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Why Am L Finding It Very Hard To Urinate?

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Posted on Mon, 27 Nov 2023
Question: l find it hard to urinate that l have for push very hard is there any drugs you can prescribe for me urgently
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (48 minutes later)
Brief Answer:
Information

Detailed Answer:
Hello and welcome,

We don't prescribe on this site (it's an international company and we aren't licensed everywhere) but I can discuss it with you and help sort out what you should do.

I have a few questions so I can learn more about your situation to help me advise:
1. How long has it been since you urinated?
2. Are you taking any supplements or medications? Some can cause urinary retention.
3. Have you been drinking a normal amount of water?
4. Any burning or pain when you urinate?
5. Any discharge?
6. When did this difficultly firs start?
7. Any aching in the flanks (on the sides of your lower back) or in the pubic region?

Thanks - I'll write more after I hear back.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (12 hours later)

1. How long has it been since you urinated? 4 days now
2. Are you taking any supplements or medications? Some can cause urinary retention. am treating cough
3. Have you been drinking a normal amount of water? l take about 5 cups of water daily
4. Any burning or pain when you urinate? no pain just that l have to push hard
5. Any discharge? none
6. When did this difficultly firs start? 4 days
7. Any aching in the flanks (on the sides of your lower back) or in the pubic region? none
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (5 hours later)
Brief Answer:
Discontinue the cold/cough medicine

Detailed Answer:
I'm sorry I was not able to get back to you sooner.

The one thing in the additional history that you provided that might be the cause is the medication that you are using to treat cough or a cold. If it contains a decongestant (such as pseudoephedrine or phenylephrine) or an antihistamine (such as diphenhydramine, chlorpheneramine, etc), these can cause urinary retention.

I advise you to stop taking the over the counter medicine for cough/cold and see if that doesn't make the urinary retention better.

If you were older, I would be concerned about prostate enlargement, but that doesn't typically happen in someone your age. And given that you aren't having pain in the kidney or urogenital area, I think the possibility of problems in these areas are less likely. Most likely it's the over the counter med.

I asked how long its been since you last urinated and you wrote 4 days. I'll assume you have urinated in this period of time but you mean that you haven't urinated easily or normally in that period of time. If my assumption is incorrect, please let me know. Because not urinating at all in 4 days would be an emergency and I will direct you to go to the ER if that is the case.

If you stop the cold/cough med and you aren't starting to improve in 24 hrs, then do go in to be seen.

Please let me know how you are doing after you discontinue the medicine.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (1 hour later)
Thanks for the response l will be through with the cough syrup am using a cough and cold with codeine syrup and in the past 4 days l have been urinating its only that l sometimes push hard but l urinate any time l want
Thanks
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (3 hours later)
Brief Answer:
It's likely to be the meds

Detailed Answer:
Codeine is an opiate, and that can definitely cause urinary retention in some people.

I'm including here a link to an article about medications that can cause urinary retention. To see it you will have to copy and paste it into your search bar as it won't "link" here.

https://www.niddk.nih.gov/health-information/urologic-diseases/urinary-retention

I'm pretty sure you will be better after you discontinue these meds.



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. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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Why Am L Finding It Very Hard To Urinate?

Brief Answer: Information Detailed Answer: Hello and welcome, We don't prescribe on this site (it's an international company and we aren't licensed everywhere) but I can discuss it with you and help sort out what you should do. I have a few questions so I can learn more about your situation to help me advise: 1. How long has it been since you urinated? 2. Are you taking any supplements or medications? Some can cause urinary retention. 3. Have you been drinking a normal amount of water? 4. Any burning or pain when you urinate? 5. Any discharge? 6. When did this difficultly firs start? 7. Any aching in the flanks (on the sides of your lower back) or in the pubic region? Thanks - I'll write more after I hear back.