[44F] Experiencing post-urination discomfort

What might be happening

Based on the information you've provided, there are several possible conditions that could be causing your symptoms:

• Urinary Tract Infection (UTI): Even though your UTI test was negative, it's still possible that you have a UTI. UTIs can cause discomfort after urination, a burning sensation, and an increased urge to urinate. The presence of microscopic blood in your urine could also be a sign of a UTI.

  • Treatment typically involves antibiotics prescribed by a doctor.

• 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 control the symptoms.

• Vaginitis: This is an inflammation of the vagina that can result in discharge, itching and pain. The cause is usually a change in the normal balance of vaginal bacteria or an infection.

  • Treatment depends on the cause. It may include low-dose topical estrogen or topical or oral antibiotics.

• Sexually Transmitted Infections (STIs): Certain STIs can cause discomfort or pain during or after urination, as well as itching. However, you mentioned that you are married and did not mention any new sexual partners, so this is less likely.

  • Treatment typically involves antibiotics or antiviral medications.

What you can do

You should definitely see a doctor for a formal diagnosis and treatment. In the meantime, here are some things you can do to help alleviate your symptoms:

1. Drink plenty of water: This can help dilute your urine and ensure that you urinate more frequently, flushing bacteria out of your urinary tract.

2. Avoid drinks that may irritate your bladder: These include coffee, alcohol, and soft drinks containing citrus juices or caffeine.

3. Use a heating pad: Applying a heating pad to your lower abdomen can help reduce bladder pressure and relieve pain.

What you should look out for

You should seek immediate medical attention if you experience any of the following symptoms:

• Blood in your urine (hematuria)
• Severe abdominal or lower back pain
• Fever or chills
• Nausea or vomiting

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare professional for an accurate diagnosis and treatment.