Decreased urine flow rate?
About three weeks ago, I started experiencing a burning sensation while urinating, along with symptoms of lower abdominal bloating and pain.
I consulted a gynecologist, who diagnosed me with cystitis.
I have been taking antibiotics for about two weeks, and most of the symptoms have improved.
However, I still experience frequent urination, and the time it takes to initiate urination has increased significantly, taking about 10-15 seconds each time.
It feels like I have to hold my urine, and the flow is slow with a small volume, which is very different from how it felt before.
When I asked the gynecologist, they mentioned that this could be due to my infection not fully resolving.
Is this situation normal for cystitis, or could it be caused by something else? Thank you.
Katey, 20~29 year old female. Ask Date: 2016/03/15
Dr. Li Xinyi reply Urology
It is recommended to see a urologist for a urine test to check if the inflammation has truly resolved.
Reply Date: 2016/03/15
More Info
Understanding slow urination after a bladder infection can be quite concerning, especially when symptoms persist even after treatment. In your case, it seems that you experienced a bladder infection (cystitis) characterized by burning during urination and lower abdominal pain, which improved with antibiotic treatment. However, the lingering symptoms of frequent urination and slow urine flow suggest that there may be more going on than just residual effects of the infection.
Firstly, it's important to recognize that bladder infections can lead to inflammation and irritation of the bladder lining. This inflammation can sometimes take time to fully resolve, even after the infection has been treated. The sensation of needing to urinate frequently, combined with a slow urine stream, can be attributed to this ongoing irritation. The bladder may still be sensitive, causing a feeling of urgency and discomfort even when the infection is no longer present.
However, there are other potential causes for your symptoms that should be considered. One possibility is the development of a post-infectious condition known as interstitial cystitis (IC), which is characterized by chronic bladder pain and urinary frequency without a clear infection. IC can occur after a bladder infection and may require different management strategies.
Another consideration is the possibility of urinary tract obstruction. This can occur due to various reasons, such as bladder stones, strictures (narrowing of the urethra), or even pelvic floor dysfunction. These conditions can impede the flow of urine, leading to a slow stream and a sensation of incomplete emptying. If there is any suspicion of obstruction, further evaluation, such as imaging studies or urodynamic testing, may be warranted.
Additionally, it’s worth noting that some medications, particularly those used to treat bladder infections or pain, can have side effects that affect urinary function. For example, anticholinergic medications can reduce bladder contractions, leading to slower urination. If you are taking any medications, it would be beneficial to discuss their potential side effects with your healthcare provider.
In terms of what is considered normal after a bladder infection, it can vary from person to person. Some individuals may experience a complete resolution of symptoms shortly after treatment, while others may have lingering effects for weeks or even months. If your symptoms do not improve or worsen, it is crucial to follow up with your healthcare provider. They may recommend additional tests to rule out other underlying conditions or to assess the bladder's function more thoroughly.
In summary, while it is not uncommon to experience lingering symptoms after a bladder infection, it is essential to monitor your condition closely. If you continue to have slow urination, frequent urges, or any new symptoms, it is advisable to seek further evaluation. Your healthcare provider can help determine whether these symptoms are a normal part of recovery or if they indicate a need for additional treatment or investigation. Remember, your health and comfort are paramount, and addressing these concerns early can lead to better outcomes.
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