[20M] With urinary urgency and incomplete bladder emptying

Patient Description

A 20-year-old male has been experiencing a frequent need to urinate for the past four days, with a sensation of incomplete bladder emptying. This urgency occurs more frequently at night and is accompanied by discomfort in the lower back. The patient reports that the symptoms worsen after bowel movements and when lying down. There is no pain or discomfort during urination, no blood in the urine, no fever, and no severe lower abdominal or back pain. The patient has not noticed any changes in the color or odor of the urine. The patient has not had sexual activity in about five months and acknowledges not drinking enough water. There are no pre-existing conditions, chronic illnesses, or current medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Urinary Tract Infection (UTI): Although you mentioned no pain during urination, a UTI can sometimes present with a frequent urge to urinate and a feeling of incomplete bladder emptying. UTIs can also cause lower back discomfort.

    • Treatment: UTIs are typically treated with antibiotics. A healthcare provider would need to perform a urine test to confirm the diagnosis.
  • Overactive Bladder (OAB): This condition can cause a frequent urge to urinate and the sensation that your bladder is not completely emptying.

    • Treatment: Lifestyle changes, pelvic floor exercises, and medications can help manage symptoms. A healthcare provider can offer guidance on the best treatment options.
  • Prostatitis: Inflammation of the prostate gland can cause urinary symptoms and lower back pain. It can also cause discomfort or a burning sensation after bowel movements.

    • Treatment: Depending on the cause, treatment may include antibiotics, anti-inflammatory medications, or other therapies. A healthcare provider can perform a physical exam and tests to diagnose this condition.
  • Dehydration: Not drinking enough water can concentrate your urine, potentially causing discomfort and frequent urination.

    • Treatment: Increasing your water intake can help alleviate symptoms. Aim to drink at least 8 glasses of water a day.

What you can do

While you should see a healthcare provider for a formal diagnosis and treatment, here are some steps you can take to help alleviate your symptoms:

  1. Increase Water Intake: Drink plenty of water throughout the day to stay hydrated and help flush out your urinary system.
  2. Avoid Irritants: Reduce or eliminate caffeine, alcohol, and spicy foods, as these can irritate the bladder.
  3. Practice Good Bathroom Habits: Try to fully empty your bladder each time you urinate. Take your time and don't rush.
  4. Pelvic Floor Exercises: Strengthening your pelvic floor muscles can help manage urinary symptoms. Look up exercises like Kegels for guidance.

What you should look out for

Seek medical attention if you experience any of the following:

  • Blood in Urine: This could indicate a more serious condition that requires prompt medical attention.
  • Severe Pain: If you develop severe lower abdominal or back pain, see a healthcare provider immediately.
  • Fever or Chills: These could be signs of an infection that needs urgent treatment.
  • Worsening Symptoms: If your symptoms worsen or do not improve with self-care measures, consult a healthcare provider.

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.

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6 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a frequent urge to urinate, a burning sensation during urination, cloudy or strong-smelling urine, and lower abdominal pain. However, some people may experience different symptoms, such as a feeling of incomplete bladder emptying or lower back discomfort.


How can dehydration affect urinary frequency and bladder sensation?

Dehydration can lead to concentrated urine, which may irritate the bladder and increase the frequency of urination. It can also cause a sensation of incomplete bladder emptying. Drinking adequate water helps dilute urine and can alleviate these symptoms.


What lifestyle changes can help manage symptoms of an overactive bladder (OAB)?

Lifestyle changes for managing OAB include reducing caffeine and alcohol intake, practicing timed voiding (urinating on a schedule), performing pelvic floor exercises like Kegels, and maintaining a healthy weight. These strategies can help reduce urinary urgency and frequency.


What are the signs that prostatitis might be causing urinary symptoms?

Signs of prostatitis include urinary symptoms such as frequent urination, urgency, and discomfort in the pelvic area or lower back. It may also cause discomfort after bowel movements. If these symptoms are present, a healthcare provider can perform tests to diagnose prostatitis.


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