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बार-बार पेशाब की इच्छा के बिना मूत्राशय में लगातार दर्द होने पर क्या करें?
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Kidney & Urinary Health
Question #30029
34 days ago
101

बार-बार पेशाब की इच्छा के बिना मूत्राशय में लगातार दर्द होने पर क्या करें?

Client_e2b5bc

मेरे पेशाब की थैली में 2 साल से दर्द हो रहा है, और पेशाब करने की इच्छा नहीं होती। जब थैली में दर्द शुरू होता है, तो मुझे समझ आता है कि मेरी थैली पेशाब से भर गई है। मैंने इस समस्या का निदान कराने के लिए पाकिस्तान में हर जगह कोशिश की, लेकिन असफल रहा। मैंने सीटी स्कैन और एमआरआई करवाया, यूरिथ्रा में कोई रुकावट नहीं है। मैंने लगभग हर तरह की दवा का इस्तेमाल किया है, कुछ दिनों में पेशाब का प्रवाह अच्छा होता है और कुछ दिनों में खराब। जब मैं नेप्रोक्सेन टैबलेट लेता हूं, तो पेशाब का प्रवाह अच्छा होता है। मैं इस बारे में बहुत चिंतित हूं। कृपया मेरी मदद करें, मैं मानसिक रूप से बहुत कमजोर हो गया हूं, जिससे मेरा परिवार भी परेशान है। मैं क्या कर सकता हूं, कहां जाऊं?

How would you describe the intensity of your bladder pain?:

- Mild

Have you experienced any other symptoms along with the bladder pain?:

- Fatigue

How often do you experience the bladder pain?:

- Daily

Have you noticed any specific activities that worsen your symptoms?:

- No specific activities

How has your mental health been affected by this condition?:

- Very negatively — constant anxiety or depression

Have you had any previous treatments or interventions for this issue?:

- Multiple medications

How do you feel about your current medication regimen?:

- Not helpful
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
33 days ago
5

Hello dear See as per 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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Looking at a situation where there’s chronic bladder pain without an urge to pee, combined with varying urine flow, a few possibilities come to mind even in the absence of clear findings on imaging or evident structural issues. To get it sorted, you might want to explore the idea of Interstitial Cystitis (IC), also known as Painful Bladder Syndrome, particularly if your symtoms have been dragging on. It’s essentially a persistent bladder pain condition but unfortunately, it doesn’t show up on typical CT or MRI scans. Diagnosis mostly hangs on clinical history, symptomatology, and sometimes using a cystoscopy procedure to get a direct look at the bladder lining and rule out other things like bladder stones or tumors. You should talk to a urologist skilled in managing complex urinary dilemmas, perhaps someone familiar with IC in particular. They might suggest therapies like bladder instillations or even physical therapy that’s specially aimed at pelvic floor dysfunction, which often tags along with IC. Besides this, non-drug approaches include dietary changes—identifying and avoiding foods that might rankle the bladder and could be aggravating the pain. Avoiding irritants like caffeine, alcohol, and acidic foods is often advised. The fact that naproxen improves ureter flow hints at possibly an inflammatory component; however, relying on NSAIDs long-term needs careful oversight by your doctor due to potential side effects. Given the long-term nature and complexity of your symptoms, it’s also worth evaluating mental health support options, since chronic pain can weigh on mood and energy, feeding a vicious cycle of discomfort. Cognitive-behavioral therapy or engagement with a pain specialist might present additional strategies to deal with the pain and improve life quality. If none of the conventional treatments provide relief, discussing neuromodulation techniques, which involve nerve stimulation, might be worthwhile; though clearly this would be a more advanced and targeted option. Seek a clinic that understands comprehensive bladder care and discuss these options in the light of your long-standing symptoms. Balancing physical and emotional well-being together is critical, as they often influence each other’s course.

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