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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Hypertension, Schizophrenia. Developed Episodes Of Urine Retention. On Medications. Suggestions For Better Management?

Good evening.Thanks for such kind of online instant service. My elder brother a 54 yrs old man with a diagnosis of HTN, DM and schizophrenia .He developed two episodes of retension of urine,voided by catheterization.Last episode one week back.He is emaciated,anemic Pulse and BP normal.He is getting Losartan 25mg,Phenothiazine25mg,resperidone, irofew days back tamsolusin .4 mg OD.hematinics, H2 blocker Metformin-850 mg Bd CBC HB-6.42gm/dl, ESR -85 mm in 1st hour microcytic hypochromic anaemia .CXR -Normal. USG -BHP 57 cc May I have an advice for better management of my brother in all aspects mild to moderate,Uro flow metry done-average folw 21ml/ maximum 64/ total voided around I am sorry right now i cannot pay, is it possible to answe free?
Mon, 5 Aug 2013
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Urologist,  's  Response
Hello
Thanks for your query.Based on the facts that you have posted it appears that your brother has Diabetes,Hypertension and mental problems.

He has two episodes of urinary retention for which he was catheterised.

Looking at the reports of investigations that you have posted He has got Benign Enlargement of Prostate which needs to be treated .

Please consult qualified Urologist for clinical evaluation and further treatment.
He may need to undergo surgery of TURP which will help to resolve his problem permanently,else he has to continue taking Tomsulosin.
Dr.Patil.
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Diagnosed With Hypertension, Schizophrenia. Developed Episodes Of Urine Retention. On Medications. Suggestions For Better Management?

Hello Thanks for your query.Based on the facts that you have posted it appears that your brother has Diabetes,Hypertension and mental problems. He has two episodes of urinary retention for which he was catheterised. Looking at the reports of investigations that you have posted He has got Benign Enlargement of Prostate which needs to be treated . Please consult qualified Urologist for clinical evaluation and further treatment. He may need to undergo surgery of TURP which will help to resolve his problem permanently,else he has to continue taking Tomsulosin. Dr.Patil.