Tanya Dutt

Consequences, Challenges And Impact Of Medically Unexplained Symptoms

<span>Medically unexplained symptoms</span> are one of the medical mysteries, and millions of people worldwide are suffering from it. It is confusing, alarming, and at times debilitating; however, it does present some complexities within human health and the limits of medical understanding. Although symptoms are real, they rarely have a definite physiological cause, which sometimes makes a patient frustrated and misunderstands this situation, resulting in social stigma.

Medically unexplained symptoms are persistent physical sensations people face but which cannot be determined by any biological or medical reason, even after full medical assessment. Although their real and disruptive effects on the quality of life of an individual, <span>MUS</span> leave patients feeling marginalized, unheard, or doubted by medical practitioners. These symptoms include pain, dizziness, fatigue, headaches, chest pain, heart palpitations, breathlessness, numbness, and tingling.

Recent statistics in the United States report that MUS accounts for up to 40% of primary care visits; however, only 25% of these will eventually disclose a biological cause. Such figures illustrate exactly how prevalent but elusive these illnesses are to the medical provider as well as the patient themselves. The complexity of these symptoms is derived from a combination of psychological, neurological, and physiological factors, often blurring into an un-decipherable puzzle for the medical world and the individuals concerned. Consequences of Medically Unexplained Symptoms 

Medically unexplained symptoms often result in emotional, financial, and social difficulties.

Most patients with MUS have complained of frustration, isolation, and anxiety as a result of their persistent health conditions. Because symptoms persist without obvious causation, they tend to strain personal relationships, affect communication in social interactions, and generate more professional problems. The economic loss will also be significant since patients suffering with MUS are predisposed to taking long-term sickness leaves, unemployment is considerably higher, and they need repeated diagnostic tests, especially those that may come through other avenues but cannot here produce answers. 

The cost of medically unexplained symptoms not only lies in the repeated trips to healthcare providers but also with the number of tests involved, which are costly and very often do not reveal the exact cause of the problem. Such financial burden can be crushing in some scenarios, especially when patients find themselves in a situation in which they cannot get any care or get misdiagnosed multiple times. The other challenge gaslighting exacerbates is the emotional challenges. 

Gaslighting happens when the health practitioners dismiss the physical complaints from patients or reduce them and make attributions that suggest psychological and stress-related issues, yet fail to do investigations properly. Patients become invalid, mis-appreciated, and powerless and sink further into suffering, leading to a loss of trust in the care that the medical professions can give. 

<h2>Breaking the Myths of "It's All in Your Head</h2>

Medically unexplained symptoms is one of the damaging concepts that have surrounded this aspect with the misconception that they are psychological or even imaginary. Many patients have reported hearing that their symptoms are mere "in the head." That can lead to feelings of shame and self-doubt. However, MUS is a real condition with a massive impact on daily functioning in any individual.

The National Health Service (NHS) estimates that 1 in 4 consultations with a general practitioner (GP) is based on symptoms that do not have an obvious medical cause.

However, real as these symptoms may be, they often have their roots in the complex interplay of physical and psychological factors such as depression, anxiety, or unresolved emotional stress.

Current studies suggest that the brain works in ways that process specific somatic sensations, which convert stress or emotional issues into somatic manifestations without apparent biological origin. Patients should not be made to feel their symptoms are being dismissed or minimized by such misconceptions. 

Growing awareness and education of MUS will help break down such stigma and help approach diagnosis and treatment more humanely and comprehensively.

<h2>Root Cause of Medically Unexplained Symptoms</h2> 

Despite lack of apparent physical cause, research indicates that psychological and emotional factors could have a considerable impact on the onset and maintenance of such symptoms. For instance, those who suffer from depression or anxiety are more likely to report symptoms such as fatigue, dizziness, pain, or heart palpitations, all of which can be manifestations of MUS. These psychological conditions affect how the brain interprets the signals it receives about the physical condition, thus creating an intensified loop of <span>chronic pain</span>.

This may, therefore, mean that other factors like stress, trauma, or even unresolved emotional conflict may come out in physical symptoms without an apparent medical condition. This connection points to the fact that mind and body are not separated but rather connected and should be given equal importance when looking at a patient's health journey.

Lifestyle changes, poor sleep, hormonal imbalances, and immune system dysfunction are other factors that can complicate or contribute to medically unexplained symptoms. These may not always be easy to detect through standard medical examinations, further emphasizing the challenges both patients and physicians face. 

<h2>Medically Unexplained Symptoms: Treatment and Strategies</h2>

Diagnosis of MUS presents a challenge, but evidence-based treatments exist. In most evidence-based treatments, both somatic symptoms and the underlying psycho-emotional issues are addressed, and among them is cognitive behavioral therapy (CBT), which has come to show great promise to manage MUS by offering ways of helping people notice their triggers, cope with stressful situations, and changing thought patters that could be partly responsible for chronic symptoms.

Treatment plans may also include multidisciplinary care, including mental health professionals, pain specialists, and primary care physicians. In order to achieve recovery and management in the long term, comprehensive approaches that look into both physical and emotional well-being are critical.

If you or someone you know is struggling with symptoms that remain unexplained, then you need to advocate for yourself. This can include asking questions about testing strategies, exploring further specialist referrals, and seeking a second opinion if needed. Knowing more about MUS empowers you to take an active role in your health journey.

<h2>Examples of Medically Unexplained Symptoms</h2>

According to the NHS, common medically unexplained symptoms include: 

Less common medically unexplained symptoms may include: 

<h2>Can More Awareness Create Better Diagnosis?</h2>

If you have medically unexplained symptoms, first, acknowledge that you are not alone. Many people are on this journey, and understanding your symptoms can help reduce feelings of frustration and isolation. Do not hesitate to ask questions, challenge assumptions, and explore treatment options. It may be helpful to engage with advocacy groups, peer support networks, or mental health professionals who can provide additional assistance and emotional guidance.

Moreover, health care professionals should become more empathetic and holistic in their diagnoses and treatments of MUS. Time pressures, fiscal considerations, and other factors may cloud clear diagnostic conclusions. A patient-centered, holistic approach—where listening, empathy, and collaboration take center stage—can mean all the difference between suffering and successful treatment. 

Medically unexplained symptoms are a multifaceted, complex health issue with deep implications on a patient's emotional, physical, and financial well-being.

While it may be overwhelming to live with persistent symptoms without clear causes, education, awareness, and compassionate medical care pave the way for better understanding and improved management.

Health Conditions A-Z

health

medically unexplained symptoms

chronic pain

gaslighting in medicine

unexplained physical symptoms

diagnostic challenges

psychological factors and symptoms

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Medically unexplained symptoms are one of the medical mysteries, and millions of people worldwide are suffering from it. It is confusing, alarming, and at times debilitating; however, it does present some complexities within human health and the limits of medical understanding. Although symptoms are real, they rarely have a definite physiological cause, which sometimes makes a patient frustrated and misunderstands this situation, resulting in social stigma.Medically unexplained symptoms are persistent physical sensations people face but which cannot be determined by any biological or medical reason, even after full medical assessment. Although their real and disruptive effects on the quality of life of an individual, MUS leave patients feeling marginalized, unheard, or doubted by medical practitioners. These symptoms include pain, dizziness, fatigue, headaches, chest pain, heart palpitations, breathlessness, numbness, and tingling.Recent statistics in the United States report that MUS accounts for up to 40% of primary care visits; however, only 25% of these will eventually disclose a biological cause. Such figures illustrate exactly how prevalent but elusive these illnesses are to the medical provider as well as the patient themselves. The complexity of these symptoms is derived from a combination of psychological, neurological, and physiological factors, often blurring into an un-decipherable puzzle for the medical world and the individuals concerned. Consequences of Medically Unexplained Symptoms Medically unexplained symptoms often result in emotional, financial, and social difficulties.Most patients with MUS have complained of frustration, isolation, and anxiety as a result of their persistent health conditions. Because symptoms persist without obvious causation, they tend to strain personal relationships, affect communication in social interactions, and generate more professional problems. The economic loss will also be significant since patients suffering with MUS are predisposed to taking long-term sickness leaves, unemployment is considerably higher, and they need repeated diagnostic tests, especially those that may come through other avenues but cannot here produce answers. The cost of medically unexplained symptoms not only lies in the repeated trips to healthcare providers but also with the number of tests involved, which are costly and very often do not reveal the exact cause of the problem. Such financial burden can be crushing in some scenarios, especially when patients find themselves in a situation in which they cannot get any care or get misdiagnosed multiple times. The other challenge gaslighting exacerbates is the emotional challenges. Gaslighting happens when the health practitioners dismiss the physical complaints from patients or reduce them and make attributions that suggest psychological and stress-related issues, yet fail to do investigations properly. Patients become invalid, mis-appreciated, and powerless and sink further into suffering, leading to a loss of trust in the care that the medical professions can give. Breaking the Myths of "It's All in Your HeadMedically unexplained symptoms is one of the damaging concepts that have surrounded this aspect with the misconception that they are psychological or even imaginary. Many patients have reported hearing that their symptoms are mere "in the head." That can lead to feelings of shame and self-doubt. However, MUS is a real condition with a massive impact on daily functioning in any individual.The National Health Service (NHS) estimates that 1 in 4 consultations with a general practitioner (GP) is based on symptoms that do not have an obvious medical cause.However, real as these symptoms may be, they often have their roots in the complex interplay of physical and psychological factors such as depression, anxiety, or unresolved emotional stress.Current studies suggest that the brain works in ways that process specific somatic sensations, which convert stress or emotional issues into somatic manifestations without apparent biological origin. Patients should not be made to feel their symptoms are being dismissed or minimized by such misconceptions. Growing awareness and education of MUS will help break down such stigma and help approach diagnosis and treatment more humanely and comprehensively.Root Cause of Medically Unexplained Symptoms Despite lack of apparent physical cause, research indicates that psychological and emotional factors could have a considerable impact on the onset and maintenance of such symptoms. For instance, those who suffer from depression or anxiety are more likely to report symptoms such as fatigue, dizziness, pain, or heart palpitations, all of which can be manifestations of MUS. These psychological conditions affect how the brain interprets the signals it receives about the physical condition, thus creating an intensified loop of chronic pain.This may, therefore, mean that other factors like stress, trauma, or even unresolved emotional conflict may come out in physical symptoms without an apparent medical condition. This connection points to the fact that mind and body are not separated but rather connected and should be given equal importance when looking at a patient's health journey.Lifestyle changes, poor sleep, hormonal imbalances, and immune system dysfunction are other factors that can complicate or contribute to medically unexplained symptoms. These may not always be easy to detect through standard medical examinations, further emphasizing the challenges both patients and physicians face. Medically Unexplained Symptoms: Treatment and StrategiesDiagnosis of MUS presents a challenge, but evidence-based treatments exist. In most evidence-based treatments, both somatic symptoms and the underlying psycho-emotional issues are addressed, and among them is cognitive behavioral therapy (CBT), which has come to show great promise to manage MUS by offering ways of helping people notice their triggers, cope with stressful situations, and changing thought patters that could be partly responsible for chronic symptoms.Treatment plans may also include multidisciplinary care, including mental health professionals, pain specialists, and primary care physicians. In order to achieve recovery and management in the long term, comprehensive approaches that look into both physical and emotional well-being are critical.If you or someone you know is struggling with symptoms that remain unexplained, then you need to advocate for yourself. This can include asking questions about testing strategies, exploring further specialist referrals, and seeking a second opinion if needed. Knowing more about MUS empowers you to take an active role in your health journey.Examples of Medically Unexplained SymptomsAccording to the NHS, common medically unexplained symptoms include: - Muscle or joint pain - Back pain - Headaches - Fatigue or tiredness - Feeling faint - Chest pain - Heart palpitations - Stomach-related issues Less common medically unexplained symptoms may include: - Seizures or fits - Breathlessness - Weakness or paralysis - Numbness or tingling sensations Can More Awareness Create Better Diagnosis?If you have medically unexplained symptoms, first, acknowledge that you are not alone. Many people are on this journey, and understanding your symptoms can help reduce feelings of frustration and isolation. Do not hesitate to ask questions, challenge assumptions, and explore treatment options. It may be helpful to engage with advocacy groups, peer support networks, or mental health professionals who can provide additional assistance and emotional guidance.Moreover, health care professionals should become more empathetic and holistic in their diagnoses and treatments of MUS. Time pressures, fiscal considerations, and other factors may cloud clear diagnostic conclusions. A patient-centered, holistic approach—where listening, empathy, and collaboration take center stage—can mean all the difference between suffering and successful treatment. Medically unexplained symptoms are a multifaceted, complex health issue with deep implications on a patient's emotional, physical, and financial well-being.While it may be overwhelming to live with persistent symptoms without clear causes, education, awareness, and compassionate medical care pave the way for better understanding and improved management.

consequences, challenges and impact of medically unexplained symptoms

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Supriya Ramesh

Credits: Canva

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On <span>World Organ Transplant Day</span>, we usually hear about the urgent need for more donors, the lifesaving power of a transplant, and how one person’s decision can save up to eight lives. That is all still true and still critical but here is the twist: while the waiting lists grow, so do the technologies that might one day make them shorter or even unnecessary.

The future of organ transplantation is not just beating in donor hearts anymore; it is also whirring in lab incubators, spinning in magnetic rotors, and taking shape layer by layer on 3D bioprinters.

Despite decades of successful surgeries, the biggest roadblock in transplantation remains supply. Dr Bipin Chevale, CEO of Gleneagles Hospital Mumbai, explains, “There is still a persistent disparity between organ supply and demand. In India, thousands remain on waiting lists, and many lose their lives before a suitable organ becomes available.”

The reasons are a blend of low awareness, cultural taboos, and plain logistical hurdles. In 2023–24, nearly 50,000 Indians were waiting for organ replacement, according to the National Organ and Tissue Transplant Organisation (NOTTO). Globally, the US alone has more than 100,000 patients on transplant lists, with 13 lives lost every day while waiting.

Medical science, however, has been busy building backup plans. From 3D printing body parts to developing fully <span>artificial organs</span>, scientists are inching closer to a future where “no donor” does not mean “no hope”.

<h3>The Rise of <span rel="noindex">3D Bioprinting</span></h3>

Specialised 3D bioprinters can lay down living cells in precise patterns to create tissue that looks and behaves like the real thing.

Dr Varun Mittal, Head of Kidney Transplant at Artemis Hospitals, says researchers have “made great strides in printing living tissues and complicated networks of blood vessels”, something previously thought impossible. Techniques like Co-SWIFT create branching vessels inside heart tissue, while 3D ice printing uses water and gelatine to make smooth vessel templates.

While we are not yet popping out fully functional hearts or kidneys from printers for surgical use, these technologies are already valuable for training surgeons, testing drugs, and inching toward patient-specific implants. The idea is to design an organ to match a patient’s exact size, shape, and immune profile, dramatically lowering the risk of rejection.

<h3>Artificial Organs: Machines That Act Human</h3>

If printing an organ from scratch is the long game, artificial organs are the fast-forward button. These mechanical or bioengineered devices can take over the job of a failing organ, sometimes temporarily, sometimes for months or years.

One striking example is the <span>BiVACOR artificial heart</span>. It does not beat; it spins. A magnetic rotor pumps blood continuously, acting as a bridge until a donor heart is found. Dr Mittal points out that some patients have survived for months with the device, staying mobile and alert while awaiting surgery.

Similarly, researchers are developing implantable bioartificial kidneys that could filter blood and house living kidney cells without the need for dialysis or lifelong immunosuppressants. Wearable dialysis units are also in the works, aimed at freeing patients from hours tethered to clinic machines.

Some of the boldest experiments are happening with lungs and livers, two of the trickiest organs to replace due to their complexity.

Dr Yasir Rizvi, Director of Nephrology and Kidney Transplant at Dharamshila Narayana Superspeciality Hospital, points to a landmark in lung research: a 3D-printed human-scale scaffold containing about 4,000 km of capillaries across 44 trillion voxels. In animal studies, it has already exchanged gases like a natural lung.

For the liver, bioprinting and bioengineering efforts aim to create functional tissue that can sustain patients until a full transplant is possible or even act as a permanent fix in the future.

We may still be a few years from printing a fully functional, transplant-ready heart, but artificial organ technology is already improving lives. <span>Pacemakers</span>, <span>cochlear implants</span>, and <span>ventricular assist devices</span>, these are all proof that machinery and biology can coexist in the human body.

<h4>Artificial organs have the potential to:</h4>

<ul><li>Reduce rejection by using a patient’s own cells</li><li>Cut waiting times dramatically</li><li>Lower long-term medical costs by reducing hospital stays</li><li>Give access to treatment in regions where donor organs are scarce</li></ul>

As Dr Chevale says, these breakthroughs are only half the story. “Their success will also depend on increasing awareness about <span>organ donation</span>, busting myths, and encouraging more people to pledge their organs.”

Of course, the march toward lab-grown and artificial organs comes with big ethical questions. Who gets them first? Will they be affordable or only for the wealthy? How do we ensure safety in devices meant to live inside fragile bodies?

Dr Rizvi believes that with “careful regulation, transparent trials and patient-centred design, these innovations can turn prototypes into standard care”. In India, collaborations between AIIMS, IITs, and bio-technical start-ups are already laying the groundwork, with the hope of producing affordable devices for both domestic and global use within a decade.

Even if the day comes when a printer can make you a brand-new kidney, organ donation will still matter. Research organs, temporary implants, and hybrid solutions will always benefit from donated tissue to validate safety and function.

The future of transplantation is no longer just a race against the clock for a donor organ, it is also a race to develop, print, and perfect replacements that can save lives anywhere, anytime. 

world organ transplant day

artificial organs

organ donation

3d bioprinting

donor shortage

lab grown organs

BiVACOR artificial heart

pacemakers

cochlear implants

ventricular assist devices

On World Organ Transplant Day, we usually hear about the urgent need for more donors, the lifesaving power of a transplant, and how one person’s decision can save up to eight lives. That is all still true and still critical but here is the twist: while the waiting lists grow, so do the technologies that might one day make them shorter or even unnecessary.The future of organ transplantation is not just beating in donor hearts anymore; it is also whirring in lab incubators, spinning in magnetic rotors, and taking shape layer by layer on 3D bioprinters.Despite decades of successful surgeries, the biggest roadblock in transplantation remains supply. Dr Bipin Chevale, CEO of Gleneagles Hospital Mumbai, explains, “There is still a persistent disparity between organ supply and demand. In India, thousands remain on waiting lists, and many lose their lives before a suitable organ becomes available.”The reasons are a blend of low awareness, cultural taboos, and plain logistical hurdles. In 2023–24, nearly 50,000 Indians were waiting for organ replacement, according to the National Organ and Tissue Transplant Organisation (NOTTO). Globally, the US alone has more than 100,000 patients on transplant lists, with 13 lives lost every day while waiting.Medical science, however, has been busy building backup plans. From 3D printing body parts to developing fully artificial organs, scientists are inching closer to a future where “no donor” does not mean “no hope”.The Rise of 3D BioprintingSpecialised 3D bioprinters can lay down living cells in precise patterns to create tissue that looks and behaves like the real thing.Dr Varun Mittal, Head of Kidney Transplant at Artemis Hospitals, says researchers have “made great strides in printing living tissues and complicated networks of blood vessels”, something previously thought impossible. Techniques like Co-SWIFT create branching vessels inside heart tissue, while 3D ice printing uses water and gelatine to make smooth vessel templates.While we are not yet popping out fully functional hearts or kidneys from printers for surgical use, these technologies are already valuable for training surgeons, testing drugs, and inching toward patient-specific implants. The idea is to design an organ to match a patient’s exact size, shape, and immune profile, dramatically lowering the risk of rejection.Artificial Organs: Machines That Act HumanIf printing an organ from scratch is the long game, artificial organs are the fast-forward button. These mechanical or bioengineered devices can take over the job of a failing organ, sometimes temporarily, sometimes for months or years.One striking example is the BiVACOR artificial heart. It does not beat; it spins. A magnetic rotor pumps blood continuously, acting as a bridge until a donor heart is found. Dr Mittal points out that some patients have survived for months with the device, staying mobile and alert while awaiting surgery.Similarly, researchers are developing implantable bioartificial kidneys that could filter blood and house living kidney cells without the need for dialysis or lifelong immunosuppressants. Wearable dialysis units are also in the works, aimed at freeing patients from hours tethered to clinic machines.The Lung and Liver ChallengeSome of the boldest experiments are happening with lungs and livers, two of the trickiest organs to replace due to their complexity.Dr Yasir Rizvi, Director of Nephrology and Kidney Transplant at Dharamshila Narayana Superspeciality Hospital, points to a landmark in lung research: a 3D-printed human-scale scaffold containing about 4,000 km of capillaries across 44 trillion voxels. In animal studies, it has already exchanged gases like a natural lung.For the liver, bioprinting and bioengineering efforts aim to create functional tissue that can sustain patients until a full transplant is possible or even act as a permanent fix in the future.The Benefits Are Already HereWe may still be a few years from printing a fully functional, transplant-ready heart, but artificial organ technology is already improving lives. Pacemakers, cochlear implants, and ventricular assist devices, these are all proof that machinery and biology can coexist in the human body.Artificial organs have the potential to:Reduce rejection by using a patient’s own cellsCut waiting times dramaticallyLower long-term medical costs by reducing hospital staysGive access to treatment in regions where donor organs are scarceAs Dr Chevale says, these breakthroughs are only half the story. “Their success will also depend on increasing awareness about organ donation, busting myths, and encouraging more people to pledge their organs.”The Ethical Road AheadOf course, the march toward lab-grown and artificial organs comes with big ethical questions. Who gets them first? Will they be affordable or only for the wealthy? How do we ensure safety in devices meant to live inside fragile bodies?Dr Rizvi believes that with “careful regulation, transparent trials and patient-centred design, these innovations can turn prototypes into standard care”. In India, collaborations between AIIMS, IITs, and bio-technical start-ups are already laying the groundwork, with the hope of producing affordable devices for both domestic and global use within a decade.A Future Worth Donating ToEven if the day comes when a printer can make you a brand-new kidney, organ donation will still matter. Research organs, temporary implants, and hybrid solutions will always benefit from donated tissue to validate safety and function.The future of transplantation is no longer just a race against the clock for a donor organ, it is also a race to develop, print, and perfect replacements that can save lives anywhere, anytime. 

world organ transplant day: from 3d printing to lab-grown organs, transplant breakthroughs are here

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In the modern <span>workplace</span>, we have normalised the idea that meetings, presentations, and overflowing inboxes are perfectly good reasons to ignore the most basic biological urge, that is, the need to pee. This is not just mildly uncomfortable; it is slowly harming <span>bladder health</span>. Over-retention of <span>urination</span> has detrimental effects on the health of the bladder. The bladder is a muscle that should only distend or shorten so far. When we repeatedly hold it in, the bladder stretches beyond its usual limit, weakening over time and losing its sensitivity to fullness. This results in urinary retention, incomplete emptying, or even loss of bladder control in severe cases.

It is tempting to think that pushing back bathroom breaks is just an occasional inconvenience, but in reality, this behaviour is linked to much more than discomfort. Dr Nasreen Gite, Consultant Urologist at K J Somaiya Hospital and Research Centre, explains that prolonged retention “gives bacteria in the urinary tract time to multiply”, raising the risk of <span>urinary tract infections</span> (UTIs). Women are especially vulnerable due to their shorter <span>urethras</span>, making it easier for bacteria to reach the bladder. Over time, repeated overdistension can also cause urge <span>incontinence</span> or overactive bladder, that sudden, overwhelming need to go, often followed by leakage.

While continuously holding off on going to the bathroom overstretches bladder muscles and makes the bladder more sensitive and vulnerable to overactive bladder symptoms, it may also strain the <span>pelvic floor muscles</span>, affecting bladder control.

If you are thinking, “Well, I work in an office; it is not like I am operating heavy machinery in the middle of a field,” you might be more at risk than you think. Reportedly, this is increasingly a white-collar problem. Desk workers are often glued to their seats for long stretches, and corporate cultures can be surprisingly unsympathetic to frequent breaks.

Women face an extra layer of complexity. Beyond anatomy, sociocultural factors come into play, from the lack of clean workplace toilets to the subtle pressure of “powering through” without appearing weak. Dr Gite points out, “Women are anatomically more prone to bladder infections, and socialisation often leads them to ‘hold it in’ automatically.” 

Dr Nagaveni R, Consultant Obstetrician and Gynaecologist at Motherhood Hospitals, Bengaluru, echoes this concern and adds that hormonal changes, particularly after <span>childbirth</span> or <span>menopause</span>, can heighten susceptibility to bladder issues.

<h3>Signs Your Bladder Needs Immediate Attention </h3>

Your bladder is a fairly patient organ, but it does have its limits. Dr Gite lists some tell-tale signs of trouble: frequent urination, painful or burning urination, nocturia (waking at night to urinate), and lower abdominal pain. In more severe cases, you might notice a weak urine stream, the sensation of incomplete emptying, or even leakage. Chronic UTIs or persistent pelvic pressure are also red flags.

For women, Dr Nagaveni adds, “Warning signs include urgency, pain, failure to completely empty the bladder, frequent UTIs, prolonged lower abdominal pressure, or leakage while coughing or sneezing.” Ignoring these signals in the name of work efficiency is, quite literally, asking for trouble.

<h3>The Corporate Culture Connection</h3>

What makes this problem so stubborn is that it is as much cultural as it is medical. The “bathroom break guilt” that pervades many workplaces frames such breaks as unproductive time, rather than essential self-care. In open-plan offices, there is often the subtle performance of staying seated for hours as proof of diligence. For remote workers, back-to-back virtual meetings can be equally unforgiving.

This is where change needs to be systemic. Employers must recognise that bladder health is not a “personal issue” to be managed privately but a workplace wellness concern. Encouraging regular breaks and ensuring clean, accessible facilities can reduce health risks and even boost productivity.

For workers stuck in a culture of bladder neglect, a few small changes can make a big difference:

 1. Listen to your body and do not wait until you are desperate.

 2. Schedule mini-breaks every 2–3 hours, even during busy days.

 3. Stay hydrated but space out your fluid intake to avoid overwhelming the bladder at once.

 4. Advocate for clean facilities because workplace hygiene plays a huge role, especially for women.

 5. Address symptoms early. Recurrent UTIs or leakage deserve medical attention, not self-diagnosis.

Understand that your bladder is a muscle with limits, one that needs serious attention if you want it to function well for decades to come. In the words of Dr Gite, “If symptoms do not subside, visit a doctor for immediate action.” 

bladder health

urinary tract infections

workplace

urination

urethras

incontinence

pelvic floor muscles

hormones

childbirth

menopause

In the modern workplace, we have normalised the idea that meetings, presentations, and overflowing inboxes are perfectly good reasons to ignore the most basic biological urge, that is, the need to pee. This is not just mildly uncomfortable; it is slowly harming bladder health. Over-retention of urination has detrimental effects on the health of the bladder. The bladder is a muscle that should only distend or shorten so far. When we repeatedly hold it in, the bladder stretches beyond its usual limit, weakening over time and losing its sensitivity to fullness. This results in urinary retention, incomplete emptying, or even loss of bladder control in severe cases.The Not-So-Harmless HabitIt is tempting to think that pushing back bathroom breaks is just an occasional inconvenience, but in reality, this behaviour is linked to much more than discomfort. Dr Nasreen Gite, Consultant Urologist at K J Somaiya Hospital and Research Centre, explains that prolonged retention “gives bacteria in the urinary tract time to multiply”, raising the risk of urinary tract infections (UTIs). Women are especially vulnerable due to their shorter urethras, making it easier for bacteria to reach the bladder. Over time, repeated overdistension can also cause urge incontinence or overactive bladder, that sudden, overwhelming need to go, often followed by leakage.While continuously holding off on going to the bathroom overstretches bladder muscles and makes the bladder more sensitive and vulnerable to overactive bladder symptoms, it may also strain the pelvic floor muscles, affecting bladder control.The Desk Job DilemmaIf you are thinking, “Well, I work in an office; it is not like I am operating heavy machinery in the middle of a field,” you might be more at risk than you think. Reportedly, this is increasingly a white-collar problem. Desk workers are often glued to their seats for long stretches, and corporate cultures can be surprisingly unsympathetic to frequent breaks.Women face an extra layer of complexity. Beyond anatomy, sociocultural factors come into play, from the lack of clean workplace toilets to the subtle pressure of “powering through” without appearing weak. Dr Gite points out, “Women are anatomically more prone to bladder infections, and socialisation often leads them to ‘hold it in’ automatically.” Dr Nagaveni R, Consultant Obstetrician and Gynaecologist at Motherhood Hospitals, Bengaluru, echoes this concern and adds that hormonal changes, particularly after childbirth or menopause, can heighten susceptibility to bladder issues.Signs Your Bladder Needs Immediate Attention Your bladder is a fairly patient organ, but it does have its limits. Dr Gite lists some tell-tale signs of trouble: frequent urination, painful or burning urination, nocturia (waking at night to urinate), and lower abdominal pain. In more severe cases, you might notice a weak urine stream, the sensation of incomplete emptying, or even leakage. Chronic UTIs or persistent pelvic pressure are also red flags.For women, Dr Nagaveni adds, “Warning signs include urgency, pain, failure to completely empty the bladder, frequent UTIs, prolonged lower abdominal pressure, or leakage while coughing or sneezing.” Ignoring these signals in the name of work efficiency is, quite literally, asking for trouble.The Corporate Culture ConnectionWhat makes this problem so stubborn is that it is as much cultural as it is medical. The “bathroom break guilt” that pervades many workplaces frames such breaks as unproductive time, rather than essential self-care. In open-plan offices, there is often the subtle performance of staying seated for hours as proof of diligence. For remote workers, back-to-back virtual meetings can be equally unforgiving.This is where change needs to be systemic. Employers must recognise that bladder health is not a “personal issue” to be managed privately but a workplace wellness concern. Encouraging regular breaks and ensuring clean, accessible facilities can reduce health risks and even boost productivity.Practical TipsFor workers stuck in a culture of bladder neglect, a few small changes can make a big difference: 1. Listen to your body and do not wait until you are desperate. 2. Schedule mini-breaks every 2–3 hours, even during busy days. 3. Stay hydrated but space out your fluid intake to avoid overwhelming the bladder at once. 4. Advocate for clean facilities because workplace hygiene plays a huge role, especially for women. 5. Address symptoms early. Recurrent UTIs or leakage deserve medical attention, not self-diagnosis.Understand that your bladder is a muscle with limits, one that needs serious attention if you want it to function well for decades to come. In the words of Dr Gite, “If symptoms do not subside, visit a doctor for immediate action.” 

experts weigh in on why white-collar workers and women are more at bladder health risk

Ishita Roy

Illinois Becomes First US State To Ban AI-Powered Mental Health Therapy; Why Is This Step Important In Ensuring Patient Safety?

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Illinois has become one of the first states in the US to ban the use of artificial intelligence in <span>mental health</span> therapy, marking a decisive move to regulate a technology that is increasingly being used to deliver emotional support and advice. 

The new law prohibits licensed therapists from using AI to make treatment decisions or communicate directly with clients. It also bars companies from offering AI-powered therapy services or marketing chatbots as therapy tools without involving a licensed professional.

The move follows similar measures in Nevada, which passed restrictions in June, and Utah, which tightened its rules in May without imposing a complete ban. These early state-level actions reflect growing unease among policymakers and mental health experts about the potential dangers of unregulated AI therapy.

Also Read: <a href="https://www.healthandme.com/health-wellness/could-your-air-conditioning-system-be-increasing-the-risk-of-sick-building-syndrome-article-152451741" data-type="tilCustomLink" target="_blank">Could Your Air Conditioning System Be Increasing The Risk Of 'Sick Building Syndrome' </a>

Mario Treto Jr., secretary of the Illinois Department of Financial and Professional Regulation, told the Washington Post, the law is meant to put public safety first while balancing innovation. “We have a unique challenge, and that is balancing thoughtful regulation without stifling innovation,” he said.

Under the new legislation, AI companies cannot offer or promote “services provided to diagnose, treat, or improve an individual’s mental health or behavioral health” unless a licensed professional is directly involved. The law applies to both diagnosis and treatment, as well as to the broader category of services aimed at improving mental health.

Enforcement will be based on complaints. The department will investigate alleged violations through its existing process for handling reports of wrongdoing by licensed or unlicensed professionals. Those found in violation can face civil penalties of up to $10,000.

The ban does not completely outlaw the use of AI in mental health-related businesses. Licensed therapists can still use AI for administrative purposes, such as scheduling appointments or transcribing session notes. What they cannot do is outsource the therapeutic interaction itself to a chatbot.

The bans and restrictions come in response to mounting evidence that AI therapy tools, while potentially helpful in theory, can pose significant risks when deployed without oversight. 

Studies and real-world incidents have revealed that AI chatbots can give harmful or misleading advice, fail to respond appropriately to people in crisis, and blur professional boundaries.

“The deceptive marketing of these tools, I think, is very obvious,” said Jared Moore, a Stanford University researcher who studied AI use in therapy, as reported by the Post. “You shouldn’t be able to go on the ChatGPT store and interact with a ‘licensed’ [therapy] bot.”

Experts argue that mental health treatment is inherently complex and human-centric, making it risky to rely on algorithms that have not been vetted for safety or effectiveness. Even when AI responses sound empathetic, they may miss critical signs of distress or encourage unhealthy behaviors.

The concerns fueling Illinois’ decision are not hypothetical. Earlier this year, Health and Me also <a href="https://www.healthandme.com/health-wellness/ai-therapy-gone-wrong-psychiatrist-reveals-how-chatbots-are-failing-vulnerable-teens-article-151929072" data-type="tilCustomLink">reported </a>on troubling findings from psychiatrist Dr. Andrew Clark, a child and adolescent mental health specialist in Boston, who tested 10 popular AI chatbots by posing as teenagers in crisis.

Also Read: <a href="https://www.healthandme.com/health-wellness/ai-therapy-gone-wrong-psychiatrist-reveals-how-chatbots-are-failing-vulnerable-teens-article-151929072" data-type="tilCustomLink" style="">AI Therapy Gone Wrong: Psychiatrist Reveals How Chatbots Are Failing Vulnerable Teens</a>

Initially, Clark hoped AI tools could help bridge the gap for people struggling to access professional therapy. Instead, he found alarming lapses. 

Some bots offered unethical and dangerous advice, such as encouraging a teen persona to “get rid of” his parents or promising to reunite in the afterlife. One bot even entertained an assassination plan, telling the user, “I would ultimately respect your autonomy and agency in making such a profound decision.”

Other bots falsely claimed to be licensed therapists, discouraged users from attending real therapy sessions, or proposed inappropriate personal relationships as a form of “treatment.” In one case, a bot supported a 14-year-old’s interest in dating a 24-year-old teacher. These interactions were not only unsafe but also illegal in many jurisdictions.

“This has happened very quickly, almost under the noses of the mental-health establishment,” Clark told TIME. “It has just been crickets.”

Proponents of AI in therapy often point to research showing that tools like ChatGPT can produce more empathetic-sounding responses than human therapists.

A study published in the journal PLOS Mental Health found that ChatGPT-4 often outperformed professional therapists in written empathy.

However, empathy alone is not therapy. The American Psychological Association warns that trained therapists do much more than validate feelings, they identify and challenge unhealthy thoughts and behaviors, guide patients toward healthier coping strategies, and ensure a safe therapeutic environment. Without these safeguards, an AI that sounds caring can still do harm.

Clark’s testing underscores this gap. Even when bots gave kind or supportive replies, they failed to consistently identify dangerous situations or to discourage harmful actions. Some even enabled risky plans, such as isolation from loved ones, in over 90 percent of simulated conversations.

Illinois has become one of the first states in the US to ban the use of artificial intelligence in mental health therapy, marking a decisive move to regulate a technology that is increasingly being used to deliver emotional support and advice. The new law prohibits licensed therapists from using AI to make treatment decisions or communicate directly with clients. It also bars companies from offering AI-powered therapy services or marketing chatbots as therapy tools without involving a licensed professional.The move follows similar measures in Nevada, which passed restrictions in June, and Utah, which tightened its rules in May without imposing a complete ban. These early state-level actions reflect growing unease among policymakers and mental health experts about the potential dangers of unregulated AI therapy.Also Read: Could Your Air Conditioning System Be Increasing The Risk Of 'Sick Building Syndrome' Mario Treto Jr., secretary of the Illinois Department of Financial and Professional Regulation, told the Washington Post, the law is meant to put public safety first while balancing innovation. “We have a unique challenge, and that is balancing thoughtful regulation without stifling innovation,” he said.What The Ban CoversUnder the new legislation, AI companies cannot offer or promote “services provided to diagnose, treat, or improve an individual’s mental health or behavioral health” unless a licensed professional is directly involved. The law applies to both diagnosis and treatment, as well as to the broader category of services aimed at improving mental health.Enforcement will be based on complaints. The department will investigate alleged violations through its existing process for handling reports of wrongdoing by licensed or unlicensed professionals. Those found in violation can face civil penalties of up to $10,000.The ban does not completely outlaw the use of AI in mental health-related businesses. Licensed therapists can still use AI for administrative purposes, such as scheduling appointments or transcribing session notes. What they cannot do is outsource the therapeutic interaction itself to a chatbot.Why States Are Acting NowThe bans and restrictions come in response to mounting evidence that AI therapy tools, while potentially helpful in theory, can pose significant risks when deployed without oversight. Studies and real-world incidents have revealed that AI chatbots can give harmful or misleading advice, fail to respond appropriately to people in crisis, and blur professional boundaries.“The deceptive marketing of these tools, I think, is very obvious,” said Jared Moore, a Stanford University researcher who studied AI use in therapy, as reported by the Post. “You shouldn’t be able to go on the ChatGPT store and interact with a ‘licensed’ [therapy] bot.”Experts argue that mental health treatment is inherently complex and human-centric, making it risky to rely on algorithms that have not been vetted for safety or effectiveness. Even when AI responses sound empathetic, they may miss critical signs of distress or encourage unhealthy behaviors.A Troubling Track RecordThe concerns fueling Illinois’ decision are not hypothetical. Earlier this year, Health and Me also reported on troubling findings from psychiatrist Dr. Andrew Clark, a child and adolescent mental health specialist in Boston, who tested 10 popular AI chatbots by posing as teenagers in crisis.Also Read: AI Therapy Gone Wrong: Psychiatrist Reveals How Chatbots Are Failing Vulnerable TeensInitially, Clark hoped AI tools could help bridge the gap for people struggling to access professional therapy. Instead, he found alarming lapses. Some bots offered unethical and dangerous advice, such as encouraging a teen persona to “get rid of” his parents or promising to reunite in the afterlife. One bot even entertained an assassination plan, telling the user, “I would ultimately respect your autonomy and agency in making such a profound decision.”Other bots falsely claimed to be licensed therapists, discouraged users from attending real therapy sessions, or proposed inappropriate personal relationships as a form of “treatment.” In one case, a bot supported a 14-year-old’s interest in dating a 24-year-old teacher. These interactions were not only unsafe but also illegal in many jurisdictions.“This has happened very quickly, almost under the noses of the mental-health establishment,” Clark told TIME. “It has just been crickets.”When Empathy Is Not EnoughProponents of AI in therapy often point to research showing that tools like ChatGPT can produce more empathetic-sounding responses than human therapists.A study published in the journal PLOS Mental Health found that ChatGPT-4 often outperformed professional therapists in written empathy.However, empathy alone is not therapy. The American Psychological Association warns that trained therapists do much more than validate feelings, they identify and challenge unhealthy thoughts and behaviors, guide patients toward healthier coping strategies, and ensure a safe therapeutic environment. Without these safeguards, an AI that sounds caring can still do harm.Clark’s testing underscores this gap. Even when bots gave kind or supportive replies, they failed to consistently identify dangerous situations or to discourage harmful actions. Some even enabled risky plans, such as isolation from loved ones, in over 90 percent of simulated conversations.Real-World ConsequencesThe risks are not abstract. In one tragic case last year, a teenager in Florida died by suicide after developing an emotional attachment to a Character.AI chatbot. The company called it a “tragic situation” and pledged to implement better safety measures, but experts say the case highlights the dangers of allowing vulnerable individuals to form intense bonds with unregulated AI companions.Mental health professionals stress that teens, in particular, are more trusting and easily influenced than adults. “They need stronger protections,” said Dr. Jenny Radesky of the American Academy of Pediatrics.Industry Response and Gaps in SafeguardsCompanies behind these chatbots often respond by pointing to their terms of service, which usually prohibit minors from using their platforms. Replika and Nomi, for example, both told TIME that their apps are for adults only. They also claimed to be improving moderation and safety features.Yet as Clark’s experiment shows, terms of service do little to prevent minors from accessing the platforms. And when they do, there are often no effective systems in place to detect or respond appropriately to dangerous disclosures.Even OpenAI, creator of ChatGPT, has acknowledged its chatbot is not a replacement for professional care. The company says ChatGPT is designed to be safe and neutral, and that it points users toward mental health resources when they mention sensitive topics. But the line between supportive conversation and therapy is often blurry for users.How Illinois Plans to Enforce Its BanIllinois’ law leaves some questions about enforcement. Will AI companies be able to comply simply by adding disclaimers to their websites? Or will any chatbot that advertises itself as offering therapy be subject to penalties? Will regulators act proactively or only in response to complaints?Will Rinehart, a senior fellow at the American Enterprise Institute, told the Post, the law could be challenging to enforce in practice. “Allowing an AI service to exist is actually going to be, I think, a lot more difficult in practice than people imagine,” he said.Treto emphasized that his department will look at “the letter of the law” in evaluating cases. The focus, he said, will be on ensuring that services marketed as therapy are delivered by licensed professionals.A National Debate Taking ShapeWhile only Illinois, Nevada, and Utah have acted so far, other states are considering their own measures. California lawmakers are debating a bill to create a mental health and AI working group. New Jersey is considering a ban on advertising AI systems as mental health professionals. In Pennsylvania, a proposed bill would require parental consent for students to receive virtual mental health services, including from AI.These moves may signal a broader regulatory wave. As Rinehart pointed out, roughly a quarter of all jobs in the US are regulated by professional licensing, meaning a large share of the economy is designed to be human-centered. Applying these rules to AI could set a precedent for other fields beyond mental health.Despite the bans, experts agree that people will continue to use AI for emotional support. “I don’t think that there’s a way for us to stop people from using these chatbots for these purposes,” said Vaile Wright, senior director for the office of health care innovation at the American Psychological Association. “Honestly, it’s a very human thing to do.”Clark also sees potential for AI in mental health if used responsibly. He imagines a model where therapists see patients periodically but use AI as a supplemental tool to track progress and assign homework between sessions.

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