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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Do I Feel Urgency And Pain After Urinating?

I got this pain after a full on peed but then after that iv been getting this pain and feeling if needing to pee every time I have just peed. There like little drops that come out and I didn t get much sleep from it. Also it feels like I really need to go to the toilet to let out a lot of urine but its bearly anything. It hurts after I urinate to also it hurts when i feel like i need to go to the toilet. so far this has happen 11 times or more within an hour. i feel like it wont stop Could you please give me some advice on what it is?
Fri, 29 Apr 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern.
I think you are suffering from stone /tumor in urinary tract or urinary tract infections.
For exact diagnosis consult to urologist and do necessary test.
Following are the other causes:
Urinary tract infection, Constipation, Obstruction of the urinary tract by stone and tumour, chronic prostatitis
Excesssive Alcohol and caffine use, Artificial sweetners and corn syrup, Intake of food high in sugars, Neurological disorder: parkinsons disease, multiple sclerosis and brain tumour, steroid intake

Risk factor are obesity , diabetes melitus, neurological disorder.

Consult the urologist and do the following test:
1. Urine analysis
2. Blood sugars
3. Blood urea, creatinine
4. Clinical examination and measurement of blood pressor and heart rate
5. Cystoscopy
6. Cystogram
7. Pelvic examination and abdomen USG
6. CBC, ESR, PSA

Following are the advice:
1. Bladder training excercise
2. Double voiding technique
3. Scheduled toilet every 3-4 hours
4. Reduce fluid intake and take more solid fluid
5. Avoid alcohol and caffeine
6. Pelvic floor exercise
B. drugs
1. Anticholinergic- Oxybutynin
2. Mirabegran
3. Tablet tramadol
4. Urine alkalytaing agent like potassium citrate
C. Medical device
You can put urethral insert if not response to drugs and behavior technique.
D. Last option is surgery is problem is severe
1. Bladder neck obstruction
2. Artificial urinary sphincter

Hope this may help you.

Best regards
Dr. sagar
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Why Do I Feel Urgency And Pain After Urinating?

Hello dear Understand your concern. I think you are suffering from stone /tumor in urinary tract or urinary tract infections. For exact diagnosis consult to urologist and do necessary test. Following are the other causes: Urinary tract infection, Constipation, Obstruction of the urinary tract by stone and tumour, chronic prostatitis Excesssive Alcohol and caffine use, Artificial sweetners and corn syrup, Intake of food high in sugars, Neurological disorder: parkinsons disease, multiple sclerosis and brain tumour, steroid intake Risk factor are obesity , diabetes melitus, neurological disorder. Consult the urologist and do the following test: 1. Urine analysis 2. Blood sugars 3. Blood urea, creatinine 4. Clinical examination and measurement of blood pressor and heart rate 5. Cystoscopy 6. Cystogram 7. Pelvic examination and abdomen USG 6. CBC, ESR, PSA Following are the advice: 1. Bladder training excercise 2. Double voiding technique 3. Scheduled toilet every 3-4 hours 4. Reduce fluid intake and take more solid fluid 5. Avoid alcohol and caffeine 6. Pelvic floor exercise B. drugs 1. Anticholinergic- Oxybutynin 2. Mirabegran 3. Tablet tramadol 4. Urine alkalytaing agent like potassium citrate C. Medical device You can put urethral insert if not response to drugs and behavior technique. D. Last option is surgery is problem is severe 1. Bladder neck obstruction 2. Artificial urinary sphincter Hope this may help you. Best regards Dr. sagar