Pressure When Urinating: Causes and Treatments

The bladder, an important component of the urinary tract, is located in the pelvis, behind the pubic bone. Once urine is produced by the kidneys, it is transported to the bladder via the two tubes known as ureters. The urine is stored in the bladder until the body signals for its release through the urethra. Numerous conditions can affect the bladder and urethra, resulting in discomfort or the sensation of pressure when urinating.


What Causes Pressure While Urinating?

The possible causes include:

1. Bladder Infection

Urinary tract contaminations are frequent in ladies, despite the fact that they may also arise in men. According to experts, almost 50 percent of all ladies have at least one urinary tract contamination in their lifetime. Inflammation from bladder disease results in swelling of the bladder lining, triggering a stress sensation. Other signs can encompass burning with urination, high urination frequency, and even urine leakage.

2. Interstitial Cystitis

A complicated condition called interstitial cystitis (IC) is related to the bladder muscle layers' chronic inflammation, which leads to the following signs:

  • Pelvic stain and abdominal ache
  • Urinating frequently
  • Urgency (feeling as if you need to pee, even right after passing urine)
  • Incontinence (accidental urine leakage)

Discomfort can vary from mild burning feelings to severe pain when urinating. Soreness degree can be persistent or rare, and some individuals have intervals of remission.

3. Urinary Retention

Any circumstance that prevents the glide of urine from the bladder can start the feelings of strain when urinating. This urine retention causes the bladder to be excessively full or stretched which leads to pressure when urinating. Growths or bladder tumors can cause urinary retention, depending on where they are. In the event of kidney stones getting trapped within the urethra, urinary retention can occur.

Prostatitis, an infection of the prostate, is a common cause of urinary retention. Benign prostatic hypertrophy which is the noncancerous prostate enlargement, and prostate cancer, are other possible causes.

4. Bladder Control Problems

In a person with overactive bladder (OAB), the smooth muscles surrounding the bladder shrink spastically with no known cause. This results in sustained, increased bladder strain and the heightened need to pass urine. 

OAB leads to feelings of urgent, inconvenient and unpredictable need to urinate which may cause an individual to lose control so that urine passes out before reaching a bathroom. Hence, overactive bladder can negatively affect work, daily activities, and intimacy. It can also cause embarrassment, and lower the quality of life and self-esteem.

5. External Causes

Organs close to the bladder can cause bladder pain and pressure when urinating. Pregnancy is one such factor. Because the uterus, located above the bladder, increases in size throughout the gestation period, it exerts direct pressure on the bladder.

Abdominal and pelvic tumors can have a similar impact if they are pressing on the bladder. Such tumors include those of the colon, ovaries and uterus.

When to See a Doctor

Seek medical advice when bladder pressure or pain worsens or fails to resolve in due course. If you observe signs of bladder infection plus an excessive fever, back pain, vomiting or nausea, seek treatment. These additional symptoms may indicate that the contamination has traveled to the kidneys from the bladder.

It is important that you get timely medical care if you are unable to urinate because this shows that you could be having a blockage of the lower part of the bladder or the urethra.

How to Manage the Bladder Pressure

Treatment is dependent on the cause of pressure when urinating. For this reason, you need to seek medical attention for analysis and prescription of treatment.

1. Bladder Infection

Antibiotics are used to treat bladder infections. You will get relief from the discomfort within a few hours. It is, however, critical to complete the medication as prescribed to prevent the recurrence of symptoms or the spread of contamination to the kidneys.

In addition,

  • Take 8 to 10 glasses of fluids; a minimum of half ought to be water, while fresh fruit juices like cranberry juice, and herbal teas may serve as the rest.
  • Caffeinated soft drinks, tea, alcohol, and coffee should be avoided.
  • Take a warm bath to aid with the initial signs.
  • Get back to the clinic if instructed for re-test and evaluation progress.
  • Return to the clinic if symptoms worsen, or if you vomit, have nausea, back pain or fever and chills.

2. Interstitial Cystitis

Treatment for IC includes oral medications, like amitriptyline, pentosanpolysulfate, and cimetidine. Medicines inserted into the bladder via the urethra, consisting of heparin and lidocaine can also be used.

Avoiding activities that trigger symptoms may also help. Triggers for IC and associated pressure when urinating range from stress, eating citrus fruits to performing Kegel exercises.

3. Urinary Retention

The bladder is drained by putting a catheter in the urethra, for the acute method. Treatment for chronic urine retention will depend upon its cause. In the case of men with enlarged prostate, medications like alpha-blockers and 5-alpha reductase inhibitors may be given to try to shrink it. The surgical procedure to reduce the size or remove the prostate may be carried out.

4. Bladder Control Problems

Pelvic floor exercises and bladder training are some of the home remedies for an overactive bladder. These non-drug treatments have been found to be very effective. Besides, they don’t have side effects.

Bladder wall muscles of people with OAB, contract and expand at the wrong time. Use of a class of medications called anticholinergics helps to treat this problem by blockage of nerve signals that control contractions of bladder muscles. Research also indicates that these medications can increase the capacity of the bladder and thereby reduce the persistent need to pass urine or pressure when urinating.