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Uncontrolled urination due to psychological problems. On treatment for lymph node TB. Advice?

my wife is suffering with uncontrolled flow of urine. she has been suffering with this for last 10 years and doctors in India found nothing and said it is psychological. She recently diagnosed with Lymph-node TB in UK and is currently under medication. Doctors haven't confirmed TB as the reason for uncontrolled flow of Urine however we will have further tests after TB treatment. I just want to know from experts whether any such cases have been diagnosed with similar symptoms and wanted to take some advice.
Asked On : Mon, 8 Apr 2013
Answers:  2 Views:  56
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Psychiatrist 's  Response
thanks for using health care magic.
i have gone through your available history.
In psychological cause of urinary incontinence, it happens only during stress or occasionally. If she has persistent symptoms, it is advisable to go for urodynamic study to rule out urinary tract pathology.

You can consult good urologist for the same. pelvic floor exercises like kegel, can be of some help.
I dont think TB lymphnode can be a cause of urinary incontinence.
thanks. i hope she will be fine soon
Answered: Tue, 9 Apr 2013
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Psychiatrist Dr. Sushil Kumar Sompur's  Response
Jun 2013
Hi there ~

I understand your wife has been having problems with urinary incontinence and this is going to get better with pelvic floor exercises and water restriction after a certain time in the evening. I would also suggest that she use Imipramine at night after consulting with a psychiatrist to avoid night time incontinence as it can be disturbing. However there are surgeries that can help with chronic uncontrolled incontinence. If it is psychological in nature a psychiatrist prescriptions is all that is necessary to help with the incontinence. I hope this helps.

Take care and have a lovely day !
Answered: Mon, 8 Apr 2013
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