ELDER TIP The most common initial symptoms of lower UTI in elderly patients are lethargy and a change in mental status.
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Source: Professional Guide to Diseases (Eighth Edition), 2005
Neurogenic bladder:
Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))
Neurogenic bladder produces a wide range of clinical effects, depending on the underlying cause and its effect on the structural integrity of the bladder. Usually, this disorder causes some degree of incontinence, changes in initiation or interruption of micturition, and the inability to empty the bladder completely. Other effects of neurogenic bladder include vesicoureteral reflux, deterioration or infection in the upper urinary tract, and hydroureteral nephrosis.
Depending on the site and extent of the spinal cord lesion, spastic neurogenic bladder may produce involuntary or frequent scanty urination, without a feeling of bladder fullness, and possibly spontaneous spasms of the arms and legs. Anal sphincter tone may be increased. Tactile stimulation of the abdomen, thighs, or genitalia may precipitate voiding and spontaneous contractions of the arms and legs. With cord lesions in the upper thoracic (cervical) level, bladder distention can trigger hyperactive autonomic reflexes, resulting in severe hypertension, bradycardia, and headaches.
Flaccid neurogenic bladder may be associated with overflow incontinence, diminished anal sphincter tone, and a greatly distended bladder (evident on percussion or palpation), but without the accompanying feeling of bladder fullness due to sensory impairment.
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Source: Professional Guide to Diseases (Eighth Edition), 2005
Neurogenic arthropathy:
Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))
Neurogenic arthropathy begins insidiously with swelling, warmth, decreased mobility, and instability in a single joint or in many joints. It can progress to deformity. The first clue to vertebral neuroarthropathy, which progresses to gross spinal deformity, may be nothing more than a mild, persistent backache. Characteristically, pain is minimal despite obvious deformity.
The specific joint affected varies according to the underlying cause. Diabetes usually attacks the joints and bones of the feet; tabes dorsalis attacks the large weight-bearing joints, such as the knee, hip, ankle, or lumbar and dorsal vertebrae (Charcot spine); syringomyelia causes occurrence in the shoulder, elbow, or cervical intervertebral joint. Neurogenic arthropathy caused by intra-articular injection of corticosteroids usually develops in the hip or knee joint.
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Source: Professional Guide to Diseases (Eighth Edition), 2005
Bladder cancer:
Signs and symptoms
(Handbook of Diseases)
In early stages, about 25% of patients with bladder tumors have no symptoms. Commonly, the first sign is gross, painless, intermittent hematuria (often with clots in the urine). Patients with invasive lesions often have suprapubic pain after voiding. Other symptoms include bladder irritability, urinary frequency, nocturia, and dribbling.
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Source: Handbook of Diseases, 2003
Urinary tract infection, lower:
Signs and symptoms
(Handbook of Diseases)
Lower UTI usually produces urgency, frequency, dysuria, cramps or spasms of the bladder, itching, a feeling of warmth during urination, nocturia, and possibly urethral discharge in males. Inflammation of the bladder wall also causes hematuria and fever.
Other common features include low back pain, malaise, nausea, vomiting, abdominal pain or tenderness over the bladder area, chills, and flank pain.
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Source: Handbook of Diseases, 2003
Neurogenic bladder:
Signs and symptoms
(Handbook of Diseases)
Neurogenic bladder produces a wide range of symptoms, depending on the underlying cause and its effect on the structural integrity of the bladder. Usually, this disorder causes some degree of incontinence, changes in initiation or interruption of micturition, and an inability to completely empty the bladder. Other signs and symptoms of neurogenic bladder include vesicoureteral reflux, deterioration or infection in the upper urinary tract, and hydroureteral nephrosis.
Spastic neurogenic bladder
Depending on the site and extent of the spinal cord lesion, spastic neurogenic bladder may produce involuntary or frequent scanty urination without a feeling of bladder fullness and possibly spontaneous spasms of the arms and legs. Anal sphincter tone may be increased.
Tactile stimulation of the abdomen, thighs, or genitalia may precipitate voiding and spontaneous contractions of the arms and legs. With cord lesions in the upper thoracic (cervical) level, bladder distention can trigger hyperactive autonomic reflexes, resulting in severe hypertension, bradycardia, and headaches.
Flaccid neurogenic bladder
Features of flaccid neurogenic bladder include overflow incontinence, diminished anal sphincter tone, and a greatly distended bladder (this is evident on percussion or palpation), but without the accompanying feeling of bladder fullness because of sensory impairment.
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Source: Handbook of Diseases, 2003
Neurogenic arthropathy:
Signs and symptoms
(Handbook of Diseases)
Neurogenic arthropathy begins insidiously with swelling, warmth, increased mobility, and instability in a single joint or in many joints. It can progress to deformity. The first clue to vertebral neuroarthropathy, which progresses to gross spinal deformity, may be nothing more than a mild, persistent backache. Characteristically, pain is minimal despite obvious deformity.
The specific joint that’s affected varies. Diabetes usually attacks the joints and bones of the feet; tabes dorsalis attacks the large weight-bearing joints, such as the knee, hip, ankle, or lumbar and dorsal vertebrae (Charcot spine); syringomyelia, the shoulder, elbow, or cervical intervertebral joint. Neurogenic arthropathy related to intra-articular injection of a corticosteroid usually develops in the hip or knee joint.
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Source: Handbook of Diseases, 2003
Article Excerpts About Symptoms of Neurogenic bladder:
Neurogenic bladder can lead to different kinds of problems. It may
result in urine leakage if the muscles holding urine in do not get the
right message. For other people, a neurogenic bladder means that their
muscles do not get the message that it is time to let go. If the bladder
becomes too full, urine may back up into the kidneys, and the extra
pressure causes damage to the tiny blood vessels in the kidney. Or urine
that stays too long may lead to an infection in the bladder or ureters,
which are the tubes that carry urine from the kidney to the bladder.
(Source: excerpt from Neurogenic Bladder: NIDDK)
Neurogenic bladder as a Cause of Symptoms or Medical Conditions
When considering symptoms of Neurogenic bladder, it is also important to consider Neurogenic bladder as a possible cause of other medical conditions.
The Disease Database lists the following medical conditions that Neurogenic bladder may cause:
- (Source - Diseases Database)
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