[22F] Experiencing frequent urination and pressure on bladder

Patient Description

A 22-year-old female is reporting a sensation of pressure on the bladder, frequent urges to urinate, and frequent urination every few minutes for the past 2-3 days. The patient notes that the volume of urine passed is sometimes a full bladder's worth if held, but often it is a very small amount, less than would be expected for the urge felt. There are no changes in the urine's smell or color, and no pain or discomfort during urination. The patient is currently on her menstrual period and has not experienced any new sexual partners, being in a monogamous relationship for three years. Additionally, the patient mentions a lack of appetite, particularly towards processed foods, and a slight weight loss. The patient is taking Bupropion XL 300mg and Buspirone 30 mg, with no known drug allergies or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Overactive Bladder (OAB): This condition is characterized by a sudden, strong need to urinate. This need may be difficult to stop, and overactive bladder may lead to the involuntary loss of urine (incontinence).

    • Treatment for OAB can include lifestyle changes, bladder training exercises, medications, or even surgery in severe cases.
  • Interstitial Cystitis (IC): Also known as painful bladder syndrome, IC can cause chronic pelvic pain, pressure or discomfort in the bladder and pelvic region, and urinary frequency (needing to go often) and urgency (feeling a strong need to go).

    • Treatment for IC can include physical therapy, medications, nerve stimulation, and in some cases, surgery.
  • Urinary Tract Infection (UTI): Although you mentioned a recent negative UTI test, sometimes UTIs can be missed on initial testing. UTIs can cause frequent urination, discomfort during urination, and pressure in the lower abdomen.

    • Treatment for UTIs usually involves antibiotics to clear the infection.

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 help manage your symptoms:

  1. Avoid drinks that may irritate your bladder like coffee, alcohol, and soft drinks containing citrus juices or caffeine until you can see your doctor.
  2. Use a heating pad on your lower abdomen to minimize bladder pressure or discomfort.

What you should look out for

Reasons to see a doctor more urgently:

  • If you notice blood in your urine or develop severe abdominal pain
  • If you develop a fever (temperature over >100.4°F) or chills
  • If your symptoms worsen or persist for more than a week

Please remember that while I strive to provide accurate and helpful health information, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examinations, treatment, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of an overactive bladder?

Common symptoms of an overactive bladder include a sudden, strong urge to urinate, frequent urination, and sometimes involuntary loss of urine (incontinence).


How is interstitial cystitis different from a urinary tract infection?

Interstitial cystitis is a chronic condition that causes bladder pressure, pain, and sometimes pelvic pain, whereas a urinary tract infection is an infection that can cause burning during urination, frequent urination, and abdominal pain. IC does not typically involve an infection.


Can medications like Bupropion and Buspirone affect bladder function?

While Bupropion and Buspirone are not commonly known to directly affect bladder function, side effects can vary among individuals. It's important to discuss any new symptoms with a healthcare provider.


What lifestyle changes can help manage symptoms of frequent urination?

Lifestyle changes that can help manage frequent urination include avoiding bladder irritants like caffeine and alcohol, practicing bladder training exercises, and maintaining a healthy weight.


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