[22F] Experiencing frequent urination and bladder pressure

Patient Description

A 22-year-old female reports a 2-week history of frequent urination, pressure on the bladder, and nocturia. The patient has to consciously relax muscles to initiate urination and has noted occasional urinary leakage. Despite these symptoms, there is no pain, burning, or discoloration of urine. UTI tests, including lab tests, have returned negative. The patient is currently recovering from a cold but does not have a fever or chills. She has a history of ovarian cysts and potential PCOS, as well as a possible urethra duplication, though not formally diagnosed with the latter. The patient has been on Bupropion XL (300mg) and Buspirone (30mg) for three years and also takes a probiotic and cranberry urinary support pill. There are no known drug allergies or other medications reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Overactive Bladder (OAB): This condition is characterized by a sudden urge to urinate that's difficult to control, and frequent urination, especially at night. It can also cause incontinence, or the involuntary loss of urine.

    • Treatment for OAB can include lifestyle changes, pelvic floor exercises, medications, or in some cases, surgery.
  • Bladder Stones: These are hard masses of minerals in your bladder. They can cause frequent urination, trouble urinating, and incontinence.

    • Treatment for bladder stones usually involves their removal by a healthcare professional.
  • Interstitial Cystitis (IC): This is a chronic condition characterized by bladder pressure, bladder pain and sometimes pelvic pain, ranging from mild discomfort to severe pain. It can cause a frequent urge to urinate and incontinence.

    • Treatment for IC can involve lifestyle changes, physical therapy, medications, nerve stimulation, or in some cases, surgery.
  • Urethral Stricture: This is a narrowing of the urethra that can cause decreased urine stream, incomplete bladder emptying, and incontinence.

    • Treatment for urethral stricture can involve dilation, urethroplasty, or in some cases, a urethral stent.
  • Side Effects of Medication: Certain medications, including Bupropion, can sometimes cause frequent urination.

    • If this is the case, your healthcare provider may adjust your medication regimen.

What you can do

It would be best to consult a healthcare professional 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 help manage your symptoms:

  1. Limit drinks that can irritate your bladder, such as coffee, alcohol, and acidic juices.
  2. Maintain a healthy weight.
  3. Practice pelvic floor exercises (Kegel exercises) to help control urination.
  4. Keep a bladder diary, noting when and how much you urinate, to help your healthcare provider diagnose your condition.

What you should look out for

Reasons to seek immediate medical attention:

  • If you notice blood in your urine
  • If you develop severe lower abdominal pain
  • If you are unable to urinate at all
  • If you develop a fever (temperature over 100.4°F) or chills

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of Overactive Bladder (OAB)?

Common symptoms of Overactive Bladder (OAB) include a sudden urge to urinate that's difficult to control, frequent urination, especially at night (nocturia), and incontinence, which is the involuntary loss of urine.


Can medications like Bupropion cause frequent urination?

Yes, medications like Bupropion can sometimes cause frequent urination as a side effect. If you suspect your medication is affecting your urination, it's important to discuss this with your healthcare provider.


What lifestyle changes can help manage symptoms of Interstitial Cystitis (IC)?

Lifestyle changes that can help manage symptoms of Interstitial Cystitis (IC) include avoiding foods and drinks that irritate the bladder, practicing stress-reduction techniques, maintaining a healthy weight, and performing pelvic floor exercises.


What are the treatment options for urethral stricture?

Treatment options for urethral stricture include dilation (widening of the urethra), urethroplasty (surgical repair), or in some cases, the placement of a urethral stent to keep the urethra open.


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