After an incomplete bladder emptying, an uncomfortable sensation to urinate occurs, resulting from urinary retention. This can cause pain in the lower abdomen and a burning sensation while trying to urinate in acute conditions. Urinary obstruction due to stones, strictures, urethral inflammation, prostate cancer, prostate enlargement, vulvovaginitis, etc., can cause urine retention. Medications, pelvic muscle strengthening exercises, bladder training, catheterization, and urethral stents are available treatment modalities.
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I have urinary problems and have to exert pressure to pass stools as I have an anal fissure. What should I do next?
Query: Hello doctor, Whenever I go to the restroom, I have to push hard to pass stools as I have an anal fissure. The pus comes out in large amounts, and the fissure hurts. I have had these problems for the past two years. I do not know what to do. Now I am having urinary problems too. I find it difficult ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. As per your history and attached reports (attachments removed to protect the patient's identity), I think you suffer from anal fissure. You need surgery to remove the affected area. I suggest you take a fiber-rich diet to avoid constip... Read Full »
I have had pain in the tip of my penis, and I notice that the urine is getting stuck, causing inflammation. How do I deal with this?
Query: Hi doctor, I have had pain on the tip of my penis for a few months now. I got tested for STDs, there is no STD present. I got tested for a urinary tract infection, there is no bacteria present and no sign of an infection in the urine samples. I also got tested for a mycosis, there does not seem to b... Read Full »
Answer: Hi, Welcome to icliniq.com. The problem appears to be chronic prostatitis. Often, the symptoms are the sensation of incomplete voiding, dysuria, pain in parts of the urethra or perineum, low backache or pain in the calf. I would suggest, 1. Tablet Nitrofurantoin SR 100 mg twice daily for one mon... Read Full »
What are the possible causes for the difficulty in urinating?
Query: Hello doctor,I have had a difficulty urinating since more than five months. I have had UTI in the past. I know this time it is not an infection as I do not have any pain or stinging. I feel my bladder is full and I feel a discomfort as I cannot empty it. I drink enough water. I have had bladder and... Read Full »
Answer: Hello, Welcome to icliniq.com. I think you are suffering from interstitial cystitis or bladder pain syndrome. It is a diagnosis of exclusion. So, when you visit your urologist, you should talk to him about this possibility. He may advise cystoscopy to rule out other causes. I suggest you ... Read Full »
How does spina bifida progress?
Query: Hello doctor, I have spina bifida, which is a slow degenerative syndrome. In the long run, what kind of deterioration will take place? Read Full »
Answer: Hello, Welcome to icliniq.com. Spina bifida may progress to involve both legs, where one may develop tingling, numbness, and weakness. One may also develop urinary retention and overflow incontinence. Many times if there is associated cranial abnormality like Chiari malformation, then sim... Read Full »
I am 16 weeks pregnant and feel pain in my belly when holding urine for a while. Kindly help.
Query: Hello doctor,I am currently 16 weeks pregnant, and it is my second pregnancy. If I hold my urine for a while and then go to the toilet, I feel pain around the belly. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Urinary retention in pregnancy is due to infection in the bladder or urethra. Other causes could be due to fibroid in the uterus. Do not worry, as it is not dangerous. It would be best to take an ultrasound of the... Read Full »
Kindly interpret MRI taken for enlarged prostate, urinary retention and hematuria.
Query: Hi doctor,I have enlarged prostate, urinary retention, and hematuria for almost a year. I had MRI of prostate done. I would like to have the interpretation of images. Currently, I am on Flowmax and Finasteride. Read Full »
Answer: Hi, Welcome to icliniq.com. The MRI scan of the prostate (attachment removed to protect patient identity) shows a grossly enlarged prostate which is indenting the lumen of the urinary bladder and which you are probably aware of. Further, the median lobe of the prostate is showing hypertrophy and p... 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 »
Answer: Hello, Welcome to icliniq.com. 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 »
I have urinary retention even after delivery. What is wrong with me?
Query: Hello doctor, I had urinary retention during pregnancy, so I had a catheter for a week, and I had problems throughout. I gave birth five weeks ago, but whenever I go to the toilet, I still feel like I need to go again. And sometimes, I do not get the normal sensation to urinate, and I have to press ... Read Full »
Answer: Hello, Welcome to icliniq.com. Sorry to hear about your urinary problems. By the history, it seems you have hypocontractile detrusor, as you do not get the sensation to urinate. And even after urination, there is a significant amount of residual urine. You must have undergone uroflowmetry or urody... Read Full »
Since evening I have been unable to urinate despite drinking adequate water. Why?
Query: Hi doctor, I am a 28 year old woman, who weighs about 50 kg, and I am 5.6 feet tall. I did not urinate today from 4 PM, even after drinking plenty of water. My stomach is also paining. Can you please give me some tips for this? Read Full »
Answer: Hi, Welcome to icliniq.com. Sudden retention of urine in a female may be due to infection. A rare cause is Fowler's syndrome. Give hot fomentation in the lower abdomen below the umbilicus. If you feel like you need to pass urine, go to the toilet and open the tap. Let the cold water touch your feet.... Read Full »
What is the reason behind urinary retention?
Query: Hello doctor, My mother, 66-year-old, has been having some discomfort in the upper abdomen for five days. She has been experiencing some gas and tightness in the upper abdomen. Her stools are a little constipated, but she is going every day. She has had a fever between 99 to 100 degrees F for five d... Read Full »
Answer: Hi, Welcome to icliniq.com. Went through your post and the investigations you have posted (attachment removed to preserve the patient's identity). Your mother has an infection evident by high white blood count (WBC), with predominant cells being neutrophils. Patients with diabetes do not have feve... Read Full »