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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty While Urinating?

for the last 7 days I have had trouble urinating. it takes at least 3-5 times to actually urinate properly. I am 23 years old and I have never had a history of UTI s I have tripled my water intake as well as been taking cranberry pills regularly. yet the problem still persists. often times it will start and I cannot finish. this is becoming somewhat of an annoyance for me as it takes about 15-20 minutes of back and fourth to the bathroom trying to urinate before I have any success. Because I have no insurance I have to use a health care clinic where it takes 2-3 weeks for me to get an appointment. My main concerns are my prostate (although im 23) a UTI or something to do with the variety of psychiatric medications that I am on. I have not had my liver or kidney functions checked in years so that is a big concern for me as well. do these symptoms warrant a visit to the er or should I tough it out till the next dr s appointment a few weeks till then. like I said before I have been drinking a ton of water a day and been taking cranberry extract pills regularly. I also see my psychiatrist tomorrow and plan on bringing the subject up with her but I would like some input on this subject before then..
Tue, 7 May 2019
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General Surgeon 's  Response
Hi,

It could either be related to early enlargement of the prostate or may indicate that the nerve supply to the bladder has been affected by whatever condition is causing the back pain.

In terms of the prostate, enlargement of the prostate is common as men age, in the vast majority of cases it is benign (non-cancerous).

It can present with a variety of symptoms including hesitancy which is difficulty initiating urinary flow.

In the initial stage of enlargement, the symptoms may not be consistent.

You may want to consider a blood test for PSA and physical examination of the prostate by your doctor.

As it relates to the back, if the spine has affected the nerve supply to the bladder it can cause urinary symptoms.

In that case, there may be other neurological symptoms such as numbness, bowel changes.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Difficulty While Urinating?

Hi, It could either be related to early enlargement of the prostate or may indicate that the nerve supply to the bladder has been affected by whatever condition is causing the back pain. In terms of the prostate, enlargement of the prostate is common as men age, in the vast majority of cases it is benign (non-cancerous). It can present with a variety of symptoms including hesitancy which is difficulty initiating urinary flow. In the initial stage of enlargement, the symptoms may not be consistent. You may want to consider a blood test for PSA and physical examination of the prostate by your doctor. As it relates to the back, if the spine has affected the nerve supply to the bladder it can cause urinary symptoms. In that case, there may be other neurological symptoms such as numbness, bowel changes. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon