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Fever and Inability to completely empty bladder Fever and Inability to completely empty bladder

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Unread 03-21-2008, 07:49 PM
Fever and Inability to completely empty bladder

Hi, girls.....

I'm really having issues today. It started out with a sharp pain in my lower right side and when I went to pee, it just trickled, stopped, then I had the horrible pain you get where you just want to push the pee out but it won't budge.

I had mentioned to my doc yesterday that I was having a problem completely emptying my bladder but I didn't have any pain at that point. I am on major narcotics (oxycontin & oxycodone) and she said that it could be from the pain meds. So I brushed it off and figured it was just temporary.

Well this morning it started all over again. I took my meds for the pain which has left me so exhausted that I couldn't barely lift my head off the the pillow all day. I've taken my meds EXACTLY the way I've been taking them for the past 10 days and they never caused me to be so exhausted.

So the day went on mostly sleeping and freezing all day. About 7:00 I started to feel that temperature start to go up again. Again, I thought it was from the Percocet that I had taken an hour or so before. This wasn't unusual. So I slept some more.

I woke up under a sheet and two quilts freezing but my body was hot to the touch. I took an 800 mg. motrin for the fever. So now my fever after an hours is about 100.4 on the Motrin.

I know all of this indicates a possible UTI. But the pain is manageable/tolerable and the fever seems kinda low grade. I REALLY DO NOT want to go to the ER. it's a Navy Hospital for crying out loud and their ER experience is way different than their inpatient experience. Even my doc told me DO NOT go to the ER if at all possible, "no one knows your case like we do." I can't possibly sit in the ER waiting from 4-6 hours or more then spend another 4-5 hours in the back while they do a urine culture. I don't want some doc I don't know examining me. My surgery was very extensive and it scares the crap out of me to think of some LT JG poking around me not knowing what the hell they are doing.

Why does crap this always happen on the weekend? I'm afraid going to the ER would do more harm than good.

I told my mom and my husband if my fever continued to increase and the pain became unbearable, I would go. I hope I'm doing the right thing. I have a very high pain threshold and I don't go to the ER for every little ache and pain. But the people in the ER just see everyone that comes through the door like that. It's very hard to be taken seriously.

Anyway.....I guess I'm just venting 'caues I haven't been able to get on here all day. My head tell me to get off my butt and go to the ER. However, everything else tells me it will only make things worse.

The End :-)
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Unread 03-21-2008, 07:59 PM
Fever and Inability to completely empty bladder

Denise - I'm sorry you're going through this. I do hope you'll reconsider going into the ER, if that's your only option on the weekend. Being so newly post-op, and having the symptoms you're having, you don't want to let things go too long without being seen. I know how miserable UTI's can be, but if you get in early, antibiotics can nip it pretty quickly. Hang in there.
Unread 03-21-2008, 08:06 PM
Fever and Inability to completely empty bladder

I'm going to just wait and see how tomorrow goes. I just thought of another option......our primary clinic is open tomorrow and if I can at least get in there to a urine culture....without having to have anyone examine me... I might do that. It's a long shot 'cause Saturdays they usually do not have any same day appointments. We'll see.


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Unread 03-21-2008, 08:11 PM
Fever and Inability to completely empty bladder

Originally Posted by DeniseS
I'm going to just wait and see how tomorrow goes. I just thought of another option......our primary clinic is open tomorrow and if I can at least get in there to a urine culture....without having to have anyone examine me... I might do that. It's a long shot 'cause Saturdays they usually do not have any same day appointments. We'll see.


Good luck! I'll keep my fingers crossed that the clinic option works out!!
Unread 03-21-2008, 10:10 PM
Fever and Inability to completely empty bladder

Dear Denise,

Wow, you have been through a lot. Sounds to me like going to the primary clinic is the best idea. If you ended up going to the ER, I wouldn't let anyone do an internal exam, just check the vitals and look for infection with blood and urine samples. They could also sample the discharge to see what exactly it is. At least some testing could either confirm or rule out certain possibilities. When you get some answers you'll feel much better - answers are much better than the unknown - at least you'll know what you can do about whatever they find, or you'll be relieved about what it ruled out. Stay tuned into your doctor, this will give you confidence that someone is on top of your case.

It's too bad that the naval docs don't function like other MD's in that you call their number and find out who is "on call" for after hours emergencies, who is at least a specialist who could understand your situation enough to help you over the weekend?

You had extensive surgery, you're still in the most intensive part of post op, at less than two weeks out. Healing really does take 6-8 weeks. Yours will be on the longer side or more, considering all that you had done.

You will get through this. It's a bumpy road for many of us, but keep talking, and draw on the things that have gotten you through the difficult times before. If you have a friend or family that can be there with you, especially while you have a fever and are feeling vulnerable. Do you have someone who can be supportive and real?

Bless you, dear.
Unread 03-21-2008, 10:25 PM
Fever and Inability to completely empty bladder

Denise -

I just saw this post of yours. Ugh. I hate that this is happening to you. But you know what I'm going to say. You need to get checked out ASAP however that can happen for you. When I had my first post op infection that is how felt - exhausted. and the temps. So 100.4 after all those pain meds means it would be MUCH higher if it wasn't being masked by pain meds.

I know you want to wait until the am - but if it gets worse please consider going earlier. One thing if you don't want to wait in the ER is can you go by ambulance? I know that sounds CRAZY...but where I live because the ER's are so bad from FLU season they are actually suggesting it. Infections can get out of hand quickly.

Please let us know what they say. Were thinking about you and all your going through!!!


Unread 03-21-2008, 10:28 PM
Fever and Inability to completely empty bladder

I am blessed enought to have tons of support; my dh, my mother (lives with us), my two sons (as a last resort), and my daughters who checks on me severals times a day and comes by almost everyday.

Normally, I'd have no problem reaching MY doc but she has taken spring break off to be her children. Her resident and nurse are the only other people I trust and of course the resident isn't on call this weekend and the nurse if off.

Fever-wise, it's down. I still have that sharp lower right quadrant pain. I finally had to break down and taken the pain meds even though I was trying to lay off to see if I could pee better without them.

You have offered up some very wise words and I really do appreciate it and it helps so much.

You know when I thought of recovry, I only thought about getting better each day; you know tomorrow is better than today, and the next day even better than that. I wasn't prepared for the constant ups and downs. It's like two steps forward, three steps back. I can't beleive that it's going to be like this for four more weeks or more even. My doc originally said 8-10 weeks. I think I'll go crazy first!

Thanks to all for your kind words and encouragement.

Unread 03-21-2008, 10:30 PM
Fever and Inability to completely empty bladder

Dear Denise,

Just to quickly mention that I had very weird bladder sensations, was tested for a UTI, but came out clean. Everything is so close down there - the uterus rests on top of the bladder. So as everything shifts around you get all of the sensations of a UTI, but it doesn't necessarily mean you have one. That intense emptying sensation may be caused by it getting used to functioning on its own, so to speak. I'm no doctor, but I started pushing more fluids and took cranberry capsules at about two weeks and it quickly diminished. You may have a more complex situation, and during the immediate post-op, we are all experiencing many strange and uncomfortable things that, in our pre-op days, we could recognize through previous experience. This is a whole new ball game.

I have a friend who had a TAH BSO and her uterus was adhered to her bladder. The bladder was incised during the surgery, and repaired and she said that it feels numb, and strange, and doesn't feel like it empties all the way. It sounds like the sensations we feel can mean different things depending on our circumstances.

If it can be of any encouragement, I'm at 6 weeks and 3 days post op, but a very simple LAVH, compared to yours. I feel great, aside from having just caught the virus everyone else has had for the past 6 weeks. So it seems like normal life again.

Please let us know how you're doing after your clinic visit!

Lisa (Ishwari)
Unread 03-21-2008, 10:38 PM
Fever and Inability to completely empty bladder

Hey Denise,

The one thing you'll see on this site is that EVERYONE says it's a good day, then a not so good day, then a better day or two, then a down day. It's the way it is, but the good ones start outnumbering the down days. The more days behind you, the stronger your system gets, even in the face of a complication or two. You still have the life force power of creation within you, and it can powerfully heal you.

Blessings, Lisa
Unread 03-22-2008, 01:13 AM
Fever and Inability to completely empty bladder

Hi Denise,
I had TAH w/ovaries on 3/4. I have pressure and ALSO feeling that I am not emptying my bladder. I had my 2 week post-op this last Wednesday and doctor checked for UTI. It was negative. The Physician mentioned that peeing may feel different after a hyst because there will be so much internal inflammation and also that the bladder is near the cervix and now that the cervix is absent, it will feel different.
He is having me monitor how often and how much I am peeing. He did mention to call if a fever developes or pain becomes pressure.

Blessings to you and I will pray for the clinic to find an opening for you.


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