Browse Medications by Everyday Health Concerns: Difficulty urinating

Written by Amar Lunagaria
Pharm.D • NiHowdy Founder

Reviewed by James Wong
Pharm.D • NiHowdy Founder
Updated Jan 27, 2025
•Published Jan 15, 2025

What is Difficulty urinating?
Symptoms of Difficulty urinating
- Straining to urinate or feeling as though the bladder is not emptying fully
- Weak or interrupted urine stream
- Pain or discomfort during urination
- Frequent urges to urinate, but little output
- Feeling of fullness or pressure in the lower abdomen
- Leaking urine or incontinence in some cases
What causes Difficulty urinating?
- Urinary tract infections (UTIs), which can cause inflammation and block urine flow
- Enlarged prostate in men, which can obstruct the urethra
- Bladder or kidney stones, which can block the urinary tract
- Neurological conditions, like multiple sclerosis or Parkinson's disease, affecting bladder control
- Medications, such as antihistamines or decongestants, that may affect urine flow
- Pelvic floor dysfunction, where muscles of the pelvic area are too tight or weak
Risk factors for Difficulty urinating
- Age, as prostate enlargement or weakened pelvic muscles become more common with age
- Sex, with men being more likely to experience difficulty urinating due to prostate issues
- Chronic conditions, such as diabetes, that affect bladder function
- Infections, which can inflame the urinary tract and cause difficulty urinating
- Medications, such as diuretics or antihistamines, that can interfere with urination
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How is Difficulty urinating diagnosed?
- Physical exam to check for prostate enlargement or other abnormalities
- Urine test, to check for infections or blood in the urine
- Bladder scan, to measure how much urine remains in the bladder after urination
- Imaging tests, such as ultrasound or CT scans, to look for obstructions or stones
- Urodynamic testing, to assess bladder function and pressure
How is Difficulty urinating treated?
- Antibiotics, if an infection is the cause
- Alpha blockers, which relax the muscles around the prostate and bladder neck to improve urine flow (for men with prostate issues)
- Surgery or procedures, such as prostate surgery or stone removal
- Pelvic floor therapy, to strengthen or relax the pelvic muscles
- Catheterization, for severe cases where urine retention is significant
Medications for Difficulty urinating
Can Difficulty urinating be prevented?
- Stay hydrated to keep the urinary system healthy and flush out bacteria
- Maintain a healthy weight to avoid pressure on the bladder
- Avoid irritants, such as caffeine, alcohol, or spicy foods, which can irritate the bladder
- Practice good hygiene to prevent urinary tract infections
- Exercise regularly, especially pelvic floor exercises, to strengthen muscles involved in urination
Managing Difficulty urinating at home
- Drinking plenty of fluids to stay hydrated
- Avoiding irritants, such as alcohol, caffeine, and artificial sweeteners
- Using warm baths to relax pelvic muscles if there is pain
- Practicing relaxation techniques to manage stress that can affect bladder function
When should you seek help for Difficulty urinating?
- You cannot urinate at all or if the flow stops completely
- You experience severe pain during urination
- You notice blood in your urine or unusual color changes
- You feel like your bladder is never fully empty, even after urinating
- You have a fever, which could indicate an infection
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