Symptom 6. Dysautonomia: Urinary Issues
Urinary issues are another common symptom associated with dysautonomia. The autonomic nervous system controls the function of the urinary system, including the kidneys, bladder, and urethra. When the ANS malfunctions, it can result in various urinary problems, such as urinary retention, incontinence, or frequent urination.
Urinary retention is the inability to completely empty the bladder, which can lead to discomfort, pain, and the risk of urinary tract infections. Incontinence refers to the involuntary leakage of urine, which can be both physically and emotionally distressing. Frequent urination can also be a concern, as it may lead to disruptions in daily life and sleep patterns.
Managing urinary issues in dysautonomia typically involves a combination of behavioral modifications, medications, and, in some cases, medical procedures. For example, timed voiding, pelvic floor exercises, and fluid management can help alleviate symptoms. Medications such as anticholinergics, alpha-blockers, or tricyclic antidepressants may be prescribed to address specific urinary issues. In more severe cases, medical procedures such as bladder Botox injections or the implantation of a sacral nerve stimulator may be necessary. (6)
