[24M] Experiencing urinary retention and pain when sitting

Patient Description

A 24-year-old male reports a lack of urge to urinate, despite being able to void with effort, producing only small amounts each time. This has been occurring for two weeks, and he rates the severity as 9 out of 10. Additionally, he experiences excessive flatulence without odor and has had soft and watery stools. He has taken a deworming medication, Pyrantrin, and a methylated liquid recently. For the past month, he has felt severe pain rated 10 out of 10 when sitting on solid surfaces, described as if blood is not circulating properly in the region used to sit. The patient has no known allergies, adverse reactions to medications, or pre-existing conditions, and is not on any other medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Urinary Retention: This is a condition where you're unable to completely empty your bladder. It can be caused by a variety of factors such as nerve problems, certain medications, and urinary tract blockages. In your case, it's unclear what the cause might be, and further testing would be necessary to determine this.

    • Treatment typically involves addressing the underlying cause. In some cases, a catheter may be used to help empty the bladder.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause symptoms such as gas, bloating, and changes in bowel habits. It's possible that your excessive gas and changes in stool consistency could be related to IBS.

    • Treatment often involves lifestyle modifications such as changes in diet and stress management. Medications may also be used to help manage symptoms.
  • Coccydynia: This is a condition that causes pain and discomfort in the tailbone area, particularly when sitting on hard surfaces. It's possible that this could be the cause of your sitting pain.

    • Treatment typically involves using a cushion when sitting, pain relievers, and in some cases, physical therapy.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

  1. Schedule an appointment with your doctor: They can provide a formal assessment and order relevant tests if necessary.
  2. Keep a symptom diary: Write down when your symptoms occur, what you're doing when they happen, and what foods you've eaten. This can help identify any patterns or triggers.
  3. Try sitting on a cushion or padded surface: This can help alleviate pain caused by Coccydynia.
  4. Stay hydrated and maintain a balanced diet: This can help manage symptoms of IBS.

What you should look out for

Seek immediate medical attention if you experience:

  • Inability to urinate at all
  • Severe abdominal pain
  • Blood in your urine or stool
  • Fever or chills

Remember, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the common causes of urinary retention in young adults?

Common causes of urinary retention in young adults include nerve problems, urinary tract infections, blockages in the urinary tract, and side effects from certain medications. It's important to consult a healthcare professional for a proper diagnosis.


How can lifestyle changes help manage symptoms of Irritable Bowel Syndrome (IBS)?

Lifestyle changes that can help manage IBS symptoms include eating a balanced diet rich in fiber, avoiding trigger foods, managing stress through techniques like yoga or meditation, and maintaining regular physical activity. Keeping a food diary can also help identify specific triggers.


What are some effective ways to relieve pain from Coccydynia?

Effective ways to relieve pain from Coccydynia include using a cushion or donut-shaped pillow when sitting, taking over-the-counter pain relievers, applying heat or ice to the affected area, and engaging in physical therapy exercises to strengthen the muscles around the tailbone.


When should someone with these symptoms seek immediate medical attention?

Immediate medical attention should be sought if there is an inability to urinate at all, severe abdominal pain, blood in the urine or stool, or if the person experiences fever or chills, as these could indicate more serious underlying conditions.


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