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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Low Grade Fever, Soreness In Groin, Incontinence, Nausea, Frequent Urination, Tightening In Muscles. Do I Have A Nervous Bladder?

Hello, my name is Anthony and am looking for some info from a Urologist. Here are my symptoms: Frequent urination (40 x a day) low grade fever, some groin soreness (especially during ejaculation) Frequent urination is at its worse after I ejaculate. I always have the feeling I have to urinate even when I just went to the bathroom. No pain, burning, incontinence, or urine discoloration. Fatigued and some nausea. My urge to urinate is never so intense where I have to run to the bathroom. I can hold it in for quite a while if I had to. When I urinate the stream stops and goes . It feels like my muscles are tightening on and off while I go and I can t control it. Sometimes running my hand under hot water while I m peeing helps. I ve had had these symptoms for about a week. Feels better after a hot bath and after a bowel movement. I have no issues with constipation. The urine is always clear -- never yellow. Also, I don t have an STD and have never had one. A bit of info and history about myself. I m a 40 yr old smoker and have a panic disorder. I also have moderate psoriasis. Aside from that, I have no other health issues. Frequent urination has been an issue for about 10 years but the symptoms are worse now. I went to a urologist about 3 years ago and had numerous tests. Sonograms of my kidneys and bladder was normal. PSA was normal with no prostate inflammation. I tested negative for diabetes and had no protein in my urine. My blood work was also normal. The urologist gave me Flomax even though I had no prostate problem. He said I had some issues with my bladder muscles (tightness I think) He believed its related to my anxiety disorder. My frequent urination is much worse when I m stressed. The more I think about it the worse it is -- Psychosomatic? The Flomax was helpful but I moved and stopped the medication. No family history of bladder cancer or any bladder disorders. I should also mention I saw a new urologist about a year ago for a prostate exam because I have a family history of the disease. My PSA was normal and I had no prostate inflammation. He checked my urine for blood, he said because I smoke I have a high risk for bladder cancer. No blood in my urine. I almost forgot -- I drink a TREMENDOUS amount of diet Coke each day. I scheduled an appointment with a new urologist for Monday but I was hoping to get some preliminary info from this website. I m far form an expert but based on my symptoms I think I may have Prostatitis. I had it once when I was in college. I think he gave me Cipro which helped but it came back a couple of weeks later. P.S. I m a hypochondriac which I believe is important to mention. I also have a lot of difficulty urinating in public. My psychiatrist thinks I have a nervous bladder.
Fri, 22 Nov 2013
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Urologist 's  Response
Hi,
Your condition is not unusual, and in fact is probably one of the commonest encountered by most Urologists.
Most of us have our own pet ways of managing this condition, but the common ingredients of successful therapy are including an alpha-blocker like Flomax, use of Antibiotics, at least initially like Ciprofloxacin for 8 weeks or so, some mild anti-inflammatory drug, and may be use some skeletal muscle relaxant and mild anti-depressant / anti-anxiety drugs like Amitryptilline. We do ask our patients to learn to relax with Yoga /Tai-Chi if required, ad explain to them that this is quite common among Type A personalities with Anxiety Disorder. We usually find significant clinical benefit within 2 -3 months.
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Low Grade Fever, Soreness In Groin, Incontinence, Nausea, Frequent Urination, Tightening In Muscles. Do I Have A Nervous Bladder?

Hi, Your condition is not unusual, and in fact is probably one of the commonest encountered by most Urologists. Most of us have our own pet ways of managing this condition, but the common ingredients of successful therapy are including an alpha-blocker like Flomax, use of Antibiotics, at least initially like Ciprofloxacin for 8 weeks or so, some mild anti-inflammatory drug, and may be use some skeletal muscle relaxant and mild anti-depressant / anti-anxiety drugs like Amitryptilline. We do ask our patients to learn to relax with Yoga /Tai-Chi if required, ad explain to them that this is quite common among Type A personalities with Anxiety Disorder. We usually find significant clinical benefit within 2 -3 months.