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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Bladder Control

Hi Dr Samuel, I am mail 70 years old and have problems with my waterworks. I need to urinate frequently like every couple hours during the day and I drink about 1 ltr of liquid during the day 7 to 11pm. If I drink hot drinks like coffee or tee I need to go more often like every hour. During the night, say midnight to 7am, I have to get up generally 3 times sometimes 4. Its embarrassing as sometimes I get the urge to go and can not hold it. At the times of urge sometimes I pass just a few drops and that in it self seems to give me relief and the urge goes away. I do have enlarged prostate but I don t believe that the prostate is the main reason. What are your comments and what tests would you suggest I get done to find out what is the reason for my problem. Thank you for your reply
Wed, 2 Jul 2014
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Geriatrics Specialist 's  Response
Hi,
After going through your history, the problems appear to be very classically related to prostate (benign prostatic hyperplasia).
I am wondering how you could be suffering for such a treatable disease.
As the prostate presses on the bladder, urination becomes difficult when you apply pressure, and the more you relax, the more urine comes out.
Due to incomplete voiding as whole urine wont come out like before, you will have increased frequency. As residual urine is always going to be present, which will give rise to urinary tract infection.
During times of urge, few drops are going to come out due to urinary incontinence.
Coffee and tea are diuretics and increase urine production.
Risk of urinary tract infection is severe and at this age, could complicate things.
Meet your doctor for surgical options.
Any further queries, happy to help again.
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Suggest Remedy For Bladder Control

Hi, After going through your history, the problems appear to be very classically related to prostate (benign prostatic hyperplasia). I am wondering how you could be suffering for such a treatable disease. As the prostate presses on the bladder, urination becomes difficult when you apply pressure, and the more you relax, the more urine comes out. Due to incomplete voiding as whole urine wont come out like before, you will have increased frequency. As residual urine is always going to be present, which will give rise to urinary tract infection. During times of urge, few drops are going to come out due to urinary incontinence. Coffee and tea are diuretics and increase urine production. Risk of urinary tract infection is severe and at this age, could complicate things. Meet your doctor for surgical options. Any further queries, happy to help again.