[41F] Experiencing loss of bladder control, high blood pressure, and stress-related symptoms

Patient Description

A 41-year-old female reports experiencing uncontrolled loss of bladder control without prior warning, leading to frequent accidents both during the day and at night. This issue has been ongoing for several months. Additionally, the patient has been dealing with high blood pressure, with readings consistently over 200/120 for the past 6 to 9 months. The patient also mentions experiencing an involuntary left eye twitch for the past 2 weeks, which is temporarily alleviated by pressing on the closed eye. The patient is a smoker, which may contribute to some of her symptoms, including occasional headaches and chest pain. Moreover, the patient is facing significant stress, depression, and anxiety, which have been long-standing issues, exacerbated by current life situations. Despite trying medications, the patient feels that they have not been effective in managing her depression. The patient describes her stress levels as constantly 'on edge' and expresses a feeling of hopelessness regarding her future.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Hypertension: Your blood pressure is significantly elevated. Hypertension can cause a variety of symptoms, including headaches, fatigue, and eye twitching. It's a serious condition that can lead to heart disease, stroke, and other health problems if not managed properly.

    • Treatment typically involves lifestyle changes and medication to lower blood pressure.
  • Urinary Incontinence: Sudden, urgent need to urinate with inability to control urine can be due to a condition called urge incontinence. This can be caused by various factors such as urinary tract infections, bladder irritants, bowel problems, neurological disorders, and certain medications.

    • Treatment options can include pelvic floor exercises, bladder training, medications, and in some cases, surgery.
  • Eye Twitching (Blepharospasm): This can be due to stress, tiredness, eye strain, caffeine, alcohol, dry eyes, nutritional imbalances, or allergies. In most cases, these are not serious and will resolve on their own.

    • Treatment usually involves addressing the underlying cause. If the twitching persists, it would be best to consult an eye specialist.
  • Depression and Anxiety: Chronic feelings of sadness, hopelessness, and stress can be indicative of mental health disorders such as depression and anxiety. These conditions can also contribute to physical symptoms like fatigue and high blood pressure.

    • Treatment typically involves a combination of psychotherapy (talk therapy), medications, and lifestyle changes.

What you can do

  1. Seek immediate medical attention for your high blood pressure. It's important to get this under control to prevent serious complications.
  2. Consult a healthcare provider about your urinary incontinence. They may be able to recommend treatments or exercises to help manage this.
  3. Try to reduce stress and ensure you are getting enough rest. This may help with your eye twitching.
  4. Seek help for your feelings of depression and anxiety. A mental health professional can provide treatment options and resources to help manage these feelings.

What you should look out for

  • If your blood pressure remains high or if you experience severe headaches, chest pain, shortness of breath, or confusion, seek immediate medical attention.
  • If your urinary incontinence worsens or if you notice blood in your urine, seek medical attention.
  • If your eye twitching continues for more than a week, worsens, or if you start experiencing other symptoms such as redness, swelling, or discharge from the eye, consult a healthcare provider.
  • If your feelings of depression and anxiety worsen or if you start having thoughts of suicide, seek help immediately. You are not alone and there are resources available to help you.

Please remember that while I strive to provide accurate information, I am not a doctor and this advice should not replace a consultation with a healthcare professional.

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9 mo ago


People Also Ask


What are the potential causes of sudden urinary incontinence in adults?

Sudden urinary incontinence in adults can be caused by urinary tract infections, bladder irritants, bowel problems, neurological disorders, and certain medications. It is important to consult a healthcare provider for a proper diagnosis and treatment plan.


How can high blood pressure affect overall health if left untreated?

High blood pressure, if left untreated, can lead to serious health issues such as heart disease, stroke, kidney damage, and vision loss. It is crucial to manage it through lifestyle changes and medication to prevent these complications.


What are common triggers for eye twitching and how can it be managed?

Common triggers for eye twitching include stress, tiredness, eye strain, caffeine, alcohol, dry eyes, nutritional imbalances, and allergies. Managing these factors, reducing stress, and ensuring adequate rest can help alleviate the twitching. Persistent twitching should be evaluated by an eye specialist.


What are effective treatments for managing depression and anxiety?

Effective treatments for managing depression and anxiety often include a combination of psychotherapy (talk therapy), medications, and lifestyle changes such as regular exercise, healthy eating, and stress management techniques. Consulting a mental health professional can provide personalized treatment options.


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1 Comments


Leo#3962

8 mo ago

Sometimes pelvic floor muscle or urinary sphincter muscle weakness can lead to uncontrolled urination. This can be diagnosed with a "bladder stress test". Have you been evaluated yet and has anything worked? Sometimes doctors will recommend minimally invasive devices to help with difficult cases.

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