[22M] Experiencing frequent urination with little output

Patient Description

A 22-year-old male presents with a 3-day history of an urgent need to urinate frequently, with minimal urine output each time. The patient reports associated chills but no other symptoms. There is no recent history of new sexual partners or unprotected sexual activity. The patient has a past medical history of epididymitis, for which he was prescribed antibiotics. The symptoms initially improved but recurred two weeks later. The patient is currently on Doxycycline, 100mg taken twice daily, and reports no known drug allergies or adverse reactions to medications. No other medications or pre-existing conditions were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • 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 among the most frequent clinical bacterial infections in women, accounting for nearly 25 percent of all infections. UTI symptoms include a persistent urge to urinate, passing frequent, small amounts of urine, and experiencing a burning sensation during urination.

    • Treatment for UTIs usually involves antibiotics to kill the bacteria causing the infection.
  • Prostatitis: This is swelling and inflammation of the prostate gland, a walnut-sized gland situated directly below the bladder in men. Prostatitis often causes painful or difficult urination. Other symptoms include pain in the groin, pelvic area or genitals, and sometimes, flu-like symptoms.

    • Treatment for prostatitis depends on the cause. They can include antibiotics, anti-inflammatory agents, and muscle relaxants.
  • Overactive Bladder Syndrome: This is a condition where the bladder can't hold urine normally, which causes you to pee more often. Some people may feel a sudden urge to pee, leading to unintentional loss of urine.

    • Treatment for overactive bladder syndrome includes medication, bladder training techniques, dietary changes, and surgery in severe cases.

What you can do

You should make an appointment with your healthcare provider to discuss your symptoms as soon as possible. In the meantime, here are some things you can do:

  1. Drink plenty of water: This can help dilute your urine and ensure that you'll urinate more frequently — allowing bacteria to be flushed from your urinary tract before an infection can begin.

  2. Avoid drinks that may irritate your bladder: Avoid coffee, alcohol, and soft drinks containing citrus juices and caffeine until your infection has cleared. They can irritate your bladder and tend to aggravate your frequent or urgent need to urinate.

  3. Use a heating pad: Apply a warm, but not hot, heating pad to your abdomen to minimize bladder pressure or discomfort.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Pain or tenderness in the lower back, pelvis, or sides
  • Blood in urine
  • Fever or chills
  • Nausea and vomiting
  • Increased urgency to urinate or increased frequency of urination

Remember, while I strive to provide accurate and helpful health information, I'm not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


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

Common symptoms of a UTI include a persistent urge to urinate, passing frequent, small amounts of urine, a burning sensation during urination, cloudy or strong-smelling urine, and pelvic pain.


How is prostatitis different from a urinary tract infection?

Prostatitis is an inflammation of the prostate gland and can cause painful or difficult urination, pain in the groin, pelvic area, or genitals, and sometimes flu-like symptoms. In contrast, a UTI is an infection in any part of the urinary system and primarily causes frequent urination and a burning sensation.


What lifestyle changes can help manage overactive bladder syndrome?

Lifestyle changes for managing overactive bladder syndrome include avoiding bladder irritants like caffeine and alcohol, practicing bladder training techniques, maintaining a healthy weight, and performing pelvic floor exercises.


When should I seek immediate medical attention for urinary symptoms?

You should seek immediate medical attention if you experience pain or tenderness in the lower back, pelvis, or sides, blood in urine, fever or chills, nausea and vomiting, or increased urgency or frequency of urination.


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