Urinary Issues: When to Seek Further Medical Help

Urinary problems

Doctor, I have a long-standing habit of holding in my urine.
Last month, I went for an examination, and the doctor said I had a urinary tract infection.
I was prescribed medication (for bacterial infection and frequent urination), and I was told there was no need for a follow-up visit.
However, during the course of the medication, I still experienced frequent urination, although the volume increased.
After finishing the medication, I urinate every two hours, but the volume seems to vary.
I'm not sure if this is due to stress or something else.
I pay close attention to when I urinate and how much, so any changes make me anxious.
I am currently drinking 2000cc of water, and previous test results also indicated a bacterial infection, but my kidney function was reported as normal.
Still, I am worried about the possibility of cancer.
Do you think it is necessary to undergo a full health check-up, or should I see a urologist? I have been feeling a bit depressed and anxious lately, and my mental state has not been good.
I have already sought counseling, but it hasn't alleviated these emotions.

Brady, 20~29 year old female. Ask Date: 2019/10/31

Dr. Du Mingyi reply Urology

There's no need to be overly anxious; it's unlikely for someone in their 20s to have cancer.
It's more likely a common urinary tract infection, which is quite frequent among young women.
Try to avoid holding in urine.
If there are symptoms of depression or anxiety, it's important to consult a mental health professional.

Reply Date: 2019/10/31

More Info

When it comes to urinary issues, especially those stemming from a history of urinary tract infections (UTIs) and habits like holding in urine, it’s essential to understand when to seek further medical help. Your concerns about frequent urination, fluctuating urine volume, and the anxiety surrounding potential serious conditions like cancer are valid and warrant attention.

Firstly, it’s important to recognize that urinary frequency and volume can be influenced by various factors, including hydration levels, stress, and underlying medical conditions. In your case, the fact that you have been diagnosed with a UTI and treated with antibiotics indicates that there was an identifiable infection that needed addressing. However, the persistence of symptoms like frequent urination, even after treatment, suggests that further evaluation may be necessary.

1. Understanding Your Symptoms: Frequent urination can be caused by several factors, including:
- Infection: Even after treatment, some infections can linger or recur.

- Overactive Bladder: This condition can cause a sudden urge to urinate and may not always be linked to an infection.

- Anxiety and Stress: Psychological factors can significantly impact urinary habits. Anxiety can lead to increased awareness of bodily functions, making you feel like you need to urinate more often.

- Diet and Fluid Intake: High fluid intake, especially of caffeinated or alcoholic beverages, can increase urination frequency.

2. When to Seek Further Medical Help: Given your ongoing symptoms and the emotional distress you’re experiencing, it would be prudent to consult a healthcare provider again. Here are some indicators that suggest you should seek further medical evaluation:
- Persistent Symptoms: If you continue to experience frequent urination or changes in urine volume despite treatment.

- New Symptoms: If you notice blood in your urine, severe pain, or any other new symptoms.

- Emotional Distress: Since you mentioned feelings of anxiety and depression, it’s crucial to address these with a mental health professional. Psychological well-being is closely tied to physical health, and managing anxiety can help alleviate some of your urinary concerns.

3. Next Steps:
- Follow-Up with a Urologist: A urologist can perform further tests, such as urinalysis, urine culture, or imaging studies, to rule out any underlying conditions that may not have been addressed during your initial visit.

- Consider a Comprehensive Health Check: If you have ongoing concerns about your overall health, including fears about cancer, a general health check-up can provide peace of mind. This may include blood tests, imaging, and a thorough evaluation of your urinary system.

- Mental Health Support: Since you’ve already sought counseling, consider discussing your urinary symptoms with your therapist. They can help you develop coping strategies for anxiety and stress, which may, in turn, help with your physical symptoms.

4. Lifestyle Adjustments: While you’re drinking a significant amount of water, ensure that your fluid intake is balanced and not excessive. Sometimes, reducing caffeine and alcohol can help manage urinary frequency. Additionally, practicing relaxation techniques, such as mindfulness or deep breathing exercises, can help alleviate anxiety.

In summary, while your initial treatment for a UTI was appropriate, the persistence of symptoms and your emotional distress indicate that further medical evaluation is warranted. Consulting a urologist for a comprehensive assessment and addressing your mental health concerns with a professional can provide a more holistic approach to your situation. Remember, it’s essential to advocate for your health and seek help when needed.

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