Skip to content


    Exciting News for WebMD Members!

    We've been busy behind the scenes building new message boards for you. You'll have new and easier ways to find messages, connect with others, and share your stories.

    And, this will all be available on your smartphone or other mobile device!

    What Do You Need to Do?

    The message board you're used to will be closing in the coming weeks. While many of your boards will be making the move to our new home, your posts will not. Want to keep a discussion going? Save posts you want to continue (this includes your member profile story), so that you can re-post them in the new message boards.

    Keep an eye here and on your email inbox, we'll be back in touch soon to give you all the information you need!

    Yours in health,
    WebMD Message Boards Management

    Urine test on 1st Visit ??
    dillray1 posted:
    Hello all. I finally got an appt. with a PM doctor on monday,10-05-09 for chronic pain mgt. I checked his overall rating and it was only a 2.5 out of 5. My question is do PM doctors urine test on your 1st Visit? It states on his profile that they count your pills and urine test you,which is fine. I have a problem urinating on demand,and i wonder if i should hold it in the night before. I only go a couple of times a day. Since this is my first visit,i have no meds to count,but i'm wondering if they will pee test me on the 1st visit. Have any of you had to do this the first visit??? Thanks in advance for any and all replies.
    teresakitty2 responded:
    Hi dillray1, Every physician is different and it is up to his discretion whether to test your urine on the first visit or not. One PM physician I went to never tested me, although they said that was their policy, and the other one tested me only once but not on the first visit. Have never had a pill count. You sound like you are getting all worked up about it which will make it only more difficult to go when the time comes. If you can hold it all the way through the night and until your appointment, there is nothing wrong with that except not many people's bladder can accommodate that much volume. Wouldn't do that on a regular basis because holding urine can cause infections in those prone to them. It also might help if you can explain your situation to the nurse so they can be sensitive to your needs and not rush you. Explain you need privacy and a little more time. Running water and just relaxing a bit helps some people start their stream. You might consider drinking more water that day than usual in order to be fully hydrated. You can take a cup of water with you and keep drinking until you feel full. They also might ask you to come back when you feel you can give them a specimen. Try not to worry, they will work with you. It will be OK. Teresa
    annette030 responded:
    Ditto what Teresa said. All doctors have their own way of doing things. I would be prepared to give a specimen every time you go see him. Drink some extra fluids, but don't go overboard with that. If your urine is too diluted they may think you are trying to beat the test. The reason for the test is twofold, to make sure you are taking what is given to you rather than selling it, and to make sure you are NOT taking anything not prescribed to you. Take care and good luck with the new doc. Annette
    memyselfandi19 responded:
    HI. Just wondering- id u have a choice y go to a PM dr with such a poor rating without investigating? I have seen some pretty bad PM dr.'s and you want to make sure you get good treatment. There are some dr.'s who do it on every visit and some who do it on random visits. I have had to before on a first visit. THere is no way to know before. Just relax and drink a lot of water or Soda in the morning and you should be able to give enough for them.

    Featuring Experts

    Peter Abaci, MD , is certified in anesthesia and pain management by the American Board of Anesthesiology. Dr. Abaci received his undergraduate educat...More

    Helpful Tips

    neck/skull pain
    I have exactly the same pain problem from the sound of it. Does it feel like a hot slicing pain in the neck and an irritated nerve running ... More
    Was this Helpful?
    0 of 2 found this helpful

    Report Problems With Your Medications to the FDA

    FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.