Increased Urgency to Urinate and Changes in Bladder Control

Question #28029

45 days ago

271

Increased Urgency to Urinate and Changes in Bladder Control - #28029

Client_22e33b

I can’t hold in my pee anymore not like i used to. Before I can hold my pee for hours but now I can only hold it in for a couple of minutes. I used to have uti before but it was not like this, it doesn’t hurt when I pee either. I used to smell down there while I still live with my husband but now we are in a long distance relationship and I feel like it doesn’t smell down there anymore. I teach kids so its hard for me to leave them during the class. Please help me it would be greatly appreciated.

How long have you been experiencing this increased urgency to urinate?:

- 1-4 weeks

Have you noticed any other symptoms associated with this issue?:

- No other symptoms

Have you made any changes to your diet or fluid intake recently?:

- No changes

300 INR (~3.53 USD)

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Doctors' responses

Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

44 days ago

Hello
A sudden inability to hold urine for long can occur due to bladder irritation, a mild urinary tract infection, overactive bladder, or pelvic floor weakness.
Since you had a history of UTI, it would be advisable to check a urine test even if there is no pain or burning during urination.
Try reducing caffeine, tea, and carbonated drinks, empty your bladder regularly, and practice pelvic floor (Kegel) exercises to improve bladder control.
If the urgency continues for more than 1–2 weeks, worsens, or you start having leakage, pain, or fever, you should see a doctor for urine testing and further evaluation.
I trust this helps
Thank you
Take care

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

43 days ago

Changes in your ability to hold urine can be concerning and may indicate several issues, but first let’s narrow it down a bit. The fact that you’re experiencing increased urgency without any pain or foul odor differentiates it from a typical UTI. There are several potential causes for your symptoms including overactive bladder, stress, or urge incontinence, and even changes related to hormonal shifts. Your lifestyle factors also play a crucial role; stress or lack of sleep, common in high-demand jobs like teaching, can exacerbate bladder control problems. It’s worth considering your caffeine and fluid intake, as excessive coffee, tea or other caffeinated beverages can increase urgency. Also, if you’ve had children, the muscles supporting your bladder might be weakened.
A practical first step is to maintain a bladder diary for a few days. Note the times and amounts of fluid intake and urination, as well as any incidents of urgency or leakage. This could provide valuable insight into patterns and triggers of your symptoms. Pelvic floor exercises, also known as Kegel exercises, can strengthen the muscles around your bladder and are often recommended for improving bladder control. You can do these at home a few times a day, aiming for at least 10 reps per session.
Ideally, consult with a healthcare provider for personalized assessment and advice. It’s crucial to rule out any less common but concerning conditions like neurological disorders or bladder issues. The doctor may suggest imaging or urodynamic tests to check how well your bladder is storing and releasing urine. On a related note, ensure a balanced diet and regular physical activity to support overall health. If your symptoms persist or worsen, seeing a urologist or a pelvic floor specialist would be beneficial. While the situation is not immediately dangerous, addressing it promptly will improve your quality of life and ability to teach without discomfort or interruptions.

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

37 days ago

Your symptoms suggest Urinary Urgency, possibly related to an overactive bladder or a recurrent/low-grade Urinary Tract Infection (UTI), even without pain.
It’s also possible that bladder sensitivity or pelvic floor changes are contributing, especially since the urgency has developed recently and is affecting your daily routine.
I recommend consulting a Urologist or gynecologist for urine tests and evaluation, as proper diagnosis will guide treatment and help you regain bladder control.

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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.

44 days ago

Hello dear
I think probably it seems urinary retention problem
Iam suggesting some tests for confirmation of exact diagnosis and best treatment
Please share the result with urologist in person for better clarity and for safety please donot take any medication without consulting the concerned physician
CBC
Esr
Kidney USG
Rft
Lft
Urine analysis
Crp
Bladder USG
Serum creatinine
Serum ferritin
Serum tsh
Regards

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

40 days ago

Your symptoms of suddenly needing to urinate urgently and not being able to hold urine for long, especially over the past few weeks, may be related to irritation or overactivity of the bladder. One possible cause is Overactive Bladder, which can occur even without pain or burning. Since you previously had a Urinary Tract Infection, it is also possible that a mild infection or bladder irritation is developing again, even if you do not have the typical pain during urination. Other factors such as pelvic floor weakness, stress, caffeine intake, or changes in hydration can also increase urinary urgency. It would be helpful to limit bladder irritants like caffeine, soda, and very spicy foods, drink adequate water (but not excessive amounts at once), and try pelvic floor exercises (Kegel exercises) to improve bladder control. Because this change is affecting your daily activities, it would be advisable to have a urine test done to rule out infection or inflammation. Conclusion: Your symptoms most likely suggest bladder irritation or overactive bladder, possibly related to a mild or recurrent urinary tract issue, and a urine test with medical evaluation would help confirm the cause and guide proper treatment.

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

39 days ago

Hello
Thanks for sharing all these details. What you’re describing sounds like a new onset of urinary urgency—meaning you suddenly feel the need to pee and can’t hold it for long, but there’s no pain or burning, and you’ve had UTIs in the past.
### What Could Be Causing This?
- Overactive bladder: This is a common cause, where the bladder muscles contract suddenly, giving you a strong urge to urinate even if the bladder isn’t full.
- Bladder irritation: Sometimes, mild irritation or inflammation (even without infection) can make it hard to hold urine.
- Pelvic floor weakness: After childbirth, surgery, or with age, the muscles that help control urination can weaken.
- Stress or anxiety: Sometimes, stress can make bladder symptoms worse.
### What You Can Do
- Bladder training: Try to gradually increase the time between bathroom visits, even by a few minutes at a time.
- Pelvic floor exercises (Kegels): These can strengthen the muscles that help control urination.
- Limit bladder irritants: Cut down on caffeine, tea, carbonated drinks, and citrus juices.
- Stay hydrated, but don’t overdrink: Drink enough water, but avoid drinking large amounts at once.
### When to See a Doctor
- If you have new symptoms like burning, blood in urine, fever, or pain
- If you’re leaking urine without warning
- If symptoms are affecting your daily life or not improving
This is a common issue and can often be improved with simple steps, but if it continues, a doctor (preferably a urologist or gynecologist) can help with further evaluation and treatment.
Thank you

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

36 days ago

Hello, thank you for sharing your concern. Your symptoms suggest an Overactive Bladder. Since you had a previous UTI, another possibility is a mild or recurrent urinary issue, even if typical symptoms like burning are not present. Also, it might be due to stress/change in routine.
The change in odor you mentioned is not directly related to this urinary problem and is usually not a concern. Here is my advise-
1. Bladder training- Try to gradually increase the time between urination. Even if you feel urgency, try to hold for a few extra minutes and slowly build control.
2. Pelvic floor exercises (very important)- Practice Kegel exercises (tighten pelvic muscles for 5 seconds, relax for 5 seconds). Repeat 10–15 times, 3 times daily.
3. Lifestyle tips- Avoid excess tea, coffee, and caffeine. Do not drink large amounts of fluid at once. Empty your bladder before starting class.
Get done Urine Routine & Microscopy and review with the report.
Physically visit a doctor if- Symptoms persist beyond 1–2 weeks. You develop burning, fever, or lower abdominal pain. You have urine leakage.
Regards,
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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