How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Urology
Satisfied Customers: 17517
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Urology Question Here...
Dr. D. Love is online now

Over 2 years ago I noticed that I had to urinate a lot more

Customer Question

Over 2 years ago I noticed that I had to urinate a lot more often than usual, probably between every 10-30 minutes regardless of what I’d drank or the amount. After I urinate, no matter how much I pass, I’ll need to go again soon after. I get a tingling feeling at the tip of my penis that just gradually builds until I feel like I really need to go. I can hold it as it’s not excruciating, but it is rather uncomfortable. Even when I go 8 odd hours without drinking I’ll still feel the need to go roughly every 10-30 minutes and I’ll pass tiny amounts of urine and the sensation will go. I get up on average 3 time a night.
At first the Urologist ran a number of tests, I had a scans on my kidneys and an x-ray undertaken along with a flexible cystoscopy, all of which revealed nothing.
The Urologist put me on medication bladder, this did not help at all.
Next I had a urodynamics study conducted. That revealed that I didn’t have an overactive bladder and that perhaps my bladder was a bit on the small side. I’d always know I had a small capacity bladder but never had to go to the bathroom as much as recently.
I was told to do bladder training that helped ever so slightly but didn’t really make a big difference. I've also tried changing my fluid intake, but just drinking water makes no difference to the symptoms either.
Next I Had a hydrodistention with rigid cystoscopy and again it was stated that my bladder looks perfectly healthy. The hydrodistention did not help my symptoms either.
When it’s really bad I feel discomfort around my perineum and the sensation to go at the tip of my penis can be really strong. It doesn’t feel like my bladder is contracting though as when I didn’t have this problem and I really needed to urinate I could feel my bladder squeezing whereas in this instance it wouldn’t feel like that.
About a month before the symptoms came on I had taken ¾ a gram of MDMA at a festival. I don’t know if this could have any connection but thought it worth mentioning.
When I was younger, between the ages of 12-19 I used to suffer from migraines quite badly; which would leave me in bed good 12 hours. I mention this as I know one of the side effects of migraines can be frequent urination.
Having the sensation of needing to urinate every 20 odd minutes two years has caused me to become depressed and socially anxious. I'm always concerned about leaving the house.
Any advice or help you could suggest would be greatly appreciated.
Thanks help.
Submitted: 1 year ago.
Category: Urology
Expert:  Shantal-Mod replied 1 year ago.
,
I'm Shantal and I'm a moderator topic.
I've been working hard to find a Professional to assist you with your question, but sometimes finding the right Professional can take a little longer than expected.
I was checking to see if you had already found your answer or if you still need assistance from one of the Professionals.
Please let me know if you wish to continue waiting or if you would like to close your question?
Thank you,
Shantal
Expert:  Dr. D. Love replied 1 year ago.
from JustAnswer.
It will help if you could provide some further information.
What medicines have been tried to help with these symptoms including the medicine bladder and any other medicines?
Have you been placed on any medicines ?
Expert:  Dr. D. Love replied 1 year ago.
I have not heard back from my request information, and I realize that it was over a day before the moderator placed the question in the general Medical category.

I am about to leave the computer hours, so wanted to provide what information that I could in response to your question, and then can provide more information later if it would be helpful.

You have had an excellent evaluation symptoms. The primary concern at this point would be a non-infectious form of chronic prostatitis, or increasingly being called chronic pelvic pain syndrome (CPPS). It is not entirely clear what is the underlying cause of this disease. The symptoms are similar to a chronic bacterial prostatitis, so has long been also called a chronic prostatitis, but there does not appear to be any improvement with antibiotics or medicines to relieve inflammation.

One of the theories of the underlying cause of CPPS is irritation of the nerves that serve the prostate and pelvis, and there is some evidence that medicines that relieve nerve mediated pain elsewhere in the body may also help with CPPS. The most commonly used medicines are certain anticonvulsants and antidepressants, which is why I have asked about whether any antidepressants have been used. If there has not been any use of these medicines, that would be the next consideration with the symptoms that you describe.

If I can provide any further information, please let me know.
Customer: replied 1 year ago.

Thank you back to me.

I've tried vesicare, ditropan and myrbetriq. I've never been placed on any medication .

I should also add, that the only time when my symptoms did ease was when I had a throat infection and was taking penicillin and acyclovir.

Thanks,

Expert:  Dr. D. Love replied 1 year ago.
If there is transient easing of symptoms while taking antibiotics, that would raise the possibility of whether this is a chronic bacterial prostatitis. The evaluation that you have had would typically have detected a chronic bacterial prostatitis, but it is possible that it may be a low level infection that was missed by the evaluation.

The penicillin is not a good antibiotic prostatitis, but it may be sufficient to partially suppress the bacteria that are present without clearing the bacteria, so that the bacteria can grow again once the antibiotic course is completed.

Sometimes, if it is unclear whether there is a chronic bacterial prostatitis, the doctor will choose to provide a 30 day course of an antibiotic that is good prostate infection, such as Bactrim or Cipro. There are also some men that need a longer course of 12 weeks.

non-infectious chronic prostatitis, it would be appropriate to consider an anticonvulsant, such as gabapentin or pregabalin, or an antidepressant, such as amitriptyline. Another commonly used medicine are alpha-blockers, which can help ease secondary spasm associated with a variety of prostate conditions.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. Y.

    Dr. Y.

    Urologist

    Satisfied Customers:

    15021
    Specializing in general urology and reconstructive urology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/lyeung1/2010-07-25_032152_tn_IMG_0241.JPG Dr. Y.'s Avatar

    Dr. Y.

    Urologist

    Satisfied Customers:

    15021
    Specializing in general urology and reconstructive urology.
  • http://ww2.justanswer.com/uploads/TH/tharun/2013-12-28_0129_tailoredfitsuits.64x64.jpg Dr. Tharun's Avatar

    Dr. Tharun

    Urology Resident

    Satisfied Customers:

    614
    MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.
  • /img/opt/shirt.png Dr. B's Avatar

    Dr. B

    Urologist

    Satisfied Customers:

    62
    Trained in Adult and Pediatric Urology, Fellowship trained in Urologic Oncology.
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    274
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University