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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Frequent Urination And Urge To Urinate

i am suffering from frequent urination. I get this urge to urinate frequently and i am not able to stop it. I am suffering from PCOS and taking medicines for the same. I have also done a blood test where i came to know that i am not suffering from diabetes. I am 19 years old and i don t know what to do.
Fri, 29 Apr 2016
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General & Family Physician 's  Response
Hello dear.
Understand your concern.

Following are the causes of your problem
If it is temporary
Excesssive Alcohol and caffine use, Artificial sweetners and corn syrup, Blood pressor medication, Large dose of vitamin B and C, Intake of food high in sugars, Urinary tract infection, Constipation.
If it is chronic more than 3 months: Obstruction of the urinary tract by stone and tumor, Neurological disorder: parkinsons disease, multiple sclerosis and brain tumor.

Risk factor are Over weight, diabetes melitus, neurological disorder.
Consult the urologist and do the following test:
1. Urine analysis
2. Blood sugars
3. Blood urea, creatinine
4. Clinical examination and measurement of blood pressor and heart rate
5. Cystoscopy
6. Cystogram
7. Pelvic examination
6. CBC, ESR

Following are the treatment
1. Bladder training
2. Double voiding
3. Scheduled toilet every 3-4 hours
4. Reduce fluid intake and take more solid fluid
5. Avoid alcohol and caffeine
6. Pelvic floor exercise

Drugs
1. Anticholinergic- Oxybutynin
C. Medical device
You can put urethral insert if not response to drugs and behavior technique.

D. Last option is surgery is problem is severe
1. Bladder neck obstruction
2. Artificial urinary sphincter

Hope this may help you.

Best regards
Dr. sagar
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Suggest Treatment For Frequent Urination And Urge To Urinate

Hello dear. Understand your concern. Following are the causes of your problem If it is temporary Excesssive Alcohol and caffine use, Artificial sweetners and corn syrup, Blood pressor medication, Large dose of vitamin B and C, Intake of food high in sugars, Urinary tract infection, Constipation. If it is chronic more than 3 months: Obstruction of the urinary tract by stone and tumor, Neurological disorder: parkinsons disease, multiple sclerosis and brain tumor. Risk factor are Over weight, diabetes melitus, neurological disorder. Consult the urologist and do the following test: 1. Urine analysis 2. Blood sugars 3. Blood urea, creatinine 4. Clinical examination and measurement of blood pressor and heart rate 5. Cystoscopy 6. Cystogram 7. Pelvic examination 6. CBC, ESR Following are the treatment 1. Bladder training 2. Double voiding 3. Scheduled toilet every 3-4 hours 4. Reduce fluid intake and take more solid fluid 5. Avoid alcohol and caffeine 6. Pelvic floor exercise Drugs 1. Anticholinergic- Oxybutynin C. Medical device You can put urethral insert if not response to drugs and behavior technique. D. Last option is surgery is problem is severe 1. Bladder neck obstruction 2. Artificial urinary sphincter Hope this may help you. Best regards Dr. sagar