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push and strain to empty my badder a gush a a time.

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I am 39 and m having problems urinating. Iwhen I feel like I have to urinate I try but I have to push hard nd strin as ifi was having a hard bowl movement to get the urine to come out. And it doesn't star to come out and then it just flows without any further problems, I have tomcontinuento push and strain to empty my badder a gush a a time. And I don't feel like I've completely emptied my bladder when I'm done. I take narcotics for chronic pain but I've been on them for years and have not had this issue ever. I recently had an upper GI because I became very sick and went to the ER and my bloodworm showed a very elevated alt, ast and other liver function numbers. My dr tested for all the heps because I work in a lab in the hospital with blood but all were negative. After a repeat bloodwork, my numbers were down by half which thendr said was great because if they returned to normal, he thought the original high numbers were probably the result of an infection. Why the urine issues?


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replied July 18th, 2012
Urinary and Bladder Disorders Answer A37211
Hi,
Welcome to the ehealthforum. I am glad to help you out. The narcotics which you’re taking for the pain are not good on a long term basis. They are known to relax the smooth muscles of the body like the intestines and the urinary bladder muscles which can result in constipation and urinary retention respectively. Firstly, my sincere advice is to avoid any narcotics and gradually tapering down the dose which you’re already taking. An ultrasound of the lower part of the abdomen should also help in knowing any other reason for the obstruction in the flow of urine. Please consult a urologist for the same. I sincerely hope that helps. Take care.


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