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Questions posted in the
The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.
Question Title: Bladder pressure/Frquent night unination/nauseaForum: The Urology Forum
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Dear Doctors, I am a 30 yr old female. In 1990 I was hopitalized with the following symptoms: extreme abdominal pain which radiated from my back and down into my groin on r side. Pain would come in waves and was severe. They thought I may have been having a miscarriage but ended up being negative. They screened my unine for stones, did colonoscopy which were both neg. Ended up having numbness in r buttocks and slightly down back of r upper thigh. After 3 days I was discharged with no explanation for what happened. I did read recently about kidney stones and my symptom were identical with what I read. (can't explain the numbness though). Anyway, I often get real nauseated when I get the urge to urinate. I urinate 3-5 times a night and it is interfering with my sleep. Oftentimes I feel like I have to go really bad but end up urinating very little, which is frustrating. Could I possibly have bladder stones? What is causing the nausousness when I get that urge to go? Also, any comment on whether or not this may be related to my previos episode in 1990? Thank you so much for your time!!!!!!!
Dear Gail, I would see your primary care physician to determine if he or she thinks these pains you are concerned about need to be worked-up. Your symptoms certainly are classic for stone pain and only 75% of people with stones have hematuria to some degree. But it is impossible to make a statement that you do or don’t have stones without the appropriate tests(IVP or CT scan). However these are expensive and invasive tests that you should not take lightly. On the other hand, if your primary care doctor does not feel that you need these tests and your pain does not subsided, then a simple abdominal x-ray that includes the Kidneys, Ureters and Bladder would be relatively harmless and might show a stone. Kidney stones are usually extremely painful, patients may be very sick. The pain is in the flank, back, and comes in waves (COLIC). It can also be irritative in the bladder and give you the urge to urinate as you described. Generalized abdominal pain can also occur and patients often are nauseated, vomit, and do not want to eat. These some of the usual symptoms of stones in the urinary tract. (Very similar to your symptoms). Stone often recur in patients (up to 35% in 5 years) so the other episode could be related. I think your symptoms are classic enough for you to have an X-ray, but I will leave the final decision up to your doctor. I cannot explain the nausea with voiding. This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568). Sincerely,
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