Constant urge to urinate and other urinary issues?
Hello doctor, I am 17 years old.
Recently, for the past week, I have been experiencing a constant urge to urinate.
After I go, I feel the need to go again, sometimes producing a lot of urine, and other times just a few drops, or even having difficulty urinating while standing at the toilet.
There is no pain during urination, and I don't need to exert extra effort.
The flow and volume of urine seem normal compared to before.
I do not have a habit of holding in my urine, but this symptom has persisted for the past week.
Last Sunday, I went for a jog of about 2600 meters, and afterward, I experienced pain in the lower left side of my back.
The next day, I started having this frequent urination issue, so I am unsure if it is related to the exercise, or if it could be due to urethritis, or possibly issues related to benign prostatic hyperplasia or prostatitis.
Does masturbation cause frequent urination or prostate-related diseases? Additionally, I have phimosis, which has led to inflammation of the glans, and I have visited a large hospital where the doctor prescribed me a topical medication called Linidron V.
Should I apply this directly to the glans? Currently, I am applying it to the glans.
JY, 10~19 year old female. Ask Date: 2013/08/17
Dr. Lin Hexing reply Urology
Hello: After exercise, you should consider whether the issues you are experiencing could be symptoms of acute cystitis or urinary stones.
There's no need to overthink the problem; just visit a urology clinic for evaluation.
Regarding your final question, you should consult the physician who prescribed your medication, as I cannot provide an answer.
Wishing you good health.
Reply Date: 2013/08/17
More Info
Frequent urination, especially in a young person like yourself, can be concerning and may arise from various causes. Given your recent symptoms, let's break down the potential factors contributing to your condition.
1. Physical Activity and Muscle Strain: You mentioned that you recently engaged in a significant amount of running, which may have led to muscle strain or discomfort in your lower back and left side. Sometimes, physical exertion can lead to temporary changes in urinary habits, especially if there is associated discomfort or strain in the pelvic area. However, this is typically not a direct cause of frequent urination.
2. Urinary Tract Infection (UTI): While you indicated that urination is not painful and you do not have to exert much effort, a UTI can still present with increased frequency of urination. UTIs can sometimes cause urgency and a feeling of incomplete bladder emptying, which might explain your symptoms. It would be prudent to get a urine test to rule out any infection.
3. Prostate Issues: Although prostate problems like enlargement or inflammation are more common in older males, they can occur in younger individuals, particularly if there is a history of urinary issues. However, given your age, this is less likely unless there are other underlying conditions.
4. Anxiety and Psychological Factors: Sometimes, anxiety can manifest as increased urinary frequency. If you are feeling stressed or anxious, it might lead to a heightened awareness of your need to urinate. This can create a cycle where the more you think about needing to go, the more frequently you feel the urge.
5. Phimosis and Inflammation: You mentioned having a history of phimosis, which can lead to inflammation of the glans (the head of the penis). If there is irritation or inflammation, it could potentially affect your urinary habits. The medication you received, "臨得隆V" (likely a topical steroid or similar), should be applied as directed by your physician, typically to the affected area. Ensure you follow the instructions provided by your doctor regarding its application.
6. Hydration and Diet: Consider your fluid intake and dietary habits. Increased consumption of caffeine or alcohol can lead to increased urination. Make sure you are drinking enough water, but not excessively, as both dehydration and overhydration can affect urinary frequency.
7. Other Medical Conditions: Conditions such as diabetes or bladder dysfunction can also lead to increased urination. If your symptoms persist, it would be wise to consult with a healthcare provider for a thorough evaluation.
In summary, while your symptoms could be related to recent physical activity, they may also indicate an underlying issue such as a UTI or inflammation. It is essential to consult a healthcare professional who can perform the necessary tests and provide a proper diagnosis. If you experience any additional symptoms, such as pain, fever, or changes in the appearance of your urine, seek medical attention promptly.
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