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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Frequent Urination As Urinary Relaxant Didn't Work?

Hello, Doc. I am 20 years old about 170 lbs and 5'6''. Lately ive been feeling like i have a UTI but i'm also thinking it may be entirely psycho-semantic. It started when i was getting a shower about 2 weeks ago and i felt the urge to urinate and so of course, i went. Afterwords while still in the shower i felt like i still had some urine left and tried to relax it out as usual. However even though i urinated a little it felt like i had to go again after i got out of the shower not less than a minute later. It has continually bugged me and when i saw my regular Dr i gave him a small urine sample (about 1/3 cup) and he said there was no signs of infection. I've been on antibiotics lately and I'm still wondering why i have this constant feeling (specifically in my shaft of the penis) that i still have a bit of urine left. Is this similar to any known condition or am i simply psyching myself out? This has actually happened before but not exactly like this. about a year ago around November i felt like i just physically couldn't urinate. My doctor prescribed me some antibiotics and a urinary relaxant and i was fine after a few days. Is this some recurring issue or something new entirely?
Fri, 28 Apr 2017
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Urologist,  's  Response
Sudden development of urinary frequency and urgency without any etiology and not improving on antibiotics or anticholinergics may point towards psychological cause of symptoms.
But anticholinergics like Solifenacin or Tolterodine take time to improve upon symptoms may be around 1-2Months. Hence continue the same drugs.
Add Tamsulosin 0.4mg.
Add Tab Tryptomer 10 mg at night daily for 1 month. Restrict intake of water to 2.5 litres per day.
Avoid smoking or coffee or tea.

These will help u. Even then if does not improve,show to psychiatrist.
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What Causes Frequent Urination As Urinary Relaxant Didn't Work?

Sudden development of urinary frequency and urgency without any etiology and not improving on antibiotics or anticholinergics may point towards psychological cause of symptoms. But anticholinergics like Solifenacin or Tolterodine take time to improve upon symptoms may be around 1-2Months. Hence continue the same drugs. Add Tamsulosin 0.4mg. Add Tab Tryptomer 10 mg at night daily for 1 month. Restrict intake of water to 2.5 litres per day. Avoid smoking or coffee or tea. These will help u. Even then if does not improve,show to psychiatrist.