From yesterday I have a problem while peeing. Please help.

Question

Hello doctor,

I am an 18 year old male, and I have a problem while peeing from yesterday. It feels heavy under my stomach, just below my penis. Every time I try to pee, I cannot, and I have to push in order to do so. I drank an entire bottle of water today. Normally, I would be able to pee after an hour or two, but not today.

Answer 1

Hello,

Welcome to icliniq.com.

Difficulty in urination in a young individual is generally obstruction at bladder neck due to infection of the urinary bladder, prostate inflammation or muscle spasms. A final diagnosis can be made on thorough examination, blood, and ultrasound examination. Blood tests for kidney function may reveal renal function impairment like increased creatinine and urea. Blood cell count may show an increase in white blood cells because of the infection. Urine examination in case of an infection shows white pus cells, casts, and sometimes red blood cells in urine and increased proteins. I suggest you do the following investigations :Complete blood count, urine- routine, and microscopy, ultrasound KUB (kidney, ureter, and bladder), renal function tests. Differential diagnosis is as follows: Calculus in the urinary bladder, bladder neck spasm, bladder infection, prostate hypertrophy. Ultrasound can diagnose any bladder pathology or prostate enlargement. A stone in the urine pathway can also be diagnosed by ultrasound. Some more information from you can help in getting an accurate diagnosis. Is there any associated pain while passing urine? If yes, then where is it located? Is there any blood in urine? Have you had any such events in the past? Please reply if possible. Thank you and take care. Regards.