Residual Urine Sensation and Urine Color Changes

Q: Residual Urine Sensation and Urine Color Changes

Ah Xiang： Hello! 1. <br>Many diseases could be the cause, such as infections, urinary stones, tumors, and various other factors. <br>2. <br>A urine test can be conducted to check for hematuria or the presence of drug-related coloration. <br>I hope the above answers are helpful to

Post-void dribbling and urine color?

Hello Dr.
Hsu,
I currently experience a lingering sensation of incomplete bladder emptying after urination, but there is no pain or itching during urination.
I only feel slight abdominal swelling without pain.
Therefore, I would like to ask:
1.
What could the symptoms described above indicate?
2.
I have previously visited a traditional Chinese medicine clinic, where it was initially determined that I have functional frequency of urination.
I was prescribed some medication targeting bladder function, and there has been slight improvement.
However, the color of my urine is tea-colored with a reddish tint.
Is this normal, or could it indicate hematuria or another condition?
Thank you, Dr.
Hsu.

Axiang, 30~39 year old female. Ask Date: 2015/04/08

Dr. Xu Weikai reply Urology

Ah Xiang: Hello! 1.
Many diseases could be the cause, such as infections, urinary stones, tumors, and various other factors.
2.
A urine test can be conducted to check for hematuria or the presence of drug-related coloration.
I hope the above answers are helpful to you.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Information from the internet should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/04/08

More Info

Understanding residual urine sensation and changes in urine color can be complex and may indicate various underlying conditions. Based on your description, let's break down your concerns into two main parts: the sensation of residual urine and the changes in urine color.

1. Residual Urine Sensation
The sensation of residual urine, where you feel as though you have not completely emptied your bladder after urination, can be attributed to several factors. Here are some potential causes:
- Bladder Dysfunction: Conditions such as overactive bladder or bladder outlet obstruction can lead to incomplete bladder emptying. This may result in a feeling of urgency or residual urine sensation.

- Neurological Conditions: Neurological disorders affecting bladder control, such as multiple sclerosis or spinal cord injuries, can also lead to sensations of incomplete voiding.

- Infection or Inflammation: Urinary tract infections (UTIs) or inflammation of the bladder (cystitis) can cause discomfort and a sensation of incomplete emptying, even if there is no pain during urination.

- Prostate Issues: In men, prostate enlargement or prostatitis can obstruct urine flow, leading to a feeling of residual urine.

Given that you have no pain or itching, and only a slight sensation of abdominal fullness, it may be less likely to be an infection. However, it is essential to consult a healthcare provider for a thorough evaluation, including a physical examination and possibly imaging studies or urodynamic testing.

2. Changes in Urine Color
The change in urine color to a tea-colored or reddish hue can be concerning and may indicate several conditions:
- Hematuria: The presence of blood in the urine can cause a reddish or tea-colored appearance. This can result from various causes, including infections, kidney stones, or more serious conditions like tumors.

- Dehydration: Concentrated urine due to dehydration can appear darker. However, you mentioned that you have been drinking a reasonable amount of water, which may not fully explain the color change.

- Medications or Foods: Certain medications, such as those used for urinary tract infections, can alter urine color. Foods like beets or berries can also change urine color temporarily.

- Liver Issues: Tea-colored urine can sometimes indicate liver problems, such as hepatitis or cirrhosis, where bilirubin levels in the urine increase.

Recommendations
Given your symptoms, it is crucial to follow up with your healthcare provider for further evaluation. Here are some steps you might consider:
- Urinalysis: A comprehensive urinalysis can help determine the presence of blood, infection, or other abnormalities in the urine.

- Imaging Studies: If there is a suspicion of structural issues, imaging studies like an ultrasound or CT scan may be warranted.

- Urodynamic Testing: If bladder dysfunction is suspected, urodynamic studies can assess how well your bladder is storing and releasing urine.

- Monitoring Symptoms: Keep track of any changes in your symptoms, including the frequency of urination, any new pain, or changes in urine color.

In conclusion, while your symptoms may not indicate a severe condition, they warrant further investigation to rule out any underlying issues. It is essential to maintain open communication with your healthcare provider and follow their recommendations for further testing and management.

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