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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdomen And Groin Pain Along With The Urge To Urinate?

Need some advice on a problem with ongoing abdominal pain which has just turned unbearable for some time I ve been feeling like pressure when I urinate or even after I ve been intimate the feeling of still needing too and whole groin area is in pain now
Sat, 3 Sep 2016
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General & Family Physician 's  Response
Your problem is due to enlargement of prostate gland which is common in men after the age of 50. What causes enlargement of prostate gland is not known fully. Cure is possible by removing the prostate gland by surgery. Or there might be urinary tract infection.
Advice
1.     Dicyclomine 20 mg and ibuprofen 600 mg per oral after meal if pain is intolerable
2.     Investigation – R/E of urine, C/S of urine, USG abdomen & pelvis, serum PSA, X – ray KUB
3.     Consult your urologist for per rectal examination of prostate
4.     Avoid drinking alcohol, tea, coffee or cola as these substances irritate urinary bladder and symptoms worse
5.     Consume less water in the evening but drink at least 3 liters of water in the day time
6.     Empty your bladder while going out of home/office
7.     Eating more fruit and fiber to avoid constipation which can put pressure on the bladder worsening symptoms
8.     Double void to completely empty your bladder – this This involves waiting a few moments after you have finished passing urine before trying to go again
Further action will be taken after report.
Thanks
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What Causes Abdomen And Groin Pain Along With The Urge To Urinate?

Your problem is due to enlargement of prostate gland which is common in men after the age of 50. What causes enlargement of prostate gland is not known fully. Cure is possible by removing the prostate gland by surgery. Or there might be urinary tract infection. Advice 1. Dicyclomine 20 mg and ibuprofen 600 mg per oral after meal if pain is intolerable 2. Investigation – R/E of urine, C/S of urine, USG abdomen & pelvis, serum PSA, X – ray KUB 3. Consult your urologist for per rectal examination of prostate 4. Avoid drinking alcohol, tea, coffee or cola as these substances irritate urinary bladder and symptoms worse 5. Consume less water in the evening but drink at least 3 liters of water in the day time 6. Empty your bladder while going out of home/office 7. Eating more fruit and fiber to avoid constipation which can put pressure on the bladder worsening symptoms 8. Double void to completely empty your bladder – this This involves waiting a few moments after you have finished passing urine before trying to go again Further action will be taken after report. Thanks