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The second part of the article for spasmodic retention of urine continues the exposure of the most prominent remedies for retention of urine due to spasmodic disorders or paralysis of the bladder.

Paralysis & Spasmodic Affections of the Bladder


Causticum cures paralysis of the bladder which aroused after labor, and also due to forcible retention of urine resulting in over-extension of the bladder. This remedy has in its pathogenesis many paralytic conditions, and is well known therapeutic for such complaints.

It is one of the most deeply acting homeopathic remedies, prone to ailments and disorders unfolded after a long standing grief, sorrow, night watching, sudden or suppressed emotions. It is also a remedy prone to infections of urinary tract. The gradual paralysis of motor and sensory nerves, muscles of bladder and of limbs is marked feature of Caustucum; hence this remedy is indicated in chronic rather than acute conditions of bladder paralysis.

All complaints are worse in dry cold air, winds and drafts, from extremes in temperatures and change of weather.

The patient feels pain in the bladder and can pass no but few drops urine with violent pains in the urinary passages; all this is often accompanied by constipation and cramps in the rectum. The pain in the urethra is burning, during and after urination. The urine is cutting, hot, burning itself. There is frequent urging, without passing anything, and again long time is needed before scanty quantity of urine is discharged and then the urging is renewed. After urinating it is possible shivers to occur, worse if the window is open.

The paralysis of the bladder leads to involuntary passage of urine while sitting, after long and ineffectual straining to pass some on the toilet. The urging is continuous and constant; it wakes the patient from sleeping at night, but to no avail.

Men happen to experience violent erections without desire, accompanied by involuntary urination.

Together with the scanty urine, there is strong thirst.

Atropa belladonna

Belladonna is acute remedy of many uses, very beneficial and fast in its action. The commencement of each disease is quite sudden, unexpected; pains attack violently, temperature rises very quickly to the verge of the thermometer’s scale.

This remedy is usually indicated to plethoric, lively individuals who turn to violence and delirium when sick; to sensitive, nervous children; to persons with salient proneness to take cold from each draft, from uncovering the head, from having a haircut; very nervous, with vivid imagination children who see ghosts, hideous faces, insects, black animals, dogs, wolves – and fear from all those imaginary things.

Belladonna is acute remedy of Calcarea carbonica, which means that individuals who have such constitution will require Calcarea, once the acute attack of urine disorder is over, in order to complete the cure.

The bladder is paralyzed. There is pain in the region of the bladder with desire to urinate but nothing but few drops comes out. In the bladder there is burning, and a sensation of turning and twisting, as if from a large worm; tenesmus and dull pressing pain in the bladder; The urinary passages are irritated with strangury, and passage of dark, bloody urine, with great heat and scarlet redness of skin, the whole body, palate, and pharynx. The urethra is burning with violent urging to urinate, without being able to pass anything. There are raw pains in the urethra and either no inclination or frequent desire to urinate.

Belladonna has tremendous diuretic power. The diuretic effect of this remedy leads to evacuation of an enormous quantity of urine, frequently.

Arsenicum album

Arsenicum is amongst most deeply acting chronic remedies in the homeopathic Materia Medica, appertained to the syphilitic miasm. The choice of Arsenicum in cases of urine retention should be grounded on the general and miasmatic symptoms of the particular patient, pointing to this remedy: marked prostration, sudden sinking of vital forces, depression and despair, great anxiety, fear of death; very restless on a mental level but too weak to move physically. The pains of Arsenicum are burning like fire.

This remedy is indicated in serious conditions of the organism: acute and chronic inflammation of the kidneys, either idiopathic or associated with various diseases, general edema and dropsy, great thirst but very irritable stomach and bowels to bear off the water. Very often old people need Arsenicum.

The urine is usually very scanty with all diseases. The urethra is burning on urinating with deep seated, tearing, biting pain. The urging to urinate is frequent, accomplished with difficulty, with burning in bladder, with hot and dark urine.

There might also be involuntary urination of scanty urine due to spasmodic constriction of the bladder and the urethra. The urine is retained though patients make every effort to pass it – as if the bladder is paralyzed. When passed, the urine is scanty and burning hot. Its color may vary from red, dark brown, dark yellow, turbid or almost colorless; containing red sand or sediment like brick dust.

When there is blood in the urine, Arsenicum should be considered but differentiated from Phosphorus and Terebinthinae.

*Bibliography: T.F. Allen, Encyclopedia of Pure Materia Medica

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