything on every day. Some days and times I feel totally normal. But other days, especially when I’m stressed or in certain situations, my bladder really acts up even while on the medication. I also find that i have issues when I’m doing certain activities or having certain movements (running seems to be a trigger; going from sitting to standing; thinking about the bathroom at all or walking to it when I have an urge; etc... I relate with some of the recent conversation on here about Triggers). I’ve been considering asking for adding a second med along with the mybetriq (doc suggested oxybutinin in small doses can be good combined); or perhaps trying Botox which my Urologist is also recommending.
Of course, I’ve been a lifelong DL - and while there is some difference between needing and wanting incontinence products - figuring out where the lines are, trying to determine what is normal or abnormal, and understanding how my DLness might have impact on my new issues has been very confusing and challenging. Do I secretly want to NEED diapers? I honestly dont know. Some days, probably yes. Other times its very very inconvenient and embarrassing and stressful — and its in those moments when I definitely NEED them that I’m reminded that something is indeed wrong, whatever the cause.
In my most recent round of appointments with my GP, he is suggesting I go see a psychiatrist to get on some medication especially for anxiety - because he thinks that that is probably the underlying cause given that we have done all the tests and assessments and have found nothing except that I’m healthy. This is what my wife believes as well (and she also thinks that my DLness is contributing to it unconsciously as well). Note that she is supportive of me in every way, including supportive and to some degree participatory in ABDL activities. I’m not against getting on some mood medications although I’m generally pretty functional...I have been very very stressed lately and have had problems managing my emotions. I also have a history of a number of traumas and abuse situations including some ongoing PTSD. I have been medicated before in the past, and just didn’t tolerate the different options I tried before. I have never been to a psychiatrist.
The long and the short of it is - is it reasonable to guess and assume that these physical problems I’ve been having are really rooted in my mind/brain? Are chronic incontinence/urinary issues like mine commonly caused by psychology? My understanding is that there is almost always some underlying physical/bodily cause. I feel a little dismissed...also a little sensitive/judged by these conclusions. But I dont have any other information to go on... I really dont want to have future medical care jeopardized by having notes in my file that I have issues that are “all in my head”. I am also worried that my doctors are going to conclude that I have Münchausen syndrome or something similar, and that I am lying about my symptoms (believe me, I’ve questioned this myself at times — but then when I have had full blown wetting accidents in public, and overnight, my doubts dissipate).
But maybe there is some kind of brain/body connections that I’m not considering well...is that possible/likely? I follow the app Figure1 and sometimes on there they talk about a syndrome where real medical things emerge from the mind that are legitimate - and not based in lies... That seems extremely strange/rare. Just trying to figure out what I should do and how I approach this psych appointment with my fears and issues...
TLDR: My doc thinks my urinary problems over the past 10 months are caused by psychological issues - is this normal? Has this happened to you? Should I give up seeking for an alternate explanation? Have you ever heard of this? Am I being “gas lit”?
Sent from my iPad using Tapatalk
[Read the full story below]
I’ve shared on many prior threads that I’ve had a variety of bouts of bedwetting over the past 10 years or so - and most recently have been dealing with daytime urgency. I have seen a couple different urologists over the past 5 months and have tried a couple different medications (one was at a major medical school medical center). My prostate is fine, cystoscopy was normal, all blood work is normal, not consistently retaining urine after I pee, no ongoing infections, etc. None of my docs can really explain any kind of physical or medical cause for my recent urgency (some days I’m having to go to the bathroom every 45 or 60 minutes). In the 10 years prior, no one has been able to give me any reason or cause for the bedwetting either.
I’m taking Mybetriq right now for the past several months and I find a decided positive difference between when I’m on the med and when I go off (I’ve dropped it a few times because I wasn’t sure). But even it doesn’t resolve everything on every day. Some days and times I feel totally normal. But other days, especially when I’m stressed or in certain situations, my bladder really acts up even while on the medication. I also find that i have issues when I’m doing certain activities or having certain movements (running seems to be a trigger; going from sitting to standing; thinking about the bathroom at all or walking to it when I have an urge; etc... I relate with some of the recent conversation on here about Triggers). I’ve been considering asking for adding a second med along with the mybetriq (doc suggested oxybutinin in small doses can be good combined); or perhaps trying Botox which my Urologist is also recommending.
Of course, I’ve been a lifelong DL - and while there is some difference between needing and wanting incontinence products - figuring out where the lines are, trying to determine what is normal or abnormal, and understanding how my DLness might have impact on my new issues has been very confusing and challenging. Do I secretly want to NEED diapers? I honestly dont know. Some days, probably yes. Other times its very very inconvenient and embarrassing and stressful — and its in those moments when I definitely NEED them that I’m reminded that something is indeed wrong, whatever the cause.
In my most recent round of appointments with my GP, he is suggesting I go see a psychiatrist to get on some medication especially for anxiety - because he thinks that that is probably the underlying cause given that we have done all the tests and assessments and have found nothing except that I’m healthy. This is what my wife believes as well (and she also thinks that my DLness is contributing to it unconsciously as well). Note that she is supportive of me in every way, including supportive and to some degree participatory in ABDL activities. I’m not against getting on some mood medications although I’m generally pretty functional...I have been very very stressed lately and have had problems managing my emotions. I also have a history of a number of traumas and abuse situations including some ongoing PTSD. I have been medicated before in the past, and just didn’t tolerate the different options I tried before. I have never been to a psychiatrist.
The long and the short of it is - is it reasonable to guess and assume that these physical problems I’ve been having are really rooted in my mind/brain? Are chronic incontinence/urinary issues like mine commonly caused by psychology? My understanding is that there is almost always some underlying physical/bodily cause. I feel a little dismissed...also a little sensitive/judged by these conclusions. But I dont have any other information to go on... I really dont want to have future medical care jeopardized by having notes in my file that I have issues that are “all in my head”. I am also worried that my doctors are going to conclude that I have Münchausen syndrome or something similar, and that I am lying about my symptoms (believe me, I’ve questioned this myself at times — but then when I have had full blown wetting accidents in public, and overnight, my doubts dissipate).
But maybe there is some kind of brain/body connections that I’m not considering well...is that possible/likely? I follow the app Figure1 and sometimes on there they talk about a syndrome where real medical things emerge from the mind that are legitimate - and not based in lies... That seems extremely strange/rare. Just trying to figure out what I should do and how I approach this psych appointment with my fears and issues...
TLDR: My doc thinks my urinary problems over the past 10 months are caused by psychological issues - is this normal? Has this happened to you? Should I give up seeking for an alternate explanation? Have you ever heard of this? Am I being “gas lit”?
Sent from my iPad using Tapatalk