What causes pressure during urination with normal abdominal X-ray?
Renal colic probably
although no stone was identified on the X-ray, a renal stone (perhaps) obstructed your urinary tract and caused the symptoms. When the symptoms do not include flank pain and there are frequency and burning sensation then the obstruction is probably lower than the kidney (perhaps a stone or a clot in the ureter just before entering the bladder).
Blood in the urine with symptoms and no evidence of infection is usually caused by stones or other causes of obstruction. An ultrasound scan properly done when the patient is symptomatic will prove the obstruction. Please remember that not every stone is visible on the X-ray, so the fact that your doctor found none does not exclude the stones as a cause of your symptoms.
Blood in the urine and bladder symptoms can also originate from various bladder problems. If the symptoms persist and the blood in the urine becomes a frequent finding then perhaps cystoscopy should be considered.
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Do the tests and use a mild painkiller and spasmolytic
Doing the tests would help establish a diagnosis and receive appropriate treatment. You can use paracetamol (acetaminophen) and a spasmolytic for the symptoms till then.
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