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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45238
Experience:  Board Certified Physician
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I have been getting a variety of different symptoms associated

Customer Question

I have been getting a variety of different symptoms associated with urination over the last 4 or 5 years. A couple of years back a doctor told me I have an unstable bladder. About 6 months ago I started to find that I could spend a penny as normal, no problems, but then after leaving the toilet I would have the feeling of releasing a few more drops of urine that would then burn or sting quite painfully for a while and then go away, causing no more problems until the next time it happened. Not necessarily the same day. I am now getting other symptoms too, can you enlighten me on what might be happening. I will add that I do have a confirmed interior rectal prolapse and rectocele and although I have had no children I had an hysteretomy for endometriosis about 10 years ago.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

often times if you drink alcohol or caffeine, the metabolites of these can irritate your bladder and urethra and can cause burning of your urethra at the end of urination.

Dr. David :

if you have vaginal atrophy from prior hysterectomy and lack of estrogen in your body, this can cause vaginal dryness which can burn if urine gets on your vulvar area.

Dr. David :

you might benefit from doing kegel exercises to help strengthen your pelvic floor muscles to help control your urine better and to prevent leaks.

Dr. David :

have you ever done kegel exercises before?

Dr. David :

patients who have rectal prolapse are also likely to have bladder prolapse and also vaginal prolapse as well.

JACUSTOMER-phhz433e- :

yes, when i had some treatment for the rectocele last year a physiotherpist said my pelvic floor muscles were good

JACUSTOMER-phhz433e- :

my current symptoms include a pressure feeling very low down and a bruised feeling when sitting for a while. and a sort of pain in the pubic area, really quite uncomfortable.

Dr. David :

you need to get your urine checked for a possible bladder infection.

Dr. David :

you could have a small kidney stone or bladder stone in your bladder irritating your bladder.

Dr. David :

you could possibly have overactive bladder muscles which can spasm as well and cause discomfort.

Dr. David :

a simple urine test can see if you have blood or infection in your urine.

Dr. David :

this can be done at any doctors office or hospital or A&E department

Dr. David :

you might benefit from a bladder ultrasound as well to look inside of your bladder.

Dr. David :

does this information help?

Dr. David :

do you have any other questions?

JACUSTOMER-phhz433e- :

I have made an appointment to see a doctor but it is a fortnight away or I can have an earlier appointment if i think it is more urgent. do you think this is more urgent or sort of routine?

JACUSTOMER-phhz433e- :

i only ask because I have sort of ignored it for some time but the symptoms keep changing for the worst

Dr. David : It depends on how severe your symptoms are and if you can live with them
Dr. David : if you have blood in your yrine or cloudy urine these can be signs of a current urinaty tract infection with bacteria which is urgent
Dr. David : A bacterial bladder infection would be one of the more common urgent situations
Dr. David :

hello?

JACUSTOMER-phhz433e- :

okay thank you, ***** ***** try and move the appointment a bit closer, because it is bothering me, but that could be partly pyschological because I am a bit stressed about the muscle problem and waiting for a muscle biopsy.

Dr. David :

do you have any blood in your urine? or cloudy or fowl smelling urine?

Dr. David :

I see

Dr. David :

good luck with the muscle biopsy

Dr. David :

make sure you drink plenty of fluids

JACUSTOMER-phhz433e- :

not blood but cloudy and smell at times.

Dr. David :

and avoid alcohol and caffeine as much as you can.

Dr. David :

let me know if you have other questions.

Dr. David :

if done, please leave positive feedback below.

Dr. David :

we only get credit for helping clients after positive feedback.

Dr. David :

you might have to scroll down to see the ratings area.

Dr. David :

thanks.

JACUSTOMER-phhz433e- :

will do,

Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45238
Experience: Board Certified Physician
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Expert:  Dr. David replied 2 years ago.
thanks for the positive feedback

you can always reach me with "a question for Dr. David" if you have any other questions

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