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Urinary issue
"Doctor, I have had urinary problems for the past 3 months. It takes time for my urine to start, I have to strain a lot, and my urine stream is thin and interrupted. I pass only a small amount of urine each time, and I feel the urge to urinate again shortly afterward. For the past 15 days, my upper abdomen (above the navel) has been persistently bloated and feels tight. I also feel that my bowel does not empty completely after passing stool. There is no burning while urinating, no fever, no vomiting, and no blood in my urine or stool. Please evaluate the cause.
Answers (15)
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From the symptoms, it seems there's some structural issue in your lower abdomen and pelvis organs.
Get these tests done and get back to me for further consultation.
Tests:-
●USG KUB with post void urine volume measurement in usg.
●X-Ray KUB
●Urine R/E
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From the information you have provided it looks like some issue with prostate, it's not urine infection ( which is why no fever/ vomiting/blood in urine). Could be BPH ( prostate enlargement) or prostatitis or sometimes ureteric stricture. BPH is treatable. But you have to rule out other causes of prostate enlargement.
Get ultrasound whole abdomen along with post voiding urine volume measurement on USG. Consult an urologist.
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feel free to consult me on practo if you have any further queries
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Go to urologist and do X-ray kub
Usg kub
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You could be having urethral stricture. Please consult a urologist physically for clinical evaluation.
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You need examination under urologist.
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Usg needed or you can consult directly with urologist physically, its better for you.
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Kindly consult with me on 94 two six eight six 78 nine six for proper guidance and treatment. More medical history is required.
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Get a consultation, you need to get USG - KUB done along with urine routine . May be renal calculus I.e renal stones or some other issue.
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Get ultrasound done , after consultation the doctor. Because will have to write clearly what USG to be done , and what to look for ..
Health Tips
Take plenty of water , juices and follow a healthy diet meanwhile ..
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Get a usg Kub and whole abdomen done
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Dr. Sayan Mondal
General Physician
Kolkata
Your symptoms are suggestive of lower urinary tract obstruction rather than a simple urinary infection. The combination of hesitancy, straining, weak/interrupted urinary stream, incomplete bladder emptying, and frequency raises the possibility of urethral stricture, chronic prostatitis/chronic pelvic pain syndrome, bladder outlet obstruction, or less commonly a neurogenic bladder. The associated sensation of incomplete bowel evacuation and abdominal bloating may indicate pelvic floor dysfunction or significant constipation, which can further worsen urinary symptoms.
I recommend a detailed evaluation by a urologist. Initial investigations should include urine routine & microscopy with culture, ultrasound KUB with pre- and post-void residual (PVR) urine, uroflowmetry, serum creatinine, and PSA only if clinically indicated. Depending on these findings, cystoscopy or retrograde urethrogram may be required to exclude a urethral stricture. Avoid delaying evaluation, as persistent bladder outlet obstruction can eventually affect bladder and kidney function. Seek urgent care if you develop complete inability to pass urine, fever, severe pain, or blood in urine
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Mr. Aslam K Yoosuf
General Practitioner
1 yrs exp
Ernakulam
Based on the symptoms described, the primary cause is most likely a bladder outlet obstruction or pelvic floor dysfunction (such as a urethral stricture, prostatitis, or dyssynergia), which can also contribute to secondary bowel and abdominal discomfort.
Potential Underlying Causes
Urethral Stricture: A narrowing of the urethra is one of the most common causes of a thin stream, straining, and prolonged hesitancy in young adult men.
Prostatitis or Chronic Pelvic Pain Syndrome (CPPS): Inflammation or spasm of the prostate and pelvic muscles can restrict urine flow and cause pelvic fullness or incomplete bowel evacuation feelings.
Primary Bladder Neck Obstruction: Occurs when the neck of the bladder does not relax properly during urination, restricting flow without a structural blockage.
Severe Constipation or Pelvic Floor Dyssynergia: Retained stool or uncoordinated pelvic muscles can compress the urethra while simultaneously causing upper abdominal bloating and incomplete bowel movements.
Recommended Next Steps
Consult a Urologist: You need a physical evaluation, which typically includes a uroflowmetry test, a post-void residual (PVR) ultrasound, and possibly a cystoscopy or retrograde urethrogram to pinpoint the exact location of the blockage.
Seek Immediate Care If: You experience a complete inability to urinate (acute urinary retention), severe lower abdominal pain, fever, or chills.
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Dr. Tejaswini Shetty
General Practitioner
Kumta
Your symptoms require a more detailed evaluation than is possible through the information currently available. Please provide a detailed history through this consultation, including any existing medical conditions, medications you are taking, previous urinary problems or surgeries, and any recent changes in your symptoms. Based on your detailed history, I will be able to guide you further.
You may also require investigations such as a urine examination, kidney function tests, and an ultrasound of the kidneys and urinary bladder
Next Steps
If you become completely unable to pass urine, develop severe lower abdominal pain, fever, vomiting, blood in the urine, or severe back pain, please seek emergency medical care immediately.
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.