Bladder and Kidney Stone Issues: Symptoms and Solutions

Q: Bladder and Kidney Stone Issues: Symptoms and Solutions

Hello： Your condition requires a detailed examination for diagnosis. <br>Since the issue is only on the left side, the likelihood of prostate involvement is lower. <br>Please visit the urology department at the hospital for evaluation. <br>If you have any ejaculation issues, be s

Bladder, kidney stones?

Hello doctor, two weeks ago, I suddenly experienced a strong urge to urinate, with intermittent discomfort in my bladder.
After urination, I felt very uncomfortable and had a stinging sensation.
Within an hour, I started to feel pain in my left lower back.
After visiting the emergency room and taking medication for a week, I stopped the medication, but now I have some discomfort at the base of the penis, in the perineum, and in the left lower abdomen.
Additionally, during ejaculation, I also feel discomfort in the left abdomen and perineum.
Previously, I could feel the semen passing through the left abdomen before it was released, and there was a moment of pain during that process.
Is this prostatitis? I've had issues with ejaculation for about 5 to 6 years, but since it has been intermittent, I haven't paid much attention to it.
What could be the problem?

Mr. Lin, 30~39 year old female. Ask Date: 2019/09/26

Dr. Du Shixi reply Urology

Hello: Your condition requires a detailed examination for diagnosis.
Since the issue is only on the left side, the likelihood of prostate involvement is lower.
Please visit the urology department at the hospital for evaluation.
If you have any ejaculation issues, be sure to inform the physician for differential diagnosis.
In the meantime, drink plenty of water, avoid prolonged sitting, stay active, and avoid spicy foods.
Wishing you good health.

Reply Date: 2019/09/26

More Info

It sounds like you're experiencing a complex set of symptoms that could be related to several underlying issues, including potential bladder or kidney stones, prostatitis, or other urinary tract conditions. Let's break down your symptoms and discuss possible causes and solutions.

Symptoms Overview
1. Urgency and Discomfort: The sudden urge to urinate, along with a burning sensation and discomfort in the bladder, can indicate a urinary tract infection (UTI) or inflammation of the bladder (cystitis).
2. Pain in the Lower Back: Pain in the left lower back could suggest kidney involvement, possibly due to stones or an infection affecting the kidney.

3. Discomfort During Ejaculation: Pain during ejaculation and discomfort in the perineum and lower abdomen can be associated with prostatitis, which is inflammation of the prostate gland.
4. Chronic Symptoms: The fact that you've had issues with ejaculation for several years suggests a chronic condition, which could be linked to prostatitis or other pelvic floor disorders.

Possible Causes
1. Urinary Tract Infection (UTI): This is a common cause of urgency and discomfort during urination. UTIs can lead to inflammation and pain in the bladder and urethra.

2. Kidney Stones: Stones can cause significant pain, especially if they are moving through the urinary tract. They can also lead to infections if they obstruct urine flow.

3. Prostatitis: This condition can cause pelvic pain, discomfort during urination and ejaculation, and can be chronic or acute. Chronic prostatitis can be particularly challenging to treat and may require a multifaceted approach.

4. Pelvic Floor Dysfunction: Issues with the pelvic floor muscles can lead to pain during urination and ejaculation, as well as chronic discomfort.

Recommended Solutions
1. Medical Evaluation: Given the complexity of your symptoms, it is crucial to have a thorough evaluation by a urologist. They may recommend urine tests, imaging studies (like an ultrasound or CT scan), and possibly a prostate exam to determine the underlying cause.

2. Antibiotics: If a UTI or bacterial prostatitis is diagnosed, a course of antibiotics may be necessary. It's important to complete the full course as prescribed.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort. However, consult your doctor before taking any medication.

4. Hydration: Increasing fluid intake can help flush out the urinary system and may assist in passing any small stones. Aim for at least 2-3 liters of water daily, unless otherwise directed by your physician.

5. Dietary Adjustments: If kidney stones are a concern, dietary changes may be necessary. Reducing intake of oxalate-rich foods (like spinach and nuts) and increasing citrus fruits can help prevent certain types of stones.

6. Pelvic Floor Therapy: If pelvic floor dysfunction is suspected, physical therapy focusing on the pelvic floor may be beneficial.

7. Follow-Up: Regular follow-up appointments are essential to monitor your symptoms and adjust treatment as necessary. If symptoms persist or worsen, further diagnostic procedures, such as cystoscopy, may be warranted.

Conclusion
Your symptoms warrant a comprehensive evaluation to determine the exact cause and appropriate treatment. It is essential to address these issues promptly to prevent complications and improve your quality of life. Please consult with a healthcare professional who can guide you through the necessary steps for diagnosis and treatment.

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