Common "Bladder Pain Syndrome" queries answered by top doctors | iCliniq

Bladder Pain Syndrome

"Interstitial cystitis also called painful bladder syndrome is a chronic condition marked by bladder pressure, bladder pain, and sometimes pelvic pain. The symptoms include pain in the pelvis or between the vagina and anus in women, pain between the scrotum and anus in men, chronic pelvic pain, a persistent, urgent need to urinate, and frequent urination (up to 60 times a day), and pain during sex. Treatment consists of physical therapy, oral medications, nerve stimulation, and bladder distention.


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Why do I have pain and bleeding in my anus?

Query: Hello doctor, For the past couple of months, I have been observing blood on the tissue after cleaning my anus. My anus hurts when this happens, and the blood is bright red. In 2021, I underwent a gastroscopy and a colonoscopy due to abdominal pain and loose stools; both procedures showed normal find...  Read Full »

Dr. Vandana Andrews

Answer: Hello, Welcome to I read your query and can understand your concern. From your description, your condition appears to be anal fissures or hemorrhoids. I am sharing with you some advice that you may find helpful. Hemorrhoids, also known as piles, are swollen blood vessels in the rectum ...  Read Full »

I cannot hold my urine. Why?

Query: Hello doctor, I have had a myriad of symptoms because of this, but the main consistent one would be that I cannot hold any amount of urine, whether I have the urge to go or not, without upper flank pain, and recently combined with lower left back pain. When it gets really bad, I notice I tend to sl...  Read Full »

Dr. Saurabh Subhash Pandya

Answer: Hello, Welcome to I read your query and can understand your concern. I would like to have a copy of the ultrasound and urine reports, if possible. I would like to know the following: 1. How much is your daily fluid intake, approximately? 2. How often do you take tea, coffee, cola, or...  Read Full »

Why do my bladder pain and pressure worsen on holding more than 200 ml of urine in my bladder?

Query: Hello doctor, I am a 32-year-old male with some ongoing urinary problems. Over the past 18 months, I have experienced mild to moderate pain and pressure in my bladder. It worsens if I try to hold my urine, and it is almost always noticeable when I have more than 200 ml of urine in my bladder. Hence...  Read Full »

Dr. Sandip Pramanik

Answer: Hello, Welcome to The symptoms you have referred to are lower urinary tract symptoms (LUTS). You are having mixed LUTS, which means storage and voiding symptoms. These things at this age are usually due to CP or CPPS (chronic prostatitis or chronic pelvic pain syndrome). You need to v...  Read Full »

What could cause pain while urinating and also when bladder is full?

Query: Hello doctor, I am 21 years old. For the past two months, I have been experiencing pain while urinating and I also have pain when my bladder is full. I had taken a urine test and the test said I had an infection for which I was given antibiotics. The pain has come down, but a mild pain is still p...  Read Full »

Dr. Saurabh Subhash Pandya

Answer: Hi, Welcome to Usual causes of such symptoms include urinary tract infection (UTI) or urinary stones (renal stones). When routine tests turn out to be normal, a frequency volume diary may be made. Next would be a urine flow test and a sonography for residual urine volume. If these ar...  Read Full »

I am having difficulty in urination along with bladder pain. Why?

Query: Hello doctor, I have difficulty passing urine along with pain in the bladder. Kindly help. Thank you.  Read Full »

Dr. Mayank Agarwal

Answer: Hello, Welcome to Your symptoms are not elaborate. Still, I can make two diagnoses: either you have a urinary tract infection or a urinary bladder stone. If the pain is colicky, you can have Drotaverine 40 mg three times a day, along with Aceclofenac 50 mg. It will relieve pain and sp...  Read Full »

I have burning sensation while urinating. Please help.

Query: Hi doctor, I have burning sensation while urinating once or twice a day for the past six months. I had taken routine urine tests, urine culture, ultrasonogram, and diabetes test, but could not find the reason. Please help. Thank you.  Read Full »

Dr. Tuljapure Samit Prabhakarrao

Answer: Hi, Welcome to I understand your concern. Please share your reports again, as I cannot open files. Do you have a history of urinary tract infection or unprotected sexual intercourse? I suggest you do a urine GeneXpert test for acid-fast bacillus (AFB bacilli) to rule out genitourinar...  Read Full »

Will Opiates be helpful in interstitial cystitis?

Query: Hi doctor,I was diagnosed with IC over a year ago, and at first, the pain was manageable. Now, my flares have gotten worse, especially during my cycle. I have pelvic pain, back pain, and urethral pain, all of which are five times worse during periods. I have been working with my urogynecologist with...  Read Full »

Dr. Penchilaprasad Kandikattu

Answer: Hello, Welcome to I feel sorry about your health condition. Interstitial cystitis is a chronic bladder condition that causes recurring bouts of pain and pressure in the bladder and pelvic area, often accompanied by an urgent and frequent need to urinate. There is no exact cause for it...  Read Full »

I have had a constant burning sensation while urinating for weeks. How do I treat it?

Query: Hi doctor, I have had a constant burning sensation during urination for weeks now. I have had many kidney infections and urinary tract infections and went to the hospital, and they could not find anything wrong. It is a burning sensation that does not go away. There is no history of STIs and I am no...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to Thank you for consulting with us. This can be interstitial cystitis, and urine will show no infection, but still, there can be a burning sensation in passing urine and increased frequency of urination. The diagnosis will be confirmed by flexible cystoscopy and bladder bio...  Read Full »

My sister suffers a lot due to frequent urination. Is it good to take Cystopen for it?

Query: Hi doctor, My sister is 20 years old. She has a problem of frequent urination. She has to urinate numerous times. She has undergone cystoscopy and urodynamics test. She has a small and weak bladder with 350 mL capacity. But, the reason behind frequent urination has to be diagnosed still. The doctor ...  Read Full »

Dr. Desai Santosh Badaku

Answer: Hi, Welcome to I understand your concerns and have reviewed your sister's reports (attachment removed for privacy). The uroflow study indicates an average flow rate of 13.5 mL per second (normal being more than 15 mL per second), with low bladder capacity and a desire to micturate, as ...  Read Full »

I have been diagnosed with overactive bladder. Is that right?

Query: Hello doctor, I have a problem with overactive bladder and bladder pain. My doctor prescribed me Lioresal. Is the diagnosis correct and can I try with Lioresal? I am afraid of side effects and full urine retention. This is my last medical report showing on palpation, the prostate was not suspicious....  Read Full »

Dr. Karthik Rajan

Answer: Hi,Welcome to have gone through your query and would like to know a few more details about your symptoms. Is your predominant complaint that of increased frequency or weak urinary stream? Do you have any discomfort in the region between your scrotum and anal opening? From your doctor's...  Read Full »

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