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Reasons for constant urge for urination - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   For two years now I constantly have the urge to urinate. I have seen my doctor and have the UTI test completed 3 times which has come back clear, also have had an ultrasound which came back clear. Next step that my doctor wanted to do is a camera in my bladder which I have not at this point agreed to. I have learned to deal with it so far but I shouldn't have to I am only 26. I can not stand anymore always worring if there will be an accident...and because I worry I stress myself out and make it worse. You should know I do smoke. Please help!!!
Doctor :   Hi
Doctor :   Let me read the query.
User :   Hi
Doctor :   Did you get a post void ultrasound scan?
User :   Not sure what a that is they did an unltrasound on my bladder as well looked at my ovaires and uterus
Doctor :   Ok
Doctor :   Do you have history of easy tiredness, weakness?
Doctor :   Do you have history of diabetes, thyroid hormone abnormalities?
User :   Yes, always tired and I do get weak easily
Doctor :   Do you have history of diabetes, thyroid hormone abnormalities?
User :   Yes my whole family and my mothers thyroid half of it does not work....but my doctor did test for that and so far I show no signs of it
Doctor :   Do you experience involuntary dribbling of urine?
User :   No which is the odd part just the urge, no burning and it get's more irrite when wet. When I get overly stressted out I get extermely heated down there and it get's more intense.
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   Increased urge to urinate occurs due to multiple reasons. From this far, without physical examination and evaluation, I cannot pinpoint the cause.
Doctor :   However based on your description,
Doctor :   I shall provide you with some information which should point you to finding remedy
User :   that would be great thanks, anything you can offer would be a great help
User :   Can I ask you another quick question after you brief?
Doctor :   Increased urge causes can be secondary to stress and anxiety related problem.
Doctor :   If you are a highly stressed out individual, that may be the primary reason for these symptoms,
Doctor :   However, increased urge with frequent urination will need evaluation.
Doctor :   Evaluation to look at the position of the uterus, bladder functions, kidney functions, Serum osmolality, pituitary function tests and so on.
Doctor :   Ruling out these metabolic, hormonal and structural problems are essential.
Doctor :   Have you followed what I have suggested?
User :   Yes thank you very much
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