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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Frequent Urge To Urinate And Painful Urination?

For the last 2 days I have had the urge to pee frequently it is usually only a little pee but at the end it is painful sends a sensation down my legs it feels like I am having a child just the pressure in my vagina I also have pain in my back middle right side and just a constant urge pee it seems to feel like the pressure in my vagina like somethings going to fall out???? I would appreciate any advise. Thanks
Mon, 4 May 2015
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
Feeling of pressure during urination, pain and sensation going down the legs requires complete examination of the pelvic organs.
First of all get an urine examination to look for evidence of infection.
If there is evidence of infection, culture and drug sensitivity needs to be done.
Appropriate antibiotics will control the urinary tract infection if present.
Secondly, an ultrasound of pelvis is required to look for the evidence of pelvic inflammatory disease (PID).
PID can cause pain and pressure in the pelvic organs and lower back ache.
A gynecological examination is also required since feeling of something going to fall out may be suggestive of an impeding prolapse.
Sensation going down the legs may be associated with above mentioned symptoms or may be different entity all together.
Thus, get a complete pelvic examination and you will need to consult a gynecologist for all these investigations.

Thanks and take care
Shailja Puri
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What Causes Frequent Urge To Urinate And Painful Urination?

Hello and welcome to HCM, Feeling of pressure during urination, pain and sensation going down the legs requires complete examination of the pelvic organs. First of all get an urine examination to look for evidence of infection. If there is evidence of infection, culture and drug sensitivity needs to be done. Appropriate antibiotics will control the urinary tract infection if present. Secondly, an ultrasound of pelvis is required to look for the evidence of pelvic inflammatory disease (PID). PID can cause pain and pressure in the pelvic organs and lower back ache. A gynecological examination is also required since feeling of something going to fall out may be suggestive of an impeding prolapse. Sensation going down the legs may be associated with above mentioned symptoms or may be different entity all together. Thus, get a complete pelvic examination and you will need to consult a gynecologist for all these investigations. Thanks and take care Shailja Puri