Brief Answer:
Can be ?Fowler's syndrome or ??urinary infection

Detailed Answer:
Hi XXXX
Thanks for writing in to us.

I have read through your query in detail.
Though a urinary tract infection cannot be ruled out based on what you have written in your query, the symptoms mentioned by you clearly fit into a clinical condition termed Fowler's Syndrome, the cause of which is still under research.

This condition is seen in women in the age group 20 - 30 years with retention of urine which is usually painless in nature, sometimes with a residual volume of urine exceeding 1 litre at some stage of the disorder.

It is important that this condition is confirmed or any other condition considered after consulting an urologist. Before considering Fowler's syndrome, however other causes of urine retention must be ruled out. An ultrasound scan and urine routine and culture are the basic tests which will rule out an infection.

It will help if you can write details about the duration of your problem and if you have had frequent urinary infections in the past before we carry this discussion further. Also important would be any history of polycystic ovaries (which is known to occur in Fowler's Syndrome) and the amount of urine retention. Please remember that my reply is based on exactly what you have asked in your query and without a clinical examination, at times it can get difficult to make a proper diagnosis and I am just giving you information on the possibilities and the exact diagnosis requires clinical evaluation and required tests.

Medications may be taken only after a diagnosis is reached clinically. Please continue to drink adequate amounts of water to prevent dehydration and consult the urologist at the earliest.

Hope this answers your question for now. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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