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Urology (Expert Forum)
Bladder Pain when lieing down with empty bladder
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Bladder Pain when lieing down with empty bladder
by WelshDave, Nov 17, 2005 12:00AM
Dear Doc......
I have previously suffered from Kidney stones. 7 weeks ago had a Proctectomy, 3 years after having an ileostomy due to colitis. This op was purely to reduce any cancer risks I would have had by leaving my rectum in place.
I picked up a few infections whilst in hospital, but have been given an all clear on them now. I had a IVU exam which showed my kidneys are functionally properly. I had 2 wounds after the recent surgery. The front wound seems to dip into my adomen more than it did before gving me a rather strange profile.My rear wound opened when at home due to infection, but seems better now.
I realise such surgery can upset other organs, but my bladder/penis pain can be predicted now. If I lie down on the sofa in the evening the pain will begin to appear, especially if my bladder is empty. At 5 o'clock in the morning it is pretty uncomfortable and it can be better for me to get up. Once I am walking around in the late morning it will have gone for most of the day. It feels like I need to have a wee, but my bladder is empty. Urinating does not hurt. It is as I stop urinating as my bladder empties, that the pain appears. Each step I walk at that point will aggravate it. An half an hour later I will be ok.
Sometimes pain comes in small waves. I know I'm not the doc hear, but because of the location of the pain I feel it's not kidney stones related this time.
Does this sound familar?
I am planning to see my urologist again soon but would like to hear your opinion. Thank You
Doctor's Answer
by Kevin Pho, MD, Nov 18, 2005 12:00AM
, Nov 18, 2005 12:00AM
It is difficult to say without examination. You did not mention where the pain was.
If it was in the suprapubic area, infection as well as bladder issues can lead to the pain. Testing the urine for infection, as well as a imaging (i.e. a CT scan) can be considered. If there is further concern about the bladder, you can consider a cystoscopy for a more comprehensive approach.
If the pain is in the flanks, kidney stones can be considered. A non-contrast helical CT is a pretty sensitive method to evaluate this condition.
You can discuss with your urologist whether a cystoscopy or a CT scan can be helpful in diagnosing the pain.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
If it was in the suprapubic area, infection as well as bladder issues can lead to the pain. Testing the urine for infection, as well as a imaging (i.e. a CT scan) can be considered. If there is further concern about the bladder, you can consider a cystoscopy for a more comprehensive approach.
If the pain is in the flanks, kidney stones can be considered. A non-contrast helical CT is a pretty sensitive method to evaluate this condition.
You can discuss with your urologist whether a cystoscopy or a CT scan can be helpful in diagnosing the pain.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
