Hello doctor,
I am a 31 year old woman. This problem started about four years ago around the same time I was diagnosed with Hashimoto's thyroiditis. And, I suffer from a constant and persistent urge to urinate concentrated in my urethra. Sometimes, it is accompanied with pressure, discomfort, slight pain, twitching, or spasming. My urine flow is weak and hesitant, and I have to strain or push to empty my bladder, and sometimes I feel that I have not completely emptied my bladder. The urodynamics study did not show an overactive bladder, and my urogynecologist told me that it showed that my bladder did not mount a good contraction. Please advise.
Hello,
Welcome to icliniq.com.
For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist
Hello doctor,
Thank you very much for your reply. I am attaching my urodynamics report with graphs in a PDF file with eight pages. My urogynecologist here wants me to try the Interstim neuromodulator device but I want to try medications first as you suggested. My symptoms now are, a constant need to urinate centered in my urethra that comes again immediately after urinating, a very weak flow, hesitancy, straining and pushing to empty, a feeling of incomplete emptying. I am currently not taking any medications as the Detrol caused urine retention. Based on the urodynamics report, is it underactive bladder or is there something wrong with my urethral sphincter muscles? I would appreciate any help you can give as I am suffering from this condition.
Hello,
Welcome to icliniq.com.
I have seen the reports and graphs sent by you (attachment removed to protect patient identity).
For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist
Hello doctor,
Thank you for your clear response. My doctor here does not want to prescribe the Urivoid for me. I used to hold my urine a lot when I was a teenager, could that have weakened the muscle? When I was a child, I used to stop my urine flow in the middle a lot and then start it again. Could that also be a reason? Could it be related to my underactive thyroid, although I am now taking thyroid hormones and monitoring my dose?
Hello,
Welcome back to icliniq.com.
For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist
Hello doctor,
Thanks again for giving me a clear diagnosis and steps to follow. I have used a catheter before when I was unable to empty my bladder fully, and it helps me empty two cups sometimes. I do not have a problem with doing that twice a day. The symptom that bothers me very much is feeling like I need to urinate all the time. This feeling is constant and it comes back immediately after voiding. Is this typical with an underactive bladder? Is there anything I can do to get rid of that constant feeling of needing to go? It is not urgency because I can ignore it for an hour or two but it is there all the time in my urethra. I also want to mention that yesterday I had this feeling that I need to urinate, but I could not urinate at all and when I used a catheter, nothing came out. So, I still get this feeling even when my bladder is empty. Why is that? Is there anything that could be done about the constant feeling that I feel in my urethra that I need to urinate? It is annoying me very much and has almost destroyed my life.
Hello,
Welcome back to icliniq.com.
I can understand your suffering.
For further queries consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist
Hello doctor,
I am so grateful for your clear response and your extensive knowledge. I just have a few questions: Two days ago, that constant need in my urethra was intense. So, I went to an urgent care clinic and they found out that I have leukocytes and some blood in my urine and they prescribed Nitrofurantoin 100 mg twice a day. Is there an antibiotic that I can take long term in a low dose to prevent infections with this underactive bladder? By the way, I will start the Urecholine today. My bladder muscle was working fine and I was voiding big amounts with a strong flow about a year and a half ago. So, could the muscle become underactive suddenly like that?
Concerning that constant feeling in my urethra that I need to urinate, could it be that the muscles around the urethra are tight or something like that? I am saying this because sometimes I feel spasms around the urethral opening. Could Urispas cause the bladder muscle to relax more? I read that it relaxes the urinary tract. Or does it only affect the urethra? Is this urethral syndrome curable by medications and good habits with a non-acidic diet? Will it go away? It is driving me crazy. Thanks a lot. I am looking forward to your response, as you are the only doctor who really gives me satisfying responses and who really cares.
Hello,
Welcome back to icliniq.com.
There are other drugs for your symptoms, but we better go slow.
For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist
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|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
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