Pain occurs when pressure or pulling is applied to both sides of the bladder?
Hello Doctor: I recently noticed that if I curl my body or stretch backward, I experience pain on both sides of my bladder, which should be around the kidney area.
However, it’s strange because the pain is in the front rather than the typical posterior location, and pressing on that area does not cause pain.
I also do not feel pain when I exert my abdomen or exercise; it seems that the pain only occurs when that area is compressed or stretched.
I initially thought it was a muscle strain, but after nearly a week, the pain has not changed or decreased, suggesting it may not be a muscle strain.
Additionally, I have noticed bubbles in my urine and I usually do not drink enough water.
My mother has a hereditary form of diabetes.
Doctor, could this indicate a kidney infection or inflammation?
KAY, 30~39 year old female. Ask Date: 2012/07/10
Dr. Wu Jiyu reply Internal Medicine
Dear Kay:
1.
Regarding the pain when pressing or pulling on both sides of the bladder, it is important to note that this is not related to the kidneys, as the kidneys are located in the retroperitoneal space.
If there were pain, it would be felt in the back, not the front.
2.
Therefore, the pain on both sides of the bladder, combined with the observation of bubbles in the urine, suggests that a urine screening test should be conducted first.
3.
If the results are normal, then further evaluation by a gynecologist is recommended.
Thank you for your inquiry.
The Nephrology Department at Changhua Hospital is concerned about your health.
Reply Date: 2012/07/10
More Info
It sounds like you are experiencing some concerning symptoms related to pain near your bladder and potential kidney issues. Let's break down your symptoms and concerns to better understand what might be happening.
Firstly, the pain you describe as occurring when you curl your body or stretch backward could indeed be related to the kidneys, but it is also essential to consider other possibilities. Kidney pain typically presents in the flank area, which is the side of your body, just below the ribs and above the waist. However, pain can sometimes radiate to the front of the abdomen, especially if there is irritation or inflammation in the surrounding tissues or organs.
The fact that you do not experience pain when pressing on the area or during activities like exercising or straining your abdomen suggests that the pain may not be originating from the muscles or skeletal system. Instead, it could be related to the internal organs, such as the kidneys or bladder. Since you mentioned that the pain occurs primarily when you stretch or compress the area, it may indicate some form of irritation or inflammation in the urinary tract or surrounding structures.
The presence of bubbles in your urine can be indicative of proteinuria, which is the presence of excess protein in the urine. This can occur due to various reasons, including kidney issues, dehydration, or even temporary conditions such as exercise-induced proteinuria. Given your family history of diabetes, it is also important to consider that diabetes can lead to kidney complications over time, such as diabetic nephropathy, which can affect kidney function and lead to symptoms like proteinuria.
Your concern about a possible kidney infection or inflammation is valid, especially considering your symptoms. Kidney infections (pyelonephritis) can cause pain, typically in the flank area, and may also be accompanied by other symptoms such as fever, chills, and changes in urination patterns. However, the absence of fever or other systemic symptoms makes a severe infection less likely, but it does not rule it out entirely.
Given that your symptoms have persisted for nearly a week without improvement, it is crucial to seek medical attention. A healthcare provider can perform a thorough evaluation, including a physical examination, urine tests, and possibly imaging studies like an ultrasound or CT scan, to assess the kidneys and urinary tract for any abnormalities.
In summary, while your symptoms could suggest a kidney issue, they could also be related to other factors such as muscle strain or even gastrointestinal issues. The presence of bubbles in your urine and your family history of diabetes warrant further investigation to rule out any underlying kidney problems. It is essential to consult with a healthcare professional who can provide a comprehensive assessment and guide you toward appropriate treatment based on the findings. Remember, early diagnosis and management are key to preventing potential complications, especially concerning kidney health.
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