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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes difficulty in emptying the bladder?

I am having abladder emptying problem I have unexplained weight loss thelymph nodes in my groin area are swollen real bad on both sides I can have a good flow of urine and when get up thinkin I am through I immediately feel pressure to have to go again and when I go this time its like a bubble pops and then the flow starts it feels like something is blocking me from being able to empty my bladder totally I even have to push sometimes to make sure I am totally done this happens alot and takes like three to four times of making sure I am through going to the bathroom what could be the causes of this issue never had a problem ever with this I did have c-sections in 1977 and 1978 and 1982 and endometriosis scraping of vaginal walls in 2001 am not sexually active at this time. the unexplained weight loss has been going on for 7 yrs now I can not gain a lb and can eat whatever I want I eat constantly I dont do drugs or drink alchol
Wed, 21 Aug 2019
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General Surgeon 's  Response

•     Well, the treatment depend sin the cause of urinary retention and Causes include an obstruction in the urinary tract such as an enlarged prostate or bladder stones, infections that cause swelling or irritation, nerve problems that interfere with signals between the brain and the bladder, medications, constipation, urethral stricture, or a weak bladder muscle.

Tests to diagnose urinary retention include taking a urine sample, bladder scan, cystoscopy, X-ray and CT scan, a blood test for prostate-specific antigen (PSA), prostate fluid sample test, and urodynamic tests to measure the bladder's ability to empty steadily and completely.

•     Treatment for urinary retention includes catheterization, treating prostate enlargement, and surgery and this should be discussed with your doctor after the right cause is found.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Dr Ivan R. Rommstein, General Surgeon
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