[34F] Experiencing urinary symptoms and pelvic pain

What might be happening

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

• Urinary Tract Infection (UTI): While you've mentioned that antibiotics did not relieve your symptoms, UTIs can sometimes be resistant to certain antibiotics. UTIs are often characterized by a burning sensation during urination, frequent urination, and a strong urge to urinate. However, you also mentioned pain in the pelvic area, which is not a common symptom of a simple UTI.

  • Treatment typically involves antibiotics, but the specific type and duration can vary.

• Interstitial Cystitis (IC): Also known as painful bladder syndrome, IC can cause chronic pelvic pain, frequent urination, and a feeling of pressure or discomfort in the bladder and pelvic region. The pain usually worsens as the bladder fills and eases upon emptying it.

  • Treatment options can include physical therapy, medications to help relax the bladder, and procedures to stretch the bladder and reduce urinary frequency.

• Overactive Bladder (OAB): This condition is characterized by a sudden urge to urinate that's difficult to control, and may lead to incontinence. It can also cause frequent urination and nocturia (waking up from sleep to urinate).

  • Treatment can involve lifestyle changes, bladder training exercises, medications, or even surgery in severe cases.

• Bladder Stones: These are hard masses of minerals in your bladder. The stones can cause discomfort or pain in the lower abdomen, painful urination, and frequent urination.

  • Treatment often involves procedures to remove the stones, and addressing the underlying conditions that cause the stones to form.

Please note that these are potential explanations based on the symptoms you've described, and it's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

1. Schedule an appointment with your healthcare provider as soon as possible to discuss your symptoms. They may refer you to a urologist, a doctor who specializes in urinary tract diseases.
2. Keep a symptom diary. Note when your symptoms occur, what you're doing when they occur, and how long they last. This can help your doctor identify patterns and make a diagnosis.
3. Stay hydrated and maintain a balanced diet. Avoid foods and drinks that can irritate your bladder, such as caffeine, alcohol, and spicy foods.
4. Practice pelvic floor exercises, such as Kegel exercises, which can help manage incontinence.

What you should look out for

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

• Severe abdominal or pelvic pain
• Blood in your urine
• Fever, chills, or other signs of an infection
• Inability to urinate

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for an accurate diagnosis and treatment.