The bloated abdomen always have the urge to urinate may be caused by urinary tract infection, pelvic inflammatory disease and intestinal obstruction, patients can follow the doctor’s instructions to use levofloxacin tablets, clindamycin, enemas and other ways of treatment, when the conservative treatment is ineffective, it may also need surgical treatment. 1. Urinary tract infection: bloated abdomen always have the urge to urinate, considering the urinary tract infection caused by inflammation stimulation of the urethral mucosa caused by symptoms. Patients first need to drink more hot water, and then under the guidance of the doctor’s advice oral levofloxacin tablets and furotoxin tablets for treatment. 2. Pelvic inflammatory disease: Pelvic inflammatory disease can also lead to bloating of the abdomen and always have the urge to urinate, patients can use antibiotics such as clindamycin and amoxicillin under the guidance of the doctor’s advice for treatment. 3. Bowel obstruction: when the patient has incomplete bowel obstruction, there will be abdominal distension, decreased gas, etc. At this time, the dilated bowel will irritate the bladder, and the patient needs to drain the contents of the intestinal cavity through gastrointestinal decompression, enemas, insertion of gastric tubes or intestinal obstruction catheters and other measures. Surgery may also be required when conservative treatment is ineffective. Patients with symptoms of small abdominal distension always have the urge to urinate, need to go to the hospital as soon as possible for abdominal CT, urine routine differential diagnosis, should follow the doctor’s instructions for treatment.