Overactive bladder

1. Age,sex,weight,country,occupation.
24, F, 145 pounds, USA, nursing student
2. Main complaints and other associated troubles.
a) I am having frequent urges to urinate but I only urinate a small amount each time. Most days I can urinate and then have urges again in ten minutes, and there are some days that I have urges every 45 minutes and the urges are less strong. Most of the time, I have urges 5-10 minutes after urination. I have had overactive bladder since childhood, when I typically had to urinate every 2-3 hours but for the last two years my condition has been getting gradually worse. Last year I was urinating every 45 minutes and for the last few months it has become worse- every 10 minutes!!
b)What exactly do you feel, Sensation as pain, how pain feels or burn etc.
I feel no pain and no burning, just frequency and urgency of urination
c)What are the factors that causes this trouble according to you.
There are no specific factors that cause these troubles. My kidney and bladder tests all are ok, but the pressure in my bladder is high.
d)Condition under which the complaint is reduced or you feel better like,cold or hot application,cold or hot weather, position as standing,walking,rest etc.
I have not yet been able to discover a way to reduce the complaints. If I get urges while I am sitting, they are easier to handle, however as soon as I stand they become unbearable.
e)Condition under which the complaint is increased like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
Although I cant identify any specific triggers, I believe that the problem is worse on cold days, in cold environments.
f)Any other complaint any where in the body.
I suffer from constipation and frequent straining to no effect. I have had this problem for ten years.
g)Onset time of troubles in detail, i.e which came first, after that what problem and so on.
I have had overactive bladder since childhood. I would urinate every 2-3 hours then. When I started college at 18, there were times when I would need to urinate every 45 minutes. Within the last two years, I began having this issue and the longest time that I can comfortably hold urine is about 30 minutes, but often times it is 15 minutes or 10 minutes.
h)Treatment method adopted and its result.
I have tried many medications for overactive bladder – mybetriq, oxybutonin and gelnique and none of helped me. My doctor said that the pressure in my bladder is too high and gave me rapaflo for a week, which also has not helped.

3. History of diseases in family.
Thyroid disorders run in my family. My grandfather had polycystic kidney disease and that was genetic in his family. My grandmother has type 2 diabetes and that is genetic in her family.

4. Personal History.
a)About childhood.
I immigrated to New York from Moldova at 2 years old and have grown up in New York. I was a very shy, introverted child and loved to read.
b)Academic performance.
My grades in school/college were always good, but I have noticed that I need to put in a lot of time and effort into studying to achieve decent grades
c)Any major incidents in life and the effect of it on life.
My parents had a very difficult divorce when I was ten years old and I was constantly crying and upset throughout childhood. I was watching my mother cry non stop
d)How you are satisfied with your sex life, friends, family members, company etc.
My sex life Is currently non existant. My family and friends are kind and supportive, but within the last two years my life lacks enjoyment because I cannot go anywhere due to bladder problems.

5. Habits/Addiction.
a)Smoking, Alcohol, Sleeping pills, Laxative etc.
No usage of smoking alcohol or sleeping pills. I take spirulina occasionally for constipation
b)Masturbation and frequency.
none

6. How is your Appetite and Thirst.
I am always hungry and often thirsty

7. Likes and Dislikes.
a)Alcohol Bread Butter Bitter Salt Sweet Sour Fats Milk Mud Chalk Egg Spicy food Meat Fish Fruits Fried Food
Warm food-drink Cold food-drink Ice Ice cream Chocolates Tea Coffee.
I love to eat butter and bread and lobe salty and sweet foods. I like eggs and fried foods. I have no issues with milk, I drink it but can live without it. I dislike spicy foods and absolutely cannot eat any type of fish! I have had this fish aversion since childhood. I enjoy all typs of meats and fruits.
My liking of warm food/drink seems to vary- warm drinks feel soothing to me but I also enjoy iced drink because they wake me up and help me feel better on hot summer days However, cold drinks sometimes irritate my throat and create a feeling of discomfort.

b)Anything else about like and dislike of any activity with you or surrounding.
I like music, art and reading. I like romantic novels and romantic movies. I dislike anything scary or graphic movies. I dislike exercising because it is difficult for me. I enjoy long walks

8. Bowel movements.
a) I have been suffering from constipation for ten years and my stool patterns are always changing- on most days I need to strain for stool to come out and rarely do I feel urges to defecate. After I defecate, I always feel that the bowel movement has been ineffective and there is more that needs to come out. Sometimes stools are big and dark, while at other times they are small, pencil shaped and thin. Sometimes I have constipation followed by slight diarrhea.
b)Any discomforts associated with stool.
I have small hemhroid, but other than the straining there is no discomfort.

9. Urine.
a)Frequency, nature, volume.
Frequent urges to urinate- every 10 minutes. Small volume or few drops come out each time. If I drink coffe or large amounts of fluid then urine will have more volume and look clear. Underwear always feel wet.
b)Any discomfort before, during or after urination/odour
No discomfort related to urination- fishy odor is present

10. For men.
a)Any difference in erection/want of erection/weak erection/Ejaculation early/late.
ANS.
b)Any other trouble in sex.
ANS.

11. For Females.
a)Menses, Regular, Irregular,Early, Late.
I have regular menses
b)Duration of menses.
4-5 days
c)Nature of flow, Scanty, Blood colour, Consistency, Odour, Staining, itching/ when and what makes it worse/better.
Flow is very heavy and often has clots in it. Blood can be light red and can have a dark red color. There is a strong odour during menstruation. Nothing seems to make the flow better- During the first day the flow is usually light and the second and third days are extremely painful with heavy flow. During the fourth day, menstruation stops for about 12 hours and then reappears for about a day, heavy. Menses are extremely painful and I begin feeling pain 4-5 days in advance
12. Sleep.
a)The quality of sleep, the quietness or restlessness of sleep,
position of sleep, times of waking and reasons for waking,
need for cover over various parts of the body,
whether the window must be open or closed etc.
common dreams, peculiar sounds or gestures during sleep, etc.
I have restless sleep, with very graphic and frightening dreams that involve myself and others in frightening situations- getting robbed, getting stopped at gunpoint. Due to the frequent urinary urges, I have to wake up every 2-3 hours to urinate, and sometimes even every hour. IT takes me a long time to fall asleep because of nonstop thoughts and frequent need to urinate while trying to fall asleep. I typically go to sleep aroud 12pm and then wake up at 3 and then at 6 and then at 7. Another reason it is difficult for me to fall asleep is that I cannot decide whether my feet should be covered or left uncovered, and I am always alterating between the two. I sleep on my stomach. Dreams are graphic and often frightening. Often dreams do not make sense- one place becomes another quickly and the focus will change from one person to another
13. Sweat
a)How much, what parts, staining, Odour.
Sweat amount is normal. In very hot weather armpits sweat the most
14. Weather
a)Tolerance to heat and cold, dryness, humidity, weather changes, sun,
foggy weather, wind drafts, closed rooms, etc.
Little tolerance to cold, slight wind or a cold breeze irritates me and makes me cough. I like sunny, warm days but dislike humid, extremely hot weather.
15. Mental Status
a)The quality of the patient's life in relationship to loved ones, family, friends and colleagues. Overall quality of energy available to function in daily life, and under various circumstances.
I generally have a good relationship to loved ones and get along with colleges. I used to have a lot of energy to function in everyday life (school/work), but the recent incessant urination makes me upset, embarrassed and makes me not want to do anything but stay home, where I know a toilet is near. Before this urination problem I had no issue enjoying everyday life and getting work done.
b)Any mental/emotional shocks occurring in the patient's life-grief, major financial losses separation from loved ones, death, identity crisis and other stress in life.
My parents’ divorce was a major stressor in life( I was ten years old). Besides this, my mother’s constant struggle to pay bills and be comfortable financially was a problem growing up, and I needed to work a lot.
c)Memory,ability to concentrate/comprehend.
Before my bladder probles began my memory and ability to concentrate were good. Now, frequent urgers and bladder discomfort makes it difficult for me to concentrate in class or on exams.
d)Are you fearful of anything eg: Animals, people, being alone, darkness, death, disease, robbers, thunder, storm, high places.
I am afraid of being left alone, being isolated, darkness and am afraid what people must think of me since I am always in the bathroom. I am afraid to be mocked by friends/coworkers for constantly running to bathroom. I am afraid of diseases and am a bit of a hypochondriac. I do fear robbers.
e)Are you anxious about anything: if yes, give details.
I am anxious about the way I am perceived for constant urination and am anxious about how I will be able to work successfully and have a family with this condition. I am anxious about what it will be like for me to get married, since I am unable to remain comfortable for more than 30 minutes.
f)Are you impatient.
Yes, i am impatient and my mind is restless. I am many different thoughts at once. I have trouble falling asleep because I am thinking of many things at once and am unable to meditate because I have many thoughts.
g)Are you doubtful or suspicious.
Non usually
h)Are you hurt easily (emotionally)how do you react. Does it cause hatred/revenge.
I am hurt very easily and slight unkind words often bring me to tears. It does cause anger/hatred.
i)Does your pride get hurt easily.
My pride gets hurt very easily
j)Are you depressed, if so, reason/circumstances.
I am depressed because of my inability to do what I enjoy because of bladder problems- I cannot go for walks, cannot enjoy nice parks and outdoor activities.
k)Do you like to share your problems.
I often feel better once I have told someone my problems and have cried, but only if this person begins to feel pitty for me.
l)Effect of consolation.
I feel better when I am being consoled by someone. I feel better after I have cried and someone has listened to me.
m)Do you ever become suicidal when? How.
No.
n)Memory- quality if poor, for what ( eg. Names, places, people, what you read).
Memory is good for people, places and what I read.
o)Do you weep easily, effect of weeping, ie, does it make you worse or better.
I weep easily and feel better once I have cried
p)Are you easily irritated. What makes you angry, how do you express it.
I become irritated when something I do doesn’t work out (when I don’t do well on an exam). I express it by talking about it to a close friend.
q)Are you destructive.
NO
r)How good are you in making decisions.
I make decisions quickly and often impulsively, but I usually make good decisions.
s)Do you like company or like to remain alone.
I like company and have always liked company, but recent bladder problems make me prefer to be at home, alone and near a toilet
t)How seriously are you affected by disorder and uncleanness in your surroundings.
Disorder and uncleanliness makes me feel uncomfortable, but I can tolerate it.
u)How does failure appear to you?
Failure is devastating to me and often makes me weep.
v)Are there any matters that you deeply dislike?
ANS.
w)What activities you deeply like? How does it affect your mood?
I enjoy spending time outside in nice, warm summer weather. I enjoy swimming and being near water- it lifts my mood and makes me happy.
x)Are you affectionate? How does others sorrow affect you?
I am very affectionate and others’ sorrow saddens me and often brings me to tears.
y)Any present fears in your life or future.
I fear that I will be unable to succeed in my career or have a good marriage because of bladder problems.
z)Any present life or future life desires.
I desire to work as a nurse in the labor room, to travel the world and to have a big family.
16.Describe your face and tongue by doing FACIAL AND TONGUE DIAGNOSIS
My tongue has thin coating. I have green eyes and dimples all over my face. I have blackheads/pimples on face.
17.For medical astrology tell your birth place,location,timing, date(dd/mm/yyyy format)
I was born in Soroca, Moldova at 12:30 AM on 08/18/1990

I forgot to mention that i enjoy sweet foods, pastries and chocolate

Thank you! I spoke to another homeopathic doctor and they said that i should talk pulsatilla 200c, as my characteristics match those of pulsatilla.