the Risks of Holding Urine: When to See a Doctor

Questions related to holding urine?

Hello doctor, a few days ago I was on a bus and needed to use the restroom but couldn't, so I held my urine for a long time.
I would like to ask if this could cause any problems.
If there are issues, what symptoms should I look for to determine if I need to see a doctor? Thank you.

JAM, 20~29 year old female. Ask Date: 2019/09/06

Dr. Du Mingyi reply Urology

As long as urination is not painful afterwards, there is no need for concern.

Reply Date: 2019/09/06

More Info

Holding urine for extended periods can lead to several complications, and it's important to understand the potential risks associated with this behavior. When you hold your urine, the bladder stretches to accommodate the increased volume, which can cause discomfort and pain. In some cases, this can lead to a condition known as urinary retention, where the bladder cannot fully empty, leading to a buildup of urine.

One of the immediate concerns with holding urine for too long is the risk of urinary tract infections (UTIs). When urine remains in the bladder for extended periods, it can create an environment conducive to bacterial growth. Symptoms of a UTI may include a burning sensation during urination, frequent urges to urinate, cloudy or foul-smelling urine, and lower abdominal pain. If you experience these symptoms after holding your urine, it is advisable to see a doctor.

Another potential issue is bladder overdistension. If the bladder is stretched beyond its normal capacity, it can lead to damage to the bladder muscles and nerves. This can result in a decreased ability to sense when the bladder is full, leading to chronic urinary retention. Symptoms of this condition may include difficulty starting urination, weak urine flow, or a feeling of incomplete bladder emptying.

In severe cases, prolonged retention can lead to acute urinary retention, a medical emergency where the bladder becomes so full that it cannot empty at all. This condition can cause severe pain and discomfort, and may require catheterization to relieve the pressure. Symptoms of acute urinary retention include a sudden inability to urinate, severe abdominal pain, and a distended bladder that can be felt through the abdominal wall.

Additionally, holding urine for long periods can contribute to kidney problems. If urine backs up into the kidneys due to a full bladder, it can lead to hydronephrosis, a condition characterized by swelling of the kidneys due to the buildup of urine. Symptoms of hydronephrosis may include flank pain, nausea, vomiting, and fever. If you experience these symptoms, it is crucial to seek medical attention promptly.

In summary, while it may be unavoidable at times to hold your urine, doing so regularly can lead to various health issues, including urinary tract infections, bladder overdistension, acute urinary retention, and potential kidney problems. If you find yourself frequently needing to hold your urine or if you experience any concerning symptoms after doing so, it is advisable to consult a healthcare professional. They can provide guidance on managing your urinary health and address any underlying issues that may be contributing to your symptoms. Remember, maintaining regular bathroom habits is essential for urinary tract health and overall well-being.

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