Why Urinary Retention cannot empty the Bladder completely?

Urinary retention is a failure to completely discharge the bladder. Onset can be unexpected or progressive. When of sudden onset, manifestations incorporate an inability to urinate and lower abdominal pain. When of gradual onset, manifestations may incorporate loss of bladder control, mild lower abdominal pain, and a weak urine stream.

What causes Urinary Retention?

The urethra is the cylinder that removes urine from the bladder. There is more than one reason.

Blockage: It can happen when something blocks the free progression of urine through the bladder and urethra.  Urinary stones can block the flow of urine.

Infection and swelling: In men, a disease of the prostate can make it swell. This makes it push on the urethra to impede the progression of urine. In women, the urethra is shorter and closer to the rectum which can be affected by the microorganisms that causes infections.

Nerve causes: The bladder may not work right when there is an issue receiving the messages from the cerebrum to the bladder and urethra through the nerve pathway. Causes includes stroke, diabetes, multiple sclerosis, and injury. In women, vaginal childbirth can once in a while harm nerve pathways.

Drugs: The drugs affect bladder muscle function as a side effect and can cause this problem. These include drugs like anticholinergic, antihistamines, antihypertensive, antipsychotics, hormonal agents, and muscle relaxants.

Surgery: Medication given before or during a medical procedure to make you lethargic may cause urinary retention right after the surgery. Surgeries; for example, hip replacement, rectal surgery, surgeries for women issues, and medical procedures to eliminate hemorrhoids can cause the issue a while later.

Symptoms to be recognized:

Acute urinary retention:

Symptoms of acute urinary retention include

  • the inability to urinate
  • pain in lower abdomen
  • the urgency to urinate
  • swelling of lower abdomen

Chronic urinary retention:

Chronic urinary retention evolves over time and may root few or no indications, which may be difficult to identify. Symptoms may include

  • the inability to empty your bladder as whole
  • urination in small amounts frequently
  • difficult in starting the urination
  • a slow urine flow
  • the urgent need to urinate
  • feeling the need to urinate right after once
  •  leakage of urine without any warning or urge
  •  lower abdominal pain

Diagnosis of Urinary Retention:

Your medical proficient may also arrange lab and other analytic tests to help discover the reason for your urinary retention.

  • Medical history
  • Physical exam
  • Post void residual urine measurement
  •  Lab tests
  • Imaging tests
  • Urodynamic testing
  • Cystoscopy

Precautions for Urinary Retention:

One cannot always get rid of urinary retention; however you can find a way to bring down your odds of building up the condition.

  • Change your bathroom habits
  • Stay in tune with your body
  • Do pelvic floor muscle exercises
  •  Make dietary and lifestyle modifications
  • Take medicine as prescribed

Treatment for Urinary Retention:

  • bladder drainage
  • urethral dilation
  • urethral stents
  • prostate medications
  • surgery

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