[29F] Experiencing frequent urination with abdominal pressure

Patient Description

A 29-year-old female presents with a 5-day history of frequent urges to urinate, occurring mostly during the day and resulting in large volumes of light yellow, clear urine without any changes in odor. She reports a sensation of pressure in the abdomen associated with the urge to urinate, but denies any pain, burning, fever, chills, recent increase in fluid intake, new sexual partners, vaginal discharge, or irritation. The patient has a known diagnosis of ADHD, for which she takes Adderall 20mg, and denies any family history of diabetes or other medical conditions. There are no known drug allergies or recent changes in medication or supplement intake.

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Arora's Assessment

What might be happening

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

  • 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.

    • Treatment typically involves antibiotics to clear the infection. Drinking plenty of water can help to flush out the bacteria.
  • Overactive Bladder Syndrome: This is a condition where the bladder contracts too often or without warning, leading to a frequent and sudden urge to urinate. It can occur in people of all ages, but it's more common in older adults.

    • Treatment can involve lifestyle changes, bladder training exercises, medications, or even surgery in severe cases.
  • Interstitial Cystitis: This is a chronic condition causing bladder pressure, bladder pain and sometimes pelvic pain. The pain ranges from mild discomfort to severe.

    • Treatment typically involves medications to help manage symptoms, as well as lifestyle changes and physical therapy.
  • Side effect of medication: Adderall, a medication used to treat ADHD, can cause frequent urination in some people.

    • If this is the cause, your doctor may adjust your dosage or switch you to a different medication.

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:

  1. Drink plenty of water to help flush out your urinary system.
  2. Avoid caffeine, alcohol, and spicy foods, which can irritate your bladder.
  3. Try bladder training exercises, such as holding your urine for 10 minutes every time you feel an urge to go, and gradually increasing the holding time.

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) or chills
  • If your symptoms worsen or do not improve after a few days

Please remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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10 mo ago

People Also Ask


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

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


Can Adderall cause frequent urination as a side effect?

Yes, Adderall can cause frequent urination as a side effect in some individuals. It is important to discuss any new or worsening symptoms with your doctor.


What lifestyle changes can help manage overactive bladder syndrome?

Lifestyle changes to manage overactive bladder syndrome include avoiding bladder irritants like caffeine and alcohol, practicing bladder training exercises, maintaining a healthy weight, and scheduling regular bathroom visits.


How is interstitial cystitis different from a urinary tract infection?

Interstitial cystitis is a chronic condition characterized by bladder pressure and pain, often without infection, whereas a UTI is an infection of the urinary tract that typically presents with pain and burning during urination. Interstitial cystitis symptoms are more persistent and may not respond to antibiotics.


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