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The analogous condition that affects bowel movement is called parcopresis or shy bowel. The adrenaline rush that produces the involuntary nervous system response probably has peripheral and central nervous system involvement. The internal urethral sphincter smooth muscle tissue or the external urethral sphincter striated muscle , levator ani especially the pubococcygeus muscle area, or some combination of the above, may be involved. It is possible that there is an inhibition of the detrusor command through a reflex pathway as well.
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How People Deal With Having Shy Bladder Syndrome

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How People Deal With Having Shy Bladder Syndrome - VICE

You can't hold it; you need to pee. So you find a public restroom. Maybe you have to wait until everyone else leaves the restroom before you can finally empty your bladder. Maybe you have to just give up and leave, unsatisfied and anxious about your failure to fulfill a basic bodily function no one else seemed to have trouble with.

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