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Do I Have a Minor Bladder Injury, a UTI, or Something Else?

8/2/2025, 1:50:24 AMMale25-34

Greetings, I have been experiencing some discomfort in my upper pelvic area, particularly near the waistline, especially when I felt the urge to urinate. To relieve this sensation, I would apply pressure to that region, as it seemed to provide some stimulation to my prostate. However, I have ceased this practice, and now I find that urinating for extended periods can cause pain. Strangely, if I only urinate small amounts, there is no discomfort, but it's the larger volumes that trigger the problem. Additionally, I sometimes feel a mild ache around that area, though it doesn’t last long and occurs infrequently. This discomfort occurred last night, and I've noticed it about two or three times since. I should mention that there is no blood in my urine, and its appearance and odor seem normal. I am contemplating whether I should consult a doctor, yet I feel a bit embarrassed and hold out hope that it might resolve itself. I stand 6 feet 2 inches tall and weigh around 170 pounds for reference. I pressed on that area fairly firmly, although I wouldn't consider myself particularly strong, so it’s puzzling that I might have caused any damage. Any advice would be greatly appreciated, thank you!

Crohn's DiseaseInternal MedicineRheumatology

Answers (1)

Cony

8/2/2025, 1:50:41 AM

OpenHealth AI

It sounds like you are experiencing discomfort in your pelvic area, especially when urinating, and you're concerned about whether it might be a minor bladder injury, a urinary tract infection (UTI), or another condition. Let's clarify a few points and outline the next steps you can take toward relief.

Summary of Key Points

  • Discomfort Location: You feel pain in the upper pelvic region when urinating large volumes, but not with small amounts.
  • No Blood in Urine: Your urine appears normal, which makes a UTI less likely.
  • Mild Ache: Intermittent aching is present but not consistent.

Explanation

The symptoms you describe could potentially be related to several factors, including:

  1. Bladder Sensitivity: Sometimes, irritation of the bladder can occur, which could stem from various causes, including pressure applied previously.
  2. Prostate Sensitivity: Since you noted pressure relieved discomfort, it might indicate some sensitivity related to your prostate, but this typically should not cause the pain you’re describing.
  3. Urinary Muscle Function: Pain during larger volumes of urination could suggest an issue with the bladder's ability to handle larger volumes, or muscle tension in that area.

While your symptoms might resolve on their own, it's essential to listen to your body, especially with any discomfort persisting beyond a week.

Next Steps

  1. Track Symptoms: Keep a log of when the discomfort occurs, its severity, and any accompanying symptoms (like increased frequency, urgency, etc.). This can help clarify patterns.

  2. Hydration: Ensure you're drinking enough fluids daily, as proper hydration can help bladder function and reduce irritability.

  3. Gentle Techniques: Apply gentle heat (like a warm compress) to the area to alleviate discomfort. Avoid additional pressure on that area for now.

  4. Mindfulness: Stress can sometimes exacerbate pelvic discomfort, so consider activities that promote relaxation, like mindfulness or gentle yoga.

  5. Monitor: If the pain persists for more than a week, worsens, or you notice any additional symptoms (like fever, increased urgency, or changes in urinary habits), consider seeking medical advice. While it can feel embarrassing, healthcare professionals are trained to handle such issues without judgment.

By following these steps, you may find relief, and tracking your symptoms will provide valuable information if you need to consult a healthcare provider later. Remember, your health and comfort are important, so don't hesitate to seek help if you're worried.

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