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What Causes A Painful Urge To Urinate?

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Posted on Wed, 8 Mar 2017
Twitter Wed, 8 Mar 2017 Answered on
Twitter Fri, 31 Mar 2017 Last reviewed on
Question : onset of symptoms last night. Urge to urinate but only a short stream and painful when stream comes out, no pain otherwise, no fever. Just urge to go and painful when I go. I'm 64 years old with BPH not taking any meds for BPH. This is the first episode of this type. On business trip, just want to know what over the counter meds can I take today so I can get to my doctor when I get home. Any beverages ( cranbury juice ?) foods to consume to help lesson this condition today /
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Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
Could be due to UTI or Acute Retention of urine

Detailed Answer:
Hello
Thanks for query .

You are known to have Enlarged Prostate since 2013 but not taking any medication and have urge to pass urine and dysuria since last night .

The urgency and dysuria that you have could be either due to Acute UTI or there is possibility of having Acute Retention of urine

Since you are out on business tour you need to take following medications
1) Antibiotics like Ciprofloxacin twice daily
2) Nitrofurantoin twice daily
3) Tab Darifenacin and Tomsulosin once daily
4) Canbury juice

This should take care of acute episode however once you are back home you need to consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.

Further treatment will depend upon result of these tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Dr. P. T. Patil

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Practicing since :1971

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What Causes A Painful Urge To Urinate?

Brief Answer: Could be due to UTI or Acute Retention of urine Detailed Answer: Hello Thanks for query . You are known to have Enlarged Prostate since 2013 but not taking any medication and have urge to pass urine and dysuria since last night . The urgency and dysuria that you have could be either due to Acute UTI or there is possibility of having Acute Retention of urine Since you are out on business tour you need to take following medications 1) Antibiotics like Ciprofloxacin twice daily 2) Nitrofurantoin twice daily 3) Tab Darifenacin and Tomsulosin once daily 4) Canbury juice This should take care of acute episode however once you are back home you need to consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis 3) Serum PSA. Further treatment will depend upon result of these tests and final diagnosis. Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you Thanks and Regards. Dr.Patil.