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Suggest Treatment For Urinary Incontinence
Yes, I just moved to Zephyrhills from Carlsbad, CA and need a urologist because I have urinary incontinence. I have taken two different meds for it the latest one Tolterodine 4 mg. Neither of these drugs work - I still have the problem. Can you refer someone for me to see? Katie Padilla YYYY@YYYY
Thu, 5 May 2016
Hello dear
Understand your concern.
Consult the urologist for exact diagnosis and treatment.
Following are the causes of your problem
Excessive Alcohol and caffeine use, Artificial sweeteners 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 advice:
1. Bladder training
2. Double voiding
3. Scheduled toilet every 3-4 hours
4. Reduce fluid intake and take more solid fluid 3-4 hour befire sleep
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.
Consult the urologist for exact diagnosis and treatment.
Following are the causes of your problem
Excessive Alcohol and caffeine use, Artificial sweeteners 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 advice:
1. Bladder training
2. Double voiding
3. Scheduled toilet every 3-4 hours
4. Reduce fluid intake and take more solid fluid 3-4 hour befire sleep
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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