Why does it take effort to pee?

Urinary hesitancy has many potential causes, including bladder obstructions, an enlarged prostate, and complications related to childbirth. If a person consistently experiences urinary hesitancy, they should contact a doctor. The inability to pass urine at all is called urinary retention and is a medical emergency.

medicalnewstoday.com - Urinary hesitancy: Symptoms, causes, and treatment - Medical News Today

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Urinary hesitancy occurs when a person has difficulty starting or maintaining a stream of urine. Although urinary hesitancy is most common in older males due to an enlarged prostate, it can happen to anyone of any age. This article will look at the causes, symptoms, and treatments of urinary hesitancy. Anyone who experiences persistent symptoms of urinary hesitancy should speak with a doctor, who can rule out any underlying causes. Without treatment, urinary hesitancy may develop into urinary retention. Urinary retention occurs when a person is unable to void their bladder completely. It is a medical emergency.

Treatment If a person experiences urinary hesitancy occasionally, it is not usually a cause for concern. However, if symptoms are persistent or recurring, the person should contact a doctor. Before treatment, a doctor will likely perform a noninvasive physical examination and ask the person questions about their symptoms. These questions may include: Did the urinary hesitancy come on suddenly or gradually?

Are there other symptoms, such as fever or pain?

How long have the symptoms been happening?

Is the urine flow weak?

Does anything make the symptoms better or worse? A doctor may examine a person for further lower urinary tract dysfunction. For males, a doctor may conduct a prostate exam, imaging studies, or urodynamic studies. The treatment will depend on the underlying cause of the urinary hesitancy. Some standard treatments include: antibiotics for infections

medications for an enlarged prostate

surgery to relieve a prostate blockage

procedures to dilate the urethra

removal of scar tissue within the urethra

Home remedies There are several remedies that a person can try at home that may potentially alleviate urinary hesitancy. These steps often involve minimal effort and are usable alongside medical care. However, it is essential to note that these remedies are purely anecdotal and are not medically proven to alleviate urinary hesitancy. Some potential home remedies for urinary hesitancy include: taking a warm bath or shower

using a hot water bottle or heating pad on the abdomen

massaging the bladder area

keeping a record of urination patterns to identify triggers

doing Kegel exercises

limiting fluid intake

bladder training

Symptoms The main symptom of urinary hesitancy is difficulty starting or maintaining a urine stream. Urinary hesitation may develop slowly over time. The slow onset may make the condition difficult to identify until a person loses the ability to empty their bladder. Over time, urinary hesitancy may develop into urinary retention. This can cause swelling and discomfort in the bladder and is a medical emergency. A person who has urine hesitancy should seek immediate attention if they experience any of the following: an inability to urinate at all

a fever

shaking

lower back pain

chills

vomiting

Complications Even in non-severe cases, ignoring a weak urine flow or difficulty starting urination can allow the condition to worsen. Eventually, this may lead to urinary retention, which may require surgery. The type of surgery a person undergoes will depend on the underlying causes of the condition and on current guidelines. Acute urinary retention, or the sudden and complete inability to urinate, is a severe condition that requires immediate medical attention. Without treatment, it can lead to serious health problems.

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