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What causes frequent urination, poor appetite and IBS after delivery?

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Posted on Fri, 29 Jul 2016
Question: About five years after my last baby was born, I started having some issues with urinary urgency. That continued for about three years and in just the past few weeks I now have a problem with urinary frequency, as well, and the urgency has gotten worse. Even when my bladder is not particularly full. I basically need to run to the bathroom within an hour or so of drinking 8-16oz.

Other symptoms:
1. I have no other symptoms associated with a UTI--no pain or discomfort when I pee, no blood in my urine.
2. I've had less of an appetite lately and have lost three pounds over the past couple of months.
3. I also have IBS (diagnosed a few years ago, after they did an ultrasound on my ovaries to make sure they weren't to blame for my symptoms). I occasionally have pain in my lower stomach I attribute to my IBS, but it comes and goes, it's not progressing, and it responds to my IBS med.

Here are my questions:
1. Should I blame an overactive bladder? wear and tear associated with my three vaginal deliveries?
2. Should I see a doctor now? Is there something I should be trying on my own?
3. Is there any risk my urinary symptoms could be an early symptom of ovarian cancer? Having been through a scare when I had my IBS symptoms for the first time a few years ago, this is a big fear of mine!

Thank you!

doctor
Answered by Dr. Dr. P. T. Patil (46 minutes later)
Brief Answer:
You have what is called as Over Active Bladder Syndrome (OAB).

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have what is called as Over Active Bladder syndrome (OAB).

Normally one gets sensation to pass urine when bladder gets filled up with 300-350 ml of urine but in Over Active Bladder syndrome there are involuntary contraction of bladder even if it is filled up with 50 -70 ml of urine .This is the reason for urgency for urination and there by increased frequency for urination .

The characteristic of this syndrome is that there is no evidence of any signs of UTI detected on ultrasound or routine and urine culture test.

Take anti muscuranic drug like Solifenacin twice daily .This will reduce the involuntary contraction of bladder and there by give you relief from urgency .

Please note that it takes 10-15 days to see the result of medication after you start taking it and one has to it take for 3-4 months .

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
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Follow up: Dr. Dr. P. T. Patil (8 minutes later)
Two more questions:

1. Should I make an appointment with my GP or my OB/Gyn for this?

2. Can I eliminate ovarian cancer as a possible cause of these symptoms?

Thank you!
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
This can not be due to Ovarian Cancer .

Detailed Answer:
Hello
Thanks for follow up .

The urgency for urination can never be due to Ovarian cancer .
Start taking Darifenacin once daily as suggested in my reply earlier .

You may need to go to your G,P to get prescription of drug .

Thanks and Regards.
Dr.Patil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10504 Questions

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What causes frequent urination, poor appetite and IBS after delivery?

Brief Answer: You have what is called as Over Active Bladder Syndrome (OAB). Detailed Answer: Hello Thanks for your query ,based on the facts that you have posted it appears that you have what is called as Over Active Bladder syndrome (OAB). Normally one gets sensation to pass urine when bladder gets filled up with 300-350 ml of urine but in Over Active Bladder syndrome there are involuntary contraction of bladder even if it is filled up with 50 -70 ml of urine .This is the reason for urgency for urination and there by increased frequency for urination . The characteristic of this syndrome is that there is no evidence of any signs of UTI detected on ultrasound or routine and urine culture test. Take anti muscuranic drug like Solifenacin twice daily .This will reduce the involuntary contraction of bladder and there by give you relief from urgency . Please note that it takes 10-15 days to see the result of medication after you start taking it and one has to it take for 3-4 months . 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.