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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Urge Incontinence And Pressure In The Abdomen?

Hello. I am a female age 31. For about eight days now I’ve had some issues. (Side notes: I had my gallbladder removed in December 2016 (6 months ago) and appendix removed (16 years ago). I have not had any food issues since gallbladder removal.) Now I thought maybe food issue but people are mentioning UTI’s. I have never had one. I work all day at a busy, non-stop register. This week I have had several moments (4-7 each shift) of the urgency to poo and urinate. I have no trouble pooing ( Not constipated). I have constant abdominal pressure (no pain) and the when gurgling frantically try to get someone to take my spot. When I’m home in evening I am almost “my normal” (still pressure and some pooing just not crazy in evening) . Thoughts ? YYYY@YYYY
Tue, 1 Aug 2017
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General & Family Physician 's  Response
Dear patient,
I understand your concerns about your urinary symptoms.
The following points should be taken into consideration:
1- This is most likely a UTI. the following tests are needed : urine analysis and urine culture. And you must be given the right antibiotic according to the sensitivity test of the urine culture.
2- you can look for other symptoms of UTI in your case such as burning sensation upon urination, a bad smell of urine, waking many times during the night to pee, feeling that your bladder is not empty after voiding. These symptoms might not be present but if they are they support more the diagnosis of a UTI. However only the urine culture is the way to confirm this diagnosis.
3- to prevent future UTI's it is recommended to do the following :
a- Drink plenty of liquids, especially water. Drinking water helps dilute your urine and ensures that you'll urinate more frequently — allowing bacteria to be flushed from your urinary tract before an infection can begin.
b- Wipe from front to back. Doing so after urinating and after a bowel movement helps prevent bacteria in the anal region from spreading to the vagina and urethra.
c-Empty your bladder soon after intercourse.
d-Avoid potentially irritating feminine products. Using deodorant sprays or other feminine products, such as douches and powders, in the genital area can irritate the urethra.
e-Change your birth control method. Diaphragms, or unlubricated or spermicide-treated condoms, can all contribute to bacterial growth.

Best regards
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What Causes Urge Incontinence And Pressure In The Abdomen?

Dear patient, I understand your concerns about your urinary symptoms. The following points should be taken into consideration: 1- This is most likely a UTI. the following tests are needed : urine analysis and urine culture. And you must be given the right antibiotic according to the sensitivity test of the urine culture. 2- you can look for other symptoms of UTI in your case such as burning sensation upon urination, a bad smell of urine, waking many times during the night to pee, feeling that your bladder is not empty after voiding. These symptoms might not be present but if they are they support more the diagnosis of a UTI. However only the urine culture is the way to confirm this diagnosis. 3- to prevent future UTI s it is recommended to do the following : a- Drink plenty of liquids, especially water. Drinking water helps dilute your urine and ensures that you ll urinate more frequently — allowing bacteria to be flushed from your urinary tract before an infection can begin. b- Wipe from front to back. Doing so after urinating and after a bowel movement helps prevent bacteria in the anal region from spreading to the vagina and urethra. c-Empty your bladder soon after intercourse. d-Avoid potentially irritating feminine products. Using deodorant sprays or other feminine products, such as douches and powders, in the genital area can irritate the urethra. e-Change your birth control method. Diaphragms, or unlubricated or spermicide-treated condoms, can all contribute to bacterial growth. Best regards