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What Causes Frequent Urination And Urinary Incontinence In An Elderly Person?
My 80 yeas old father got frequent urination for the last one year . and more urine leak. I did urine test. Doctor says prostate enlarge problem . I was given 2 meds by my previous doctor Uripass or urimax 0.2 that did not work. Went to another doc. He gave roliflo od 4. Taking for 2 days no diff in night. How can I get it resolved. Please help.
Thu, 31 Mar 2016
Hello dear.
Understand your concern.
Following are the causes of your problem
If it is temporary
1. Excesssive Alcohol and caffine use
2. Artificial sweetners and corn syrup
3. Blood pressor medication
4. Large dose of vitamin B and C
5. Intake of food high in sugars
6. Urinary tract infection
7. Constipation.
If it is permanent
1. Enlarged prostate
2. Obstruction of the urinary tract by stone and tumour
3. Neurological disorder: parkinsons disease, multiple sclerosis and brain tumour.
Risk factor : Over weight, diabetes melitus, neurological disorder.
Complication: Skin problem:rash and sores
UTI, Stress and anxiety
Consult the doctor 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
A. Behavior technique
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.
B. drugs
1. Anticholinergic- Oxybutynin
2. Mirabegran
3. Alfa bloker- Tamsulosin
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
Understand your concern.
Following are the causes of your problem
If it is temporary
1. Excesssive Alcohol and caffine use
2. Artificial sweetners and corn syrup
3. Blood pressor medication
4. Large dose of vitamin B and C
5. Intake of food high in sugars
6. Urinary tract infection
7. Constipation.
If it is permanent
1. Enlarged prostate
2. Obstruction of the urinary tract by stone and tumour
3. Neurological disorder: parkinsons disease, multiple sclerosis and brain tumour.
Risk factor : Over weight, diabetes melitus, neurological disorder.
Complication: Skin problem:rash and sores
UTI, Stress and anxiety
Consult the doctor 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
A. Behavior technique
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.
B. drugs
1. Anticholinergic- Oxybutynin
2. Mirabegran
3. Alfa bloker- Tamsulosin
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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