Micturition difficult, with much pressing and straining only in drops, with the sensation as if the urine should be emitted in large quantities.
Violent pains in the bladder, and at times in the back ; the left testicle is painfully drawn up ; pain in the thighs, shooting down into the toes and soles of the feet.
Paroxysms of violent pain with the strangury ; he cries on loud, and can only emit urine when he goes on his knees pressing his head firmly against the floor ; remaining in this position for ten to twenty minutes, perspiration breaks out, and finally the urine begins to drop off with interruptions, accompanied by tearing, burning pains at the point of the penis.
Urine smells strongly of Ammonium, and contains a large quantity of viscid, thick, white mucus.
 The paroxysms appear generally from 3 to 6 A.M. ; amelioration through the day.
Almost cartilaginous induration of the mucous membrane of the bladder.
Similar conditions of the bladder are to be found under Berberis vulgaris, but not the ammoniacal smell ; and the pain under Berberis is in the hip, not, as under Pareira, in the thigh.
Berberis has also paralysis of the bladder with discharge of great quantities of mucus, which deposits itself at the bottom of the vessel and is viscid.
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