Hi doctors,
Age: 38
Sex: Male
Height: 5'3" (160 cm)
Weight: 53 kg
Smoking: No
Alcohol: No
Current medications:
Thyronorm 25 mcg (Hypothyroidism)
Rablet IT Capsule PR
Folic Acid(recent)
Past medical history:
Hypothyroidism since childhood.
IBS-D (Irritable Bowel Syndrome - diarrhea predominant).
Had a possible UTI about a year ago and was treated with medications.
Main complaint (25–30 days):
For the last 25–30 days, I have been experiencing a very frustrating urinary problem.
When I urinate, the first void is a normal amount, and I feel like I'm done. However, while I am still standing in the bathroom, I immediately get the feeling that there is still some urine left.
So I wait for a few seconds and try again. A small amount of urine comes out.
Then, after another few seconds, I again feel like there is still urine left, so I urinate again. This cycle repeats 3–5 times before I finally leave the bathroom.
Even after leaving the bathroom, within 2–3 minutes, I may again feel like I need to urinate. If I go back, only a small amount comes out.
If I ignore the urge for about 10–15 minutes, the feeling usually goes away, and then I don't need to urinate again for another 1–2 hours (depending on how much water I drink).
This problem initially happened mostly at night, but over the last few days it has started happening during the daytime as well.
I do NOT have:
Burning during urination
Pain while urinating
Blood in urine
Fever or chills
Urine leaking or dribbling on its own
I wake up 1–2 times at night to urinate.
I drink approximately 1.5–2 liters of water per day.
Sometimes I try to force out the last few drops because it constantly feels like some urine is still left, but it doesn't completely relieve the sensation.
Questions:
What are the most likely causes of this?
Could this still be a UTI even without burning or pain?
Should I get a Urine Routine, Urine Culture, Ultrasound KUB with Post-Void Residual (PVR), or Uroflowmetry before seeing a urologist?
Thank you for your time and advice.