Frequent Urination: When to See a Urologist or Nephrologist

Frequent urination

Hello Doctor: Recently, I have been going to the bathroom every 40-60 minutes.
Sometimes I experience pain in my left lower back.
I drink very little water, but after urinating, I still feel the urge to urinate, yet I cannot.
Generally, the volume of urine is not much, and sometimes I feel discomfort around the left side of my bladder.
What could be causing this condition? Should I see a urologist or a nephrologist?

a a, 30~39 year old female. Ask Date: 2007/08/29

Dr. Wu Jiyu reply Internal Medicine

1.
Either urology or nephrology is acceptable.
2.
Generally, a urinalysis is required first to check for inflammation or stones.
3.
Additionally, a renal ultrasound examination can be arranged.

Reply Date: 2007/08/29

More Info

Frequent urination, especially when accompanied by discomfort or pain, can be a sign of various underlying conditions that may require medical attention. Based on your symptoms of urinating every 40-60 minutes, experiencing left flank pain, and having a sensation of urgency without the ability to fully void, it is advisable to consult a urologist for a thorough evaluation.

Frequent urination, or polyuria, can be caused by several factors, including urinary tract infections (UTIs), bladder irritability, kidney issues, or even diabetes. The fact that you are experiencing pain in the left flank area could indicate a potential issue with your left kidney or ureter, such as a stone or an obstruction. Additionally, the sensation of urgency without the ability to void completely may suggest bladder dysfunction or a possible obstruction in the urinary tract.

When you visit a urologist, they will likely perform a comprehensive assessment that may include:
1. Urinalysis: This test will help identify any signs of infection, blood, or other abnormalities in your urine.

2. Imaging Studies: Depending on the findings from your urinalysis, the urologist may recommend imaging studies such as an ultrasound or CT scan to visualize the kidneys, ureters, and bladder. This can help identify any structural abnormalities, stones, or obstructions.

3. Cystoscopy: In some cases, a urologist may perform a cystoscopy, which involves inserting a small camera into the bladder through the urethra to directly visualize the bladder lining and urethra.

4. Urodynamic Studies: If bladder dysfunction is suspected, urodynamic studies may be conducted to assess how well your bladder and urethra are functioning.

Given your symptoms, it is crucial to address this issue promptly. Delaying evaluation and treatment could lead to complications, especially if there is an underlying infection or obstruction that could affect kidney function. If the urologist determines that your symptoms are related to kidney function or systemic issues, they may refer you to a nephrologist for further evaluation.

In summary, based on your symptoms of frequent urination, flank pain, and incomplete voiding, it is recommended to see a urologist first. They will be able to conduct the necessary tests to determine the cause of your symptoms and guide you on the appropriate treatment. If needed, they can refer you to a nephrologist for further management of any kidney-related issues. It is essential to seek medical attention to ensure your urinary health and overall well-being.

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