Aa
Weird set of conditions
Hey everybody,
I'm 18 years old, male, no family history of any urology problems, and seemingly in a healthy medical condition. I do get anxious about my health, so bear with me.
Since a year and a half ago I've been experiencing a variety of urinary problems. Perhaps I made them worse by worrying and thinking too much about them, but I know I have a basis. They include feelings of incomplete voiding, bouts of frequency, occasional hesitation, etc. (these are the big 3). On occasion I had pain with urination, but I dont know if thats related to the other ones and it hasnt been a problem in a while.
I had a urinalyis and it came out fine. I also visited the urologist and told him about my symptoms (especially the voiding issues, as sometimes in the past I had to strain and push and release after the main flow). So I haa urodynamics test to see if I was holding urine.
I came for urodynamics and the doctor looked at my bladder, and I was holding around 850ml pre-test (and I think I could have held a bit more)! I did drink a ton in preparation for the test and really had to go. So I voided, and the urologist said I completely emptied my bladder.
Since my bladder was unusually big, he did a cystoscopy a few weeks later. I voided before, and sure enough my bladder was empty when he went inside. The cystoscopy was fine save for a "mound" somewhere inside my bladder, which I had a CAT scan to investigate (I havent met with doctor to discuss this, but from when I talked to him on the phone he said it looks like it was nothing).
So I sorta want to know what the deal is? My bladder seems totally huge and would indicate something stretched it, but apparently my bladder emptied fine both times the urologist checked it. My only explanation would be that, due to my bodybuilding, all the water I drank for a few months (I think around gallon a day, maybe a tad more) might have greatly expanded my bladder?
I just worry about anything neurogenic or kidney-related.
I'm 18 years old, male, no family history of any urology problems, and seemingly in a healthy medical condition. I do get anxious about my health, so bear with me.
Since a year and a half ago I've been experiencing a variety of urinary problems. Perhaps I made them worse by worrying and thinking too much about them, but I know I have a basis. They include feelings of incomplete voiding, bouts of frequency, occasional hesitation, etc. (these are the big 3). On occasion I had pain with urination, but I dont know if thats related to the other ones and it hasnt been a problem in a while.
I had a urinalyis and it came out fine. I also visited the urologist and told him about my symptoms (especially the voiding issues, as sometimes in the past I had to strain and push and release after the main flow). So I haa urodynamics test to see if I was holding urine.
I came for urodynamics and the doctor looked at my bladder, and I was holding around 850ml pre-test (and I think I could have held a bit more)! I did drink a ton in preparation for the test and really had to go. So I voided, and the urologist said I completely emptied my bladder.
Since my bladder was unusually big, he did a cystoscopy a few weeks later. I voided before, and sure enough my bladder was empty when he went inside. The cystoscopy was fine save for a "mound" somewhere inside my bladder, which I had a CAT scan to investigate (I havent met with doctor to discuss this, but from when I talked to him on the phone he said it looks like it was nothing).
So I sorta want to know what the deal is? My bladder seems totally huge and would indicate something stretched it, but apparently my bladder emptied fine both times the urologist checked it. My only explanation would be that, due to my bodybuilding, all the water I drank for a few months (I think around gallon a day, maybe a tad more) might have greatly expanded my bladder?
I just worry about anything neurogenic or kidney-related.
Hi Ronald,
Thank you for the comment, I appreciate it so much.
Yes, the circumstances in my case seem really weird. I did have my blood sugar tested, and the results were normal. So I dont think diabetes would be a cause. As for MS, I dont really have any other symtpoms of it (nothing like vision trouble, weakness, fatigue, etc.), and there is no apparent "relapse-remitting" cycle that characterizes young patients. So I dont believe that would be behind it. And I have never had any spinal injuries either.
As far as other symptoms there is nothing non-urinary related. I used to have urinary pain after workouts a year ago, but my doctor told me that was likely because I was taking accutane at the time, and I haven't had that problem really since I stopped. After that I did have another few cases where I would urinate, then feel a lot left in the bladder. So I could keep pushing and getting a good deal more out, but suddenly my urethra would become ultra-painful. However, this situation probably only happened 5 times or so, and I dont know if it related so much to my other symptoms. I've had a blood test and probably 4 urinalysis over the last year, and all came up clean. I also had my prostate felt, and it seemed normal according to the urologist.
I have another appointment with the same urologist set up, and I'll ask for another urodynamics round. Unfortunately my parents are starting to kind of get a bit doubtful of my state because the tests mostly indicate good things.
I really hope I just stretched my bladder because of all the water I drank over a few months and I'm just overreacting now. Like you said though, it is important to persist to discover the truth.
God bless you as well, and thank you for the reply
Thank you for the comment, I appreciate it so much.
Yes, the circumstances in my case seem really weird. I did have my blood sugar tested, and the results were normal. So I dont think diabetes would be a cause. As for MS, I dont really have any other symtpoms of it (nothing like vision trouble, weakness, fatigue, etc.), and there is no apparent "relapse-remitting" cycle that characterizes young patients. So I dont believe that would be behind it. And I have never had any spinal injuries either.
As far as other symptoms there is nothing non-urinary related. I used to have urinary pain after workouts a year ago, but my doctor told me that was likely because I was taking accutane at the time, and I haven't had that problem really since I stopped. After that I did have another few cases where I would urinate, then feel a lot left in the bladder. So I could keep pushing and getting a good deal more out, but suddenly my urethra would become ultra-painful. However, this situation probably only happened 5 times or so, and I dont know if it related so much to my other symptoms. I've had a blood test and probably 4 urinalysis over the last year, and all came up clean. I also had my prostate felt, and it seemed normal according to the urologist.
I have another appointment with the same urologist set up, and I'll ask for another urodynamics round. Unfortunately my parents are starting to kind of get a bit doubtful of my state because the tests mostly indicate good things.
I really hope I just stretched my bladder because of all the water I drank over a few months and I'm just overreacting now. Like you said though, it is important to persist to discover the truth.
God bless you as well, and thank you for the reply
Hi,
I too have had urodynamic tests done. I have had 4 so far.
I have had too many cystoscopies to remember but at many of the cystoscopies I did seem able to empty my bladder well.
The first urodynamics tests came back as normal and it was not untill the second test that it was noted that I have a neurogenic bladder. (this means that the nervous system that deals with the bladder, don't function right).
The fact that you state the measured amount of urine that was measured should be an indication that something is not right. Even in my case where it is now known that the bladder does not empy well the amount of urine is about 600ml at the most.
With your age and the things that you have stated, I would not be surprised if you have a different underlying condition as the cause of your urinary problems. Are there any other symptoms that you have not mentioned? Any symptoms that you might feel that the don't have anything to do with the urinary tract?
Be persistant, if you have to, see a different urologist. Too me it seems that each time that you were investigated things seemed to work OK. They might just need to get you at a time when you experience difficulties.
I don't want to scare you, but it could be something of a different nature. If there is a problem with your nervous system, then these problems would have an explanation. Have they checked you for Diabetes, MS or any other conditions that could effect the nervous system. I was diagnosed with a neurogenic bladder prior to being diagnosed with neuropathy. Now that we know that I have an neuropathy it does explain the neurogenic bladder.
I first noticed my major urinary problems at the age of about 24. I was told that I was too young for these symptoms. At 30 when I had prostate and bladder surgery, I was the youngest guy on the ward. At the age of 18 these symptoms that you experience are abnormal.
Be persistant and don't let them dismis you.
God bless,
Ronald
I too have had urodynamic tests done. I have had 4 so far.
I have had too many cystoscopies to remember but at many of the cystoscopies I did seem able to empty my bladder well.
The first urodynamics tests came back as normal and it was not untill the second test that it was noted that I have a neurogenic bladder. (this means that the nervous system that deals with the bladder, don't function right).
The fact that you state the measured amount of urine that was measured should be an indication that something is not right. Even in my case where it is now known that the bladder does not empy well the amount of urine is about 600ml at the most.
With your age and the things that you have stated, I would not be surprised if you have a different underlying condition as the cause of your urinary problems. Are there any other symptoms that you have not mentioned? Any symptoms that you might feel that the don't have anything to do with the urinary tract?
Be persistant, if you have to, see a different urologist. Too me it seems that each time that you were investigated things seemed to work OK. They might just need to get you at a time when you experience difficulties.
I don't want to scare you, but it could be something of a different nature. If there is a problem with your nervous system, then these problems would have an explanation. Have they checked you for Diabetes, MS or any other conditions that could effect the nervous system. I was diagnosed with a neurogenic bladder prior to being diagnosed with neuropathy. Now that we know that I have an neuropathy it does explain the neurogenic bladder.
I first noticed my major urinary problems at the age of about 24. I was told that I was too young for these symptoms. At 30 when I had prostate and bladder surgery, I was the youngest guy on the ward. At the age of 18 these symptoms that you experience are abnormal.
Be persistant and don't let them dismis you.
God bless,
Ronald
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