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Pressure in the pelvic area post urination - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3390 Questions
User :   I am a 33 year old female that is pretty much healthy. I recently (a few days ago) started to have a pressure after I urinate. I notice it after I stand after urinating and it lasts a little while and then goes away. I have had a UTI in the past and it doesn't really feel like that. Internally it feels like a pressure on my bladder. Externally it feels like it is in my lower pelvic area. I do not urinate anymore than normal and I drink mostly water so my urine is almost always clear to very light in color. It hasn't gotten better or worse since it all started and there is no time that it is worse then another time.
Doctor :   Hello.
Doctor :   Let me read your query.
Doctor :   Do you have any fever, burning urination, etc?
User :   No I have no burning, pain etc during urination and no I have no fever. Not sure if this is relavent or not but I just came off a course of antibotics for strep throat about 1 1/2 weeks ago.
Doctor :   Ok.
Doctor :   How often do you feel the urge to urinate?
User :   Not any more than normal. I would say I normally urinate about 5-10 times through out a day.
Doctor :   Ok.
Doctor :   Do you have any leakage of urine during the pressure?
User :   No.
Doctor :   Ok.
Doctor :   When did you have the UTI?
User :   oh it has been a few years ago...maybe 2-3 years or more at least. I had alot when I was pregnant with my last child
Doctor :   Ok.
Doctor :   Do you feel any pain in abdomen?
User :   No not really. After I urinate it feels like a pressure (mild) in my lower pelvic area
Doctor :   Ok.
Doctor :   Does the pressure relive on urination?
User :   There is no pressure before urination only after
Doctor :   Ok.
Doctor :   Do you have any menstrual disturbances?
User :   not really. I am pretty regular. My cycle is 26-28 days
Doctor :   Can you tell me the exact location where you feel the pressure?
User :   If I had to pinpoint it externally I would say lower middle pelvic area.
Doctor :   Ok.
Doctor :   Since how many days you have this symptom?
User :   This is the 3rd day
Doctor :   Ok.
Doctor :   Do you have any disturbances in bowel/ stools?
User :   Not now. I have fought constipation off an on for years but I have been pretty normal and regular for months now with no constipation issues
Doctor :   Ok.
Doctor :   Did you try to lift any heavy object/ injury you lower abdomen?
User :   No nothing out of the ordinary.
Doctor :   Ok.
Doctor :   How did this symptom start? sudden or gradual?
User :   Sudden...I woke up that morning and after I urinated the first time I felt the pressure
Doctor :   Ok.
Doctor :   How is the pressure relived?
Doctor :   Do you take any medication for it?
User :   It just goes away a little while after I urinate.
Doctor :   Ok.
User :   No I haven't been to a dr. yet. Being it just started. I thought it was a UTI at first but it hasn't gotten any worse and it is completely different symptoms then I had with the UTIs
Doctor :   Can you describe this pressure feeling?
User :   It feels like something is pressing on my bladder
Doctor :   Ok.
Doctor :   Have you done any abdomen work out recently?
User :   No.
Doctor :   Ok.
Doctor :   You need you get few test done in order to come to any diagnosis.
Doctor :   Which include urine examination and culture.
Doctor :   An ultrasound of the abdomen and lower pelvic region.
User :   Is this something I should go to the dr. immediately about? I have an appointment for my yearly physical next week?
Doctor :   You can wait it then.
User :   Do you have any ideas of what it could be or is it just impossible to even have an idea without the tests?
Doctor :   It could be a pathology of the abdomen muscle.
Doctor :   Or the uterus/ bladder.
User :   Could you explain what that is?
Doctor :   It could a muscle pull.
Doctor :   As there are not many associated symptoms.
Doctor :   Which can lead to a any diagnosis.
Doctor :   Did you follow what I said? Please get back to me in case of doubts.
User :   I think I understand. I can wait until my appointment next week to get it checked out. It maybe a pulled muscle but due to not have many associated symptoms it could possibly be something other than that. Is that correct?
Doctor :   Yes.
User :   thank you for your time.
Doctor :   Thanks for consulting healthcaremagic.
Doctor :   Bye for now.
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