Bladder Pain and Discomfort After Holding Urine - Urology

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Experiencing soreness in the bladder and lower back after holding in urine?


Hello Doctor: I have recently noticed that when I hold my urine for a long time and finally go to urinate, the flow is very slow.
After I finish urinating, I feel a dull ache in my bladder and lower back, and it seems to be only on one side.
Could you please tell me what might be the issue? Thank you.

Jack, 30~39 year old female. Ask Date: 2017/09/12

Dr. Du Shixi reply Urology


Hello: Bladder overdistension can lead to various conditions, and it is not advisable to maintain this state for a long time as it can affect bladder function.
Lifestyle changes are recommended.
Wishing you good health.

Reply Date: 2017/09/12

More Info


Holding urine for extended periods can lead to various urinary issues, including bladder pain and discomfort. When you hold your urine for too long, the bladder can become overstretched, which may result in a few different symptoms and potential complications.

Firstly, the sensation of slow urination after holding it for a long time can be attributed to the bladder's muscle response. The bladder is a muscular organ that expands to hold urine and contracts to release it. When you hold urine for too long, the bladder walls can become overstretched, leading to a temporary decrease in the bladder's ability to contract effectively. This can result in a slower stream of urine when you finally do go to the bathroom.

The discomfort or aching sensation in your bladder and lower back, particularly if it is localized to one side, could indicate a few things. It may simply be a result of the bladder being overfilled and then contracting forcefully to expel the urine. However, if the pain persists or worsens, it could be a sign of a urinary tract infection (UTI) or other underlying issues such as bladder inflammation or even kidney problems, especially if the pain is unilateral (on one side).

In addition to the physical discomfort, holding urine for long periods can lead to other complications. Chronic retention of urine can increase the risk of urinary tract infections, as stagnant urine can become a breeding ground for bacteria. It can also lead to bladder dysfunction over time, where the bladder loses its ability to contract properly, resulting in issues like urinary incontinence or retention.

If you are experiencing these symptoms frequently, it is essential to consult a healthcare professional for a thorough evaluation. They may recommend tests such as a urinalysis to check for infections, bladder function tests, or imaging studies to assess the health of your urinary system.

In the meantime, it is advisable to avoid holding your urine for extended periods. Try to establish a regular bathroom schedule, and listen to your body's signals to urinate when you feel the urge. Staying well-hydrated can also help maintain bladder health.

In summary, while occasional discomfort after holding urine may not be a cause for alarm, persistent symptoms warrant medical attention to rule out any serious conditions. Taking proactive steps to manage your urinary habits can help prevent further complications and maintain overall urinary health.

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