Why is it hard to pee..have to push really hard?

Hard to say: Can't see your age, but concerning. May progress to complete inability to pee. Need to see doc. Until then avoid anything that could make this worse - cold medications, anti allergy meds, etc. Causes: if young, medications are prime suspects. If old then prostate enlargement esp if painless. If you have ever had any urologic procedures scarring is likely.