[21F] Experiencing urinary retention and severe pain during urination
Patient Description
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Arora's Assessment
What might be happening
Based on the information you've provided, possible diagnoses include:
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Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs are more common in women than men. They can occur at any age but are more common in people who are sexually active, pregnant, or menopausal. UTIs can cause symptoms like a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, and pelvic pain.
- Treatment typically involves antibiotics to kill the bacteria causing the infection. Drinking plenty of water can help to flush out the bacteria.
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Interstitial Cystitis (IC): This is a chronic condition causing bladder pressure, bladder pain and sometimes pelvic pain. The pain ranges from mild discomfort to severe. IC is a part of a spectrum of diseases known as painful bladder syndrome.
- Treatment typically involves lifestyle changes, physical therapy, medications, bladder instillations, nerve stimulation, and in severe cases, surgery.
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Overactive Bladder (OAB): This is a condition where the bladder can't hold urine normally. Symptoms include a sudden urge to urinate that's hard to control, frequent urination, and urinary incontinence.
- Treatment typically involves lifestyle changes, bladder training, medications, and in severe cases, surgery.
What you can do
It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:
- Drink plenty of water to help flush out any potential bacteria causing a UTI.
- Avoid caffeine, alcohol, and spicy foods which can irritate the bladder.
- Try over-the-counter pain relievers to help manage the pain.
What you should look out for
Reasons to see a doctor more urgently:
- If you notice blood in your urine
- If you develop a fever (temperature over 100.4°F)
- If your symptoms worsen or do not improve
Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.
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9 mo ago