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What to do for urinary bladder pain with no urge for 2 years?
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Kidney & Urinary Health
Question #29968
30 days ago
102

What to do for urinary bladder pain with no urge for 2 years? - #29968

Client_e2b5bc

Dear sir, i have urinary bladder pain, no urine urge for 2 years, i have shown this whole Pakistani doctors but i have still the same issues. I have done ct scan, mri, ultrasound, and also no stricture in urithra. I go to toilet for urine when my bladder become startingpain. Please help me. I shall be very thankful to you

How would you describe the pain in your bladder?:

- Cramping

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

- No other symptoms

Has the pain been constant or does it come and go?:

- Worsens at specific times

What have you tried to relieve the bladder pain?:

- Nothing yet

How has your fluid intake changed over the past 2 years?:

- Varies daily

Do you have any history of urinary tract infections?:

- Yes, occasional infections

Have you noticed any changes in your urinary habits aside from the pain?:

- Decreased frequency
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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.
29 days ago
5

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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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.

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