
Dont Get The Urge To Urinate. Ultra Sound Scan Showed Normal Report. Treatment?

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Parenchymal echogenicity normal.
cortico-medullary demarcation is normal in both kindeys
Pelvi-calyceal system not dilated . Ureters are not dilated.
Urinary baldder is distended and shows no evidence of calculus
U.bladder wall and prostrate are normal
post-void residual urine volume is 180ml
RETROPERITONEUM - no enlarged nodes seen
PERITONEUM - no free fluid noted. No Abnormal bowerl loops noted.
Liver not enlarged
gall bladder is of normal size and shows no evidence of calculus or sludge. walls not thickened.
pancreas - no obvious lesion noted.
routine urine test
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RBC - 1 -2 HPF
PUSS CELLS - 4 - 6 HPF
after excercise during evening if i drink even 500ml i dont get the urge to urinate even after 1hr and if i do it will be very very very little
before excersie or after i wakeup i go to toilet every 45mins
and one - two times in the middle of the night.
please help help
Your problem is of variation in urination pattern.
More frequency in night and after getting up in morning is seen in few conditions.
-- Diabetes- test blood sugar fasting if less that 126 there is no diabetes.
-- Urine infection- urine pus cells are 4-6. Please see urine culture test to see if there is any infection also if you have burning sensation in the urine.
--Pedal oedema-- if you have swelling in your legs or you are passing proteins in the urine test ( not mentioned in the report provided) you can develop frequency of urination specially at night.
-- if you drink lot of water before going to sleep and in between when you get up-- this also contributes.
Second you said you don't pass urine after exercise-- if you are doing exercise in which you lose water from the body by sweating then even if you drink 500 ml it may not be enough to correct the water deficit and you may pass less urine subsequently- so no need to worry about that.
The thing which is of more concern is the presence of residual urine of 180 cc
This shows that when you pass urine you are not able to empty the bladder and some urine remains inside. I think you should repeat the ultrasound to confirm this finding. If still the problem is there then we have to investigate it.
Hope this information helps you to understand your problem.
If there are any queries you are welcome to ask.


when i say excercise i swim daily 20 laps and thats it :-)
that is what i am trying to find what is causing my urine blockage...is it because i have kidney stone of size 1 mm
but i was told only bladder stone can cause urine block not kidney stone
other reason of block i was told by a urologist is that could be and can be blocked cos of UTI so i am drinking lot of cranberry now
i am also very concerned with this 180cc of urine but all reports normal
today i am doing culture urine test & results ready on friday after 3 days they told me so will let you know the results but i want to know does kidney stone cause blockage to urine
Residual urine after voiding can occur from
1. Urine passage blockage, but then you will feel that you have thin urine stream. You are not complaining
2. Bladder dysfunction. - needs evaluation.
If you already have urine infection only cranberry juice will not help. Cranberry juice extract tablets are available which you can take once infection is treated and recovered.
Let me know the other results.


Urine sugar - 0
RBC Urine - NIL / hpf
Pus Cells - 0-1 / hpf
Epithelial Cells - 0-1 / HPF
The cultural test they said will be ready in 3 days so when i get that i will send you
I really hope UTI is the reason for me not been able to empty the bladder because the rest of the things i read are scary and i am really worried ;-(
Your reports are absolutely normal.
Please do not be scared of the things which i have mentioned. they can be managed easily. only thing is to reach the correct diagnosis. hopefully your symptoms will go away with time. I would still sugest to repeat the post void residue in Ultrasound because some times when a person is very anxious at the time of the test he is not able to pass the urine completely.
Hope that helps
Regards


i am planning to do another ultra sound but at a differnet place so things can be compared.
Inform me the results once they are done and I will be able to guide you further.
All the best...


Tab Levoflox as an antibiotic cover.
Tab urispas (fluvoxate) to decrease urethral irritability.
If you are sexually active, abstain from relationship for few days. Repeat the ultrasound today and if post void urine (PVR) and any stones in urethra.
If PVR is still high, you will have to XXXXXXX your doctor. He may suggest for a tube in urine passage (foleys) to remove the extra urine.
I can understand these symptoms are very troubling and there is a constant urge to urinate because of irritability of the urine passage. However, it will go away with time.
So contact your doctor and follow his advice.
Bye for now.


so i googled about the best herb for this and saw palmetto has the benefit so going to try that for a 4 - 5 months and see the results.
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