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Urinary incontinence, possible prostrate enlargement - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3622 Questions
Doctor :   How can i help you today ?
User :   hello there doctor
User :   I logged today because my uncle refuses to see the doctor
Doctor :   ok
User :   He called me up
Doctor :   may i know what issues does your uncle have ?
User :   because he was complaining of incontenence
User :   he keeps on urinating
User :   every one hour and a half
Doctor :   may i know his age ?
User :   66 years old
User :   he has history of a heart attack
User :   sinc
User :   he has has been complaining of this for about a year now
User :   but lately
User :   it has become pronounced
Doctor :   any history of diabetes etc ?
User :   and he can't control it
User :   no history of diabetes
User :   and when he urinates it's about half a cup every hour and a half
Doctor :   does he have any pain while urinating ?
User :   he also complains of a lower back pain
User :   none
User :   no pain during urination
Doctor :   these symptoms could be due to prostrate enlargement
User :   is that bad?
Doctor :   due to an enlarged prostrate, which normally occurs in elderly men
Doctor :   ..
User :   and he told me he's taking tadenan forte
Doctor :   the outflow of urine is slowed and this results in collection of urine in the bladder
User :   otherwise, his urine would smell bad
User :   it's tadenan forte 50mg
User :   and he also complains that after urination, there's leaking as if it the urine has not been completely expelled
Doctor :   tadenan is a herbal product
User :   it disrupts his sleep because he keeps on waking up just to go to the bathroom
Doctor :   has he found his symptoms reduce with it ?
User :   he called earlier because he wanted to ask what my dad was taking
User :   it does reduce the symptoms
Doctor :   ok, thats good
User :   how often should he take it in one day?
Doctor :   but he has to undergo a pelvic ultrasound, to know the severity of this prostrate enlargement
Doctor :   and also urine flow studies as well
User :   my dad has similar symptoms and he's taking avodart and lotencin which my uncle wants to take too
Doctor :   but he has to be diagnosed and the dosage determined before he can start them
Doctor :   its different for different individuals
User :   when my uncle takes chinese green tea, he notices that it increases the volume of urine flow.
Doctor :   he must consult a urologist, before he can be started on the medicines
Doctor :   some herbs do have the potency to help the prostrate contract and open the urethral sphincter
User :   by the way, how is a urine flow study conducted
Doctor :   this does help in improving the urine flow
Doctor :   here a person urinates into a machine that records the flow of urine
Doctor :   and then charts it into a graphical reperesntation
Doctor :   this graph helps to determine the cause of obstruction and the severity as well
User :   so it's somehow similar to an ecg?
Doctor :   similar graph, but different physiology
User :   oic
Doctor :   so you and your family members must convince him to see a urologist at the earliest
Doctor :   so that the needed investigations can be done
User :   oh here's the problem...
Doctor :   at the earliest
User :   he's somehow reclusive
User :   he wants me to ask the lowest dosage...i don't know how i can convince him
Doctor :   dont they need a prescription from a doctor for the medicines in the philippines
User :   we do need that
Doctor :   ok
User :   he insists that he should take the minimum dosage
Doctor :   so how is he going to get medicines without seeing a doctor ?
User : this problem of his cancerous?
User :   he told me he's going to ask for meds from my dad
Doctor :   without evaluation, and testing it is difficult to say, if it is a benign or cancerous
Doctor :   but most of 85% men have a benign enlargement
User :   the thing is, my dad took the ultrasound
User :   and my uncle refuses to do so
User :   and just wants to copy my dad's dosage
Doctor :   this is a difficult situation and needs a family intervention
User :   so the benign enlargement is normal?
Doctor :   yes in men above 60, it is common to be enlarged
Doctor :   but it needs to be tested to rule out cancers as well
User :   so
User :   is it possible that benign enlargements become malignan?
Doctor :   yes, in about 5% cases
User :   what about the prevalence in asians as against other races?
Doctor :   its the same among all races
Doctor :   no major changes have been seen
Doctor :   since this is a age related disorder
Doctor :   and not a race related issue
User :   so this gets worse as time goes by?
User :   anyway...
Doctor :   not that way
Doctor :   but it does progress
User :   i have another question. this time it's about paraovarian cysts
User :   i had prolonged menses since feb 11 of this yr
User :   i went to the doctor
User :   about a month ago
User :   told me to get an ultrasound
User :   which i did
User :   it was found that
User :   i had pcos
Doctor :   ok
User :   and a paraovarian cyst on the right ovary
User :   wait
User :   i scanned my result
User :   should i send it thru email?
User :   now i am taking
Doctor :   yes
Doctor :   you can send it
User :   primolut
Doctor :   ok
User :   for threetimes a day
User :   for the next ten days
User :   my menses stopped just the other day
Doctor :   in addition, you can send the mail to
User :   thank you
User :   there sent it
User :   my doctor asked for these tests
User :   because i did not complain of any pain when she palpated me
Doctor :   let me see the results and then i will get back to you
User :   okay
Doctor :   i will mail the reply to you

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