Bladder Issues: Symptoms and Concerns Explained - Urology

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Is there a problem with the bladder?


I would like to ask the doctor about my urinary issues.
I tend to take longer than usual when urinating, often needing extra time to feel completely empty.
After I finish, I find that I need to go again shortly after, but the amount is not significant.
On some occasions, I feel the urge to urinate but have to exert some effort to start the flow.
Additionally, I sometimes don't feel the need to go while sitting, but as soon as I stand up, the urgency hits me.
Today, I also noticed a slight pain in the bladder area.
I would like to ask the doctor about these issues.
Thank you.

Niming, 20~29 year old female. Ask Date: 2016/02/03

Dr. Xu Weikai reply Urology


Hello, it is recommended to first check your urine to confirm whether there is an infection.
If there are no issues, further examinations can be conducted, such as a cystoscopy.
If there are any unclear points, feel free to ask again so we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is important to seek medical care at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/03

More Info


When it comes to bladder issues, the symptoms you've described can be indicative of several underlying conditions. It's important to understand that urinary symptoms can arise from various causes, and addressing them early can help prevent further complications.
Based on your description, you are experiencing prolonged urination, a sensation of incomplete emptying, urgency, and occasional pain in the bladder area. These symptoms can be associated with conditions such as urinary tract infections (UTIs), bladder dysfunction, or even prostate issues in men. Here’s a breakdown of some potential causes and considerations:
1. Urinary Tract Infection (UTI): UTIs are common and can cause symptoms such as increased frequency of urination, urgency, pain during urination, and a feeling of incomplete bladder emptying. If you have any additional symptoms like fever, chills, or unusual discharge, it would be wise to consult a healthcare provider for a urine test.

2. Bladder Dysfunction: Conditions like overactive bladder can lead to frequent urges to urinate, often with little urine produced. This can also cause discomfort or pain in the bladder area. Bladder training exercises and lifestyle modifications can sometimes help manage these symptoms.

3. Prostatitis: In men, inflammation of the prostate can lead to urinary symptoms similar to those you described, including difficulty starting urination, urgency, and pelvic pain. If you are male and experiencing these symptoms, it may be worth discussing with a urologist.

4. Bladder Stones or Other Obstructions: Sometimes, bladder stones or other obstructions can cause difficulty in urination and pain. This is often accompanied by other symptoms such as blood in the urine or severe discomfort.

5. Neurological Conditions: In some cases, neurological issues can affect bladder control and sensation. If you have any history of neurological conditions, this could be a factor.

Given the complexity of urinary symptoms, it is crucial to seek medical advice. A healthcare provider will likely perform a physical examination, take a detailed medical history, and may recommend tests such as a urinalysis, ultrasound, or cystoscopy to determine the underlying cause of your symptoms.

In the meantime, here are some general recommendations to help manage your symptoms:
- Stay Hydrated: Drink plenty of fluids, but try to avoid caffeine and alcohol, as they can irritate the bladder.

- Timed Voiding: Try to establish a regular schedule for urination to help train your bladder.

- Pelvic Floor Exercises: Strengthening the pelvic floor muscles can sometimes help with urinary issues.

- Avoid Straining: If you feel the need to strain to urinate, this can lead to further complications. It’s essential to relax and allow your body to function naturally.

In conclusion, while your symptoms may not indicate a severe condition, they warrant a thorough evaluation by a healthcare professional. Early diagnosis and treatment can significantly improve your quality of life and prevent potential complications. Please consider scheduling an appointment with a urologist or your primary care physician to discuss your symptoms in detail.

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