Indianapolis, IN
A 25-year-old male asked:
I've experienced dysesthesias that come and go in upper limb and an overactive bladder. not diabetes. what else could it be? anxiety?
2 doctor answers • 7 doctors weighed in

A Verified Doctoranswered
Family Medicine 49 years experience
Multiple causes: I suggest a comprehensive physical exam, blood/urine testing, evaluation, diagnosis and treatment. Anxiety would be the diagnosis of exclusion.
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago

Dr. Laurence Badgleyanswered
General Practice 53 years experience
Dysautonomia: 25y male w. unilateral arm "dysesthesias" & "overactive bladder". General medical exam needed. Absent specific findings, autonomic dysregulation might explain: Thoracic Outlet Syndrome via shoulder girdle irregular biomechanical function secondary to old injury? Bladder muscle contraction mediated via parasympathetic presacral nerves impinged by SIJ hyper-mobility? JHS? Extreme sport injury?
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
1 comment

Dr. Laurence Badgley commented
General Practice 55 years experience
Provided original answer
TOS oft evolves via chronic head tilt toward chronically injured shoulder; leading to unilateral superior trapezius weakness & ipsilateral clavicle droop; causing pain as clavicle impinges brachial plexus; causing further splinting - a self-begetting injury.
Sep 12, 2015
Last updated Sep 13, 2015
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