Urinary Bladder Pain

Urinary Bladder Pain: Drug Therapy

Therapy goals Relief of symptoms Diagnosis finding Therapy recommendations Analgesia (analgesics/painkillers) according to WHO staging scheme until definitive therapy when diagnosis is confirmed: Non-opioid analgesic (paracetamol, first-line agent; also metamizole if necessary) [usually only stage 1]. Low-potency opioid analgesic (e.g., tramadol) + non-opioid analgesic. High-potency opioid analgesic (eg, morphine) + non-opioid analgesic. If necessary, butylscopolamine … Urinary Bladder Pain: Drug Therapy

Urinary Bladder Pain: Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Uroflowmetry (urine flow measurement). Residual urine determination (residual urine is the amount of urine that remains in the bladder after urination). Urethrocystoscopy (urethral and bladder endoscopy).

Urinary Bladder Pain: Symptoms, Complaints, Signs

Urinary bladder pain can manifest as follows: Stabbing Dull The following symptoms or complaints may also indicate a disease of the urinary bladder: Leading symptoms Pollakisuria – urge to urinate frequently without increased urination. Tenesmus – painful spastic urge to urinate. Diffuse lower abdominal pain

Urinary Bladder Pain: Medical History

Medical history (history of illness) is an important component in the diagnosis of urinary bladder pain. Family history Is there a history of frequent kidney and urinary tract disease in your family? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological … Urinary Bladder Pain: Medical History

Urinary Bladder Pain: Or something else? Differential Diagnosis

Neoplasms – Tumor Diseases (C00-D48). Advanced urinary bladder tumors, unspecified. Psyche – nervous system (F00-F99; G00-G99). Psychosomatic complaints, unspecified Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99) Ischuria (urinary retention). Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99). Bladder outlet stenosis – narrowing of the bladder outlet. Foreign body in the … Urinary Bladder Pain: Or something else? Differential Diagnosis

Urinary Bladder Pain: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel movements? Visible vessels? Scars? Hernias (fractures)? Palpation (palpation) of the … Urinary Bladder Pain: Examination

Urinary Bladder Pain: Test and Diagnosis

2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (pH, total protein, etc) including urine sediment (erythrocytes, leukocytes, squamous cells, bacteria, cylinders). … Urinary Bladder Pain: Test and Diagnosis