Questions regarding the bladder?
Doctor, I have a question that I forgot to ask, and I apologize.
Recently, I experienced a sudden sharp pain in my bladder (it was very painful).
The next day, I went to the hospital for an examination.
The doctor arranged for a urinalysis and an abdominal X-ray.
After the results came back, I informed him about my long-term history of masturbation for 8.9 years (almost once a day) and that I had experienced frequent urinary tract infections during that time.
After examining my genital area and reviewing the reports, he noted that I had protein in my urine (+) and that the abdominal X-ray showed some white spots, which he said were likely bladder calcifications.
Lately, I've been feeling slight discomfort in my bladder, and it hurts a bit when I press on it, but I just saw the doctor not long ago.
Should I go back for another visit, or should I follow the doctor's advice to rest more and maintain a regular routine? Can an X-ray detect bladder cancer? Is it common for young people to develop bladder cancer? Has Dr.
Hsu encountered cases of bladder cancer in patients aged 20 to 30 in clinical practice (I have never dyed my hair, do not smoke, and am not a painter)? How serious is bladder calcification? What should I do for maintenance? At what age is bladder cancer most likely to occur? The recent discomfort has me very worried, especially since I also feel some discomfort in my lower abdomen.
Xiwang jiankang, 20~29 year old female. Ask Date: 2015/11/05
Dr. Xu Weikai reply Urology
Hope for Health: Hello! 1.
If you have just finished a clinic visit, you can initially follow the recommendations of your outpatient physician.
If there is no improvement after some time, you can return to the clinic.
You may observe your condition and retest the quantitative measurement of protein concentration in the urine after 1-2 weeks for more accuracy.
2.
Standard X-rays cannot detect bladder cancer; specialized imaging is required.
Note: The typical diagnosis for bladder cancer involves cystoscopy.
3.
Bladder cancer is more common in middle-aged and older adults, particularly those over 50-60 years old, although it can occasionally occur in individuals under 50.
During my time at National Taiwan University, I also encountered very young patients, but such cases are rare.
The significance of bladder calcification depends on its extent and size.
If you have any further questions or need clarification, feel free to ask, and we can discuss and research together.
Online responses should only be used as a reference; if necessary, it is essential to seek medical care at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.
Reply Date: 2015/11/05
More Info
Understanding bladder health is crucial, especially when experiencing symptoms like pain, discomfort, or unusual findings in diagnostic tests. Your concerns about bladder pain, calcium deposits, and the risk of bladder cancer are valid and warrant a comprehensive understanding.
1. Bladder Pain and Symptoms: Sudden, severe pain in the bladder area can be alarming. It is essential to monitor the intensity and frequency of this pain. If the discomfort persists or worsens, it is advisable to follow up with your healthcare provider. Pain can be attributed to various causes, including urinary tract infections, bladder inflammation, or even kidney stones. Given your history of urinary tract infections, it’s crucial to ensure that these are adequately treated to prevent further complications.
2. Calcium Deposits: The presence of calcium deposits in the bladder, often referred to as bladder calcification, can occur due to various reasons, including chronic irritation or inflammation. While small deposits may not pose significant health risks, larger or symptomatic deposits can lead to discomfort and may require further evaluation. Your healthcare provider may recommend additional imaging or monitoring to assess the situation.
3. Bladder Cancer Risks: Bladder cancer is more common in older adults, particularly those over 50. However, it can occur in younger individuals, albeit rarely. Factors such as exposure to certain chemicals, smoking, and chronic bladder irritation can increase the risk. Since you mentioned that you do not smoke and have not been exposed to high-risk occupational environments, your risk may be lower. Nevertheless, if you have persistent symptoms or abnormal findings, further investigation, such as a cystoscopy, may be warranted to rule out malignancy.
4. Diagnostic Imaging: Standard X-rays are not typically used to diagnose bladder cancer. More specialized imaging techniques, such as ultrasound or CT scans, and direct visualization through cystoscopy, are more effective in identifying bladder abnormalities. If your symptoms persist, discussing these options with your doctor is essential.
5. Management and Follow-Up: Given your symptoms and the findings of protein in your urine, it is prudent to maintain regular follow-ups with your healthcare provider. They may recommend urine tests to monitor protein levels and assess kidney function. If you experience any changes in your symptoms, such as increased pain, blood in the urine, or changes in urinary habits, seek medical attention promptly.
6. Lifestyle and Prevention: To support bladder health, consider the following recommendations:
- Stay hydrated: Drinking plenty of water helps dilute urine and flush out potential irritants.
- Maintain a healthy diet: A balanced diet rich in fruits, vegetables, and whole grains can support overall health.
- Avoid irritants: Limit caffeine, alcohol, and spicy foods, which can irritate the bladder.
- Practice good hygiene: This is particularly important if you have a history of urinary tract infections.
7. Age and Bladder Cancer: While bladder cancer is more prevalent in older adults, it is not impossible for younger individuals to develop it. Regular check-ups and being vigilant about any changes in urinary habits or symptoms are essential for early detection.
In summary, while your symptoms may not necessarily indicate a severe condition, it is crucial to remain proactive about your bladder health. Regular monitoring, maintaining a healthy lifestyle, and following your healthcare provider's recommendations will help manage your symptoms and reduce potential risks. If you have ongoing concerns or new symptoms arise, do not hesitate to seek further medical evaluation.
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