What Could Cause Mild Stomach Discomfort And Needing To Strain Before Urinating?

Posted on Fri, 8 May 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 8 May 2020 Answered on

6 days ago Last reviewed on

Question : hi, from the past few weeks when ever I have to pee before that there is slight discomfort in my stomach and when I go to the toilet I have to apply some pressure to get it out, what could be the issue

Answered by Dr. Dr. P. T. Patil (11 hours later)

Brief Answer:
Could be due to prostatitis.

Detailed Answer:

Hello,

Based on the facts that you have posted pain in the abdomen before urination could be most likely to be due to infection of Prostate (Prostatitis) and needs to be investigated.

I shall be happy if you can post me more details to help me in making precise comments:
1) What is your age and gender (I assume it to be male)
2) Do you have pain or discomfort around the anal region or Perineum?
3) Do you have pain during Ejaculation?
4) Have you ever carried out any tests if so upload reports?

It's advisable to consult a 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
4) Stool Examination to rule out amoebiasis
5) Pain in the abdomen with frequent bowel movements early in the morning could be due to irritable bowel syndrome (IBS) and needs to be investigated by colonoscopy

Further treatment will depend upon the result of these tests and the 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.

Regards,
Dr. Patil

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. P. T. Patil (2 hours later)

my age is 32 and gender is male, in the month of march I had visited a physician complaining about pain in the abdomen and frequent urination, he gave me some antibiotics related to uti. no pain in anal region, no pain during ejaculation, at that time I had my urine culture and reports were normal

Answered by Dr. Dr. P. T. Patil (5 hours later)

Brief Answer:
Get ultrasound scanning of abdomen done.

Detailed Answer:

Hello,

Get an ultrasound scanning done to rule out urinary stone. Show your report to your doctor for accurate diagnosis and treatment.

Thanks and take care.

Regards,
Dr. Patil

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Get urine culture repeated

Detailed Answer:

Hello,

- Get your urine culture repeated and take appropriate antibiotics as per culture report.
- Ensure to drink more water.
- Get your stool examination done to rule out amoebiasis.

Thanks and take care.

Regards,
Dr. Patil

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (18 minutes later)

Sir, one more thing, while urination I sometimes get pain on sides of stomach, I hope all this is not serious. My family thinks I have stones, could that be the issue.