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Suggest Treatment For Urinary Incontinence
I am 59 and moderately overweight. My urine flow is good and clear but since starting Paracetamol tablets for arthritis (which I take at night) I find I am getting up and peeing 5 times a night at least. My prostrate gland is normal size. I am desperate for a good night s sleep, I am SO tired.
Wed, 4 May 2016
Hello dear
Understand your concern.
Following are the causes of your problem
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, Enlarged prostate, chronic prostatitis, Obstruction of the urinary tract by stone and tumor, Neurological disorder: parkinsons disease, multiple sclerosis and brain tumor.
Risk factor : 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. Rectal examination
6. CBC, ESR, PSA
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
7. Maintain weight
Drugs
1. Oxybutynin, tamsulosin
2. Mirabegran
Medical device
You can put urethral insert if not response to drugs and behavior technique.
Last option is surgery is problem is severe and not respond to above treatment
1. Bladder neck obstruction
2. Artificial urinary sphincter
Hope this may help you.
Best regards
Dr. sagar
Understand your concern.
Following are the causes of your problem
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, Enlarged prostate, chronic prostatitis, Obstruction of the urinary tract by stone and tumor, Neurological disorder: parkinsons disease, multiple sclerosis and brain tumor.
Risk factor : 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. Rectal examination
6. CBC, ESR, PSA
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
7. Maintain weight
Drugs
1. Oxybutynin, tamsulosin
2. Mirabegran
Medical device
You can put urethral insert if not response to drugs and behavior technique.
Last option is surgery is problem is severe and not respond to above treatment
1. Bladder neck obstruction
2. Artificial urinary sphincter
Hope this may help you.
Best regards
Dr. sagar
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