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Hello I Have Been Having Pain In The Uretha Area..

Posted on Tue, 1 Sep 2020

Question: Hello I have been having pain in the uretha area.. it is kind of a pressure ache.. not painful just bothersome.. the sensation comes and go.. it seems to be a little worse at night when I need to go to the bathroom. My uretha seems enlarged but I have no pain on urination and I feel when I urinate I feel like I empty
Myself. I have had lots of blood work for my kidneys all normal.. my urineanalysis is perfect..culture was normal..my transvaginal ultrasound looked fine.. what is causing this.. it started after I started a blood pressure med..any connection? I only take 2.5 norvasc..what other tests should I take? What could cause rhis?

Follow up: Dr. Dr. P. T. Patil (13 minutes later)

Protein negative, blood negative, glucose negative, ketones negative, kidney gfr normal, leakocyte negative.nitrate neg.,

Answered by Dr. Dr. P. T. Patil (24 minutes later)

Brief Answer:
Could be due Urethritis due to hormonal changes .

Detailed Answer:
Hello
Thanks for query .

Based on the facts that you have posted the discomfort in and around urethra without having any urinary symptoms like burning urination ,frequency etc and with no positive evidence of infection detected in urine analysis and in urine culture is most likely to be due to changes in gental organs including urethra at the post menopausal age .

Consult qualified Gynecologist for clinical and vaginal examination and further treatment.

In the mean time start taking urinary antiseptic like Nitrofurantoin tice daily ..

Using topical Estrogen cream to be applied around urethra and in vagina will help to get relief .

Ensure to wash and clean genital parts with Betadine Vaginal solution will help to prevent inflammation .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Thanks and Regards.
Dr Patil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Creatine kinase 93, specific gravity 1.016, bilirubin neg,

Follow up: Dr. Dr. P. T. Patil (22 minutes later)

If it was cancer of the bladder I would have other things show up in my urineanalysis ..’are there more tests I should take?

Answered by Dr. Dr. P. T. Patil (1 minute later)

Brief Answer:
There is no possibility of cancer of bladder .

Detailed Answer:
Hello
Thanks for follow up .

The predominant symptom of bladder cancer is blood in urine hence there is no possibility of bladder cancer .

Without having any urinary symptoms and no positive evidence of infection I would not think of any issue related to urinary system .

Take the treatment suggested .You may add estrogen enhancing medicine prescribed by your Gynecologist .I think with this treatment it should get resolve within 2-3 weeks .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 minutes later)

I did go to the gyno she said I need estrogen.. no bladder drop or pain in the bladder or stomach area just the achiness of the ureatha but she is the one who referred me to the urologist

Follow up: Dr. Dr. P. T. Patil (16 minutes later)

Thanks so much!!!!!

Answered by Dr. Dr. P. T. Patil (9 hours later)

Brief Answer:
O K Bye

Detailed Answer:
Hello
Thanks for writing again.

Take the treatment suggested .It will definitely work for you .

Thanks and Regards,
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (51 minutes later)

This morning I woke up and I needed to urinate badly .. after I urinated I still had that feeling of needing to urinate .. that pressure feeling but I feel like my bladder was empty ..it is kind of achy pressure.. do you think I need to see a urologist for any further tests? Thanks again sorry I have so many questions!

Answered by Dr. Dr. P. T. Patil (55 minutes later)

Brief Answer:
You can consult Urologist

Detailed Answer:
Hello
Thanks for follow up .

The symptoms that you have are due to senile atrophy of gental organs n females at this age due to Estrogen deficiency .However you can consult Urologist and get endoscopic examination of bladder (Cystoscopy ) done to allay your apprehension and anxiety.

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (11 hours later)

Thanks so much! You are a wonderful doctor!

Answered by Dr. Dr. P. T. Patil (12 minutes later)

Brief Answer:
Thanks for appreciation .

Detailed Answer:
Hello
Thanks for writing again and your comments .

If you have time you may post your review on the forum of XXXXXXX Care Magic .com

Thanks and Regars
Dr Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar