Urinary Tract Infection
Hello Dr.
Hsu,
Thank you very much for your detailed response earlier.
Following your advice, I visited a physician last night.
The doctor also diagnosed me with typical urinary bladder infection.
I have been drinking a lot of water, but about 15 to 30 minutes after drinking, I experience a strong urge to urinate.
The amount of urine produced in one instance is quite large, approximately 1 to 2 cc within a minute.
Therefore, the total volume of urine in 15 minutes should not be considered excessive, which leaves me a bit confused.
So far, I still need to hold my breath and exert some effort while urinating.
Could this be related to anxiety or sympathetic nervous system activation? How many days of medication will it take for improvement? I have been drinking plenty of water, yet my mouth still feels dry.
I checked the drug reference and found no mention of dry mouth as a side effect.
Could you please explain the reason for this? I appreciate your time in addressing my concerns again.
Thank you!
Ting Ting, 20~29 year old female. Ask Date: 2008/02/06
Dr. Xu Weikai reply Urology
Ting Ting: Hello, I hope you are feeling better.
Due to the New Year holiday, I now have the opportunity to respond to your questions.
In general, a urinary tract infection (UTI) can be treated and resolved within a few days (3-14 days, depending on the type of bacteria), and it rarely leads to long-term complications.
Dry mouth can be partly caused by medication; it may also be due to the winter season, as the weather is drier, which can lead to dehydration and thirst.
Sometimes, just drinking water may not fully quench your thirst, and eating some pears can have a better effect.
Straining during urination may sometimes be related to medication; it could also be due to changes in urination habits caused by the previous UTI.
You are correct that the urine output is about 1-2 cc per minute, which is generally normal.
If you have been drinking a lot of water, the urine output will be produced more quickly.
Therefore, sometimes, the urine output in 30 minutes can reach several hundred cc.
A temporary increase in urine output typically does not have significant side effects.
If there are any unclear points, feel free to ask again, and we can discuss and research further together.
Sincerely, Dr.
Hsu Wei-Kai, Department of Urology, Taitung Hospital, Ministry of Health and Welfare.
Reply Date: 2008/02/06
More Info
It sounds like you are experiencing a range of symptoms that are quite common in cases of urinary tract infections (UTIs) and bladder issues. The symptoms you describe, including frequent urination, a strong urge to urinate shortly after drinking water, and a dry mouth, can indeed be linked to a UTI or bladder irritation.
Frequent urination, especially when accompanied by a strong urge to urinate, is a hallmark symptom of a UTI. This occurs because the infection irritates the bladder lining, leading to increased urgency and frequency of urination. The fact that you are producing small amounts of urine (1-2 cc) suggests that your bladder may be overactive or that you are experiencing bladder spasms, which can happen in response to irritation or infection.
The need to exert some effort to urinate, such as holding your breath or straining slightly, can also be related to anxiety or tension. When we are anxious, our sympathetic nervous system can become activated, which may lead to muscle tension and a heightened state of awareness regarding bodily sensations. This can make it feel more difficult to relax the pelvic floor muscles necessary for urination.
Regarding your dry mouth, while it is true that many medications used to treat UTIs or bladder conditions do not typically list dry mouth as a side effect, it can still occur for several reasons. For instance, dehydration from frequent urination can lead to a dry mouth. Additionally, if you are feeling anxious or stressed, this can also contribute to a sensation of dryness in the mouth. It's also worth considering whether you might be taking any other medications or supplements that could cause this symptom.
As for how long it will take for your symptoms to improve with treatment, this can vary. Generally, if you are on appropriate antibiotics for a UTI, you should start to feel better within a few days. However, it is essential to complete the entire course of antibiotics as prescribed, even if you start feeling better before finishing the medication. If your symptoms persist beyond a week or worsen, it is crucial to follow up with your healthcare provider for further evaluation.
In the meantime, continue to drink plenty of fluids, as this can help flush out the bacteria from your urinary tract. If you find that your symptoms are significantly impacting your daily life or if you experience any new symptoms, such as fever, chills, or back pain, seek medical attention promptly.
Lastly, if you find that anxiety is a significant factor in your symptoms, it may be beneficial to discuss this with your healthcare provider. They can help you explore strategies for managing anxiety, which may, in turn, help alleviate some of the physical symptoms you are experiencing. Cognitive-behavioral therapy (CBT) and relaxation techniques can be particularly effective for managing anxiety related to health concerns.
Overall, it is essential to maintain open communication with your healthcare provider and report any changes in your symptoms or concerns you may have.
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