Urinary Issues: Chronic Prostatitis and Bladder Inflammation

Q: Urinary Issues: Chronic Prostatitis and Bladder Inflammation

Hello： 1. Is having a strong odor in urine a symptom of prostatitis? If a urinalysis is normal at this time, it may be due to insufficient hydration. If you are concerned, you can have a urinalysis done when experiencing urinary symptoms. 2. Should I continue t

Urinary problems

Hello Doctor, I had urinary issues (frequent urination, painful urination, and a feeling of incomplete emptying) a month or two ago, so I went to a large hospital for examination.
The urine test showed no inflammation, and my PSA levels were normal.
The doctor diagnosed me with chronic prostatitis and prescribed Urief 8mg for one month, asking me to return for a follow-up in a month and a half.
I went back for my follow-up two days ago and told him that I had improved a lot during the month I was on the medication, but during the half month without it, I still experienced some pain and frequency.
He prescribed me the same medication for another three months.
However, in the past few days, I have occasionally felt pain in my bladder while urinating, and today I noticed a strong ammonia smell in my urine.
I researched online and found that it could be a sign of bladder inflammation.
Doctor, I have two questions: 1.
Is having an unusual odor in urine a symptom of prostatitis? 2.
Should I continue taking the prostatitis medication and monitor my symptoms, or should I get checked for possible bladder inflammation? Thank you, Doctor.

Ken, 20~29 year old female. Ask Date: 2023/01/09

Dr. Liu Mingyue reply Urology

Hello:
1.
Is having a strong odor in urine a symptom of prostatitis? If a urinalysis is normal at this time, it may be due to insufficient hydration.
If you are concerned, you can have a urinalysis done when experiencing urinary symptoms.
2.
Should I continue taking medication for prostatitis and monitor my condition, or should I get checked for a possible bladder infection? Thank you, doctor.
→ If the frequency is high, you should seek medical attention for an examination, at least a urinalysis.
Currently, drink more plain water and reduce beverage intake.
Wishing you good health.

Reply Date: 2023/01/09

More Info

Chronic prostatitis and bladder inflammation are two interrelated conditions that can significantly impact urinary health. Your symptoms of frequent urination, painful urination, and the sensation of incomplete bladder emptying are common in individuals suffering from chronic prostatitis. The fact that your PSA levels are normal and your urine tests did not show signs of infection is a good indication that you may be dealing with chronic prostatitis rather than an acute infection.

1. Urinary Odor and Prostatitis: The presence of an unusual odor in your urine, such as a strong ammonia smell, can be associated with several factors. While it is not a classic symptom of prostatitis, it can indicate dehydration or the concentration of waste products in the urine. In some cases, it may also suggest a urinary tract infection (UTI) or bladder inflammation. Chronic prostatitis can lead to changes in the urinary tract that may predispose you to infections, which could explain the odor.

2. Continuing Medication vs. Further Investigation: Given that you have experienced improvement while on medication but still have episodes of pain and frequency, it is essential to consider a few factors. Continuing the prescribed medication (Urief) may help manage your symptoms further, as chronic prostatitis often requires extended treatment to achieve lasting relief. However, if you are experiencing new symptoms, such as bladder pain and a distinct odor in your urine, it would be prudent to consult your physician for further evaluation.

You may want to discuss the possibility of conducting additional tests to rule out bladder inflammation or a urinary tract infection. A urine culture could be beneficial to determine if there is an underlying infection that needs to be addressed. Additionally, a bladder ultrasound or cystoscopy may be warranted if symptoms persist, as these tests can provide more insight into the condition of your bladder and urinary tract.

3. Monitoring Symptoms: It is crucial to keep track of your symptoms and any changes you notice. If the pain during urination becomes more frequent or severe, or if you develop other symptoms such as fever, chills, or blood in your urine, you should seek medical attention promptly.
4. Lifestyle Considerations: In managing chronic prostatitis and potential bladder inflammation, lifestyle modifications can also play a significant role. Staying well-hydrated, avoiding irritants such as caffeine and alcohol, and practicing good urinary hygiene can help alleviate symptoms. Regular follow-ups with your healthcare provider are essential to monitor your condition and adjust treatment as necessary.

In summary, while your current medication may be beneficial, it is essential to remain vigilant about your symptoms. If you notice any new or worsening symptoms, do not hesitate to reach out to your healthcare provider for further evaluation. Chronic prostatitis can be a complex condition, and a comprehensive approach to treatment, including medication, lifestyle changes, and regular monitoring, is often necessary for optimal management.

Similar Q&A

Understanding Urinary Issues: Chronic Prostatitis and Bladder Inflammation

Hello Doctor, I have been experiencing urinary issues (frequent urination, painful urination, and a feeling of incomplete emptying) for the past couple of months, so I went to a major hospital for an examination. The urinalysis showed no signs of infection, and my PSA levels were...

Dr. Du Shixi reply Urology
Hello: If not taking medication will affect your quality of life, then you should take the medication. Additionally, pay attention to your lifestyle. Wishing you good health.

Chronic Prostatitis and Its Connection to Bladder Inflammation

Dear Dr. Hsu, Thank you very much for your valuable advice, which has helped me clarify some doubts I have. I am currently working overseas, and I am experiencing frequent urination along with painful urination. Additionally, my recent health check revealed that my glomerular fi...

Dr. Xu Weikai reply Urology
Hello! 1. Yes. 2. Yes. 3. It depends on the urine tests and clinical symptoms. 4. If you are concerned about kidney function, you can consult a nephrologist for relevant tests. If there are any unclear points, feel free to ask again, and we can discuss and research further. Onlin...

Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Management

Two years ago, I sought medical attention for urethritis, which has recurred intermittently. At the beginning of last year, I was diagnosed with overactive bladder, experiencing frequent urination both day and night, but without pain. Towards the end of last year, I began to expe...

Dr. Du Shixi reply Urology
Hello: This information is for reference only and cannot replace a physician's examination. Regarding the examination and tests: 1) Chronic prostatitis is a possibility. 2) This condition requires attention to lifestyle and dietary habits, as well as regular exercise, for lo...

Understanding Chronic Urethritis: Symptoms, Treatment, and Recovery

Doctor, I developed urethritis over a year ago, but I haven't focused on treatment, which has led to frequent urination. However, in the past few months, I've started experiencing inexplicable sharp pain in my urethra, like being cut, and my bladder also feels irritated...

Dr. Chen Xiuyi reply Urology
Hello: As you mentioned, it is essential to rule out chronic prostatitis. Chronic prostatitis is divided into chronic bacterial prostatitis and chronic non-bacterial prostatitis. The latter is characterized by an inflammatory response rather than a bacterial infection, and bacter...