I am an 18 year old male. For the last 6 months I have had urinary trouble, chronic urine retention in particular (although hesitation, frequency as well). 2 urinalyis and a blood test all came back normal. Now I'm wondering if it could be neurological. I have heard Detrusor Sphincter dysinergia is common in MS patients. Could what I have be Detrusor Sphincter dysinergia?
I do not have vision trouble, muscle weakness (I bodybuild), cognitive delay, balance issues, etc. I get a little tingly in my feet/hands every now and then but it seems normal enough to me (no more than anyone else). So my only symptom really is the bladder.
Could this be MS? Or I am I stretching it? Did anyone have bladder trouble as an initial MS symptom? Does anyone know what Detrusor Sphincter dysinergia is like and if my symptoms match it? Thanks, sorry for all the questions.
Just a quick note on your last comment there.
Sometimes we dont need to have had and injury
to our spines or even joint for that matter.
there are things such a degeritive disk disease, arthritis and
stenosis , just to name a few. that can cause problem in the spine.
but I truly must say you are very young for those.
especially if your not having pain ever.
So Im thinking that If I were you, I would have your Pcp refferr
you to the urologist and start there.
So if in fact there is a problem going on, you want to stop it now
before worse symptoms or damage occur. My new urologist did
say they treat several ms patients there with urinary problems.
I have had chronic bladder infections, weak stream, and retention for years. What I thought was my first symptom was my bladder completey emptying itself without my permission one day at work.What I also thought was normal tingling and muscle spasms turned out, the average person does not experience all this like I do...I just assumed they did. I am very fit and work out regularly. During step aerobics my feet would go completely numb, like they fell asleep, severe calf muscle cramps when I walked vigorously. I was dx with plantar fascitis and switched to low impact aerobics and walk less and not quite so vigouously. Turns out that dx was wrong. I'm not saying you should go looking for trouble, but you know yourself better than anyone and if u feel this requires deeper investigation, then do it. I didn't want to be a hypochondriac for years so I never persued or insisted my md investigated my bladder problems and now look where I am! Definately start with a uro and see what he thinks.
I began retaining urine 13 years ago and was finally diagnosed with neurogenic bladder, after getting doctor to believe me. I saw a gynecologist and a urologist and a neurologist. None could explain and after trying several different remedies, I learned to self-catheterize. That was a real blessing, as I could finally empty my bladder. I was 39 and had no other MS symptoms. Then at the age of 46, I started having fatigue and cognitive issues. An MRI showed MS typical lesions in the brain. An auditory evoked potential test showed I was 3 standard deviations below the norm on my left side. With the bladder issue, the lesions and the auditory abnormality, I was diagnosed with MS. I'm now 52 and still have these same problems, but no other. Starting with a urologist is a very good idea. Best of luck.
One thing I have noticed is that my urinary symptoms are usually the worst following heavy weight excercise/bowel movements. This may be a "good sign" in that it would indicate a more anatomical cause (prostate or pelvis rather than neurogenic). Never can be sure though.
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