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What causes pressure during urination with normal abdominal X-ray?

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Posted on Mon, 18 May 2015
Question: Thursday night felt like I had a kidney stone but it only lasted a couple of hours. Since Friday I have felt pressure at the bottom like I need to urinate constantly. I saw my Dr who did an abdominal xray and saw nothing. He put me on ciprofloxacin which I have been taking since yesterday but have gotten no relief. I have no other symptoms of an infection. Today I started taking AZO but still no relief from the pressure. I have had a history of kidney stones. No other pain at this time but the pressure.
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Answered by Dr. Panagiotis Zografakis (34 minutes later)
Brief Answer:
Renal colic probably

Detailed Answer:
Hello,

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.

I hope I"ve helped!
Contact me again, if you'd like more information.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Panagiotis Zografakis (15 minutes later)
Is there anything that I can do for the pressure now since it seems to be worse than yesterday?
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Answered by Dr. Panagiotis Zografakis (3 minutes later)
Brief Answer:
Do the tests and use a mild painkiller and spasmolytic

Detailed Answer:
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.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3764 Questions

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What causes pressure during urination with normal abdominal X-ray?

Brief Answer: Renal colic probably Detailed Answer: Hello, 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. I hope I"ve helped! Contact me again, if you'd like more information. Kind Regards!