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Kidney & Urinary Health
Question #14672
201 days ago
267

acute retention of urine - #14672

Tara

I am really concerned because I've been dealing with this issue for a little while now and it's just getting worse. It started about three weeks ago when I was at my friend’s place. I suddenly felt this intense pressure and couldn’t urinate at all. It caught me off guard, but after a bit, I managed to go just a little. I thought maybe I was just dehydrated or something, but then it happened again! The doctor mentioned the term “acute retention of urine” during my last visit but didn’t explain it much. Now I'm freaking out because I sat down to do some reading, and everything I find online seems to be all doom and gloom. Like, how can this be happening to me? I’m not even old, I feel fine otherwise! I don’t want to just ignore it but what if this "acute retention of urine" just keeps happening? Is there something I can do to help myself while waiting for my next appointment? I mean, should I be doing kegels? I heard that can help, but I’m not sure. Any advice from you docs would be greatly appreciated! I'm just kinda lost and tired of this constant discomfort.

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Doctors' responses

Acute retention of urine, where you’re unable to urinate despite a full bladder, can indeed be worrisome and is important to address. This condition is more than just a minor inconvenience; it can be a symptom of underlying issues that need medical attention. The causes of acute urinary retention can vary, ranging from prostate enlargement in males, urethral strictures, bladder dysfunction, medications that affect muscle or nerve signals, to infections and neurological conditions. Since you’ve been experiencing this on and off, it’s crucial to pinpoint the root cause with your healthcare provider. They might perform tests like a bladder scan or ask for some imaging studies to better understand what’s going on.

In the meantime, avoid excessive fluid intake to prevent overdistension of the bladder but stay hydrated as needed. It’s wise to identify and possibly steer clear of medications that might contribute to urinary retention, like antihistamines and decongestants, until you get more clarity from your doctor. Doing Kegel exercises might not be the right solution at this stage since they primarily target pelvic floor muscles rather than addressing actual urethral or bladder outlet obstructions. However, keeping the pelvic floor healthy is beneficial, just not immediate solution in urinary retention cases.

If the inability to urinate occurs again and lasts for more than a few hours or if you experience severe pain, it’s essential to seek urgent medical care – this can be serious if not addressed promptly. Temporary measures, like applying warm compresses to the lower abdomen, might offer comfort but are not a substitute for medical evaluation. Watch out for other symptoms like fever or blood in the urine, as these may indicate infection or other complications that require prompt attention. When you meet with your doctor, discuss your symptoms in detail, and they can guide you towards the appropriate diagnostic and therapeutic steps, potentially including urological referrals if necessary.

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