Hello all,
This is my first post on RP forum. I come here because conventional medicine has failed to address my problem in any appreciable way
I am 27 years old, but the problem began 5-6 years ago. It has gotten progressively worse since it began. I now feel the urge to urinate almost constantly throughout the day, and usually end up going every 45-1 hour. When I urinate my stream is very weak, and only a small volume of urine is voided. However, within a few minutes of going to the bathroom, I feel the urge again. At night, it is a little better as I can usually hold it for 2-3 hours at a night, but I am still waking up multiple times per night
I have seen multiple urologists over this time period. A CT of my bladder revealed thickened muscle walls, but cystoscopy (camera through the urethra) did not yield any explanation for this (no strictures, obstruction at the bladder neck etc).
I also had an ultrasound of my bladder done while I had an intense urge to urinate, and the doctor said that my bladder was almost empty (only a few ml). This makes me think that it a problem with the nerves innervating the bladder sending inappropriate signals to my brain
I have tried mediation (mirabegron) which did nothing for my frequency but made my memory hazy so I discontinued it. For now, I am just limiting my fluid intake (1 cup of coffee, and 1L of water is all that I drink during the day). But still very frequent, around 15x a day
A little more background information:
-The frequency is definitely correlated with stress/anxiety. When I am anxious I can go as much as 4x per hour. Only a few ml each time. Unfortunately I work in a very high-pressure environment so lowering the stress/anxiety levels is difficult for me.
-I am usually cold throughout the day, if the AC is set at 72 degrees in the house my feet are freezing.
-I am 5'9 165, not very active besides walking 45 minutes 3-4x a week with the wife
-Around the time that the urinary frequency started, I was diagnosed with low testosterone (I actually can't recall which came first). I self-supplemented for a while, then got a prescription for TRT. I was on it for about 2 years in total before I got off because my quality of life was no better (possibly worse) on testosterone. As of 2018 (last blood work) testosterone is around 370 (350-1000 reference range). I am not sure if this is related to the urinary frequency
Please advise, I need ideas on what this could be or advice on what I can do. It is becoming a real problem now, affecting both my sleep (frequently waking up at night, with difficulty falling back asleep) and my career (frequent bathroom breaks)
This is my first post on RP forum. I come here because conventional medicine has failed to address my problem in any appreciable way
I am 27 years old, but the problem began 5-6 years ago. It has gotten progressively worse since it began. I now feel the urge to urinate almost constantly throughout the day, and usually end up going every 45-1 hour. When I urinate my stream is very weak, and only a small volume of urine is voided. However, within a few minutes of going to the bathroom, I feel the urge again. At night, it is a little better as I can usually hold it for 2-3 hours at a night, but I am still waking up multiple times per night
I have seen multiple urologists over this time period. A CT of my bladder revealed thickened muscle walls, but cystoscopy (camera through the urethra) did not yield any explanation for this (no strictures, obstruction at the bladder neck etc).
I also had an ultrasound of my bladder done while I had an intense urge to urinate, and the doctor said that my bladder was almost empty (only a few ml). This makes me think that it a problem with the nerves innervating the bladder sending inappropriate signals to my brain
I have tried mediation (mirabegron) which did nothing for my frequency but made my memory hazy so I discontinued it. For now, I am just limiting my fluid intake (1 cup of coffee, and 1L of water is all that I drink during the day). But still very frequent, around 15x a day
A little more background information:
-The frequency is definitely correlated with stress/anxiety. When I am anxious I can go as much as 4x per hour. Only a few ml each time. Unfortunately I work in a very high-pressure environment so lowering the stress/anxiety levels is difficult for me.
-I am usually cold throughout the day, if the AC is set at 72 degrees in the house my feet are freezing.
-I am 5'9 165, not very active besides walking 45 minutes 3-4x a week with the wife
-Around the time that the urinary frequency started, I was diagnosed with low testosterone (I actually can't recall which came first). I self-supplemented for a while, then got a prescription for TRT. I was on it for about 2 years in total before I got off because my quality of life was no better (possibly worse) on testosterone. As of 2018 (last blood work) testosterone is around 370 (350-1000 reference range). I am not sure if this is related to the urinary frequency
Please advise, I need ideas on what this could be or advice on what I can do. It is becoming a real problem now, affecting both my sleep (frequently waking up at night, with difficulty falling back asleep) and my career (frequent bathroom breaks)