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It is my understanding that there are two sphincters involved in urinating - one close to the bladder called the internal sphincter, and one close to the urethra (near the opening) called the external sphincter. The internal sphincter is controlled by the basal ganglia and we do not have conscious control of it. The external is under voluntary control and keeps us from having accidents.

 

The internal sphincter normally opens as the bladder fills with urine - making us "feel" like we have to go the bathroom. In our kids, the basal ganglia goes haywire and does not regulate the internal sphincter, so they often "feel" like they have to go to the bathroom.

 

Here is an explanation of it - if you page down to the part about The Lower Urinary Tract http://www.seekwellness.com/incontinence/how_bladder_works.htm

 

As far as what to do about it... really just anything you would do to reduce any other PANS symptom... ibuprofen if your child can take it and it is not too frequent, antibiotics if prescribed, steroids if nothing else works, IVIG or PEX if severe and needed.

Edited by kimballot
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It is my understanding that there are two sphincters involved in urinating - one close to the bladder called the internal sphincter, and one close to the urethra (near the opening) called the external sphincter. The internal sphincter is controlled by the basal ganglia and we do not have conscious control of it. The external is under voluntary control and keeps us from having accidents.

 

The internal sphincter normally opens as the bladder fills with urine - making us "feel" like we have to go the bathroom. In our kids, the basal ganglia goes haywire and does not regulate the internal sphincter, so they often "feel" like they have to go to the bathroom.

 

Here is an explanation of it - if you page down to the part about The Lower Urinary Tract http://www.seekwellness.com/incontinence/how_bladder_works.htm

 

As far as what to do about it... really just anything you would do to reduce any other PANS symptom... ibuprofen if your child can take it and it is not too frequent, antibiotics if prescribed, steroids if nothing else works, IVIG or PEX if severe and needed.

Thank you for the link and explanation.

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