Frequent Urination and Sensation of Incomplete Bladder Emptying - Urology

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Frequent urination and the sensation of incomplete bladder emptying?


I have been experiencing frequent urination for three weeks, approximately every two hours.
After urination, I feel a sensation of incomplete emptying.
The symptoms include only frequent urination, the sensation of residual urine, and slow urination.
There is no pain or blood in the urine.
During these three weeks, I have visited the pharmacy for medication and have also been checked at clinics and hospitals.
An X-ray of the bladder showed no issues, and a urine test indicated mild inflammation.
However, after taking many antibiotics and anti-inflammatory medications, including Urokinase, there has been no improvement.
Some people suggested that it might be due to poor sitting posture compressing the bladder and recommended chiropractic treatment.
I have two children to take care of and do not have much time to keep running to the hospital for tests that have not been effective.
What should I do?

Guo, 20~29 year old female. Ask Date: 2016/02/17

Dr. Xu Weikai reply Urology


Guo: Hello, I suggest performing a urine culture to check for any remaining bacteria.
If there are none, then antibiotics are not necessary.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online 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, who cares about your health.

Reply Date: 2016/02/17

More Info


Frequent urination and the sensation of incomplete bladder emptying can be distressing symptoms that significantly impact your quality of life. Based on your description, it seems you have been experiencing these symptoms for about three weeks, with urination occurring approximately every two hours, accompanied by a feeling of residual urine and slow urination. Importantly, you have not experienced any pain or blood in your urine, which is a positive sign.

Given that you have already sought medical attention and undergone various tests, including X-rays and urinalysis, it is crucial to consider the potential underlying causes of your symptoms. The presence of mild inflammation in your urinalysis suggests that there may be some irritation or infection in your urinary tract, even if it is not severe enough to cause significant symptoms. Antibiotics and anti-inflammatory medications are typically prescribed to address such issues, but if you have not seen improvement, it may be time to explore other avenues.

One possibility is that your symptoms could be related to bladder dysfunction, which can manifest as overactive bladder (OAB) or bladder outlet obstruction. OAB is characterized by a sudden urge to urinate, often leading to frequent urination and, in some cases, urinary incontinence. On the other hand, bladder outlet obstruction can cause difficulty in urination and a sensation of incomplete emptying. Both conditions can be exacerbated by factors such as poor posture, which you mentioned may be a concern due to prolonged sitting.

Another consideration is the impact of lifestyle factors, including stress and physical activity. As a parent of two children, you may find it challenging to prioritize self-care, which can contribute to muscle tension and postural issues that affect bladder function. It might be beneficial to incorporate some gentle stretching or pelvic floor exercises into your routine, which can help alleviate tension and improve bladder control.

If you suspect that your symptoms may be related to your posture or prolonged sitting, consulting with a physical therapist or chiropractor could provide valuable insights. They can assess your posture and recommend exercises to improve your alignment and relieve pressure on your bladder.

In terms of further medical evaluation, if your symptoms persist despite conservative measures, you may want to consider a referral to a urologist for more specialized testing. Urodynamic studies can provide detailed information about how your bladder and urethra are functioning, helping to identify any underlying issues that may not have been apparent in previous tests.

Lastly, it is essential to maintain open communication with your healthcare providers. If you feel that your current treatment plan is not effective, do not hesitate to express your concerns and seek alternative options. Your health and well-being should always be the priority, and there are various strategies and treatments available to help manage your symptoms effectively.

In summary, frequent urination and the sensation of incomplete bladder emptying can stem from various causes, including bladder dysfunction, lifestyle factors, and postural issues. It is crucial to continue seeking medical advice, consider physical therapy for posture improvement, and explore further urological evaluation if symptoms persist. Remember to prioritize self-care and seek support when needed, as managing these symptoms is essential for your overall quality of life.

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