Bladder issues?
Dear Doctor: For the past 7 days, I have been feeling a pressure in my bladder without the urge to urinate.
I visited a clinic and took medication for 3 days, but there has been no improvement.
I am drinking about 2000cc of water daily, including a cup of unsweetened black tea.
This has not happened to me before.
What should I do? Do I need to undergo any tests? Thank you.
Xiao Yezi, 30~39 year old female. Ask Date: 2016/06/04
Dr. Chen Jiansheng reply Urology
Hello Miss Xiaoye: The body will eliminate excess water.
If you have already drunk a lot of water but still have a low urine output, consider the following: 1.
You may not be drinking enough; your body may be using more fluids, especially with the weather getting warmer and increased sweating.
2.
Excess fluid may lead to edema in the lower extremities, shortness of breath, or ascites.
- Dr.
Chen Jian-sheng, Urology Department, Hsin-Ying Hospital.
Reply Date: 2016/06/04
More Info
When it comes to bladder issues, especially when you experience a significant change in urinary habits or sensations, it is important to pay attention to your symptoms and seek medical attention when necessary. In your case, the feeling of bladder fullness without the urge to urinate, despite adequate fluid intake, can indicate a potential underlying issue that warrants further investigation.
Firstly, it is essential to understand that the bladder is a muscular organ that stores urine until it is expelled from the body. Normal bladder function involves a complex interplay between the bladder muscles, the nervous system, and the brain. Any disruption in this system can lead to various urinary symptoms, including urgency, frequency, incontinence, or, as in your case, a feeling of fullness without the urge to void.
Given that you have already taken medication for three days without improvement, it is advisable to seek further medical evaluation. Here are some potential reasons for your symptoms:
1. Urinary Tract Infection (UTI): UTIs can cause changes in urinary habits, including a feeling of fullness or pressure in the bladder. Even if you do not have the typical symptoms of a UTI, such as burning during urination or frequent urges, it is still possible to have an infection.
2. Bladder Dysfunction: Conditions such as overactive bladder (OAB) or interstitial cystitis (IC) can lead to abnormal sensations in the bladder. OAB is characterized by a sudden urge to urinate, while IC can cause chronic bladder pain and discomfort.
3. Obstruction: An obstruction in the urinary tract, such as a kidney stone or an enlarged prostate in men, can lead to feelings of fullness and difficulty in urination.
4. Neurological Issues: Sometimes, neurological conditions can affect bladder function, leading to changes in sensation and control.
5. Medications: Certain medications can affect bladder function and may lead to urinary retention or changes in sensation.
Since you mentioned that you have been drinking adequate fluids (2000cc) and still feel discomfort, it is crucial to have a healthcare professional evaluate your condition. A urologist can perform a thorough assessment, which may include:
- Urinalysis: To check for signs of infection or other abnormalities in the urine.
- Ultrasound: To visualize the bladder and kidneys and check for any obstructions or abnormalities.
- Bladder Function Tests: Such as urodynamics, to assess how well your bladder is storing and releasing urine.
In summary, given your symptoms and the lack of improvement with medication, it is advisable to seek medical attention promptly. Early diagnosis and treatment can help prevent potential complications and improve your quality of life. Don't hesitate to reach out to a healthcare provider to discuss your symptoms in detail and explore the appropriate diagnostic tests and treatment options.
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