The lower abdomen was kicked?
Hello Doctor: Since I was kicked in the lower abdomen two weeks ago, I started experiencing frequent urination on the same day.
Each time, it's only a small amount, but there's no pain; however, I feel a slight itching sensation in my bladder as soon as there's a little urine.
A week later, I visited a urologist, who said I have a small stone in my right kidney, but none in my bladder.
During a follow-up visit, the doctor mentioned that my urine showed no bacterial infection and suggested that it might be a bit of overactivity.
After a few days, it improved, but yesterday, the frequent urination started again, accompanied by a slight burning sensation in my genital area.
I would like to ask if a urine test for cystitis will always detect bacteria? Also, if the bladder overactivity is due to the kick, is it temporary or permanent?
Mr. Wang, 10~19 year old female. Ask Date: 2021/05/31
Dr. Li Xinyi reply Urology
If the symptoms persist, it may affect the prostate, leading to chronic prostatitis.
In that case, it is advisable to consult a urologist to discuss appropriate treatment options.
Reply Date: 2021/05/31
More Info
Understanding bladder irritation after abdominal trauma can be complex, especially when considering the potential for underlying injuries and the body's response to trauma. In your case, the symptoms of frequent urination and a sensation of itchiness or burning in the bladder area following an abdominal impact raise several important considerations.
Firstly, it is essential to understand that trauma to the abdomen can lead to various complications, including irritation of the bladder. The bladder is a muscular organ that can become hyperactive or irritable due to direct trauma or secondary effects from nearby injuries. In your situation, the kick to your lower abdomen may have caused a temporary increase in bladder sensitivity or overactivity, which can manifest as frequent urination, urgency, and discomfort.
Regarding your question about urinary tract infections (UTIs), it is important to note that not all cases of bladder irritation are due to bacterial infections. A urinalysis is typically performed to check for the presence of bacteria, white blood cells, and other indicators of infection. However, it is possible to experience bladder irritation without a detectable infection. This condition is sometimes referred to as "interstitial cystitis" or "bladder pain syndrome," which can occur due to inflammation or irritation of the bladder lining.
In your case, since your urine tests have shown no signs of infection, it is plausible that your symptoms are related to the trauma rather than a bacterial infection. The sensation of burning or discomfort in the genital area could also be linked to the same irritation or could be a result of referred pain from the bladder or surrounding structures.
As for the question of whether the bladder overactivity is temporary or permanent, it largely depends on the extent of the trauma and the body's healing response. Many individuals experience temporary bladder irritability following trauma, which can resolve as the body heals. However, in some cases, if the bladder has sustained significant trauma or if there are ongoing irritants (such as kidney stones), symptoms may persist longer and require further management.
To aid in your recovery, consider the following recommendations:
1. Hydration: Drink plenty of fluids to help flush out any irritants and maintain urinary tract health. However, avoid excessive caffeine and alcohol, as these can irritate the bladder.
2. Dietary Adjustments: Some foods and beverages can exacerbate bladder irritation. Consider keeping a food diary to identify any potential triggers.
3. Follow-Up Care: Continue to follow up with your urologist, especially if symptoms persist or worsen. They may recommend further testing, such as imaging studies, to rule out any structural issues.
4. Pelvic Floor Exercises: Engaging in pelvic floor exercises may help strengthen the muscles around the bladder and improve control over urination.
5. Pain Management: If you experience discomfort, over-the-counter pain relievers may help, but consult your healthcare provider before starting any new medication.
6. Stress Management: Stress can exacerbate bladder symptoms, so consider relaxation techniques or counseling if you feel anxious about your condition.
In conclusion, while your symptoms may be related to the trauma you experienced, they do not necessarily indicate a permanent condition. With appropriate care and monitoring, many individuals find relief from their symptoms over time. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation.
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