Urologist explains how to pee

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Not being able to pee can be a pretty uncomfortable condition whether you really feel like it or think it is time for you to pee. Fortunately, there are solutions. We talked to a urologist about what to do when you have to go but just can’t, and some reasons behind the problem.

There are several reasons why you can’t pee:

you are dehydrated

If your bladder is relatively empty and it’s been a while since you peed, chances are you are a little dehydrated. No worries, a few glasses of water can help.

Enlarged or inflamed prostate

Typically seen in older men, an enlarged prostate can prevent you from peeing, says Jed Kaminetsky, MD, urologist at NYU Langone Health, because its location under the bladder can obstruct it if you have an enlarged prostate. Another possibility is prostatitis, an infection of the prostate that causes inflammation or swelling. Sexually transmitted infections like chlamydia, gonorrhea and sometimes herpes have the ability to inhibit urination by causing the prostate to swell, he says.

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Pelvic trauma

Any type of trauma to the urethra (punch, kick, etc.), according to Dr. Kaminetsky, can also create a blockage, resulting in the inability to urinate.

Certain drugs

According to Dr. Kaminetsky, certain drugs like ketamine, cocaine, and even some prescription drugs have the ability to inhibit urination. Some studies, like this one in BMJ Case Reports, suggest that frequent consumption of ketamine can even cause irreversible damage to the urinary system. Ouch.

Urinary obstruction

Everything from a urinary tract infection to ureteral stones can create a blockage in the urinary tract, making it difficult, if not impossible, to pee. If you feel the urge to pee after drinking a lot of water, but nothing comes out, it is definitely time to see a doctor.

Shy bladder syndrome

Some people just can’t pee in a public bathroom, a psychosocial problem called “shy bladder syndrome,” and it affects around 21 million American men – who can hold it back until it’s reached. . really uncomfortable.

How to pee

Drink water

If you can’t pee because of dehydration, the natural thing to do would be to rehydrate and drink water, says Dr. Kaminetsky. Some signs of severe dehydration include a dark yellow pee, inability to urinate at all after several hours, dizziness, nausea, and even fainting. “If you are [severely] dehydrated your blood pressure could drop, you could pass out or develop kidney failure, ”says Dr. Kaminetsky.

Sit in a tub of lukewarm water

“The first thing I say to someone who wants to pee but can’t, is sit in a hot tub filled with water,” says Dr. Kaminetsky. “It relaxes the pelvic floor muscles.” It recommends this method only if you to feel the unpleasant urge to pee, but for some reason you can’t. And yes, it’s fine to jump in the water if you have to, but ideally you go to the bathroom before you have to.

If all else fails, see a doctor

Since being unable to pee can be quite dangerous, seeing a doctor is crucial if home remedies aren’t working, especially if it’s been more than 36 hours since you’ve urinated. “The first thing I would do would be do an ultrasound of the bladder,” says Dr. Kaminetsky. “It would tell me if the bladder is full or if it’s empty and you just feel like you want to pee.” If your bladder is empty, your doctor will suggest that you drink fluids. Otherwise, they may need to insert a catheter to drain the bladder and determine the underlying cause. And if the problem is related to your prostate, your doctor may prescribe medication that can help.

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