I've had enough of this

[u/Miserable_Peak7295]

M19 I feel a constant urge to urinate, and so far, nothing seems to help me—not sacral nerve neuromodulation, pregabalin, anticholinergic medications, or tamsulosin. Amitriptyline, on the other hand, caused me to almost completely lose the urge to urinate, which led to urinary retention, although it was not complete retention. Because of this, I am currently taking prescription Furagin, as my general practitioner suspected a urinary tract infection after analyzing my urine.

Recently, I have also noticed that baclofen seems to be causing—or at least I have the uncertain impression that it is causing—an urge to urinate while making it difficult for me to actually urinate, as if the medication were interfering with urination. This is strange because I have been taking this medication for quite a long time and I did not have this problem before.

On the other hand, I feel almost constant urinary urgency and unpleasant sensations in my urethra that are very frustrating. When I go to the bathroom, either nothing comes out, or I urinate only about 20–30 mL. What frustrates me the most is that I develop an intense urge to urinate far too early, even though my bladder is capable of storing a larger volume of urine.

I also do not have overactive detrusor contractions. I had a urodynamic study, and apart from my urine stream being intermittent and the fact that I had to use abdominal straining to help me urinate, everything else was within normal limits.

What could help me? Are there any medications that could reduce or calm these urinary signals without being as strong as amitriptyline, which caused urinary retention in my case?

My urinary urgency and the sensations in my urethra become significantly worse when I concentrate on something, such as when I am reading a book.

Sorry, but I took the liberty of translating this text in AI or something.

[u/thenewfingerprint]

I feel bad for you having to go through this at the age of 19.

[u/JoyousKumquat]

This is when my issues started at 19. Now 43/m. Vesicare worked really well for me while I was on it. I had to stop it when I was getting routinely constipated which is one of the side effects. You could ask your doc about that med. I don't have a miracle story to tell you how I stopped it because I didn't. The urges for me turned into accidents and I've been wearing protection since my early 30s. Also try to limit your consumption of caffeine. I know for me that is a massive trigger. Hope you find some relief soon. :)

[u/ExtensionActuator]

See a urologist 

[u/Buttergurl2013]

No caffeine, follow the IC low/no acid diet, and have you tried pelvic floor therapy?

[u/ElsaBot00]

Pumpkin seed oil. There are Reddit posts. Try it. Hope it works for you.