Why urinary retention and fecal retention cause confusion?

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Discussion Overview

The discussion revolves around the causes of urinary retention and its potential connection to confusion, particularly in patients experiencing delirium. Participants explore various physiological and psychological aspects related to urinary and fecal retention, as well as the implications of these conditions in clinical settings.

Discussion Character

  • Exploratory
  • Debate/contested
  • Technical explanation

Main Points Raised

  • Some participants suggest that urinary retention can be caused by factors such as an enlarged prostate, prostate surgery, or radiation treatments, but question the relevance of these factors to the confusion mentioned.
  • Others propose that the confusion may stem from the proximity of the bladder and sigmoid colon, suggesting that pressure from one can affect the other.
  • A participant introduces the concept of cystocerebral syndrome, linking urinary retention to delirium and suggesting a central nervous response involving catecholamines, although this phenomenon is noted to be not completely understood.
  • There is a call for clarification from the original poster (OP) regarding their question, indicating that some responses may be based on misunderstandings of the OP's intent.

Areas of Agreement / Disagreement

Participants express varying degrees of understanding and interpretation of the OP's question, leading to multiple competing views on the relationship between urinary retention and confusion. The discussion remains unresolved with no consensus on the underlying mechanisms or the specific confusion being referenced.

Contextual Notes

Some participants highlight the need for clearer definitions and context regarding the OP's question, indicating that assumptions about the nature of the confusion may be influencing responses.

sameeralord
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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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