Painful Urination and Incomplete Bladder Emptying: What to Do? - Urology

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Pain at the end of urination and a sensation of incomplete bladder emptying?


Hello Doctor, I have noticed that I have been experiencing pain during urination for several months (especially towards the end of urination).
I also need to apply pressure to my perineum to ensure I can fully empty my bladder.
Recently, I have also been experiencing increased urinary frequency.
Previously, I visited a doctor who prescribed me 250 mg of Finasteride and 500 mg of Acyclovir (for a seven-day course).
After taking the medication, the pain during urination subsided, but it returns as soon as I stop taking the medication.
Now that I have finished the medication and due to the severe pandemic situation, I am hesitant to see a doctor.
Could you please advise me on what to do? I also have a habit of staying up late.
Thank you!

Yang, 20~29 year old female. Ask Date: 2022/05/02

Dr. Du Shixi reply Urology


Hello: The best approach is to seek medical attention from a urologist at a hospital to prevent the recurrence of symptoms.
If you do not seek medical care, you should still pay attention to your lifestyle, practice safe sex, maintain a light diet, avoid prolonged sitting, and make sure to get up and move regularly.
Stay adequately hydrated and limit the intake of beverages.
Wishing you good health.

Reply Date: 2022/05/02

More Info


Painful urination and incomplete bladder emptying can be distressing symptoms that significantly impact your quality of life. Based on your description, it seems that you have been experiencing these issues for several months, particularly with pain towards the end of urination and a feeling of incomplete bladder emptying. You also mentioned that you were prescribed medications that alleviated the pain temporarily, but the symptoms returned once the medication was finished.

First and foremost, it is essential to understand that painful urination, or dysuria, can be caused by various conditions, including urinary tract infections (UTIs), bladder infections, prostatitis (in men), or even irritation from certain medications or hygiene products. The fact that your symptoms improved with medication suggests that there may be an underlying infection or inflammation that needs to be addressed.

Given that you are experiencing recurring symptoms, it is crucial to follow up with a healthcare provider as soon as possible. While the COVID-19 pandemic has made many hesitant to seek medical care, it is important to prioritize your health. Many healthcare facilities have implemented safety measures to reduce the risk of infection, and telehealth options may also be available for initial consultations.

Here are some steps you can take in the meantime:
1. Stay Hydrated: Drinking plenty of water can help dilute your urine and may ease the pain during urination. Aim for at least 8-10 glasses of water a day unless otherwise advised by a healthcare professional.

2. Avoid Irritants: Certain foods and beverages can irritate the bladder and exacerbate symptoms. Try to avoid caffeine, alcohol, spicy foods, and acidic foods (like citrus fruits) until your symptoms improve.

3. Practice Good Hygiene: Ensure that you are practicing good hygiene, especially after using the bathroom. Wiping from front to back can help prevent bacteria from entering the urethra.

4. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen may help alleviate discomfort. However, consult with a healthcare provider before taking any new medications, especially if you have other health conditions or are taking other medications.

5. Monitor Symptoms: Keep track of your symptoms, including when they occur, their severity, and any other accompanying symptoms (like fever, chills, or back pain). This information can be helpful for your healthcare provider.

6. Follow Up with Your Doctor: It is crucial to see your doctor for further evaluation. They may recommend a urinalysis or urine culture to check for infections and determine the appropriate treatment. If necessary, they may also refer you to a urologist for specialized care.

7. Consider Lifestyle Changes: Since you mentioned having a habit of staying up late, consider adjusting your sleep schedule. Lack of sleep can weaken your immune system, making you more susceptible to infections.

In summary, while your symptoms may have temporarily improved with medication, it is essential to address the underlying cause of your painful urination and incomplete bladder emptying. Seeking medical attention is crucial, as untreated urinary issues can lead to more severe complications. Please do not hesitate to reach out to a healthcare provider, whether in-person or via telehealth, to discuss your symptoms and receive appropriate care. Your health and well-being should always come first.

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