Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Urge To Urinate And Pressure During Urination?
Question: GOOD MORNING. 6 HOURS AGO I HAVE EXPIERENCED FREQUENT URGE TO URINATE NOW I HAVE ALOT OF PRESSURE WITH BURNING AND GET A BAD CRAMP IN MY PELVIC AREA AND NOW I NOTICE STRINGY BLOOD CLOTS COMING ALONG W THE LITTLE BIT OF URINE THERE IS ALSO THE URINE IS VERY DARK ALMOST LIKE COFFEE. WHAT COULD THIS BE?
ALSO ASSOCIATED W ALOT OF PAIN. I HAVE BLADDER INFECTONS IN THE PAST AND IT DOESNT FEEL LIKE THAT, FEELS LIKE SOMETHING DIFFERENT, AND VERY WORRIED ABOUT THE BLOOD IN THE URINE, NO BACK PAIN SO I WOULD NOT THNK IT WOULD BE A KIDNEY STONE BUT WHAT COULD IT BE?
ALSO ASSOCIATED W ALOT OF PAIN. I HAVE BLADDER INFECTONS IN THE PAST AND IT DOESNT FEEL LIKE THAT, FEELS LIKE SOMETHING DIFFERENT, AND VERY WORRIED ABOUT THE BLOOD IN THE URINE, NO BACK PAIN SO I WOULD NOT THNK IT WOULD BE A KIDNEY STONE BUT WHAT COULD IT BE?
Brief Answer:
Tests, USG, Second opinion of Urologist and investigations
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Read it carefully and understood the problem you might have.
The probable cause of your symptoms can be the following as per your history you have provided::
Severe cystitis / Stone in the urinary bladder / Severe UTI.
The urge, pressure, burning, cramp and even the stringy blood clot can be explained by any of the suggested diagnosis. The dark / coffee color of the urine can be altered blood color in the urine on disintegration.
There is already a history of bladder infection in the past. This is in fact urinary tract infection of the whole urinary system and previous infection can form a nidus on which small stones can develop.
I can understand the plight you may be going through with all expected yess and nos in your mind.
The best way is to get an exact diagnosis so that the treatment can be targeted well; I would suggest you the following:::
First of all to give urine for tests before the antibiotic are started as even a single dose of an antibiotic can change the real picture. Urine- routine, microscopy, culture and sensitivity.
Blood tests: CBC to see WBC count whether increased or not; urea, creatinine, sugar.
Ultrasonography (USG) : will help in detailed diagnosis, of kidneys, ureters and urinary bladder / stones / infection .
The treatment can be started with consultation of your Doctor - antibiotics the moment urine sample is given, Urilizer ( urinary alikalinizer) , symptomatic and supportive as needed.
Two important things- If you are suffering from recurrent UTI, you should take a course of 3 weeks, Get a consultation of an Urologist and may be Cystoscopy as a diagnostic test, and further investigations if needed - like Intravenous pylography, CT scan and so on if your Urologist feels so.
I have tried to give you probable diagnosis with a possible explanation, I hope this helps you. Please feel free to ask for more or if you think I have missed on some points and you wanted a clarification.
Tests, USG, Second opinion of Urologist and investigations
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Read it carefully and understood the problem you might have.
The probable cause of your symptoms can be the following as per your history you have provided::
Severe cystitis / Stone in the urinary bladder / Severe UTI.
The urge, pressure, burning, cramp and even the stringy blood clot can be explained by any of the suggested diagnosis. The dark / coffee color of the urine can be altered blood color in the urine on disintegration.
There is already a history of bladder infection in the past. This is in fact urinary tract infection of the whole urinary system and previous infection can form a nidus on which small stones can develop.
I can understand the plight you may be going through with all expected yess and nos in your mind.
The best way is to get an exact diagnosis so that the treatment can be targeted well; I would suggest you the following:::
First of all to give urine for tests before the antibiotic are started as even a single dose of an antibiotic can change the real picture. Urine- routine, microscopy, culture and sensitivity.
Blood tests: CBC to see WBC count whether increased or not; urea, creatinine, sugar.
Ultrasonography (USG) : will help in detailed diagnosis, of kidneys, ureters and urinary bladder / stones / infection .
The treatment can be started with consultation of your Doctor - antibiotics the moment urine sample is given, Urilizer ( urinary alikalinizer) , symptomatic and supportive as needed.
Two important things- If you are suffering from recurrent UTI, you should take a course of 3 weeks, Get a consultation of an Urologist and may be Cystoscopy as a diagnostic test, and further investigations if needed - like Intravenous pylography, CT scan and so on if your Urologist feels so.
I have tried to give you probable diagnosis with a possible explanation, I hope this helps you. Please feel free to ask for more or if you think I have missed on some points and you wanted a clarification.
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. Vaishalee Punj
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
