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Urgency in the car

I'm a 33-year old female. I have had constant abdominal pain for the past four weeks (it feels like menstrual cramps) and urination frequency/urgency that happens when I'm in a moving vehicle. When I go to the bathroom, very little comes out. My doctor tested my urine and did a culture, and there was nothing there, so she ruled out a UTI. I went to a urologist and he thought I might have an inflamed urethrea but he did not sound convinced. I was prescribed Doxycycline. It's been a week and I'm still having the same symptoms.

I cannot go to work because I'm unable to drive due to the frequency and urgency and feeling faint when I feel I have to go. Any suggestions would be much appreciated.

Thank you,
Katt
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Avatar universal
Thank you so much for your advice. I don't have the results with me but can get them when I go to my doctor on Monday. I will schedule an ultrasound.
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Avatar universal
MEDICAL PROFESSIONAL
Hi,

Do you have any of the test results with you?
Could you please tell me what your WBC, RBC, ESR, and renal function parameters were?

You will need to keep hydration high as frequent urination and the strain can induce fatigue.

Also passing urine frequently can flush the urinary tracy providing temporary relief.

Avoid foods rich in vitamin C that can further irritate structure with injured or broken mucosal lining.

Schedule an ultrasound of the pelvis and abdomen.
And based on the ultrsound report, it can be decided whether you need a cystoscopy.

Do post anytime you notice any change (with change in diet, etc.).
If a smoker, do cut down on the nicotine.

Regards
Regards
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Avatar universal
I've had a lot of bloodwork done over the past two weeks - all normal (including CRP). I don't think I have stones - the pain is dull and crampy...

My family doctor is helpless at this point. What do you think my next step should be?

Thank you.
Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Hi,

An abdominal and pelvic ultrasound would pick up on any obstruction along the urinary tract that may be causing decreased flow. A stone would present with pain that is colicky and may or may not be accompanied by blood in the urine.

Injury or destruction of the bladder lining occuring as a consequence of certain medications can also result in increased frequency and pain.

Injury to the bladder lining can also occur due to autoimmune, allergic, neurogenic, or genetic causes. This may be aggravated by even slight jolts or vibration that may be felt in a moving vehicle.

A blood exam would pick up on any inflammatory changes occuring in the body.
Regards
Helpful - 0
Avatar universal
Thank you so much for responding so quickly. I had a few pregrancy tests done in the last couple of weeks and I'm definitely not pregnant. I don't have nausea. Feeling faint is usually accompanied by a feeling of blacking out. My menstrual cycles have been timely and normal or maybe slightly lighter than normal. No blood in urine was found. No increased stress. My gynecological exam and pap smear (done 2 weeks ago) were normal.

It feels like the vibrations of a moving car cause the urgency but the abdominal pain is there most of the time (not just in the car).

Thanks again!
Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Hi,

It is possible that you have an inflammation of the urethra or a UTI that may not have been picked up on urinalysis and is not responsive to doxycycline.

Have you had a pregnancy test done?

Any symptoms other than feeling faint, such as nausea?

How are your menstrual cycles?

Any blood in urine?
ANy increased stress around the time of onset of these symptoms?
Do post afew more details.

Also,
Keep your fluid intake in excess of 2000 ml per day.
Avoid caffeine and alcohol.
Increase vitamin C-rich foods in your diet.
Maintain hygiene.
Sleep for a minimum of 8 hours for the next few days.

Do post a few more details.
Regards
Helpful - 0
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