Cystitis
Hello, doctor.
Last Tuesday, I went to the hospital due to hematuria and was diagnosed with cystitis.
I have been taking the medication prescribed by the doctor for a week.
Initially, I didn't have any symptoms and thought I should be getting better, but just yesterday, I suddenly felt the urge to urinate but couldn't.
What could this be? Do I need to return for a follow-up appointment? Thank you.
Xiao Niao, 20~29 year old female. Ask Date: 2008/05/27
Dr. Xu Weikai reply Urology
Hello, based on your symptoms, it seems you may have another infection.
Given that your bladder was previously injured, it may not withstand another infection, and the symptoms are likely to worsen.
If possible, in addition to taking medication, it is advisable to include cranberry products, as they can help expedite the elimination of bacteria.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Sincerely,
Dr.
Hsu Wei-Kai
Department of Urology
Taitung Hospital, Ministry of Health and Welfare
Reply Date: 2008/05/27
More Info
Bladder inflammation, also known as cystitis, can be a painful and distressing condition. It is often characterized by symptoms such as frequent urination, urgency, pain during urination, and sometimes blood in the urine. In your case, it seems that you were diagnosed with bladder inflammation after experiencing hematuria (blood in urine) and have been on medication for about a week. However, you are now experiencing a new symptom: an inability to urinate despite feeling the urge.
This situation warrants further medical attention for several reasons:
1. Potential Complications: The inability to urinate can indicate a more serious complication, such as urinary retention, which can occur due to inflammation, infection, or obstruction in the urinary tract. If urine builds up in the bladder, it can lead to increased pressure and potential damage to the bladder and kidneys.
2. Assessment of Treatment Efficacy: Since you have been on medication for a week without improvement in your symptoms, it is crucial for your healthcare provider to reassess your condition. The initial treatment may not be effective, or there may be an underlying issue that needs to be addressed, such as a urinary tract infection (UTI) that has not responded to the prescribed medication.
3. Further Diagnostic Testing: Your healthcare provider may need to perform additional tests, such as a urinalysis, urine culture, or imaging studies, to determine the cause of your symptoms. These tests can help identify if there is an ongoing infection, inflammation, or any other abnormalities in the urinary tract.
4. Monitoring for Other Symptoms: If you experience additional symptoms such as fever, chills, severe pain, or any signs of systemic infection, it is essential to seek immediate medical attention. These could indicate a more severe infection or complication that requires urgent care.
5. Follow-Up Care: It is important to maintain open communication with your healthcare provider regarding your symptoms and treatment progress. If your symptoms persist or worsen, or if you have concerns about your condition, do not hesitate to return for a follow-up appointment. Your health and well-being are paramount, and your provider can offer guidance based on your specific situation.
In summary, given your current inability to urinate and the recent diagnosis of bladder inflammation, it is advisable to seek further medical attention. Your healthcare provider can evaluate your condition, adjust your treatment plan if necessary, and ensure that any potential complications are addressed promptly. Remember, it is always better to err on the side of caution when it comes to your health.
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