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Suggest Treatment For Urinary Retention While Having Diabetes
Question: Pl forward this request to Dr. Ratnesh Pandey only.
My mother[65yrs] is diabetic and currently in control as she is taking alopathic medicine daily in the morning. She is having urine passing issues with burning sensation and sometime with in month once or twice in the night she is unable to pass the urine due to this she cries/weeps alot for 2-3 hours and then only it passes in drops after taking alkasol syrup with water, i would like to understand this issue with details as this is happening quite frequently now. She had undergone with 2 minor surgeries after consulting with UROLOGIST one recently and other 2years back. As per urologist consultation this is due to abnormal blood sugar levels whenever she skips the sugar medicines. Now i am not convinced with this as she is quite regular to sugar medicine and mostly 5-6 times in a week out of 7 days she takes the medicine. I would like to know your point of view with details on symptoms and correct line of treatment for her.
She does not sleep peacefully due to this and often wakes up early in the morning due to this problem. Kindly provide details.
My mother[65yrs] is diabetic and currently in control as she is taking alopathic medicine daily in the morning. She is having urine passing issues with burning sensation and sometime with in month once or twice in the night she is unable to pass the urine due to this she cries/weeps alot for 2-3 hours and then only it passes in drops after taking alkasol syrup with water, i would like to understand this issue with details as this is happening quite frequently now. She had undergone with 2 minor surgeries after consulting with UROLOGIST one recently and other 2years back. As per urologist consultation this is due to abnormal blood sugar levels whenever she skips the sugar medicines. Now i am not convinced with this as she is quite regular to sugar medicine and mostly 5-6 times in a week out of 7 days she takes the medicine. I would like to know your point of view with details on symptoms and correct line of treatment for her.
She does not sleep peacefully due to this and often wakes up early in the morning due to this problem. Kindly provide details.
Brief Answer:
Details Required
Detailed Answer:
Hello Mr XXXXXXX
Actually there are two theory for the urine retention in diabetes
1 first is the infection of urinary bladder . having urine in bladder for long time allows bacteria to grow in the urinary tract. so as a consequence initially patient complain for frequent urinary episodes later on he/she develops a problem to unable to urinate even after the feeling. and this irritate the patient.
2 Second is, Urge for urine start from the signal which is received by the nerves located in the inner line of bladder muscle while urinary bladder is full and this signal is sent to the brain. But in some cases of diabetes it is seen that the nerve are damaged and this neuropathy leads to such problem. even patient wants to urinate but brain is not getting signals to contract the muscle.
This is not necessary that every time he or she would face the problem. Problem may vary time to time.
Now before suggesting any thing further i would suggest you to get some test or share the report if you have already done
Blood sugar random
Blood sugar fasting
Blood sugar after 1 hour of meal.
Once you share the report then will suggest you next line of treatment.
Thanks
Dr Ratnesh
Details Required
Detailed Answer:
Hello Mr XXXXXXX
Actually there are two theory for the urine retention in diabetes
1 first is the infection of urinary bladder . having urine in bladder for long time allows bacteria to grow in the urinary tract. so as a consequence initially patient complain for frequent urinary episodes later on he/she develops a problem to unable to urinate even after the feeling. and this irritate the patient.
2 Second is, Urge for urine start from the signal which is received by the nerves located in the inner line of bladder muscle while urinary bladder is full and this signal is sent to the brain. But in some cases of diabetes it is seen that the nerve are damaged and this neuropathy leads to such problem. even patient wants to urinate but brain is not getting signals to contract the muscle.
This is not necessary that every time he or she would face the problem. Problem may vary time to time.
Now before suggesting any thing further i would suggest you to get some test or share the report if you have already done
Blood sugar random
Blood sugar fasting
Blood sugar after 1 hour of meal.
Once you share the report then will suggest you next line of treatment.
Thanks
Dr Ratnesh
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Sure i will provide the readings soon.
Brief Answer:
followup
Detailed Answer:
That will be good.
Forget to mention please also add
Urine test random and microscopic
Thanks
Dr Ratnesh
followup
Detailed Answer:
That will be good.
Forget to mention please also add
Urine test random and microscopic
Thanks
Dr Ratnesh
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Random blood sugar=198 fasting=109, will provide other readings soon.
Brief Answer:
Followup
Detailed Answer:
Please share the other pending report finding when it is done. then we will discuss the next treatment plan.
Meanwhile findings are comparatively high.
Waiting for updates
Thanks
Dr Ratnesh
Followup
Detailed Answer:
Please share the other pending report finding when it is done. then we will discuss the next treatment plan.
Meanwhile findings are comparatively high.
Waiting for updates
Thanks
Dr Ratnesh
Above answer was peer-reviewed by :
Dr. Nagamani Ng
urine reports that i have is around one and half month old, please let me know if that works otherwise will provide that after couple of days, have already provided the random as well as fasting values, please advice if we can start with the correct line of treatment along with reason for this issue an dhow to handle it when there is urge for urine but difficulty in passing it after trying for 1-2hours of effort with frequency of mostly in night every 3-4 weeks sometimes early as well.
Brief Answer:
Followup
Detailed Answer:
Hello
As you have mentioned that she is already taking the medicine for sugar and she is having balanced diabetic diet. in-spite of measure her findings are high. so it is important to repeat for urine random and microscopic and also suggest you to get Renal function test report done.
This is important to diagnose accurately.
meanwhile i am suggesting a medicine and suggest you to start
vesicaria Q 20 drops with half cup of water. Medicine is given in advance case of diabetes.
Medicine will help to cure urinary trouble and difficult micturation.
Rest of medicine would be advice after the analysis of reports.
Keep taking the allopathic medicine.
Thanks
Dr Ratnesh
Followup
Detailed Answer:
Hello
As you have mentioned that she is already taking the medicine for sugar and she is having balanced diabetic diet. in-spite of measure her findings are high. so it is important to repeat for urine random and microscopic and also suggest you to get Renal function test report done.
This is important to diagnose accurately.
meanwhile i am suggesting a medicine and suggest you to start
vesicaria Q 20 drops with half cup of water. Medicine is given in advance case of diabetes.
Medicine will help to cure urinary trouble and difficult micturation.
Rest of medicine would be advice after the analysis of reports.
Keep taking the allopathic medicine.
Thanks
Dr Ratnesh
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
As per the test, results are :
1)Blood Urea - 28 [Normal value 10-50]
2)serum createinine = 08 [normal value 7-12]
3)serun uric acid=36 [normal value 24-57]
4)serum sodium (na+)=140.0 [normal value 135 - 155]
5)serum potassium(k+)=4.11 [normal value 3.5 - 5.5]
6)serum cholesterol = 258 [normal value 150-220]
7)alkaline phosphatease=138[normal value 60-306]
8)serum proteins=
total proteins =6.5 [normal value 5.5-8.0]
albumin = 4.0 [normal value 3.5-5.5]
globulin=2.5[normal value 2.0 - 4.0]
a..g ratio=1.6[normal value 1.0 - 2.0]
9)serum calcium=8.9[normal value 8.5-10.5]
10)serum phosphorus=33[normal value 24-48]
11)Urine -chemical
proteins=+
glocose=nil
ketones=nil
bilirubin=nil
urobilinogen=normal
leucocyte esterase=negative
nitrite=negative
microscopy-----
rbc=negative
pus cells=2-3 [normal 0-5 wbc/hpf]
epithelial cells=1-2
casts=nil
crystals=nil
others=nil
please advice correct line of treatment with details.
1)Blood Urea - 28 [Normal value 10-50]
2)serum createinine = 08 [normal value 7-12]
3)serun uric acid=36 [normal value 24-57]
4)serum sodium (na+)=140.0 [normal value 135 - 155]
5)serum potassium(k+)=4.11 [normal value 3.5 - 5.5]
6)serum cholesterol = 258 [normal value 150-220]
7)alkaline phosphatease=138[normal value 60-306]
8)serum proteins=
total proteins =6.5 [normal value 5.5-8.0]
albumin = 4.0 [normal value 3.5-5.5]
globulin=2.5[normal value 2.0 - 4.0]
a..g ratio=1.6[normal value 1.0 - 2.0]
9)serum calcium=8.9[normal value 8.5-10.5]
10)serum phosphorus=33[normal value 24-48]
11)Urine -chemical
proteins=+
glocose=nil
ketones=nil
bilirubin=nil
urobilinogen=normal
leucocyte esterase=negative
nitrite=negative
microscopy-----
rbc=negative
pus cells=2-3 [normal 0-5 wbc/hpf]
epithelial cells=1-2
casts=nil
crystals=nil
others=nil
please advice correct line of treatment with details.
Brief Answer:
Followup
Detailed Answer:
Hello Mr XXXXXXX
That's great her all finding are normal. Cholesterol is little high and that can be manage with little dietary control. Female after age of 50 tends to high cholesterol.
Now this is clear that she wont have any other issue except the blood sugar level.
So i am
Insulin 10x 4 pills twice in day
acid phos Q 10 drops twice in day with half cup of water
r86 20 drops with half cup of water
Vesicaria Q 20 drops with half cup of water twice in a day
Insulin helps to regulate the thyroid function and blood sugar in the body.
take medicine for a month and update.
Keep track on her blood sugar level in regular interval.
Thanks
Dr Ratnesh
Followup
Detailed Answer:
Hello Mr XXXXXXX
That's great her all finding are normal. Cholesterol is little high and that can be manage with little dietary control. Female after age of 50 tends to high cholesterol.
Now this is clear that she wont have any other issue except the blood sugar level.
So i am
Insulin 10x 4 pills twice in day
acid phos Q 10 drops twice in day with half cup of water
r86 20 drops with half cup of water
Vesicaria Q 20 drops with half cup of water twice in a day
Insulin helps to regulate the thyroid function and blood sugar in the body.
take medicine for a month and update.
Keep track on her blood sugar level in regular interval.
Thanks
Dr Ratnesh
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
Currently she is having welling in toes and finger, what can be the reason and correct line of treatment.
swelling i mean.
swelling i mean.
Brief Answer:
Followup
Detailed Answer:
The symptom can be correlated to diabetes. Diabetes cause diminish supply of oxygen on distal part of body and also damage the nerve.
So in most of case pain in distal part of body like finger toes is noted. In most of cases numbness with pain or pain less symptom appear in diabetic patient.
Similar symptoms are noted in arthritis but this time the reason seems to be only related to sugar level.
Once her sugar level come to the normal her complain would subside by it self.
Thanks
Dr Ratnesh
Followup
Detailed Answer:
The symptom can be correlated to diabetes. Diabetes cause diminish supply of oxygen on distal part of body and also damage the nerve.
So in most of case pain in distal part of body like finger toes is noted. In most of cases numbness with pain or pain less symptom appear in diabetic patient.
Similar symptoms are noted in arthritis but this time the reason seems to be only related to sugar level.
Once her sugar level come to the normal her complain would subside by it self.
Thanks
Dr Ratnesh
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Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
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