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What Causes Shy Bladder And Inability To Pass Urine?

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Posted on Fri, 27 Jun 2014
Question: I recently couldn't provide a urine sample for a random drug test. I have 2 doctors notes saying I had shy bladder.....I also have uncontrolled type 2 diabetes. the company MRO is looking for a medical reason why I couldn't pee. my doc tested my kidney functions. some #s are low but not sure what tests I should b looking at on my medal chart. the MRO said something about kidney problems would be a medical reason I couldn't pee...can anybody help me, guide me in the right direction??? I am looking for a medical reason why I couldn't pee. FRA doesn't allow dehydration or pycological problems as a medical reason
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
Was this the first episode; rule out conditions

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I would like to state the one most important differentiating factor that will help you, your doctors and everybody else concerned to realise whether your reason for not being able to urinate was medical or in fact just a shy bladder.

The one differentiating factor is whether you suffered this episode of not being able to pass urine for the first time on the given date of the test, for the first time or whether you have experienced the same previously.

An individual experiencing a shy bladder, usually is not able to pass urine when asked to do so for investigations or any other reason on a short notice. Whereas, an individual with any diagnosed or undiagnosed condition would have experienced similar problems with passing urine (whether less amount or not being able to pass urine at all).

So, using this information I need you to first realise whether or not you have experienced such issues previously. It would be fine if you have, so please do not get worried.

Now, to look for any medical conditions that could be causing a difficulty in passing urine, you will have to rule out the following causes:
-Obstruction in the urethra: X-ray and renal ultrasound will help
-Nerve problems: Commonly seen in diabetic patients
-Infections: They are usually accompanied by inflammation, fever, and various other reasons
-Previous surgery
-Medications
-Prolonged immobility: Can be a temporary problem or more serious for permanently immobile patients
-Kidney failure
-Weak muscles

Please speak to your doctor about ruling out these problems, and once they are all ruled out we can consider this to be a much more simple problem, i.e. a shy bladder.

I hope you find my response helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help you.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (10 hours later)
thank you for your time. im going to try to answer your questions
1st, this has never happened before. ive had previous random drug tests and never had a problem
2nd, as for medical that's what im looking for
-obstruction-idk, but I don't think so
-nerve problems-possible ????
-infections-tested for bladder infection and it was negative
previous surgery-no
medications-maybe, but company MRO willnot accept dehydration
prolonged immobility-no
kidney failure-no, BUT was just tested for kidney problems. looking at my medical chart, what test would I be looking for? some of my #s are low but which test would I be looking for?
and a new question for you
would a yeast infection cause me to be unable to pee?
could that be a medical reason for me to be unable to urinate
doctor
Answered by Dr. Shoaib Khan (4 hours later)
Brief Answer:
Yes, yeast infections can easily cause it

Detailed Answer:
Hello once again ma'am.

If this has never happened earlier, then I am almost completely sure this is a shy bladder issue.

As for the medical issues,
-Obstruction: Can only be ruled out with investigations like a renal ultrasound. But as you mentioned no previous issues, I doubt this needs to be considered
-Nerve issues: Many doctors would suspect this due to your history of T2 diabetes, but as I mentioned earlier, if this is the first time you are experiencing such a problem and can easily pass urine now, this is a clear case of a shy bladder
-Infections, prolonged immobility and surgery: Have been ruled out as mentioned by you
-Medications: No need to look into matters that may not be accepted ma'am
-Kidney abnormalities: You should be looking for values called creatinine, blood urea nitrogen (BUN), albumin, globulin, etc.

As for your new question, the answer would be a Yes. A yeast function resulting in difficulty to pass urine is one of the most common problems in children. This is quite possible in adults as well.

Yes, this can easily be considered as a reason to experience difficulty in passing urine ma'am.

I hope I have successfully answered all your queries. Please feel free to write back to me for any further clarifications, I would be more than happy to be of assistance.

Best wishes.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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What Causes Shy Bladder And Inability To Pass Urine?

Brief Answer: Was this the first episode; rule out conditions Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. I would like to state the one most important differentiating factor that will help you, your doctors and everybody else concerned to realise whether your reason for not being able to urinate was medical or in fact just a shy bladder. The one differentiating factor is whether you suffered this episode of not being able to pass urine for the first time on the given date of the test, for the first time or whether you have experienced the same previously. An individual experiencing a shy bladder, usually is not able to pass urine when asked to do so for investigations or any other reason on a short notice. Whereas, an individual with any diagnosed or undiagnosed condition would have experienced similar problems with passing urine (whether less amount or not being able to pass urine at all). So, using this information I need you to first realise whether or not you have experienced such issues previously. It would be fine if you have, so please do not get worried. Now, to look for any medical conditions that could be causing a difficulty in passing urine, you will have to rule out the following causes: -Obstruction in the urethra: X-ray and renal ultrasound will help -Nerve problems: Commonly seen in diabetic patients -Infections: They are usually accompanied by inflammation, fever, and various other reasons -Previous surgery -Medications -Prolonged immobility: Can be a temporary problem or more serious for permanently immobile patients -Kidney failure -Weak muscles Please speak to your doctor about ruling out these problems, and once they are all ruled out we can consider this to be a much more simple problem, i.e. a shy bladder. I hope you find my response helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes.