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Acute onset urinary frequency and bladder pressure

RHR
Acute onset urinary frequency
by RHR, 2 minutes ago
I am a 50 yr. old post-menopausal (5+ yrs.) woman having feelings of pressure on my bladder and the need to urinate which never goes away and becomes more acute after urinating. There is no pain or itching.  This began suddenly about 10 days ago after week at beach. I was in water, sitting in wet bathing suit and in heat.

Have had urinalysis, urine culture, pelvic ultrasound of ovaries and bladder - all normal. No blood, no sugar, no protein, etc.  Examinations for yeast and bacerial infections were negative. Was treated for possible urethritis with 3 day dose of Levaquin of 250 mg, then 3 days of 500 mg  Levquin, then switched to doxycline 200 mg a day.  Just started 2nd day of doxycycline and feeling no better - not sure when I would notice anything.  No recent sexual activity.

Gyn thinks it's estrogen deficiency and wants me to start vagifem, but I am questioning the acute onset of this??  Cannot detect any bladder spasms, but am extremely uncomfortable feeling like I always need to urinate.  Notice it is particularly bad when lying down and on either side.  Can only sleep on back.  Some nights it wakes me up every 3 hours, some nights I can make it through the night.  Yesterday, had short period of time in morning and early afternoon where I thought symptoms were better, but then got worse in afternoon and have stayed worse since.

Does anyone have any idea what this could be?  Was given prescription for pyridium, but that sounds like it's more for pain and don't want to mask anything as I have urology appt. on Wed.
27 Responses
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RHR
Good luck - I have had no pain so they ruled out interstitial cystitis, but I have heard that Elavil does work.

I hope it does for you.

Take care,.
Helpful - 0
Avatar universal
Trying to list link again


http://www.everydayhealth.com/health-information/interstitial-cystitis-treatment.aspx
Helpful - 0
Avatar universal
Went to the Dr today and he found no infection or prolapse of the bladder so...... he believes it is  interstitial cystitis which has no cure but several ways to treat. there is a real expensive med. Elmiron since i have no ins we ruled that out for now. He has me on a low dose of  Elavil at night.He wants me to come back in 2 months. I found this aritcle on it  http://www.everydayhealth.com/health-information/interstitial-cystitis-treatment.aspx   Not really feeling that this is going to work but willing to try. Let me know what you find out.
Thanks,
Cathytn
Helpful - 0
Avatar universal
I made an appt yesterday with a gyn for Monday morning. It will cost me money I don't have. But I'm just going nuts with the symptoms but more so worrying about what it could be.I'm a little scared so wish me luck! Good luck to you and keep me posted. I think we could both use a good word from a doctor about now.:)
Thanks,
Cathytn
Helpful - 0
Avatar universal
RHR
It could be a number of things, from what I understand.

I have had the following tests (in this order) and would advise you to do the same to rule things out.  Then they will check you for things like overactive bladder, interstitial cystitis (which was ruled out for me because I have no pain).

Ultrasound of bladder, pelvis and kidneys - that will look at ovaries, too.

Cystoscopy - basically an endoscopy of the bladder to check to be sure everything is ok

The way I understand it, the vaginal estrogen is that it is just for that area - it is not hormone replacement therapy (HRT) which is prescribed for hot flashes and mood swings.  It just treats the vaginal atrophy that may accompany menopause.  My dr. told me it may get into the bloodstream a bit, but not to be concerned because it is nothing like the HRT. He feels that the bladder definitely needs estrogen and that this may help.

Hang in there!

Helpful - 0
Avatar universal
Thank you sooo much for responding, This night time feeling is driving me crazy, I,ve tryed antibiotics and azo and it has been no help. I've had this feeling before but never to this extreme or for this long, If it is just a matter of things falling (bladder) with age I guess I'll learn to live with it since I sure don't have money for surgery to tack it up. I was just afraid it might be more serious, like cancer of the bladder or ovaries since these symptoms seem to fit more then one thing(but those two also have symptoms I don't have) . I'm still not sure what to do but I do want to thank you for your help. It was a relief to know this same thing was happening to someone else and I wasn't alone . I will check back here when I can, so let me know if you find any help and I'll do the same.
Thanks,
Cathytn
P.S. Did they say what exactly the vaginal estrogen would do? I thought that was for some of the symptoms of menopause like hot flashes and mood swings. Just wondering what their thinking is.
Helpful - 0

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