Urinary Issues: When to Seek Help for Kidney Problems - Urology

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Urination, kidney issues?


Hello, doctor.
I've been experiencing urinary hesitancy for the past few weeks, taking about 5 seconds to start urinating.
I later noticed that my urine has bubbles, the flow rate has decreased, and the volume is less.
Should I be concerned that there might be an issue with my kidneys, and do I need to see a doctor urgently? I'm hesitant to go out due to the recent pandemic situation.

Ruby, 20~29 year old female. Ask Date: 2021/06/19

Dr. Du Shixi reply Urology


Hello: You can start by drinking more water, engaging in gentle exercise, and observing your condition.
Generally, kidney issues can lead to edema.
If you're still concerned, you may want to get a urine test done.
Wishing you good health.

Reply Date: 2021/06/19

More Info


When it comes to urinary issues, especially those that involve changes in urination patterns, it is crucial to pay attention to the symptoms and seek medical advice when necessary. Based on your description of experiencing a delay in urination (urinary hesitancy), the presence of bubbles in your urine, a decrease in urine flow rate, and reduced urine volume, these could be indicative of underlying kidney or urinary tract issues that warrant further investigation.

Urinary hesitancy, or the feeling of needing to wait before urination begins, can be caused by several factors. In men, it is often associated with prostate issues, such as benign prostatic hyperplasia (BPH) or prostatitis, which can obstruct the flow of urine. In women, urinary hesitancy can be related to pelvic floor dysfunction or other anatomical changes. The presence of bubbles in urine can sometimes indicate proteinuria, which is the presence of excess protein in the urine and can be a sign of kidney damage or disease. Additionally, a decrease in urine flow and volume can suggest that the kidneys are not filtering blood effectively or that there is an obstruction in the urinary tract.

Given the current pandemic situation, it is understandable to be cautious about seeking medical care. However, it is important to prioritize your health, especially when experiencing symptoms that could indicate a serious condition. Delaying medical evaluation could lead to worsening symptoms or complications. If you are experiencing these urinary symptoms, it is advisable to consult a healthcare provider as soon as possible. They may recommend a urinalysis, blood tests to check kidney function (such as serum creatinine and blood urea nitrogen), and possibly imaging studies like an ultrasound to assess the kidneys and urinary tract.

In the meantime, there are a few self-care measures you can take to help manage your symptoms. Staying well-hydrated by drinking plenty of fluids can help improve urine flow and dilute any potential irritants in the urinary tract. Avoiding caffeine and alcohol, which can irritate the bladder, may also be beneficial. Additionally, practicing pelvic floor exercises (Kegel exercises) can strengthen the muscles involved in urination and may help alleviate some symptoms.

In summary, while it is understandable to be hesitant about seeking medical care during the pandemic, your symptoms of urinary hesitancy, bubbles in urine, and decreased urine flow and volume are concerning and should not be ignored. It is advisable to consult a healthcare provider to determine the underlying cause and receive appropriate treatment. Early intervention can lead to better outcomes and prevent potential complications related to kidney or urinary tract issues.

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