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Forum Name: Urology Topics

Question: Feeling of always having to go..


 raffi007 - Sat Jan 27, 2007 3:05 pm

It started about 3 weeks ago, had buring sensations AFTER urinating. Had a chlamydia/gonnoreah test done (even though I havn't been sexually active in months) which came back negative. The burning seems to have subsided for the most part.. but now I have this feeling of always having to go.. The feeling seems to come from the very base of the penis , it feels as if I have to hold back manually and it's making me very irritable and stressing me out.. I have no health insurance because I just moved and started a new job, so I really don't know what to do about this.. Urine color has generally been normal, sometimes a little cloudy but rarely.. any ideas what this could be?

M/24/was on nexium 40mg a day for 3 months , quit taking a week ago ..
 Dr. Safaa Mahmoud - Sat Jan 27, 2007 6:18 pm

User avatar Hello,

There are many causes that may give similar clinical picture that include:

- Interstitial cystitis (IC) -painful bladder syndrome (PBS)

The International Continence Society (ICS) defines PBS as "suprapubic pain related to bladder filling, accompanied by other symptoms such as increased daytime and nighttime frequency in the absence of proved urinary infection or other obvious pathology"

The hallmarks of interstitial cystitis painful bladder syndrome (PBS), are:
- urgency without incontinence
-daytime frequency more than 8 voids per day
-nighttime frequency more than 4 voids per night
-bladder or pelvic pain
- Sometimes the pain is felt like that of penile origin.

No proven cause for the disease yet, theories include: an autoimmune, hereditary, infectious or allergic condition.

To diagnose interstitial cystitis, you have to record the volume of fluid intake and fluid out put daily
(bladder diary) and report your doctor with this record. Diagnois is done mainly by exclusion of other causes.

- Other causes doctors to be excluded (they share PBS in symptoms) include:
urinary tract infections (with organisms other than bacteria), stones,
sexually transmitted diseases, as done
bacterial prostatitis,
prostatic enlargment or
bladder cancer .

Hope this information is useful.
Follow up with your doctor is essential.
Best regards.
 raffi007 - Sun Jan 28, 2007 10:11 am

Had the urinanalysis done yesterday, said he couldn't find anything wrong.. Will get back to me on the urinate culture but thinks this could be a stone.. Hopefully this will all pass soon..

Thanks-

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