In all the years I have had Lyme, I have never had a feeling like this one. It has always been a very different sort of feeling for the bladder spasms. They make me feel like my bladder is over-filled and someone is standing on it. This is more of a burning in the ut.
So I finally decided to start taking antibiotics ( we have loads of them around here) in case it is a bladder infection. That has given me about a 95% improvement immediately, although I can still feel it just waiting for the antibiotics to wane.
So, I will probably never know if it was caused by the Lyme-N, just my messed up body reacting to not having antibiotics, a new Lyme symptom, or severe spasms. I did do a search and came across others with Lyme who had this same severe pain, but went to the doctor and did not have bladder infections. It does not feel exactly like the one I had so long ago, but, again, it was a long time ago and my memory is foggy.....