Brief Answer: Proper review, urologists opinion, tests Detailed Answer: Hi and thanks for the query, Evaluating these symptoms shall require a serious inquiry, because numerous health conditions could present as such. Your past medical history (diabetes, history of trauma or any pelvic surgery) is important to be noted. Diabetes on its own can weaken the bladder and render it defective with respect to urinating. Have you had any history of back pain or back tumor before? Voiding of the bladder involves a reflex component and a voluntary component. Problems with voiding could be explained by any of these components. In your case, it is important to check if there exists an obstacle within the urinary tree. Rare bladder stones could behave as such. I suggest a proper clinical review with a urologist. Your medical history coupled with an abdominal and pelvic ultrasound, plain abdominal film, Ct scan of need be and specific endoscopic exams of the urinary tree should be sufficient. Checking out for diabetes and other systemic diseases need to be carefully checked. The opinion of a urologist remains key. Kind regards. Please, do feel free asking any further questions in case of need. I will be glad making any specific suggestions. Dr Bain

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