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No urination, feeling present, unable to evacuate, severe pain. Treatment ?

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have not urinated all day. When I try to go nothing comes out and am in excruciating pain ?33 female
Posted Tue, 17 Apr 2012 in Urinary and Bladder Problems
Answered by Dr. Puneet Maheshwari 46 minutes later

thanks for the query,

Your condition is known as Acute retention of urine.There are many causes for this condition.Urinary retention can be caused by an obstruction in the urinary tract or by nerve problems that interfere with signals between the brain and the bladder. I will discuss each of them.

1. Infection- Infections cause swelling and irritation, or inflammation. A urinary tract infection (UTI) may cause retention if the urethra becomes inflamed and swells shut.

2. Surgery- During surgery, anesthesia is often administered to block pain signals, and fluid is given intravenously to compensate for possible blood loss. The combination may result in a full bladder with impaired nerve function. many patients have urinary retention after surgery.
In your case there is no such history.

3. Medication - The drugs that may cause urinary retention include antihistamines to treat allergies
anticholinergics/antispasmodics to treat stomach cramps, muscle spasms, and urinary incontinence
tricyclic antidepressants to treat anxiety and depression

4. Bladder Stone- A stone formed anywhere in the urinary tract may become lodged in the bladder. If the stone is large enough, it can block the opening to the urethra like a bathtub plug.

5. Cystocele and Rectocele

6. Constipation-A hard stool in the rectum may push against the bladder and urethra, causing the urethra to be shut, especially if a rectocele is present.

7. Urethral Stricture- A stricture is a narrowing or closure of a tube.

Treatment of this condition---

Immediately consult an urologist. Treatment begins with the insertion of a catheter through the urethra to drain the bladder. This initial treatment relieves the immediate distress of a full bladder and prevents permanent bladder damage. Long-term treatment for any case of urinary retention depends on the cause.

Hope this helps you, And I am ready for the future follow ups.

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