Anxiety is an upsetting issue that often creates symptoms that contribute to further anxiety. There are many instances of anxiety that themselves cause so much distress that they end up leading to a considerable amount of anxiety in the future. It's this self-sustaining nature of anxiety that makes it so hard to treat.
Peeing problems are an unfortunate example of these type of symptom. Many people experience strange urination issues from anxiety, and since peeing problems are often linked to serious health issues, it ends up creating more anxiety.
Extreme Anxiety and Peeing
Peeing issues are not the type of symptom that most people think of when they have problems with anxiety. That is likely the reason that something as simple as urination can cause such anxiety on its own. But anxiety really does cause peeing problems, and these problems may be similar to the health conditions that you worry about.
The biggest worry that people have and the one that causes the most distress is the inability to hold one's bladder after extreme fear. This reaction is not that common, and it requires absolute terror to overwhelm the brain.
The reason this occurs is because the brain can only handle so many processes at any given time. Anxiety is the activation of the fight or flight response, which is a system your body uses to stay safe from harm.
There's no evolutionary reason to care about urinating (since early man wouldn't have experienced shame), so when you're under extreme fear, your body essentially turns off the part of your brain responsible for keeping urine in your bladder, because it's considered less important than the parts of your brain necessary for fighting or running away.
This tends to only occur when the body experiences profound fear, such as the reaction to a phobia, car accident, etc. But it is possible with panic attacks and post traumatic stress disorder, since these can induce some powerful anxiety responses.
Frequent Peeing From Anxiety
A much more common anxiety symptom is frequent urination. Frequent urination causes people to fear for the worst, worried that they have prostate cancer, diabetes, or other issues related to peeing often. While only a doctor can diagnose you, it's uncommon to have these conditions without risk factors. Frequent peeing from anxiety, however, is much more common.
Why this occurs is not entirely clear. Some of the theories include:
- Busy Brain It's likely that the same reason that incontinence occurs (overwhelmed brain) affects those with moderate and mild anxiety as well, just to a lesser extent. Your brain may simply have less energy to place on holding in urine, thus causing you to need to pee more often.
- Evolution Another evolutionary theory is that if you are approaching a dangerous situation (thus causing mild to moderate anxiety), you may need to fight or flee at any moment. Urinating may help you lose some excess weight, so that it's easier to run away. Remember, anxiety is the activation of this exact same system, so this may be one of the reasons that your anxiety makes you feel like you need to pee often.
- Muscle Tension Another theory is much more simplistic - muscle tension. Anxiety causes considerable muscle tension throughout the body, and it's not limited to the muscles you can see and feel. It's possible that anxiety is tensing the muscles around your bladder, causing urinary urgency.
- Water Use While unlikely, stress does have some unusual effects on your body. Your body may be processing liquids faster, and possibly requiring you to urinate more often to relieve yourself of the excess water.
- Focus Another possibility is that you don't need to urinate any more than normal at all, but you're noticing the need to pee more often because of your anxiety. Anxiety causes hypersensitivity, which causes the brain to focus directly on the way your body feels almost instantly when it experiences any type of change. You may not need to urinate more, but you may be immediately feeling any need to urinate, thus causing the feeling to feel stronger than normal so that you go to the bathroom.
These are just some of the reasons that anxiety may lead to a need to urinate more often, and chances are they all play some role in one way or another.