Frequent Urination and Bladder Inflammation: A Patient's Journey - Urology

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Frequent urination and cystitis?


Hello Doctor, a few days ago I started experiencing mild pain and bloating in my lower abdomen, accompanied by frequent urination.
I drink about 2000 cc of water a day and urinate approximately 250 cc every two hours, with nighttime urination occurring twice, also around 250 cc each time.
I visited a clinic where the doctor used a test strip to check my urine, which showed slightly elevated protein levels, while everything else was normal.
The doctor prescribed Acetaminophen, Amoxicillin, Howell tablets, and Buscopan.
I have finished the medication, and with some exercise, the mild pain has disappeared, and I now only have nighttime urination once.
However, I still feel a bloated sensation in my lower abdomen.
Could you please advise if the inflammatory symptoms have not fully resolved, and whether I need to obtain more medication or undergo further examination? P.S.
My job requires prolonged sitting.

Niming, 20~29 year old female. Ask Date: 2017/05/22

Dr. Du Shixi reply Urology


Hello: Many people experience lingering symptoms for a few days after an infection, even after treatment, but their urine tests return to normal.
Therefore, if there are frequent inflammations, I would recommend returning for a follow-up urine test to check if it is normal.
If there are infrequent inflammations, just observe; symptoms should resolve on their own after a few days without medication.
During hot weather, it is advisable to increase fluid intake; if the urine color is too dark, it indicates dehydration.
Limit sugary drinks, and aim for a daily walk of at least half an hour, as this may help with recovery.
Additionally, if sitting for prolonged periods, make sure to get up and walk around, as sitting on a surface that is too warm can also be detrimental.

Reply Date: 2017/05/22

More Info


Frequent urination and bladder inflammation can be quite distressing, and your symptoms indicate that you may be experiencing a urinary tract infection (UTI) or another bladder-related issue. Given your recent medical history and the medications you have been prescribed, it seems that your healthcare provider is taking a reasonable approach to manage your symptoms.

1. Understanding Your Symptoms: The micro pain and bloating you are experiencing in your lower abdomen, along with frequent urination, are common symptoms of a UTI or bladder inflammation. The fact that you have been drinking a significant amount of water (2000cc daily) and urinating frequently (approximately every two hours) suggests that your bladder is reacting to some form of irritation or infection. The presence of protein in your urine, although slightly elevated, can also indicate inflammation or infection.

2. Current Treatment: You have been prescribed a combination of medications, including Acetaminophen for pain relief, Amoxicillin as an antibiotic, Howell tablets (which may be for bladder health), and Buscopan (an antispasmodic). It’s good to hear that the micro pain has subsided and that your night urination has decreased to once. This indicates that the treatment is having a positive effect.

3. Persistent Symptoms: However, the lingering bloating sensation in your lower abdomen suggests that inflammation may still be present. It’s not uncommon for symptoms to take some time to fully resolve, especially if there was significant irritation or infection.
4. When to Seek Further Care: If the bloating persists or worsens, or if you experience any new symptoms such as fever, chills, or increased pain, it would be wise to return to your healthcare provider for further evaluation. They may want to conduct additional tests, such as a urine culture, to determine if the infection is fully cleared or if a different antibiotic is needed.

5. Lifestyle Considerations: Since you mentioned that your work requires prolonged sitting, this can sometimes exacerbate bladder symptoms. It may be beneficial to take short breaks to stand and stretch, which can help alleviate some pressure on the bladder and improve circulation.

6. Follow-Up: After completing your current course of medication, if you still feel bloated or have any lingering symptoms, it would be advisable to follow up with your doctor. They may consider additional diagnostic tests, such as an ultrasound or cystoscopy, to rule out any other underlying issues.

In summary, while your symptoms are improving, the persistent bloating suggests that further evaluation may be necessary. It’s important to listen to your body and seek medical advice if you feel that your symptoms are not fully resolving. Maintaining good hydration, practicing good bladder health, and following up with your healthcare provider will be key in managing your condition effectively.

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