Frequent Urination and Bladder Issues: When to Seek Help - Urology

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Frequent urination, bladder issues?


Hello doctor, in the past few days, I've been experiencing a burning sensation in my bladder towards the end of urination.
After using the restroom, I still feel the urge to urinate, and my bladder feels full with urine.
I've been experiencing frequent urination, but the amount is not significant.
Sometimes, there are a few drops of blood when I wipe (about 2-3 drops), but other times there is none.
I can't tell if there is blood in my urine, and I don't have any burning sensation or pain in my urethra.
Could this indicate a problem with my urinary system? Should I observe my symptoms for a few more days or see a doctor right away? Also, does receiving the BNT vaccine (on September 23) affect the urinary system?

Fang, 10~19 year old female. Ask Date: 2021/10/09

Dr. Chen Jiansheng reply Urology


Please seek medical examination and treatment.

Reply Date: 2021/10/09

More Info


Frequent urination and bladder discomfort can be concerning symptoms that warrant medical attention. Based on your description, it seems you are experiencing a combination of symptoms, including a feeling of urgency, a sensation of incomplete bladder emptying, and occasional blood when wiping. These symptoms could indicate a variety of underlying issues within the urinary system.

Firstly, the sensation of a full or "tight" bladder, along with frequent urination, can be associated with conditions such as urinary tract infections (UTIs), bladder overactivity, or even interstitial cystitis, which is a chronic condition characterized by bladder pressure, bladder pain, and sometimes pelvic pain. The presence of blood, even in small amounts, should not be overlooked, as it can indicate irritation or injury within the urinary tract, which could be due to infection, inflammation, or other causes.

Given that you mentioned the absence of burning or pain during urination, this might suggest that a UTI is less likely, but it does not rule it out entirely. It's also important to consider that other factors, such as recent physical activity, dehydration, or even dietary irritants (like caffeine or spicy foods), can contribute to bladder discomfort and urgency.

Regarding your question about the BNT vaccine (Pfizer-BioNTech COVID-19 vaccine), there is currently no substantial evidence to suggest that this vaccine directly affects the urinary system. Vaccines can cause a variety of side effects, but urinary symptoms are not commonly reported. However, individual reactions can vary, and if you have concerns about how the vaccine may have affected your health, it’s worth discussing with your healthcare provider.

In terms of what you should do next, it is advisable to seek medical attention sooner rather than later. Observing your symptoms for a few more days may not be the best course of action, especially given the presence of blood. A healthcare professional can perform a thorough evaluation, which may include a urinalysis, urine culture, and possibly imaging studies to assess the kidneys and bladder. These tests can help identify any infections, structural abnormalities, or other conditions that may be contributing to your symptoms.

In summary, while some urinary symptoms can resolve on their own, the combination of frequent urination, a feeling of incomplete emptying, and the presence of blood when wiping suggests that it would be prudent to consult a healthcare provider. Early intervention can help prevent potential complications and provide you with the appropriate treatment to alleviate your symptoms. Remember, your health is important, and addressing these concerns promptly can lead to better outcomes.

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