Is a lot of it in our minds?

Male pelvic pain, prostatitis, IC
tstclr

Is a lot of it in our minds?

Post by tstclr »

Have been battling CPP for quite a while- had a 4 year absence and now it's back (since Jan). It went away after a run of antibiotics. A week passed and it came back. The doc prescribed Cardura (sp) and after 3 weeks I felt ok to the point that I really had forgotten about it. Just yesterday I started thinking about it more (checked out this forum etc) and boom-pains back today (not as severe, but "noticable"). Could a lot of this be in our heads? I beginning to think if I ignore it, it will go away.
Hope I'm right-but I beter stay on the Cardura just in case... same with the brocolli broth..
Todd
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Post by Cannot Sit »

I don't think it's in our minds, per se, but certainly symptoms can be magnified by dwelling on them excessively.
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Post by webslave »

David Wise talks a lot about how our attitudes can interrupt the deep muscle relaxation in the pelvis. It's difficult to unlearn.
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MS

Post by MS »

No, it's not in your head. But it is self-perpetuating. Every time it hurts, you think it's going to hurt again next time. That causes stress, which, in turn, causes more stress; thus more pain...and so on.

How can we break the cycle?

Have you read "The Mind-Body Prescription," by Dr. John Sarno? He talks about chronic pain as a function of "repressed unconscious feelings." The book did not help me, but it's worth a look (IMHO).

Also, as Mark mentioned, "A Headache in the Pelvis" (Dr. Wise) introduces "paradoxical relaxation" techniques.

MS
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alprost
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Re: Is a lot of it in our minds?

Post by alprost »

tstclr wrote:Could a lot of this be in our heads?
No. But as the posts above point out, stress and anxiety can definitely exaccerbate the condition.
This is not Medical advice - Consult your Doctor!

Age:39. Age at onset:31. Symptoms prior to treatment: Golf ball in rectum, severe urinary frequency (2-3x/hr; 5-10x/night); weak stream; painful ejaculation; coccygeal pain; tip of penis pain; general pelvic pain on left; testicular pain; supra-pubic pain. Current | Symptoms: Urinary frequency 1x every 2-3 hrs and 1-2 x a night; mild pelvic pain on left hand side (all symptoms still improving!)
Helped by: Trigger point release; avoiding exercise; pelvic floor relaxation; Neurontin decreased bladder sensitivity somewhat. Worsened by: Exercise; frequent ejaculation; ibuprofen irritates bladder. Made no difference: Diet; biofeedback; quercetin; Steroid anti-inflammatories; Elavil.

****UPDATE*** I am now able to sit again at work all day, and can perform moderate aerobic exersise again for the first time in 8 years!!!

Please read:
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akia

Post by akia »

I don't think its all mental but I do notice that my stress level does have an influence.

I'm thinking my problems are more related to a muscle tension problem around the neck of the bladder than in the actual prostate. But then again what do I really know? Not much more than any Uro has told me.

Relaxation and stretching does seem to help *knock on wood*
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Re: Is a lot of it in our minds?

Post by MastCells »

tstclr wrote:Could a lot of this be in our heads?
My sister is a psychologist and researcher, and she tries to convince me that all of my CP/IC symptoms are "in my head." She was also against my taking Effexor XR and Ativan for anxiety (the drugs that make my life bearable); she thinks cognitive behavioral therapy is the answer to everything. :roll:
This is not medical advice. Please consult your physician.
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Post by Richard.N »

She was also against my taking Effexor XR
MastCells: Whilst reading up about Remerol (another newish antidepressant) I noticed that there is experimental evidence that both Effexor and Remerol can desensitize the brain to stress. Which is nice.
Richard

Age: 39. | Onset Age: 30. Onset Date: January 2002. Symptoms (back then): Supra-pubic pain, back pain, urinary frequency, urgency and difficulty, weak stream, nocturia, (and variously) chronic fatigue, IBS. Current symptoms: more frequent than normal, but pretty much under control. Current amelioration: Xatral 10mg, Mirtazapine 30mg. | Worsened By: Stress, binge drinking, strained bowel movements, bloating, sitting on hard surfaces, jogging, and regularly - THE WINTER!

I'm not a medical expert. My comment is opinion. See your medical professional.
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Post by MastCells »

Richard.N wrote:MastCells: Whilst reading up about Remerol (another newish antidepressant) I noticed that there is experimental evidence that both Effexor and Remerol can desensitize the brain to stress. Which is nice.
Richard, if you read about this effect of venlafaxine on the web or medline, could you post or email me the URL to the source? Thanks! :smile:
Last edited by MastCells on Fri Nov 14, 2003 9:39 pm, edited 1 time in total.
This is not medical advice. Please consult your physician.
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Richard.N
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Post by Richard.N »

Hi MastCells,

Apologies - I got two abstracts kind of muddled in my glee about what a great drug Remerol is...here are the two abstrcts anyway:

"Prevention of the stress-induced increase in the concentration of neuroactive steroids in rat brain by long-term administration of mirtazapine but not of fluoxetine."

http://www.ncbi.nlm.nih.gov/entrez/quer ... t=Abstract


"Venlafaxine and mirtazapine: different mechanisms of antidepressant action, common opioid-mediated antinociceptive effects--a possible opioid involvement in severe depression?"

http://www.ncbi.nlm.nih.gov/entrez/quer ... t=Abstract

:oops:
Richard

Age: 39. | Onset Age: 30. Onset Date: January 2002. Symptoms (back then): Supra-pubic pain, back pain, urinary frequency, urgency and difficulty, weak stream, nocturia, (and variously) chronic fatigue, IBS. Current symptoms: more frequent than normal, but pretty much under control. Current amelioration: Xatral 10mg, Mirtazapine 30mg. | Worsened By: Stress, binge drinking, strained bowel movements, bloating, sitting on hard surfaces, jogging, and regularly - THE WINTER!

I'm not a medical expert. My comment is opinion. See your medical professional.