Testicular Contraction Issues and Urinary Problems

Q: Testicular Contraction Issues and Urinary Problems

Hello： Regarding your urinary issues, it is recommended that you visit a urologist at the hospital. <br>Additionally, if you experience a rash after taking medication, and it is unclear whether it is due to the medication or an underlying immune issue, you should return to the sa

Testicular retraction issues?

At first, when I urinated, the first stream was very large, but afterward, I felt like I couldn't completely empty my bladder.
On March 28, I visited Chimei Hospital, and during the consultation, I expressed my discomfort due to bladder fullness.
The doctor diagnosed me with overactive bladder and prescribed antibiotics along with medication for overactive bladder (an orange pill).
However, I forgot to take the antibiotics on March 29 and 30.
By March 31, I was unable to urinate at all, and my bladder was very full, causing me to be unable to sleep at night as I kept running to the bathroom.
I ended up going to the emergency room late at night.
The doctor performed an abdominal ultrasound and said I had sensitivity, prescribing medication that would change the color of my urine, but I still hadn’t taken the antibiotics.
On April 6, during a follow-up appointment, I told the doctor that I felt some pain in my testicles.
The doctor mentioned prostatitis but did not perform a digital rectal examination.
The doctor prescribed 84 tablets of Munk's Apricot Kernel, 2 tablets after each meal, morning and evening, for three weeks, and 21 tablets of Youlek, 1 tablet before each meal, morning and evening.
That night, I forgot to take one of the prescribed doses.
On April 7, I only took one tablet in the morning and one in the evening, but on April 8, I started taking the correct dosage again.
Sometimes urination was smooth, but other times it felt hot.
By April 16, I woke up with redness and slight itching on my body, and I noticed small lymph nodes forming in my neck.
Pressing below my left ear caused pain, and I felt dizzy.
I also had mouth ulcers.
After continuing the antibiotics, I visited a dermatologist who only examined the red areas and said it was an allergy.
Later, my chest also became red, but I still experienced hot urine with low volume.
On April 21, I saw my family doctor, who noted the hot urine, lymph nodes in my neck, and redness on my body.
The doctor also checked my urination issues and prescribed medication for gas, constipation, and gastric acid.
The antibiotics were prescribed for three days, and the doctor suggested that my issues might be related to bowel movements, advising me not to take the antibiotics from Chimei Hospital.
On April 22, my chest was still red, and my whole body felt warm.
Although the rash improved significantly, my urination issues persisted.
On April 24, I visited a urology clinic where they tested my urine (normal) and performed an ultrasound (showing a clean bladder with no residual urine).
They prescribed TORODINE for five days, one tablet before bedtime.
However, I experienced constant contraction of my testicles while breathing, which made me feel the urge to urinate.
I’m still young and worried about not being treated properly.
The stress is overwhelming.
Doctor, please help me! Doctor, please help me! Doctor, please help me! Doctor, please help me! Doctor, please help me!

A-Rui, 20~29 year old female. Ask Date: 2017/04/26

Dr. Du Shixi reply Urology

Hello: Regarding your urinary issues, it is recommended that you visit a urologist at the hospital.
Additionally, if you experience a rash after taking medication, and it is unclear whether it is due to the medication or an underlying immune issue, you should return to the same urologist.
It is important not to stop taking your medication or to self-adjust the dosage (such as taking an extra two pills on April 8), as this could be detrimental to your health.
If you have engaged in unsafe sexual practices, you should inform the urologist, as you may need to undergo sexually transmitted infection testing.
In terms of lifestyle, make sure to drink plenty of water and maintain a light diet; otherwise, recovery may be slow.
Regarding the issue of your testicles contracting during breathing, which makes you feel the urge to urinate (I don't recall anyone mentioning this in the outpatient clinic), you should also discuss this with your doctor to determine what the problem may be.

Reply Date: 2017/04/26

More Info

Understanding urinary problems, especially in the context of testicular contraction issues, can be quite complex. Based on your detailed account, it seems you are experiencing a combination of urinary discomfort, potential prostatitis, and possibly some allergic reactions to medications. Let’s break down your symptoms and the possible underlying issues.

Urinary Symptoms
1. Frequent Urination and Incomplete Emptying: You mentioned that the first part of urination is substantial, but subsequent urination feels incomplete. This could be indicative of bladder dysfunction, possibly related to overactive bladder (OAB) or bladder outlet obstruction. OAB is characterized by a sudden urge to urinate, often with increased frequency and nocturia (waking up at night to urinate).

2. Pain and Sensation: The discomfort in your testicles and the sensation of your bladder being full could suggest a few things. Testicular pain can sometimes be related to referred pain from the prostate or bladder. Inflammation of the prostate (prostatitis) can lead to urinary symptoms such as urgency, frequency, and discomfort during urination.

3. Urinary Tract Infection (UTI): Although your urine tests came back normal, the initial treatment with antibiotics suggests that a UTI was suspected. Symptoms of a UTI can include burning during urination, urgency, and sometimes fever or malaise.

Medication and Side Effects
You mentioned taking several medications, including antibiotics and medications for OAB. It’s important to adhere to prescribed regimens, as missing doses can lead to incomplete treatment of infections or symptoms. The side effects you experienced, such as skin rashes and lymphadenopathy (swollen lymph nodes), could be allergic reactions to the medications. It’s crucial to communicate these reactions to your healthcare provider, as they may need to adjust your treatment plan.

Potential Causes of Your Symptoms
1. Prostatitis: Given your symptoms of testicular pain and urinary issues, prostatitis is a strong possibility. This condition can be acute or chronic and may require specific antibiotics or anti-inflammatory medications for treatment.

2. Overactive Bladder: The sensation of needing to urinate frequently, along with the contraction of the bladder, suggests that OAB could be a contributing factor. Medications like Torodine (tolterodine) are often prescribed to help manage these symptoms.

3. Anxiety and Stress: The pressure you feel regarding your symptoms can exacerbate urinary issues. Stress can lead to increased muscle tension, which may contribute to the sensation of needing to urinate frequently or feeling that the bladder is not emptying completely.

Recommendations
1. Follow-Up with Your Doctor: It’s essential to keep your healthcare provider informed about all your symptoms, including any new developments like skin reactions or persistent urinary issues. They may need to perform further tests, such as a prostate exam or imaging studies, to rule out other conditions.

2. Medication Management: Ensure you take your medications as prescribed. If you experience side effects, discuss these with your doctor. They may need to switch you to a different medication or adjust dosages.

3. Lifestyle Modifications: Consider lifestyle changes that may help manage your symptoms. This includes staying hydrated, avoiding irritants like caffeine and alcohol, and practicing relaxation techniques to reduce stress.

4. Seek Specialist Care: If your symptoms persist or worsen, consider seeking a urologist’s opinion. They can provide specialized care for urinary and reproductive health issues.

5. Mental Health Support: Given the stress and anxiety surrounding your health, it may be beneficial to speak with a mental health professional. They can help you develop coping strategies to manage anxiety related to your symptoms.

In conclusion, your symptoms are multifaceted and may require a comprehensive approach to diagnosis and treatment. Open communication with your healthcare providers and adherence to treatment plans will be key in managing your condition effectively.

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