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What Does My MRI Scan Test Report Indicate?

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Posted on Mon, 21 Sep 2015
Question: Why might a woman my age develop a thickening of the bladder?
I recently had a MRI of my hip. The radiologist wasn't looking for issues with my bladder but they included it in my reports (Conclusions at the bottom of MRI report). Also, my 70 year old rheumatologist did not speculate or know the cause. Of course, I need to see another specialist. However he made a comment that I was very young for this. Also, he has this issue himself. He said it was related to his prostate and his "advanced years," in comparison to myself. I plan to see another specialist. I thought I would see a eurologist, but my Neurologist suggested I see my OB/GYN. Do you agree?

I have been having a problem initiating my urination. I have been a chronic pain patient for over 16 years. I also took prednisone for 13 years. I quit 2 weeks ago. Its difficult to come off of and I know it can cause osteoporosis and more. My primary health issues are: severe fibromyalgia (17 years), moderate osteoarthritis (hands and left hip),chronic Migraines (17 years), (moderate osteoarthritis in left hip ( diagnosed yesterday) and moderate to severe TMG (36 years) **I missed three months of third grade due to a severe case that cause my face to swell so much my doctors thought I had mono. Finally, a dentist made the correct diagnosis.
I XXXXXXX been having difficulty starting to urinate for about 5 months. I wonder if my longerterm use of opiates (since hospitalization in 2003) could be indirectly related to my problem (the morphine makes me less aware of the pressure on my bladder). I take 75 mg of morphine (spaced in 3 doses). I don't feel my need to urinate until my bladder is "full". Oftentimes I lightly push on my bladder to see if I have to urinate before getting in the car to avoid an undesirable situation of needing to urinate without having access to a toilet. Also, I have difficulty starting to urinate without lightly pushing on my bladder.
I feel like a professional patient. I have several doctor appointments every month. I was on SSI Disability for 10 years. I lost my benefits when I got married three years ago.I assumed this issue was caused by my fibromyalgia. I have had too much pain and fatigue to be able to make this a priority.

Thank you for your time Doctor.
Sincerely,
XXXX
doctor
Answered by Dr. Matthew J. Mangat (1 hour later)
Brief Answer:
Bladder wall thickening suggests urinary obstruction.

Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As an Urologist, let me assure you that i fully understand your concern.
A bladder wall thickening is always caused by urinary outlet obstruction.
That suggests, you need to push or strain to pass urine most of the times.
Now, we need to find out the reason for the same.
Your rheumatologist is probably right, as his prostate is the reason for the same.
You need to get examined by an Urologist.
There's a simple test called a flowmetry, where the urine flow rate is measured.
The Urologist will check your blood creatinine and sugar, with urine routine and culture tests.
Next is the cystoscopy test, after confirming ,there's no infection.
After you get the reports, the Urologist will decide the proper course of treatment.
You can always contact me with the reports, for any advice.
Wish you well.
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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Answered by
Dr.
Dr. Matthew J. Mangat

Urologist

Practicing since :1981

Answered : 1898 Questions

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What Does My MRI Scan Test Report Indicate?

Brief Answer: Bladder wall thickening suggests urinary obstruction. Detailed Answer: Hello XXXXXXX and welcome to HCM. As an Urologist, let me assure you that i fully understand your concern. A bladder wall thickening is always caused by urinary outlet obstruction. That suggests, you need to push or strain to pass urine most of the times. Now, we need to find out the reason for the same. Your rheumatologist is probably right, as his prostate is the reason for the same. You need to get examined by an Urologist. There's a simple test called a flowmetry, where the urine flow rate is measured. The Urologist will check your blood creatinine and sugar, with urine routine and culture tests. Next is the cystoscopy test, after confirming ,there's no infection. After you get the reports, the Urologist will decide the proper course of treatment. You can always contact me with the reports, for any advice. Wish you well.