21 year old otherwise healthy male. I never had any UTIs or any problems with frequent urination in my life prior to my symptoms. I've had a constant urge to urinate that popped up out of nowhere last September and hasn't gone away since, to varying degrees of intensity but always present. Certain days I can hold it for 2 1/2 to 3 hours, others I'm going every half hour/hour. On a "good day" I go about 8 times. Other days I can go as many as 15-20 times (I've had a lot more bad days than good lately) There's occasional tightness in the bladder but mostly the sensation is in my penis/urethra
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Most of the time very little urine comes out and I almost have to force it to get a stream going (which is usually weak). Which leads me to believe my body isn't actually producing more urine, just something causing the urge). I've experienced no pain. but the urge seems worse when sitting forward/on hard surfaces (ex. driving), after bowel movements and ejaculations, and lying down on my side. Also haven't really noticed if any foods/liquids make it any worse, except for alcohol sometimes. I pretty much eliminated soda from my diet for roughly 3/4 months and that didn't really do anything. Also haven't noticed any blood or discharge in the urine. No incontinence but a lot of dribbling after I urinate.
As far as treatment goes, I originally went to a clinic for a urinalysis thinking I had a UTI. The urine came back clean with no bacteria but I took doxycycline twice daily for a week and the symptoms persisted. Went to a GP roughly 3 weeks later who checked my prostate, took another urine sample, and tested my blood for diabetes/kidney disease. All came back normal for the most part. Took ciprofloxacin twice daily for a week. Again, symptoms persist. Shortly after had a bladder ultrasound pre and post void where I had to drink 32 fl. oz an hour before the test. Bladder was apparently emptying with no abnormalities.
Because of a lack of insurance that had to be corrected, didn't see a urologist until February. Again, urinalysis came back clean, prostate normal. He prescribed vesicare once daily, which hasn't really done much and seems to be decreasing in effectiveness lately. I went for a CT scan (no contrast) in March of my pelvis/abdomen to see if maybe there was a stone or something of that sort. That also came back normal. I have an in office cystoscopy scheduled in about a month (which I am kind of nervous about).
So I think it's safe to say this isn't an infection that's been lingering for 9 months. At this point the only 2 things I can think of are overactive bladder and interstitial cystitis. Sincerely hoping it's neither but I really just don't know what to do anymore. Any ideas?