Hi doctor,
I am a 23-year-old male, a third-year medical student. For the past seven days, I have had an increased urgency and frequency of urinating. I can go even more than 30 times a day - the majority of these times, I feel an increased urgency. However, when I go, only a small amount of drops come out. For the past two to three days, the urgency kind of feels to be getting worse, I feel as if I will not be able to hold it. However, I am still able to, as there is no leaking. There is no burning or irritation, or discharge. No recent sexual encounters and no other associated symptoms. I take Coveram 10/10 for essential hypertension and Valdoxan 25 because I also do suffer from anxiety. I have been under stress lately as I was doing my exams this past week and finished today. I have done a few tests at my family doctor: Last week, I did a dipstick which was normal apart from +1 protein. Voiding bladder, the US was normal (450 mL per voiding, 45 mL post voiding). An initial urine culture was normal, according to my doctor. Yesterday, I performed another dipstick and urine culture. The dipstick was normal, and early urine microscopy showed a 10 to 100 white cell count. We are waiting for the cultures to return. Due to the result of the white cell count, my doctor said it would be worth a try to undergo a 5-day course of antibiotics (Keflex).
Today is my third day of antibiotic treatment. Symptoms are largely the same. Today, I attempted to hold my bladder. It felt fine in the morning, but as the day went on, my symptoms returned, and I found it harder to hold my bladder. Also, for the first time, I tried going for a run. The entire time I felt a heaviness in my bladder and felt a strong urge to urinate, even though I went before my run began. What do you think could be going on? My doctor believes that it is either a UTI or, most likely, a hypersensitive bladder due to exam stress. However, there have been days where I have not felt stress at all, yet symptoms have continued. I am really worried as I want to go back to work in five days, and I do not think I will be able to manage the way things are at the moment. My family doctor does think this will settle down now that I have finished exams. Do you think there is a chance it could? I have mentioned this query to another doctor online, and he believed it might be due to an overactive bladder. However, since I am relatively young to receive this diagnosis, I wanted a second opinion, if that is alright. Do you think this could be OAB? I am worried that it could be something serious, like multiple sclerosis. One and a half years ago, I had an episode of sudden onset numbness in one arm, and fearing the same thing, I ended up having an MRI of my brain and lumbar spine, which both came back negative. Do you think this could be MS?