[45F] Experiencing urinary hesitancy and sensation of incomplete bladder emptying

Patient Description

A 45-year-old female presents with a sudden onset of urinary hesitancy and the sensation of an incomplete bladder emptying that began 4 days ago. The patient describes a full feeling before urination and finds some relief by moving her hips in a circular motion. Additionally, the patient reports that her urine is extremely pale, but there is no presence of blood, no fever, and no back pain. No other symptoms have been noted.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. Most infections involve the lower urinary tract — the bladder and the urethra. Women are at greater risk of developing a UTI than are men. Infection limited to your bladder can be painful and annoying. However, serious consequences can occur if a UTI spreads to your kidneys.

    • Doctors typically treat urinary tract infections with antibiotics.

  • Bladder Stones: These are hard masses of minerals in your bladder. Bladder stones develop when the minerals in concentrated urine crystallize. This can happen if you can't completely empty your bladder. Symptoms can range from severe abdominal pain to blood in your urine.

    • Treatment of bladder stones typically involves either drinking lots of water and taking pain relievers to pass the stones, or surgery to remove the stones if they are too large.

  • Overactive Bladder: This is a condition where the bladder can't hold urine normally, which makes you feel the need to urinate more often. While it's more common in older people, it can happen at any age.

    • Treatment of overactive bladder typically involves lifestyle changes, bladder training exercises, medication, or surgery in severe cases.

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 any potential bacteria or stones.
  2. Avoid caffeine, alcohol, and spicy foods which can irritate your bladder.
  3. Try to empty your bladder completely when you urinate.

What you should look out for

Reasons to see a doctor more urgently:

  • If you notice blood in your urine or develop severe abdominal pain
  • If you develop a fever (temperature over >100.4°F) or chills
  • If your symptoms worsen or persist for more than a week

Please remember, while I strive to provide accurate information, I am not a doctor. Always seek advice from a healthcare professional for a formal diagnosis and treatment.

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9 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.

How are bladder stones diagnosed and treated?

Bladder stones are typically diagnosed through imaging tests such as an X-ray, ultrasound, or CT scan. Treatment may involve drinking plenty of water to help pass the stones, taking pain relievers, or undergoing surgery if the stones are too large to pass naturally.

What lifestyle changes can help manage an overactive bladder?

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

When should I see a doctor for urinary symptoms?

You should see a doctor if you notice blood in your urine, develop severe abdominal pain, have a fever or chills, or if your urinary symptoms persist or worsen over a week.

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