I have cervical spinal stenosis and fibromyalgia. One of the many wonderful side-conditions brought on by one or both or these conditions is hesitant and/or irritable bladder. I have a very difficult time releasing my urine, thus the hesitant bladder. It does not matter where I am--bathrooms at home, office or other location--or whether I am stressed or relaxed. I can sit for 5 or more minutes trying to coax my bladder to let loose. Also, I feel like I have to urinate very frequently, usually very 1.5-2 hours. I often leave meetings or awake every cople of hours in the night to urinate. I doesn't hur,most times, but it is maddening. I haven't spoken with my drs yet since I have bigger issues to deal with,like pain, fatigue &insomnia. Does anyone suffer from this? If so, how do you manage it... I hope I do not have to see another specialist! Already have PCP, Spine and Pain management dr, therapist an physical therapy trainer... no more! I hardly have time to work given all of these drs. Thank you for your help and suggestions!
I have heard of this with fibromyalgia, some other common ones include diabetes, abnormal kidney function, tumors in the bladder or bladder stones and medication that increase urine production. So I would bring it up to your Dr!
But also could be that it is cystitis, this cause's pain when urinating that can be described as sharp or burning. The pain felt when urinating usually subsides to some degree as the bladder empties, though some people do not find this kind of relief. The frequent urges to use the bathroom can last throughout the day and night.
If you have interstitial cystitis, you may benefit from altering your diet. Some of the same foods that can irritate the lining of the stomach can also irritate the bladder--including acidic, spicy foods, caffeine and alcohol as well as chocolate and foods that contain artificial sweeteners. Keeping a food diary that details what you have eaten and the intensity of your symptoms can help you determine if your diet may contribute to your painful symptoms. Over-the-counter medications can also help counter mild to moderate pain caused by an irritable bladder. Avoiding smoking also.
Symptoms of interstitial cystitis may decrease through the use of several different medical procedures. Stretching out the irritated bladder--a procedure called bladder distention--is done under an anesthetic. Some people find temporary relief after distention because the bladder is able to hold more liquid. Medications such as Elavil and Emilron can manage symptoms to the extent that they don't take over your life, Tolterodine (Detrol), oxybutynin (Ditropan), an oxybutynin skin patch (Oxytrol), trospium (Sanctura), solifenacin (Vesicare) and darifenacin (Enablex).
Electric nerve stimulation treatments performed on the muscles around the bladder may also relieve irritable bladder symptoms in some people. Re-training the bladder may be a useful management tool. Bladder training involves going to the bathroom on a set schedule in an effort to allow your bladder to hold more liquid at a time.
The Interstitial Cystitis Association (800-435-7422, toll-free in the United States)
Hope you feel better soon!!
Hi Kvasconez, I too have fibro and celiac which does numbers on the bladder.
I went to a Urologist and was put through the most barbaric tests I ever had. I had my uretha "stretched" which caused scar tissue and the opposite reaction. Long story short, in my opinion, don't have any "procedures/surgery" on that fragile and very sensitive part of your body. There is no way they avoid creating more scar tissue with even the least invasive treatments. I pee every 20 minutes, no matter what. I went on tramadol for fibro a few months ago and it really slows down the start of the flow and now I need coaxing to go. The old trick of turning on the faucet has a psychological effect and can help. It seems you are more concerned with starting the flow. Try drinking alot more water. Just my opinion, but there are so so many complications due to correcting bladder problems surgically that with the fibro I'd steer clear of them all and cope another way. best wishes and good luck
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