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Urology (Expert Forum)
tormenting urge to urinate right after I go all in my head? What does it mean?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
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.
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tormenting urge to urinate right after I go all in my head? What does it mean?
by Stephen22, May 26, 2006 12:00AM
three weeks ago I masturbated with a cream calle eucerin. It went straight down into my urethra undoubtedly. Immediately when I touched my penis the first inch and a half or more of it strung like alcohol or something in the cream burned my urethra. When I urinated, instead of having a straight stream the urine came out like a showerhead. Two days later the symptoms got a little better better I suddenly had the constant urge to urinate again and again. I took some amoxicillin 4 1000 mg capsules in two days which were left over from a dental surgery I had two weeks ago.
A couple days later, seeing no improvement I went to my doctor, told him about the cream and that I was afraid I had cream induced urethritis with the urge to go to the bathroom and some irritation of the penis due to the cream as my only symptoms. I did not have burning when I urinated, soreness or pain at all. The doctor took a urinalysis and with that and statement that I have to pee again right after I pee, he diagnosed of all things cystitis. He gave me cipro and wanted me to take it for 7 days. By the 5th day, still experiencing no burning pain, I went back to him because of the tormenting urge to pee.
Since my father has prostate cancer, the doctor took on ultrasound of my prostate and presumably my bladder which he had me fill and empty during the ultrasound precedure. He also told me that the 2nd urinalysis take at that visit showed no infection. The last thing I said to him was "Doctor, you just told me to empty my bladder when doing the ultrasound, why do I have to pee again?" He wrote me a prescription for Levaquin for 10 days, drew two test tubes of blood to run a PSA test and every other kind of extensive lab work conceivable to prove that I don't have cancer, diabetes, etc. He wanted me to call back in two days for the PSA results but not return to see him again for at least a month because Medicare might sqawk. My blood test showed nothing remarkable except 103 on the Glucose and high trigycerides. The doctor got on the phone and told me to come back in a week fasting to take a small blood test to check those two results again.
Next week, I came back and took the blood test but wished to talk to the doctor again because the tormenting peeing was still there. The doctor told me that there was nothing wrong with me, that I was compulsive-obsessive and that it was all in my head and that I should go and live my life.
Now for the last 4 days I found that the urge comes and goes, becomes tormenting or can be completely ignored like while I type this email I forgot to notice the urge. The moment I focused on my bladder the urge appears, and if I don't refocus my mind it get worse. Question: What does he mean when he says its all in my head? I have never had the urge to pee before 3 weeks ago after the cream incident and I can't understand how the sole symptom along with the urinalysis which the doctor used to diagnose c
A couple days later, seeing no improvement I went to my doctor, told him about the cream and that I was afraid I had cream induced urethritis with the urge to go to the bathroom and some irritation of the penis due to the cream as my only symptoms. I did not have burning when I urinated, soreness or pain at all. The doctor took a urinalysis and with that and statement that I have to pee again right after I pee, he diagnosed of all things cystitis. He gave me cipro and wanted me to take it for 7 days. By the 5th day, still experiencing no burning pain, I went back to him because of the tormenting urge to pee.
Since my father has prostate cancer, the doctor took on ultrasound of my prostate and presumably my bladder which he had me fill and empty during the ultrasound precedure. He also told me that the 2nd urinalysis take at that visit showed no infection. The last thing I said to him was "Doctor, you just told me to empty my bladder when doing the ultrasound, why do I have to pee again?" He wrote me a prescription for Levaquin for 10 days, drew two test tubes of blood to run a PSA test and every other kind of extensive lab work conceivable to prove that I don't have cancer, diabetes, etc. He wanted me to call back in two days for the PSA results but not return to see him again for at least a month because Medicare might sqawk. My blood test showed nothing remarkable except 103 on the Glucose and high trigycerides. The doctor got on the phone and told me to come back in a week fasting to take a small blood test to check those two results again.
Next week, I came back and took the blood test but wished to talk to the doctor again because the tormenting peeing was still there. The doctor told me that there was nothing wrong with me, that I was compulsive-obsessive and that it was all in my head and that I should go and live my life.
Now for the last 4 days I found that the urge comes and goes, becomes tormenting or can be completely ignored like while I type this email I forgot to notice the urge. The moment I focused on my bladder the urge appears, and if I don't refocus my mind it get worse. Question: What does he mean when he says its all in my head? I have never had the urge to pee before 3 weeks ago after the cream incident and I can't understand how the sole symptom along with the urinalysis which the doctor used to diagnose c
Doctor's Answer
by Kevin Pho, MD, May 29, 2006 12:00AM
, May 29, 2006 12:00AM
It sounds like a comprehensive evaluation was performed.
Infection was evaluated via a urinalysis. You can also consider the prostate - which can be difficult to treat. A digital rectal exam and/or a transrectal ultrasound can be considered for further evaluation. A prostatic massage can be considered to "milk" the prostate - any fluid expressed can be sent for analysis and culture.
If infection has been completely ruled out, a cystoscopy can be considered to look for anatomical abnormalities - such as a urethral stricture or urethral polyp.
When your physician suggests "it's all in your head", a psychogenic cause can be considered. However, this should only be considered once the more common and severe disease have been ruled out.
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.
kevinmd_
Infection was evaluated via a urinalysis. You can also consider the prostate - which can be difficult to treat. A digital rectal exam and/or a transrectal ultrasound can be considered for further evaluation. A prostatic massage can be considered to "milk" the prostate - any fluid expressed can be sent for analysis and culture.
If infection has been completely ruled out, a cystoscopy can be considered to look for anatomical abnormalities - such as a urethral stricture or urethral polyp.
When your physician suggests "it's all in your head", a psychogenic cause can be considered. However, this should only be considered once the more common and severe disease have been ruled out.
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.
kevinmd_
Member Comments (4)
by Stephen22, May 26, 2006 12:00AM
To: Urology - General
0
by Linda J, May 30, 2006 12:00AM
To: Urology - General
0
by JJHONE, Jun 18, 2006 12:00AM
To: Urology - General
0
by Chase776, Jul 20, 2006 12:00AM
To: Urology - General
0
