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I can't begin to guess what else might be going on. But the bloating and urgency must be caused by something. My daughter went through a period when she had urinary urgency problems. Hers seemed to by caused by some serious stress in her life. She did take some of those pills (seen the commercials?) prescribed by a doctor but in time didn't need them anymore. She's fine now. If you're brave, you might ask for a second opinion.