Presentation
Skip to content learn bedside ultrasound, one week at a time This is a 41-year-old white male who presents after a major motor vehicle collision. He complains of abdominal pain and feels like he needs to urinate but is unable to do so. [ultrasoundoftheweek.com]
Covering the full spectrum of normal and pathologic findings in the human body, the authors -- all experts in the field -- present a color-coded system of more than 250 drop-down menus, which lay out all possible diagnoses at a glance and then guide the [books.google.com]
If nephritis is present and a heart disease is present and both are caused by the same general condition, then only one rating can be given even though there are two organs affected by the condition. [militarydisabilitymadeeasy.com]
"We wanted to alert A&E doctors that bladder rupture might be something to consider in younger women presenting with lower abdominal pain," says Dooldeniya. [theguardian.com]
Sundaram, urology consultant, C S Biyani, urology consultant Pinderfields Hospitals, Wakefield, West Yorkshire WF1 4EE Correspondence to: M D Dooldeniya modool{at}btinternet.com Accepted 25 April 2007 Consider alcohol related pathology in women who present [doi.org]
Entire Body System
- Fever
Signs and symptoms include increased frequency of urination, pain or burning during urination, fever, cloudy or bloody urine, and suprapubic pain. An acute or chronic inflammatory process affecting the bladder. [icd9data.com]
When to see a doctor Seek immediate medical help if you have signs and symptoms common to a kidney infection, including: Back or side pain Fever and chills Nausea and vomiting If you develop urgent, frequent or painful urination that lasts for several [mayoclinic.com]
There may be nausea, vomiting, general lower abdominal pain, fever, a failure to urinate, or urinating only tiny amounts and there may be blood in the urine. [theguardian.com]
Signs and symptoms of both may include abdominal pain, diarrhea, rectal bleeding, weight loss, fever, arthritis, and skin problems. [beyondbasicsphysicaltherapy.com]
A kidney infection will often cause fever, chills, nausea, and vomiting. You’ll typically feel quite ill. Kidney infections are more serious than bladder infections and require urgent medical attention. [healthline.com]
- Fatigue
Interrupted sleep can lead to extreme fatigue and sometimes depression. 4 Depression. Living with a chronic pain condition raises your risk of depression. 5 Pain during sex. Many women with bladder pain syndrome report pain during sex. [womenshealth.gov]
Some common complications resulting from overactive bladder may include: Disruptive quality of life Diminished sexual activity Reduced social interaction Depression Dehydration Fatigue (from Nocturia) Lower productivity Urinary tract infections (UTI), [depend.com.au]
Several other disorders are associated with IC, including allergies, migraine, irritable bowel syndrome, fibromyalgia (a condition causing muscle pain), chronic fatigue syndrome, and vulvodynia (pain or burning in the vulvar area that isn't caused by [health.harvard.edu]
Again, this treatment is not without possible and often serious side effects including urinary tract infection, urinary retention (not being able to empty the bladder completely), hematuria (blood in the urine), fatigue and insomnia. ( 15 ) 8 Natural [draxe.com]
- Enuresis
Bladder dysfunction is increasingly recognized as a risk factor for UTI and VUR, and a cause for enuresis with daytime symptoms. [books.google.com]
) N39.3 Stress incontinence N39.4 Other specified urinary incontinence Overflow Reflex Urge } } } incontinence Excludes: enuresis NOS ( R32 ) urinary incontinence (of): · NOS ( R32 ) · nonorganic origin ( F98.0 ) N39.8 Other specified disorders of [apps.who.int]
[…] to urinate) Dribbling: Continuing to drip or dribble urine after finishing urination Straining: Having to squeeze or bear down on the external sphincter to urinate Some people with incontinence experience the following problems: Bedwetting (nocturnal enuresis [emedicinehealth.com]
- Recurrent Urinary Tract Infection
Risk factors Some people are more likely than others to develop bladder infections or recurrent urinary tract infections. Women are one such group. A key reason is physical anatomy. [mayoclinic.com]
Twenty percent of women in the United States develop a UTI and 20% of those have a recurrence. Urinary tract infections in children are more common in those under the age of 2. [auncurology.com]
Urinary tract infection in persons with spinal cord injury. Arch Phys Med Rehabil. 1995 Mar. 76(3):272-80. [Medline]. Wein AJ. Lower urinary tract function and pharmacologic management of lower urinary tract dysfunction. [emedicine.medscape.com]
- Recurrent Infection
Risk of serious complications (eg, recurrent infection, vesicoureteral reflux, autonomic dysreflexia) is high. Diagnosis involves imaging and cystoscopy or urodynamic testing. Treatment involves catheterization or measures to trigger urination. [msdmanuals.com]
Most people with stones do not know they have them until they present with recurrent infections, severe infection of the kidney, or when they pass them, which can be very painful. [thefemedic.com]
Respiratoric
- Cough
Smoking: A chronic smoker's cough can trigger or aggravate stress incontinence by putting pressure on the urinary sphincter. [everydayhealth.com]
The herniation of rectal tissue may occur with chronic constipation, chronic coughing, heavy lifting, and/or obesity. Symptoms may include constipation and/or pelvic pain. [beyondbasicsphysicaltherapy.com]
[…] after leakage More common in men and older women Tx: anticholinergics - increase capacity; oxybutynin for detrusor antispasmodic; miragebron for bladder relaxation Leakage with increased intraabdominal pressure w/o bladder contractions Seconds after cough [brainscape.com]
Sneezing, coughing, laughing or lifting heavy objects cause these muscles to relax temporarily. If the muscles are weakened, a small amount of urine can escape. [bigcdiscountdrugs.com]
Stress Incontinence: Urine leaks when you exert pressure on your bladder by coughing, sneezing, laughing, exercising or lifting something heavy. Mixed Incontinence: You experience more than one type of urinary incontinence. [greenmountainpt.com]
Gastrointestinal
- Abdominal Pain
To learn more about how we use cookies, please see our cookies policy Close Intended for healthcare professionals Education Lower abdominal pain... [doi.org]
He complains of abdominal pain and feels like he needs to urinate but is unable to do so. What is the diagnosis? Post navigation [ultrasoundoftheweek.com]
All complained of lower abdominal pain. The doctors initially diagnosed a urinary infection in two of these cases, and prescribed antibiotics and rehydration. [theguardian.com]
Signs and symptoms of both may include abdominal pain, diarrhea, rectal bleeding, weight loss, fever, arthritis, and skin problems. [beyondbasicsphysicaltherapy.com]
Symptoms for Bladder Disorders General symptoms for bladder disorders include abdominal pain, feeling of a full bladder continuously, difficulty urinating, frequently urinating, pain when urinating, slow urine flow, feeling a full bladder continuously [disabilitycreditconsultants.ca]
- Suprapubic Pain
Signs and symptoms include increased frequency of urination, pain or burning during urination, fever, cloudy or bloody urine, and suprapubic pain. An acute or chronic inflammatory process affecting the bladder. [icd9data.com]
B 25 Oral cimetidine (Tagamet) can improve suprapubic pain and nocturia in patients with interstitial cystitis/painful bladder syndrome. [aafp.org]
Cardiovascular
- Hypertension
Patients with VUR have an increased risk of developing hypertension, toxemia of pregnancy, and significant renal damage, including end-stage renal disease subsequently in life. [books.google.com]
Also many medical disorders that may predispose one to incontinence, such as hypertension, vascular disease, neurological disorders and diabetes, become more prevalent as we get older. [poise.com]
Obesity is associated with several health conditions including heart disease, hypertension, diabetes, depression, arthritis, gall bladder and liver disease as well as cancer. [news-medical.net]
Patients with high thoracic or cervical spinal cord lesions are at risk of autonomic dysreflexia (a life-threatening syndrome of malignant hypertension, bradycardia or tachycardia, headache, piloerection, and sweating due to unregulated sympathetic hyperactivity [msdmanuals.com]
– Hypertension with the average diastolic pressure (the smaller number on the bottom in the blood pressure reading) of 120 or more. [militarydisabilitymadeeasy.com]
- Tachycardia
Patients with high thoracic or cervical spinal cord lesions are at risk of autonomic dysreflexia (a life-threatening syndrome of malignant hypertension, bradycardia or tachycardia, headache, piloerection, and sweating due to unregulated sympathetic hyperactivity [msdmanuals.com]
Skin
- Sweating
Patients with high thoracic or cervical spinal cord lesions are at risk of autonomic dysreflexia (a life-threatening syndrome of malignant hypertension, bradycardia or tachycardia, headache, piloerection, and sweating due to unregulated sympathetic hyperactivity [msdmanuals.com]
Do not drink too much fluid; 6-8 cups a day is adequate, but you may need more if you are exercising, sweating a lot, or the weather is hot. In people with kidney stone disease, voiding at least 2 liters of fluid per day is important. [emedicinehealth.com]
- Piloerection
Patients with high thoracic or cervical spinal cord lesions are at risk of autonomic dysreflexia (a life-threatening syndrome of malignant hypertension, bradycardia or tachycardia, headache, piloerection, and sweating due to unregulated sympathetic hyperactivity [msdmanuals.com]
Urogenital
- Overflow Incontinence
Other Types of Incontinence Overflow incontinence: This occurs when a person is unable to empty their bladder completely and it overflows as new urine is produced. Overflow incontinence sometimes occurs in men who have an enlarged prostate. [everydayhealth.com]
Symptoms and Signs Overflow incontinence is the primary symptom in patients with a flaccid bladder. Patients retain urine and have constant overflow dribbling. Men typically also have erectile dysfunction. [msdmanuals.com]
The distended bladder may leak, a condition called overflow incontinence. [sharecare.com]
Urge incontinence is usually the result of overactivity of the detrusor muscles, which control the bladder. Overflow incontinence is often caused by an obstruction or blockage to your bladder, which prevents it emptying fully. [nhs.uk]
Leakage can occur if the bladder cannot empty (overflow incontinence), if the sphincter controlling urination doesn’t work (stress incontinence), or if bladder spasms cause the bladder to shrink before the person reaches the toilet (urge incontinence) [my.clevelandclinic.org]
- Urinary Urgency
Signs and symptoms may include urinary urgency, frequency, or retention; dyspareunia; pain in the back, suprapubic area, and/or abdomen; nocturia (nighttime urinary frequency); and pain before, during, or after urination. [greenmountainpt.com]
Most OAB cases are marked by three main symptoms: urinary urgency, urinary frequency, and urge urinary incontinence (UUI). Urinary urgency describes a sudden and uncontrollable desire to urinate even when the bladder isn't full. [medicalnewstoday.com]
Symptoms The most common IC symptoms are: Recurrent bladder pain, pressure and/or discomfort Chronic pelvic pain Urinary urgency Increased frequency of urination Need to urinate through the night (nocturia) The intensity of IC pain and discomfort may [verywell.com]
Variable symptoms The onset of IC is usually gradual, with bladder pain and urinary urgency and frequency developing over a period of months. [health.harvard.edu]
Urinary urgency and frequency are also typical. Interstitial cystitis mainly affects women. [aafp.org]
- Hematuria
Hematuria Hematuria simply means blood in the urine. Microscopic hematuria means that the blood is only seen when the urine is examined under a microscope. [auncurology.com]
With cystitis, you may have blood cells in your urine that can be seen only with a microscope (microscopic hematuria) and that usually resolves with treatment. [mayoclinic.com]
The most common symptoms caused by the various types of bladder conditions are: dysuria polyuria nocturia hematuria incontinence frequent urination urine color change Nerves are a key component for healthy bladder function, they carry messages to the [healthblurbs.com]
Prostate surgery most common cause Tx: Surgical repair Incomplete bladder emptying - continuous leakage Detrusor underactivity or bladder outlet obstruction (BPH) Tx: self-catheterizing Immediate referral for Bladder Disorders Incontinence w/ pain UTI-free hematuria [brainscape.com]
Symptoms of interstitial cystitis include: The persistent, frequency and urgency to urinate Pelvic pain Pain or discomfort while the bladder fills Pain during intercourse Chronic microscopic blood in the urine, hematuria Chronic symptoms of urinary tract [fwcenterforpelvicmedicine.com]
- Dysuria
Dysuria Painful urination (dysuria) is discomfort or burning with urination, usually felt in the tube that carries urine out of your bladder (urethra) or the area surrounding your genitals (perineum). Nocturia Frequent urination at nighttime. [greenmountainpt.com]
Cystitis is usually associated with painful urination (dysuria), increased frequency, urgency, and suprapubic pain. 595 Cystitis 595.0 Acute cystitis convert 595.0 to ICD-10-CM 595.1 Chronic interstitial cystitis convert 595.1 to ICD-10-CM 595.2 Other [icd9data.com]
The most common symptoms caused by the various types of bladder conditions are: dysuria polyuria nocturia hematuria incontinence frequent urination urine color change Nerves are a key component for healthy bladder function, they carry messages to the [healthblurbs.com]
PBS/IC describes a syndrome of pain and genitourinary symptoms (eg, frequency, urgency, pain, dysuria, nocturia) for which no etiology can be found. [emedicine.medscape.com]
Doctors consider it a worrisome symptom if a person urinates much more often, must awaken to urinate or has pain when urinating (called dysuria). [denverurology.com]
- Bladder Neck Obstruction
It is often observed in males with enlarged prostate glands. 596 Other disorders of bladder 596.0 Bladder neck obstruction convert 596.0 to ICD-10-CM 596.1 Intestinovesical fistula convert 596.1 to ICD-10-CM 596.2 Vesical fistula, not elsewhere classified [icd9data.com]
cystocele ( N81.1 ) hernia or prolapse of bladder, female ( N81.1 ) N32.0 Bladder-neck obstruction Bladder-neck stenosis (acquired) N32.1 Vesicointestinal fistula Vesicorectal fistula N32.2 Vesical fistula, not elsewhere classified Excludes: fistula [apps.who.int]
CM Codes Adjacent To N32.9 N31.8 Other neuromuscular dysfunction of bladder N31.9 Neuromuscular dysfunction of bladder, unspecified N32 Other disorders of bladder N32.0 Bladder-neck obstruction N32.1 Vesicointestinal fistula N32.2 Vesical fistula, not [icd10data.com]
[…] virus and human papillomavirus Radiation and chemotherapy Bladder neck obstruction Bladder stone Lower ureteral stone Ureteral diverticulum Urogenital prolapse Genital cancers Incomplete voiding Overactive bladder Pudendal nerve entrapment Pelvic floor [aafp.org]
Neurologic
- Headache
Patients with high thoracic or cervical spinal cord lesions are at risk of autonomic dysreflexia (a life-threatening syndrome of malignant hypertension, bradycardia or tachycardia, headache, piloerection, and sweating due to unregulated sympathetic hyperactivity [msdmanuals.com]
Side-effects can include a fast heartbeat, headache, diarrhoea and a tendency to urine infections. You can read more about medicines used for OAB in the separate leaflet called Medicines for Urinary Urgency and Incontinence. [patient.info]
Persons who consume a large amount of caffeine should slowly decrease the amount of caffeine consumed to avoid significant withdrawal responses such as headache and depression. [emedicine.medscape.com]
- Quadriplegia
It is usually indicated if patients have had or are at risk of severe acute or chronic sequelae or if social circumstances, spasticity, or quadriplegia prevents use of continuous or intermittent bladder drainage. [msdmanuals.com]
- Spastic Paralysis
Patients with spastic bladder may have frequency, nocturia, and spastic paralysis with sensory deficits; most have intermittent bladder contractions causing urine leakage and, unless they lack sensation, urgency. [msdmanuals.com]
Workup
Absorbent products are helpful during the initial assessment and workup of urinary incontinence. As an adjunct to behavioral and pharmacologic therapies, they play an important role in the care of persons with intractable incontinence. [emedicine.medscape.com]
X-Ray
- Bowel Distention
This disorder may be triggered by acute bladder distention (due to urinary retention ) or bowel distention (due to constipation or fecal impaction). [msdmanuals.com]
Cystoscopy
- Bladder Trabeculation
[…] rupture of bladder Spasm of bladder Trabeculated bladder Clinical Information Bleeding originating from the urinary bladder wall. [icd10data.com]
Cystography is used to evaluate bladder capacity and detect ureteral reflux. Cystoscopy is used to evaluate duration and severity of retention (by detecting the degree of bladder trabeculations) and to check for bladder outlet obstruction. [msdmanuals.com]
Treatment
Key points Comprehensive guide to recent advances in diagnosis and treatment of paediatric renal disorders Fully revised, new edition with expanded chapters and new topics Covers numerous renal disorders, diagnostic tools and processes, and treatment [books.google.com]
This initial line of treatment was able to control the hemorrhage in 40% of the patients. [doi.org]
For spastic bladder, treatment depends on the patient’s ability to retain urine. [msdmanuals.com]
[…] diversion, bladder augmentation Treatment depends on which types of diseases, disorders, conditions or problems might be causing your bladder symptoms. [healthblurbs.com]
Prognosis
What is my baby's long-term prognosis? Long-term prognosis for the baby who is diagnosed with bladder outlet obstruction before birth and who has adequate lung development, is improving every day. [chw.org]
Catheterization Increased fluid intake Drugs Surgery if conservative measures fail Prognosis is good if the disorder is diagnosed and treated before kidneys are damaged. Specific treatment involves catheterization or measures to trigger urination. [msdmanuals.com]
The prognosis for recovery depends on the type, severity, and location of the lesion causing the bladder problem and can be organized by dysfunctions that are permanent, dysfunctions that resolve with treatment of the condition, and dysfunctions that [emedicine.medscape.com]
What is the prognosis for bladder cancer? The most important factors that affect the prognosis (or the chances of control and cure) of bladder cancer are the stage and grade of the tumor. The lower the stage and grade, the better the outlook. [medicinenet.com]
Etiology
Etiology Infectious etiologies Viruses normally do not cause cystitis in immunocompetent adults. [emedicine.medscape.com]
In a large cohort study, the mean age of neurogenic bladder patients was 62.5 years and resultant etiologies included 4 : multiple sclerosis : ~17% Parkinson disease : ~15% cauda equina syndrome : ~9% paralytic syndrome : ~8% stroke complications: ~6% [radiopaedia.org]
Etiology varies and may include dysfunction of the kidneys, bladder nerve signals and muscle activity. [healthcmi.com]
Although there are several causes of trigonitis, bladder infections are the most common etiology. Interstitial Cystitis Interstitial cystitis is a condition characterized by chronic bladder pain. [biologydictionary.net]
Epidemiology
Obesity and Genetics Obesity in Adults Obesity in Pregnancy Obesity and Infertility Obesity and Sexual Health Obesity and Stress Obesity and Fractures Obesity and Arthritis Obesity and Metabolic Syndrome Obesity and Deep Vein Thrombosis (DVT) Obesity Epidemiology [news-medical.net]
The epidemiology of bacteriuria and candiduria in critically ill patients. Epidemiol Infect. 2015 Feb. 143 (3):653-62. [Medline]. Barsoum RS. Schistosomiasis and the kidney. Semin Nephrol. 2003 Jan. 23(1):34-41. [Medline]. [emedicine.medscape.com]
Interstitial cystitis: epidemiology, pathophysiology, and clinical presentation. Obstetrics and Gynecology Clinics of North America ; 41(3): 395-95. Nutt, D., Wilson, S., Paterson, L. (2008). Sleep disorders as core symptoms of depression. [womenshealth.gov]
Pathophysiology
Although the pathophysiology has not been fully elucidated, the previous decade has seen advances in our understanding of the pathophysiologic processes, which has led in turn to the development of new approaches to diagnosis and treatment. [aafp.org]
Pathophysiology The pathophysiology of the disorder depends on its etiology. [emedicine.medscape.com]
Interstitial cystitis: epidemiology, pathophysiology, and clinical presentation. Obstetrics and Gynecology Clinics of North America ; 41(3): 395-95. Nutt, D., Wilson, S., Paterson, L. (2008). Sleep disorders as core symptoms of depression. [womenshealth.gov]
Prevention
Don’t allow embarrassment to prevent you from seeking professional help. [healthcommunities.com]
This prevents bacteria in the anal region from spreading to the vagina and urethra. Take showers rather than tub baths. If you're susceptible to infections, showering rather than bathing may help prevent them. [mayoclinic.com]
Preventing urinary incontinence It's not always possible to prevent urinary incontinence, but there are some steps you can take that may help reduce the chance of it developing. [nhs.uk]
This consists of antibiotics taken in small daily doses to prevent or control future bladder infections. [healthline.com]
The goals of treatment are to control your symptoms and prevent damage to your kidneys, while generally improving your quality of life. [diabetes.co.uk]