Difficulty starting urination
Overview
Difficulty starting urination is a common urinary symptom where individuals experience trouble initiating the flow of urine despite feeling the urge to urinate. This condition, also known as urinary hesitancy, can cause delayed or weak urine stream and may require straining to begin urination.
Common Causes
This condition often occurs due to an enlarged prostate gland in men, which naturally grows with age and can press against the urethra. Weak pelvic floor muscles, certain medications like antihistamines or decongestants, and chronic constipation can also contribute to this issue. Lifestyle factors such as not drinking enough fluids, holding urine for too long, or high stress levels may worsen the problem.
Severity Levels
Mild: You may notice a slight delay when trying to start urinating, but the flow begins within a few seconds with minimal effort.
Moderate: Starting urination takes longer and may require some straining or concentration, with noticeable delays that can be frustrating during daily activities.
Severe: You experience significant difficulty initiating urination despite a strong urge, often requiring prolonged straining, multiple attempts, or changes in position to begin the flow.
Medical Attention
Contact your doctor if you experience persistent difficulty starting urination that lasts more than a few days or worsens over time. Seek immediate medical attention if you cannot urinate at all, have severe pain, fever, or blood in your urine. Schedule an appointment if this symptom interferes with your daily activities or is accompanied by frequent urination, burning, or pelvic discomfort.

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