Urinary Issues: Delayed Urination and Abdominal Pain - Urology

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Urination


I have to wait a long time when I urinate, and when I really need to go, I only urinate a small amount.
I have experienced urinary retention, and I have pain on the right side of my abdomen.

A Lun, 10~19 year old female. Ask Date: 2007/09/30

Dr. Lai Ronghao reply Urology


Hello: It is recommended that you first visit the urology outpatient clinic for further examination and treatment to determine the cause.

Reply Date: 2007/09/30

More Info


When experiencing urinary issues such as delayed urination, a strong urge to urinate with little output, and abdominal pain, it is essential to consider several potential underlying causes. Your symptoms could indicate a variety of conditions, ranging from urinary tract infections (UTIs) to more complex issues such as bladder dysfunction or even gastrointestinal problems.

Firstly, the sensation of needing to urinate but being unable to do so effectively can be frustrating and concerning. This symptom, known as urinary hesitancy, can occur due to several factors. One common cause is an obstruction in the urinary tract, which can be due to conditions such as benign prostatic hyperplasia (BPH) in men or pelvic organ prolapse in women. These conditions can compress the urethra, making it difficult to urinate.

Additionally, urinary tract infections can lead to inflammation and irritation of the bladder and urethra, causing a frequent urge to urinate but resulting in little urine production. The presence of abdominal pain, particularly on the right side, could suggest a more localized issue, such as appendicitis or an ovarian cyst in women, which may require immediate medical attention.

Another possibility is interstitial cystitis, a chronic condition characterized by bladder pain and frequent urination. This condition often presents with urgency and frequency but can also be accompanied by pelvic pain. If you have experienced any changes in your urinary habits, such as increased frequency, urgency, or pain during urination, it is crucial to consult a healthcare provider for a thorough evaluation.

In your case, the right-sided abdominal pain could also be related to gastrointestinal issues, such as constipation or irritable bowel syndrome (IBS). Sometimes, bowel issues can lead to referred pain in the bladder area, complicating the clinical picture. If you have a history of constipation, it may be worth exploring dietary changes or medications to help alleviate this issue, as constipation can exert pressure on the bladder and lead to urinary symptoms.

Given the complexity of your symptoms, it is advisable to seek a comprehensive evaluation from a healthcare professional, preferably a urologist. They may perform a physical examination, urinalysis, and possibly imaging studies to assess your urinary tract and abdominal organs. Depending on the findings, they may recommend treatments ranging from lifestyle modifications, such as increased fluid intake and dietary changes, to medications or other interventions.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Hydration: Ensure you are drinking enough water throughout the day. Aim for at least 2-3 liters, unless otherwise advised by your doctor.

2. Dietary Adjustments: Incorporate high-fiber foods to help with any potential constipation. Fruits, vegetables, and whole grains can aid in regular bowel movements.

3. Pelvic Floor Exercises: Strengthening your pelvic floor muscles can sometimes help with urinary urgency and hesitancy. Consider consulting a physical therapist specializing in pelvic health.

4. Avoid Irritants: Certain foods and beverages, such as caffeine, alcohol, and spicy foods, can irritate the bladder. Monitor your diet and see if reducing these items helps alleviate your symptoms.

5. Regular Check-ups: Keep track of your symptoms and maintain regular follow-ups with your healthcare provider to monitor any changes or developments.

In conclusion, while your symptoms may seem interconnected, they can arise from various underlying issues. A thorough evaluation by a healthcare professional is essential to determine the root cause and appropriate treatment plan. Don't hesitate to seek help, as addressing these symptoms early can lead to better outcomes and improved quality of life.

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