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Acute onset urinary frequency and bladder pressure
Acute onset urinary frequency
by RHR, 2 minutes ago
I am a 50 yr. old post-menopausal (5+ yrs.) woman having feelings of pressure on my bladder and the need to urinate which never goes away and becomes more acute after urinating. There is no pain or itching. This began suddenly about 10 days ago after week at beach. I was in water, sitting in wet bathing suit and in heat.
Have had urinalysis, urine culture, pelvic ultrasound of ovaries and bladder - all normal. No blood, no sugar, no protein, etc. Examinations for yeast and bacerial infections were negative. Was treated for possible urethritis with 3 day dose of Levaquin of 250 mg, then 3 days of 500 mg Levquin, then switched to doxycline 200 mg a day. Just started 2nd day of doxycycline and feeling no better - not sure when I would notice anything. No recent sexual activity.
Gyn thinks it's estrogen deficiency and wants me to start vagifem, but I am questioning the acute onset of this?? Cannot detect any bladder spasms, but am extremely uncomfortable feeling like I always need to urinate. Notice it is particularly bad when lying down and on either side. Can only sleep on back. Some nights it wakes me up every 3 hours, some nights I can make it through the night. Yesterday, had short period of time in morning and early afternoon where I thought symptoms were better, but then got worse in afternoon and have stayed worse since.
Does anyone have any idea what this could be? Was given prescription for pyridium, but that sounds like it's more for pain and don't want to mask anything as I have urology appt. on Wed.
by RHR, 2 minutes ago
I am a 50 yr. old post-menopausal (5+ yrs.) woman having feelings of pressure on my bladder and the need to urinate which never goes away and becomes more acute after urinating. There is no pain or itching. This began suddenly about 10 days ago after week at beach. I was in water, sitting in wet bathing suit and in heat.
Have had urinalysis, urine culture, pelvic ultrasound of ovaries and bladder - all normal. No blood, no sugar, no protein, etc. Examinations for yeast and bacerial infections were negative. Was treated for possible urethritis with 3 day dose of Levaquin of 250 mg, then 3 days of 500 mg Levquin, then switched to doxycline 200 mg a day. Just started 2nd day of doxycycline and feeling no better - not sure when I would notice anything. No recent sexual activity.
Gyn thinks it's estrogen deficiency and wants me to start vagifem, but I am questioning the acute onset of this?? Cannot detect any bladder spasms, but am extremely uncomfortable feeling like I always need to urinate. Notice it is particularly bad when lying down and on either side. Can only sleep on back. Some nights it wakes me up every 3 hours, some nights I can make it through the night. Yesterday, had short period of time in morning and early afternoon where I thought symptoms were better, but then got worse in afternoon and have stayed worse since.
Does anyone have any idea what this could be? Was given prescription for pyridium, but that sounds like it's more for pain and don't want to mask anything as I have urology appt. on Wed.
Wish I could tell you my situation was resolved. It's better, but not resolved.
Since I last posted, I have been to a myriad of doctors.
First stop - gyn who thought it was urethritis and treated with antibiotics.
Next stop - vaginitis specialist who diagnosed me with vaginal atrophy and said vaginal estrogen was the answer.
Third stop - urologist who diagnosed me with overactive bladder & put me on Gelnique (oxybutnin gel).
My nightime symptoms have gotten much better - I am able to sleep for longer periods of time
I still have the feeling that I have not completely emptied my bladder - that feeling comes and goes.
I do not feel I have overactive bladder because I do not go to the bathroom as much as the literature says, nor do I have any urgency or feelings that I can't make it to the bathroom.
I do feel that the lack of vaginal estrogen may play a role. I have been on Vagifem for 6 weeks and feel a bit better, but just got back from dr. today and he says (and I agree) that it is not quite doing the trick. He is switching me to a vaginal estrogen cream.
In the meantime, I am going for a second opinion with another urologist.
Fortunately, I have insurance.
My best advice would be to go to a free clinic where they might be able to help with at least the menopause piece and perhaps they can try the vaginal estrogen.
I'm sorry I can't be of more help.
If you can go to the dr., I would.
Good luck - I hope you feel better soon.
RHR
Since I last posted, I have been to a myriad of doctors.
First stop - gyn who thought it was urethritis and treated with antibiotics.
Next stop - vaginitis specialist who diagnosed me with vaginal atrophy and said vaginal estrogen was the answer.
Third stop - urologist who diagnosed me with overactive bladder & put me on Gelnique (oxybutnin gel).
My nightime symptoms have gotten much better - I am able to sleep for longer periods of time
I still have the feeling that I have not completely emptied my bladder - that feeling comes and goes.
I do not feel I have overactive bladder because I do not go to the bathroom as much as the literature says, nor do I have any urgency or feelings that I can't make it to the bathroom.
I do feel that the lack of vaginal estrogen may play a role. I have been on Vagifem for 6 weeks and feel a bit better, but just got back from dr. today and he says (and I agree) that it is not quite doing the trick. He is switching me to a vaginal estrogen cream.
In the meantime, I am going for a second opinion with another urologist.
Fortunately, I have insurance.
My best advice would be to go to a free clinic where they might be able to help with at least the menopause piece and perhaps they can try the vaginal estrogen.
I'm sorry I can't be of more help.
If you can go to the dr., I would.
Good luck - I hope you feel better soon.
RHR
I've just read your post and I'm shocked at the details. Finally someone who is living with the same thing I am. I'm 50 and have all the same symptoms except I am not fully post menepausal. I've been treating this as a uti but knowing there more to it. Have not been to the Dr. because i don't have insurance.This is driving me nuts!!! Can you tell me how everything turned out in your case so I'll know if I should go to the Dr. or not.
Thanks so much,
Cathytn
Thanks so much,
Cathytn
Do you have any pressure sensation in your vagina or rectum or is it just high up by the bladder? If it is lower, it could be POP issues; some women experience pressure sensations, some experience pain, it varies so much from woman to woman. Please read the following post to see if anything else fits.
http://www.medhelp.org/posts/Urogynecology/Taking-Pelvic-Organ-Prolapse-Out-of-the-Closet/show/1271553
Sometimes something as simple as lifting a heavy object can change your pelvic floor scenario from POP "contained" to POP "with issues".
Whether it seems to fit or not though, I'd still recommend you see a urogynecologist, they are the specialists for pelvic floor disorders and are familiar with all organs and structural tissues within the pelvic region. I'm sure you'd be able to get an accurate diagnosis of what is going on from a urogyn.
Good luck, I hope you find the answers you need!
Sher
http://www.medhelp.org/posts/Urogynecology/Taking-Pelvic-Organ-Prolapse-Out-of-the-Closet/show/1271553
Sometimes something as simple as lifting a heavy object can change your pelvic floor scenario from POP "contained" to POP "with issues".
Whether it seems to fit or not though, I'd still recommend you see a urogynecologist, they are the specialists for pelvic floor disorders and are familiar with all organs and structural tissues within the pelvic region. I'm sure you'd be able to get an accurate diagnosis of what is going on from a urogyn.
Good luck, I hope you find the answers you need!
Sher
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