Low voids and health anxiety

Posted , 6 users are following.

Hi there, Can someone tell me if I am overthinking this because of my health anxiety or would anyone else be concerned.

I got up at 7.30am this morning and had a wee, biggest of the day as usual. Had a 250ml cup of tea at 8.30am. Then about 250ml coffee at 11am. Then 250ml squash at approx 12.30pm. Didnt go to bathroom till 1.30pm. No urge to go as bladder is numb. ie no feeling of when bladder is full or when I need a wee. Though I get slight feelings to go in my urethra instead. Anyway 6 hours after my wee at 7.30am I went to loo again and there was only a trickle. Void was probably not even 50ml.

So I am worrying if something is badly wrong because after 6 hours and 3/4 litre of liquid I only managed a trickle. Or is that normal given the time (6 hours between bathroom visits!) and the amount Ive drank. Should I be drinking more? I actually drink about 1750ml per day. Maybe its not enough. Maybe I am overthinking this. Its just that it doesnt feel right going 6 hours between wees and only managing a trickle. Any thoughts? Thanks.

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12 Replies

  • Posted

    Honestly, if it were me I would go in to emerg. I am already retaining though. The emerg here has a handy device that the point at your bladder from the outside and it tells the nurse approx how much fluid is there. If you still have not peed, I would go in right away.

     

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    • Posted

      Thanks for your reply kandyoh80. Sorry to hear you are retaining. Thats one thing I know doesnt apply to me as the urologist used a device similar to what you mention to see what was left in my bladder. That was only last week. I have peed since I posted here but not a huge one. Must admit that whilst I drink practically the same every day, my voids do vary. It scares me when they are so low though. Thanks again

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  • Posted

    Hi Shirley,

    there is no a simple direct match between how much you drink and the urine production. Our body takes water mainly from what we drink but it excretes liquids with pee, sweat, faeces and with the breathing too. 

    In addiction to that, a good part of the fluid intakes is filtered and reabsorbered before it got expelled. It depends on the body fluid balance. This is the reason some day you pee a lot or you can have urgencies even drinking just a little and others days you pee so little even drinking more. It's not always urine retention.

    I just found this page with very well made images about water and body hydration:

    https://www.h4hinitiative.com/hydration-science/hydration-lab/water-and-hydration-physiological-basis-adults/body-water-balance

    I hope it helps and you are well.

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    • Posted

      Hi Mary, Thanks for your reply to my message. Yes I am aware that our bodies use up so much of what we drink for various purposes. I realise that it varies from day to day too, how much we void. However, even knowing that, it surprises me that I can go between 7.30am and 1.30pm without having a wee. And no, I know its not retention although it seems like it some days. The other night I drank about a litre in between 4pm and 8pm. Went to loo at 4.30pm. Next to nothing happened. Same again at about 9pm. Hardly anything happened. I didnt actually have another decent wee till 7.30am the next morning!!

      The urgency feelings are another matter. I feel them in my urethra. Not in my bladder. My bladder is numb as in I cant feel when its full or when I need to wee! Other than the urgency feelings in my urethra, I get slight feelings that I need a wee but they can easily be missed so I keep an eye on how much I am drinking and the time to get an idea of when to go. But yes some days I can drink a lot and not pee much and other days Ive not drank as much and pee more.

      My urgency feelings led to anxiety and now I only get the urgency feelings if I am in a thought storm and scared and thinking what if there is no loo or there are queues etc. I never get the urgency feelings at home or through the night or if Im near a loo where there are no queues for it.

      Anyway thanks again for your reply and thanks for the link too. Will have a look at that after tea. Shirley.

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  • Posted

    Hi . Did you get any answers to your problem why you can't feel the sensation in your bladder but rather the tip of the urethral and the urine volume is less .  Please let me know how it was treated 

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    • Posted

      Sorry blown49197, No answers as yet. All I do know is that the urologist said that he could not fix the lack of sensation in my bladder! He cant bring it back. Thats all I need isn't it. Oh and my voids seem to have come back to "Normal" on their own, whatever normal is. The worst thing has been the urethral urgency feelings though. They seem to come on wether my bladder is empty or full. But of course I dont know that till I get to the bathroom and nothing happens, indicating its empty. The feelings are such that it is impossible to ignore them though and also it might be that my bladder is full. I have a rough idea going by what I have drank and the time since I last had a drink etc. But cant always be sure.  I drink between 1750ml and 2litres a day and often I dont go to the loo in a morning, after my early morning void I mean. Usually go at about 1pm and having  drank between 750ml and a litre by then, sometimes I only manage a trickle! So my body must use a lot of what I drink. My next visit to the urologist is in about 8 weeks. Hope you are ok. 

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    • Posted

      As mentioned earlier blown49197, I have just been to loo at 1.30pm having drank roughly 3/4 litre since about 8.30am this morning and I only managed 100ml void. It must be because I am not drinking enough or my body is using more fluid lately.  I will have another couple of drinks (500ml) before 6pm and another couple after 6pm (500ml) and my voids will start reaching 200ml or 250ml. Thats about normal for me.  Thats about 1750ml per day. Maybe I should be drinking more. My hunger signals have been gone this last year, as have my thirst signals so its not like I automatically get something to drink when I get thirsty because those feelings have gone. And thats probably not helping.  I am monitoring my intake and output just out of curiosity. Bladder Nurse told me to do so a while back so she could see how things were. Gave that up a while ago but have started up again a week or so ago just out of curiosity since that Sunday when I hardly had a wee all day! That scared me. 
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    • Posted

      No, No diagnosis blown49197.  No cystoscopy or tests other than bladder scans to check it was emptying properly and also a kidney scan to make sure all ok there too. No problems. Bladder emptying properly, or it was last year when they last scanned me. And my kidneys were fine too. Oh they measure  the pressure of my wees too when I sat on a special loo where they could measure the pressure/speed and also the volume. But they've not looked inside my bladder or anything. 

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    • Posted

      Thats what they said last year anyway blown49197. Only thing is I have to "guess" when to go because of the lack of bladder sensation.  The nurse who was in with the urologist I saw recently suggested that my lack of bladder sensation was down to "Old age". Im 60. She meant like people start getting aches and pains when they get older. Its just one of those things she meant!

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  • Posted

    If you don't empty your bladder, you may find you get a lot of repeat UTIs which can ultimately affect your internal organs, so I would try and find out what is causing it.

    ?It might be worth seeing a neuro-urologist and/or getting a dye  contrast MRI scan. If you experience foot of leg weakness as well, I would definitely do it.

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