Hi doctor, I am a 23 year old male, a third-year medical student. For the past seven days, I have had an increased urgency and frequency to urinate. I can go even more than 30 times a day - majority of these times, I feel an increased urgency. However, when I go, only a small amount or drops come out. For the past two to three days, the urgency kind of feels to be getting worse, I feel as if I will not be able to hold it. However, I am still able to as there is no leaking. There is no burning or irritation or any discharge. No recent sexual encounters and no other associated symptoms. I take Coveram 10/10 for essential hypertension and Valdoxan 25 because I also do suffer from anxiety. I have been under stress lately as I was doing my exams this past week and finished today. I have done a few tests at my family doctor: Last week I did a dipstick which was normal apart from +1 protein. Voiding bladder US was normal (450 mL pre voiding, 45 mL post voiding). An initial urine culture was normal according to my doctor. Yesterday, I performed another dipstick and urine culture. The dipstick was normal, and early urine microscopy showed 10 to 100 white cell count. We are waiting for the cultures to return. Due to the result of the white cell count, my doctor said it would be worth a try to undergo a 5-day course of antibiotics (Keflex). Today is my third day of antibiotic treatment, symptoms are largely the same. Today, I attempted to hold my bladder. It felt fine in the morning but as the day went on, my symptoms returned and I am finding it harder to hold my bladder. Also, for the first time, I tried going for a run. The entire time I felt a heaviness in my bladder and felt a strong urge to urinate, even though I went before my run began. What do you think could be going on? My doctor believes that it is either a UTI, or most likely, a hypersensitive bladder due to exam stress. However, there have been days where I have not felt stress at all yet symptoms have continued. I am really worried as I want to go back to work in five days and I do not think I will be able to manage the way things are at the moment. My family doctor does think this will settle down now that I have finished exams. Do you think there is a chance it could? I have mentioned this query to another doctor online, and he believed it may be due to an overactive bladder. However, since I am relatively young to receive this diagnosis, I wanted a second opinion, if that is alright. Do you think this could be OAB? I am worried that it could be something serious, like multiple sclerosis. One and a half years ago, I had an episode of sudden onset numbness in one arm and fearing the same thing, I ended up having an MRI of my brain and lumbar spine which both came back negative. Do you think this could be MS?
Hello. Relax and do not worry. As per your symptoms, it looks like overactive bladder only. Do you have any problem with the flow of urine? Or hesitation? Anyhow, as you are taking antibiotics better finish the course. I would like you to: Here are the answer to your questions. It is better if you consult a urologist so that, he can explain you in detail. Anyhow, I will be ready to help anytime. For more information consult a urologist online -->