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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Frequent Urination At Night In An Elderly Person?

I am 53 years old. I have started getting up two or three times a night to urinate. I feel like I have to urinate bad but then I don t urinate that much that much. On top of that in the last two months my testicals have been hurting and when I urinate it has a very pungent smell
Mon, 26 Sep 2016
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General & Family Physician 's  Response
You problem may be due to
1.     Benign enlargement of prostate
2.     Urinary tract infection (UTI)
3.     Diabetes
Men over the age of 50 years develop urinary outflow symptoms, which in the majority of cases is due to benign enlargement of the prostate gland. The gland gradually enlarges with advancing age, and this enlargement can cause pressure on the urethra which runs from the bladder to the outside restricting the flow of urine. Symptoms are urgency, frequent urination, involuntary urination, urinary hesitancy, weak urinary stream, straining to void, a sensation of incomplete emptying, and terminal dribbling.
UTI causes burning sensation during urination, frequent urination, and fever etc
Diabetes causes frequent urination, hunger, fatigue, weight loss, and infections etc.
Advice
1.     Consult your urologist for per rectal examination of prostate and further follow up
2.     Avoid drinking alcohol, tea, coffee or cola as these substances irritate urinary bladder and symptoms worse
3.     Consume less water in the evening but drink at least 3 liters of water in the day time
4.     Empty your bladder while going out of home/office
5.     Eating more fruit and fiber to avoid constipation which can put pressure on the bladder worsening symptoms
6.     Double void to completely empty your bladder –This involves waiting a few moments after you have finished passing urine before trying to go again
7.     Investigation
a.     R/E of urine
b.     C/S of urine
c.     Transrectal ultrasound
d.     Serum PSA
e.     Blood sugar (F & PP)
Thanks
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What Causes Frequent Urination At Night In An Elderly Person?

You problem may be due to 1. Benign enlargement of prostate 2. Urinary tract infection (UTI) 3. Diabetes Men over the age of 50 years develop urinary outflow symptoms, which in the majority of cases is due to benign enlargement of the prostate gland. The gland gradually enlarges with advancing age, and this enlargement can cause pressure on the urethra which runs from the bladder to the outside restricting the flow of urine. Symptoms are urgency, frequent urination, involuntary urination, urinary hesitancy, weak urinary stream, straining to void, a sensation of incomplete emptying, and terminal dribbling. UTI causes burning sensation during urination, frequent urination, and fever etc Diabetes causes frequent urination, hunger, fatigue, weight loss, and infections etc. Advice 1. Consult your urologist for per rectal examination of prostate and further follow up 2. Avoid drinking alcohol, tea, coffee or cola as these substances irritate urinary bladder and symptoms worse 3. Consume less water in the evening but drink at least 3 liters of water in the day time 4. Empty your bladder while going out of home/office 5. Eating more fruit and fiber to avoid constipation which can put pressure on the bladder worsening symptoms 6. Double void to completely empty your bladder –This involves waiting a few moments after you have finished passing urine before trying to go again 7. Investigation a. R/E of urine b. C/S of urine c. Transrectal ultrasound d. Serum PSA e. Blood sugar (F & PP) Thanks