Holding in urine for too long?
Hello, doctor.
I often hold my urine, and recently I've noticed that if I hold it for too long, I feel a sense of pressure or heaviness in my left lower back, although it doesn't hurt.
After I urinate, the feeling in my left lower back goes away, and I don't feel any burden (my urine is normal, without foam or cloudiness, and I don't feel any discomfort).
However, I'm very concerned about potential kidney issues.
Niming, 30~39 year old female. Ask Date: 2021/06/04
Dr. Du Shixi reply Urology
Hello: If convenient, please have a urine test at the hospital.
If there are abnormalities, an X-ray may be considered.
If the physician's examination shows no abnormalities, it is likely not a urological issue, and other causes should be investigated.
Wishing you good health.
Reply Date: 2021/06/04
More Info
Holding urine for extended periods can indeed have implications for kidney health, although the immediate effects may not always be apparent. The urinary system, which includes the kidneys, ureters, bladder, and urethra, is designed to store and expel urine efficiently. When you hold urine for too long, several physiological responses occur that can potentially lead to complications.
Firstly, when the bladder fills beyond its normal capacity, it can lead to increased pressure within the bladder. This pressure can cause the bladder walls to stretch, which may lead to a condition known as bladder overdistension. Over time, this can weaken the bladder muscles and affect their ability to contract effectively, leading to urinary retention or incontinence issues.
Moreover, prolonged retention of urine can increase the risk of urinary tract infections (UTIs). When urine sits in the bladder for too long, it can create an environment conducive to bacterial growth. UTIs can lead to inflammation and, if left untreated, can ascend to the kidneys, resulting in pyelonephritis, a serious kidney infection that can damage kidney tissue.
In your case, you mentioned experiencing a sensation of pressure or discomfort in your left flank when holding urine, which resolves after urination. While this discomfort may not be indicative of immediate kidney damage, it is a sign that your bladder is under stress. If this pattern continues, it could potentially lead to complications such as hydronephrosis, where urine backs up into the kidneys due to obstruction or dysfunction, which can ultimately impair kidney function.
It is also worth noting that while your urine appears normal (clear, without foam or cloudiness), this does not rule out underlying issues. Regularly holding urine for extended periods can lead to chronic changes that may not present immediate symptoms but can have long-term consequences.
To mitigate these risks, it is advisable to develop a routine that allows for regular urination. Listening to your body's signals and responding promptly can help maintain bladder health and prevent complications. If you find yourself in situations where you cannot urinate when needed, consider strategies such as planning bathroom breaks or using relaxation techniques to ease the urge.
If you continue to experience discomfort or have concerns about your kidney health, it would be prudent to consult a healthcare professional. They may recommend further evaluation, such as imaging studies or urine tests, to ensure that your urinary tract and kidneys are functioning properly. Regular check-ups can help monitor your kidney function, especially if you have a history of urinary issues.
In summary, while holding urine occasionally may not cause immediate harm, making it a habit can lead to significant health issues over time. Prioritizing regular urination and seeking medical advice when necessary can help protect your kidney health and overall well-being.
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