Why urinary retention and fecal retention cause confusion?

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The discussion focuses on the causes of urinary retention in the bladder, specifically distinguishing it from renal failure. Key points include that urinary retention can be attributed to conditions like an enlarged prostate, prostate surgery, or radiation treatments, which do not affect excretion directly. There is also a mention of the potential confusion between bladder retention and pressure from adjacent organs, such as the sigmoid colon. Additionally, the conversation touches on the phenomenon of delirium associated with urinary retention, known as cystocerebral syndrome, which is linked to a central nervous response involving catecholamines. The participants express a desire for clarity on the original question and offer support for understanding the complexities of urinary retention and its implications.
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Hello everyone,

I'm talking about retaining urine in the bladder,not renal failure, so I can't think of uraemia as a course. So what is the reason behind this. Thanks :)
 
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I do not understand the question posed in your subject line. What confusion are you talking about?

Retention of the urine in the bladder can easily be caused by an enlarged prostate and/or prostate surgery and/or prostate radiation treatments but that does not, as far as I know, have any impact at all on excretion and none of that is confusing.
 
phinds said:
I do not understand the question posed in your subject line. What confusion are you talking about?

Retention of the urine in the bladder can easily be caused by an enlarged prostate and/or prostate surgery and/or prostate radiation treatments but that does not, as far as I know, have any impact at all on excretion and none of that is confusing.

Maybe the OP's problem isn't the retention, it's the confusion about what is being retained.
 
Bladder and sigmoid colon are next to each other - if one is distended the other feels pressure. Or if you prefer, they are neighbors positioned too close for comfort.

More importantly - why do you ask so many questions like this? They look like exam questions, kind of, to me. Are you having trouble in class? Maybe we could help.
 
jim mcnamara said:
More importantly - why do you ask so many questions like this? They look like exam questions, kind of, to me. Are you having trouble in class? Maybe we could help.

Whenever I had a tough exam, retention was not the problem. :wink: :rolleyes:
 
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I think OP is referring to the delirium associated with certain patients presenting with urinary retention, that was referred to as cystocerebral syndrome. AFAICT, this phenomenon is not completely understood, but it has been suggested that the central nervous response to the stress involves excess release of catecholamines. It's been suggested that this response is similar to other changes in mental state without direct complaint of pain, such as dysphoria associated with hypoglycemia.
 
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sameeralord said:
Hello everyone,

I'm talking about retaining urine in the bladder,not renal failure, so I can't think of uraemia as a course. So what is the reason behind this. Thanks :)
Please respond with what you mean, people are making wild guesses.
 
Thanks fzero yes delirium was what i was thinking about. :)
 

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