A person with paruresis finds it difficult or impossible to urinate (wee) when other people are around. Paruresis is believed to be a common type of social phobia, ranking second only to the fear of public speaking. Shy bladder symptoms is often first experienced at school.
Check out this article on mouth ulcer and natural remedies : www.dentority.com/mouth-sores-know-the-types-and-what-to-do/mouth-ulcers-are-you-treating-them-right/how-to-get-rid-of-mouth-ulcers-and-keep-them-away
The condition affects men and women of all races. In mild cases, paruresis is an occasional event, like a form of performance anxiety. For example, a man at a public urinal may find that he is unable to urinate when flanked by other men. In severe cases, a person with paruresis can only urinate when alone at home.
The condition is also known as ‘avoidant paruresis’, ‘shy bladder syndrome’, ‘psychogenic urinary retention’ and ‘pee-phobia’.
A person with paruresis typically has a sensitive, shy, conscientious personality and is fearful of being judged or criticised by others. Paruresis can be mild, moderate or severe. Signs and symptoms of severe paruresis can include:
The need for complete privacy when going to the toilet
Fear of other people hearing the urine hit the toilet water
Fear of other people smelling the urine
Negative self-talk while trying to urinate: for example: ‘I can’t do it. I’m never going to pee. I’m such an idiot.’
Inability to urinate in public toilets or at other people’s homes
Inability to urinate at home when guests are present
Inability to urinate at home if someone is waiting outside the toilet
Feeling anxious about needing to go to the toilet
Restricting drinks to reduce the need for urination
Avoiding travel and social events.
Source Article : betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Paruresis_shy_bladder_syndrome
The condition is diagnosed on the basis of the sufferer’s account of their symptoms. In severe cases, sufferers can waste considerable time waiting for everyone else to leave the toilet before they can urinate, and might totally avoid urinating in public toilets. The condition is usually self-diagnosed when any or all of the three main triggers of paruresis are present and the condition is chronic.
The most well documented current treatment is based upon cognitive-behavioral therapy, of which the aim is to reorganize the “abnormal” emotional schemes arising from the anxiety generating elements that trigger this problem. This can be done individually in a self-help situation, in a support group, or through psychotherapy with a psychologist or psychiatrist.
Therapy includes three separate but linked components:
Cognitive—An attempt to modify the abnormal thoughts and ideas around the object of anxiety, such as the thought, “When I use a toilet, everybody looks at me and wonders what I’m doing.”
Behavioral—Step by step desensitization by very gradual exposure to the feared situation, the aim being to achieve a series of small successes, and thus reassure the subconscious mind that it is “safe” to urinate in a situation that previously led to panic and failure. This can be thought of as relearning urination in a social situation.
Relaxation—Learning techniques that facilitate relaxation, both mental and physical, such as sphincter relaxation exercises.
Drug treatments, usually with medications used to treat benign prostate hyperplasia (BPH), an enlargement of the prostate gland, such as terazosin (Hytrin), tamsulosin (Flomax), and alfuzosin (Uroxatral) are the subject of much debate and usually produce poor results.
One possible alternative medicine treatment is saw palmetto, used to treat urinary problems in men with BPH, an enlargement of the prostate gland. BPH results in a swelling of the prostate gland that obstructs the urethra. This causes painful urination, reduced urine flow, difficulty starting or stopping the flow, dribbling after urination, and more frequent nighttime urination. A typical dose is 320 mg per day of standardized extract. It may take up to four weeks of use before beneficial effects are seen.
Source Article : medical-dictionary.thefreedictionary.com/Shy+bladder+syndrome