Given your symptoms of bladder pain and a lack of urinary urge over two years, despite comprehensive diagnostic exams like CT scans, MRIs, and ultrasounds, several considerations come to mind. It seems important to look into less common causes of these symptoms. One potential condition to consider is Interstitial Cystitis (IC), also known as painful bladder syndrome. It’s a chronic bladder health issue characterized by bladder pressure, bladder pain, and sometimes pelvic pain. It’s less about the urge to urinate, and more about the discomfort and pain. Management of IC often includes lifestyle changes—diet modifications to avoid bladder irritants such as caffeine, alcohol, and spicy foods can be helpful. Bladder training and pelvic floor physical therapy are also options. Medications like pentosan polysulfate sodium, amitriptyline, or antihistamines are sometimes prescribed to help reduce symptoms. It’s advisable to visit a urologist with experience in IC if you haven’t already. They can review your test results in detail and, if needed, perform additional tests like a cystoscopy or urodynamic test. Another possibility might be neurogenic bladder, due to nerve dysfunction possibly affecting bladder control. Consulting with a neurologist could provide more insights, especially if conditions like diabetes or spinal disorders are present. Meanwhile, if pain becomes unbearable, a visit to the emergency room may be in order. Prioritize keeping a detailed symptom diary, noting patterns in pain and any correlating activity or dietary intake; this information can be invaluable for specialists. Since you’ve exhausted many conventional paths, a multidisciplinary approach involving a team of specialists might offer the best path forward.
2 साल से पेशाब की थैली में दर्द हो रहा है लेकिन पेशाब करने की इच्छा नहीं हो रही है, तो क्या करें?
प्रिय सर, मुझे मूत्राशय में दर्द है और पिछले 2 साल से पेशाब की कोई इच्छा नहीं होती। मैंने पाकिस्तान के सभी डॉक्टरों को दिखाया है लेकिन मेरी समस्या अभी भी वही है। मैंने सीटी स्कैन, एमआरआई, अल्ट्रासाउंड करवाया है और मूत्रमार्ग में कोई रुकावट भी नहीं है। मैं तब ही टॉयलेट जाता हूँ जब मेरा मूत्राशय दर्द करने लगता है। कृपया मेरी मदद करें। मैं आपका बहुत आभारी रहूँगा।
How would you describe the pain in your bladder?:
- CrampingHave you experienced any other symptoms along with the bladder pain?:
- No other symptomsHas the pain been constant or does it come and go?:
- Worsens at specific timesWhat have you tried to relieve the bladder pain?:
- Nothing yetHow has your fluid intake changed over the past 2 years?:
- Varies dailyDo you have any history of urinary tract infections?:
- Yes, occasional infectionsHave you noticed any changes in your urinary habits aside from the pain?:
- Decreased frequency100% Anonymously
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Doctors' responses
Hello dear See as per Clinical history it seems presence of infection due to Bacteria White blood cell Probably diagnosis includes Uti infection preferably pseudomonas Glomerulunephritis Nephrotic syndrome Bladder issue Iam suggesting some tests Please share the result with urologist in person for better clarity Cbc Esr Serum ferritin Serum tsh Serum hb Rft Lft Gfr Serum creatinine Serum bilirubin Hemogram Urine analysis Urine culture Kidney USG Hopefully you recover soon Regards
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