Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

172 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for enlarged prostate and frequent urination

Answered by
Dr.
Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 9802 Questions

default
Posted on Sat, 30 Aug 2014 in Urinary and Bladder Problems
Question: up all night urinating for the past four days...enlarged prostate controlled by tamulosin.....urine is clear......doctor says nothing wrong with my kidneys....constant back ache due to a fracture in vertebrae............spouse insists my skin smells like urine...help!
doctor
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
`Needs to be evaluated.

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have dribbling of urine all night since 4 days,You have been taking Tomsulosin for enlarged prostate.

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Have you done Ultrasound Scanning of abdomen and pelvis recently to see status of Enlarged prostate ?
2) Do you get pain in abdomen? or Do you have sensation of fullness of bladder?
3) Do you have urgency to pass urine?

Your symptoms are mostly due to Chronic Retention of Urine with Over Flow Incontinence.

Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.
1) Urine Routine and Culture.
2) Ultrasound scanning of abdomen and pelvis with specific mention of pre and post void urine volume.

If it is embarrassing your daily life I would suggest you to put urethral catheter to drain the bladder continuously so that you will not need to go to pass urine frequently.

Further treatment will depend upon the results of tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions ,
I shall be happy to help you
Thanks and Regards.
Dr.Patil.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  

Recent questions on  Incontinence

doctor1 MD

I am having stress incontinence - seeing a urologist. My question is if stress incontinence can be caused by episacral lipomas that I have (aka back mouse )? My doc is doing tests to determine if I should have surgery for the incontinence, but if the lipomas are causing it, wondering if I should mention the lipomas to the urologist.

doctor1 MD

Hi - I have numerous non-specific symptoms: fatigue, digestive problems (early satiety, poor appetite, constipation, excessive wind, bloating etc.), chronic pain (not relieved by standard issue pain meds/cannot tolerate) head, neck, shoulders, mid and lower back and what feels like nerve pain in left thigh etc. Also mouth ulcers and some difficulties swallowing. Persistent pain ULQ and what feels like a bulge in intestine under left ribcage (I can pop this back in by putting pressure on it). I have life long incontinence issues and recurrent UTI s over last few years. I am 57 yrs old and highly motivated by my career - I have no undue social stressors. At this point, while my doctor is an OK practioner I do not feel heard and I do not have the energy to argue my case...I run the risk of being categorised as difficult/fussy/ageing/hypocondriac etc etc but I am exhausted at being dismissed and given the run around. I have positive ANA for several years. Comments or suggestions would be most welcome. Thanks...Karen

doctor1 MD

I am a 29 year old male and for the past couple of weeks I've been having issues when I urinate and it's starting to worry me. I constantly have to push, or strain, in order to urinate. If I don't push when attempting to urinate then my urine just trickles out or doesn't come out at all plus it takes a really long time for me to start urinating and when I finally do start to urinate for some reason it will stop then go then stop again. Also it feels like I was not able to empty my bladder completely. I'm also suffering from the constant urge to urinate and urinary frequency. It feels like I always have the urge to urinate. I have to get up and urinate 3 or 4 times at night. My urine looks a little darker than normal, but it's not cloudy nor does it smell. It kinda burns when I urinate. It's like an odd feeling. When I urinate I feel this burning, tingling, pins and needles sensation. I don't know how to explain it. All of these urinary issues that I'm having is driving me crazy. I never had a bladder or urinary tract infection before. I passed kidney stones about a year ago and they were small. I was wondering what might be the cause of all these urinary problems. Why do I have to strain all the time and why do I have this constant urge to urinate? Do I have a a UTI or some other type of infection?

doctor1 MD

I am 68 years old ,undergone TURP in Feb 2010. PSA is normal Height 162 cm wt 64 kgs. Having problem of OAB and incontinence of urine after the surgery. The surgery has helped free flow but dribbling continues in standing and walking . While sitting there is no problem. While sleeping involuntary leak takes place.Used Detrusitol 7 mg No appreciable improvement.How long will it take to have normal controlled urination

doctor1 MD

A co-worker was fine one minute..then suddenly said she didn't feel well. Moments later, she passed out for a minute or two. We shook her awake and she simultaneously vomited blood clots and spoiled her pants. She turned completely white - almost...

doctor1 MD

Hi I have been diagnosed with prostate cancer from a biopsy . They think it is confined to prostate. GS 3+4. 19/12 probes positive. 15% of tissue cancerous. 1) do you recommend radiation or surgery 2) for surgery do you recommend open, laproscopic...

doctor1 MD

I coughed really hard while urinating. While coughing I felt a pain in my lower bladder, almost like a pulled or straine it. Now it hurts to urinate. Can you strain or sprain a bladder? Also, do to a hysterectomy at a very young age, my bladder is...