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The original was posted on /r/explainlikeimfive by /u/MulletmanZA on 2023-10-02 20:25:47.

So sometimes when the urge to pee is really bad it’s bordering on painful, like after a long sleep or car drive, not that much comes out. But then other times when I’m just chilling at home and go for a pee with no urgency I pee like Seabiscuit. What gives? What causes you to need to pee so badly it hurts cuz it doesn’t seem like it’s a volume thing?