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Symptoms of Cystitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   Hi , doctor!
Im mama of two boys,41 years old.
Today morning I have noticed when went to bathroom I have hard time peeing.I cannot to start pee.My bladder hurts, I feel pressure.Sometimes it take 10 15 min, sometime it take hour.I have to push and just a little bit come ut.During peeing bladder pain become stronger.Doctor, what is reason of this difficulty peeing? Is it stress? Now im under stress.My papa in hospital, he had 5 heart attack already.Im worry so much, im so sensitiv for everything.And im in depression now.Can depression, stress affect me?
Doctor, thank you so much for answer!
Doctor :   Hi
Doctor :   Let me go through your query.
User :   Yes.Im here
Doctor :   Yeah I got your question, stress and depression can cause lot of problems.
Doctor :   Initially I would like to ask you how much amount of water have you been taking a day?
Doctor :   For women, one of the common causes of difficulty in urinating is trying to urinate when there is too little urine in the bladder, as mentioned above. A woman may try to urinate with little urine in the bladder because they have an overactive bladder.
User :   So,doctor my problem with peeing it can to be stress and depression?
User :   I drink 1,5-2 litr of water.
Doctor :   Yeah but before we can figure out whether it is because of stress or any other somatic cause can you let me know some things?
Doctor :   Ok, is Is the climate around too hot or cold, do you sweat a lot?
Doctor :   2.Do you have pain or burning with urination?
Doctor :   3.Is your urine cloudy?
User :   My climat is cold now.Yes,during peeing I have pao I
Doctor :   Do you follow?
Doctor :   Ok.
Doctor :   3.Is your urine cloudy?
User :   A little bit
Doctor :   Ok
Doctor :   4.Do you have a fever and/or backache?
User :   No,I have bladder pain and pressure
Doctor :   5.Do you have sharp, knife-like, intense pains in your back or groin?
Doctor :   If you have,You may have a kidney stone or another serious problem.
Doctor :   Do you follow ?
Doctor :   5.Do you have sharp, knife-like, intense pains in your back or groin?
User :   Sometime I have sharp pain right side of my back, my right kidney
Doctor :   Ok.
Doctor :   You may have a KIDNEY STONE or another serious problem.It is an EMERGENCY
Please see your doctor or go to the emergency room right away.
Doctor :   You need to consult a Urologist right away.
User :   So, doctor, what is going on? Month ago I was check my urine.No UTI.
Doctor :   One last question,Do you have the urge to urinate after just using the restroom, and are you only urinating small amounts at a time?
User :   Doctor, now I have difficulty peeing and bladder pain.I have not pain in my back now.
Doctor :   Ok, So as per your symptoms,it may be caused by an infection in the bladder, called CYSTITIS, or from an irritation of the bladder, called INTERSTITIAL CYSTITIS, or from a KIDNEY STONE stuck in the bladder.
Doctor :   And hence you need to see a Urologist.
User :   When I start pee, just a little bit come out, after I try pee again, I pee normal.But during pee I fell pain an pressure on my my bladder.
Doctor :   Ok.
Doctor :   So your symptoms suggest that you need to get a physical examination done by the Urologist, And get some tests done.
User :   Doctor what is interstitial systitis?
Doctor :   Interstitial Cystitis is a condition where a person has painful bladder,difficulty in urination, pressure, tenderness in the lower part of abdomen, inflammation in the urinary bladder.
User :   Doctor, how can I help self before go to see doctor?
Doctor :   Hot fomentation over the area, over the counter urinary analgesics.
Doctor :   Alkalizing the urine by taking more fruit juices except for citrus fruits.
Doctor :   But this is an emergency, you need to go immediately and take a Urologist opinion.
User :   I understand its for pain. And how I can to help self to pee without problem?
Doctor :   You need a prescription drug for reducing the pain and solving the problem, also you need to run through some tests, which cannot be done by me as it is against medical ethics.
Doctor :   You need to be seen physically by the concerned doctor.
User :   What is reason of this my problems? I think I affected by stress and depression.Doctor, what do you think?
Doctor :   Phenazopyridine Tab. (Azo) must be taken three times daily after the meals.
User :   Doctor, what tests do you recommend me?
Doctor :   If this doesn't help you need a prescription medication for pain killers or other medication.
Doctor :   Answering your previous question,stress and depression should cause more UTI's as you tend to take less water and sweat more and hence decreased water intake causes problems.
Doctor :   But you have pain in the Lower abdomen and while urinating and hence it alone cannot be the cause.
User :   What can to relax my blader, I could to pee without problem? I cannot to start pee.Now im worry about this more.If I cannot to pee I hold and it bring me more pain more pressure on my bladder.
Doctor :   Tests that I would suggest are Routine Urine Examination and if something abnormal in urine routine, you may need cystoscopy.
Doctor :   Please take the following medication, which would help you in 15-20 mins.Phenazopyridine Tab. (Azo) must be taken three times daily after the meals.
User :   thank you, doctor.Now I feel better, because I know more about my problems and how it treat.
Doctor :   If it doesn't subside you have to see the concerned Doctor.
Doctor :   Thank you for consulting me.
User :   Doctor, what natural home treatmemt can you recommend me?
Doctor :   If you have anything else please let me know.
Doctor :   Hot fomentation over the area every 20 mins. over the counter urinary analgesics(Azo)
Alkalizing the urine by taking more fruit juices.
Doctor :   Thank you for consulting me.
Doctor :   Do you have anything else?
User :   Doctor, what is " Hot fomentation "?
Doctor :   Take a hot water bag or if you do not have a hot water bag, then take a towel, dip it in hot water,drain the water and place it on the area where you experience pain.
User :   What can you to recommend to me for stress and depression?i think stress and de
Doctor :   A combination of breathing exercises,meditation,physical exercises and yoga.
Doctor :   Hope I have answered your query?
Doctor :   Thank you for consulting me.
Doctor :   Take care

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