Urinary Issues: Symptoms, Causes, and When to Seek Help - Urology

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It is unclear whether the issue is related to the urinary system, prostate, or another condition?


I am currently experiencing urinary weakness and frequent urination (I feel the urge to urinate as soon as five minutes after drinking water, and my urine is clear and colorless like water), especially while sitting in the office.
Sometimes, when I am fasting, I feel a slight discomfort in my lower abdomen and lower back.
Could these issues be related to a period of excessive masturbation in the past? Additionally, I have a condition of herniated discs; I wonder if this is related to the information suggesting that scoliosis may cause nerve compression, leading to frequent urination.
I have a few questions for the doctor:
1.
Based on my description, what could be the possible symptoms I am experiencing? If I need to seek medical attention in Taichung, could you recommend a hospital that can provide answers?
2.
What tests might be necessary to alleviate my concerns regarding the symptoms mentioned above? What would the costs be?

Yue lai yue nao ren, 20~29 year old female. Ask Date: 2006/05/22

Dr. Lai Ronghao reply Urology


Hello: Based on what you described, the symptoms may be due to prostatitis, bladder dysfunction (overactive bladder), urinary tract infection, or general health issues without any disease.
The lower back pain is mostly related to musculoskeletal and neurological problems, possibly caused by poor posture.
Additionally, I recommend that you visit the China Medical University Hospital for a nearby examination.
The costs will depend on the charges of each hospital, and some items may be covered by health insurance, which will depend on the specific tests you undergo.
You can inquire about this with the attending physician during your visit.
Thank you!

Reply Date: 2006/05/22

More Info


Understanding urinary issues can be complex, as they often involve a range of symptoms and potential underlying causes. Based on your description, you are experiencing frequent urination, weak urine flow, and some discomfort in your lower abdomen and back. Additionally, you mentioned a history of excessive masturbation and a condition of herniated discs, which could potentially contribute to your symptoms. Let's break down your concerns and explore possible explanations and recommendations.


Symptoms and Possible Causes
1. Frequent Urination: The urge to urinate shortly after drinking water, especially if the urine is clear and resembles water, may indicate a condition known as polyuria. This can be caused by several factors, including:
- Diabetes Mellitus: High blood sugar levels can lead to increased urine production.

- Diabetes Insipidus: A rare condition that affects the body's ability to regulate fluid balance.

- Overactive Bladder: This condition can cause a frequent and urgent need to urinate, often with little warning.

- Infection: A urinary tract infection (UTI) can also lead to increased frequency and urgency.

2. Weak Urine Flow: This symptom can be associated with:
- Prostate Issues: In men, conditions like benign prostatic hyperplasia (BPH) can cause urinary flow problems.

- Nerve Damage: Given your history of herniated discs, it is possible that nerve compression could affect bladder control and function.

3. Discomfort in the Lower Abdomen and Back: This could be related to several factors:
- Musculoskeletal Issues: Your herniated discs may be causing referred pain or discomfort in the pelvic region.

- Bladder Irritation: Conditions like interstitial cystitis or bladder infections can cause discomfort in the lower abdomen.


Recommendations for Seeking Help
1. Consult a Urologist: Given your symptoms, it would be advisable to see a urologist. They specialize in urinary tract issues and can provide a comprehensive evaluation. In Taichung, you can consider visiting hospitals like Taichung Veterans General Hospital or China Medical University Hospital, both of which have urology departments.

2. Diagnostic Tests: To better understand your condition, the following tests may be recommended:
- Urinalysis: This will help identify any signs of infection, blood, or other abnormalities in your urine.

- Ultrasound: An ultrasound of the kidneys and bladder can help identify structural issues or obstructions.

- Urodynamic Testing: This assesses how well your bladder and urethra are storing and releasing urine.

- Cystoscopy: A procedure that allows the doctor to look inside your bladder and urethra using a thin tube with a camera.

3. Costs: The costs of these tests can vary widely depending on the facility and whether you have insurance coverage. It’s best to contact the hospital directly for an estimate. Generally, a urinalysis may cost between $20 to $50, while imaging tests like ultrasounds can range from $100 to $500.


Conclusion
Your urinary symptoms could stem from a variety of causes, including potential diabetes, prostate issues, or nerve-related problems due to your herniated discs. It’s crucial to seek medical attention to accurately diagnose and treat your condition. Early intervention can help prevent complications and improve your quality of life. Don't hesitate to reach out to a healthcare provider for a thorough evaluation and personalized treatment plan.

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