Brief Answer:
I could explain as follows:

Detailed Answer:
Hello dear Mia!

I know it can be embarrassing for you having the same dilemma after discussing so many times about your specific health fears.

As I know rather well your entire medical history, triggering factors of your anxiety and the persistent OCD disorder, I could explain as follows:

(1) It’s quite a “miracle” you have recovered from your cardiomyopathy (and this is due to a very successful cardiac ablation and a correct medical therapy).

You don’t have to be feared at all, as your previous abnormal cardiac condition it totally disappeared.

All the subsequent cardiac tests confirm your perfect health condition (I have reviewed them so many times). You just need to believe!

As your previous cardiomyopathy isn’t a congenital progressive disorder, you shouldn’t be afraid of any possible future relapses. So just relax!

Your kidneys have not resulted affected by any hereditary, inflammatory, systemic, autoimmune, etc. disorders.

You haven’t a chronic renal disease to require such a special attention, as to seriously condition your daily life.

So, as a consequence your normal kidney function is a direct consequence of your perfectly normal cardiovascular status (as they are so closely interrelated as to come to the conclusion of a unique cardio-renal system).

(2) About urine output: it is quite impossible to maintain the same urine output daily (if an unusual experiment would be required to develop on such a useless matter).

As I have repeatedly explained you before, urine output is an important component of the daily body fluid balance.

We take fluids by drinking water, several juices, and water containing foods; we eliminate water by urine, stool, sweating, and respiration.

So, it is a bit complicated multivariable equation, and adequately judging of the urine output adequacy, you should consider also the other components (theoretically and practically you can’t measure your water content of stools, foods, or exhaled air.You can’t measure the level of your perspiration [sweating]).

So, you can’t resolve this equation my dear! I am sorry, but this is a useless discussion).

In scientific medicine we don’t use so roughly urine output to make decision of heart/kidney potential dysfunction, when in fact we have so appropriate test to directly measure/quantify their performance.

And, as I have always reviewed they have resulted continuously perfectly normal.

So, there is no justified and rationale evidence to support your fears. What your doctor said to your about the frequent urination (every two hours) belongs to the past (when a close medical supervision and intensive treatment was necessary to surpass your cardiomyopathy.

But, actually it is gone, and fortunately forever. So, nothing to consider about urination anymore.

(3) About your urine bladder functionality: I would recommend treating more gently your body and especially your urinary bladder.

No harm could be done to your bladder just from touching or compressing, but the main adverse effect is a psychological one.

You are conditioning such a physiological process (urination) with those mechanical manipulations (which in fact are seen only on urinary tract obstruction from prostate hypertrophy in very old males, while you are a pretty young and completely healthy lady).

I strongly recommend disregarding such an unpleasant manipulation (habit0. It is quite useless.

You should believe me! Urination process (its psychological urge) comes from neural stimuli emerged by over distention of the detrusor muscle (the muscle underlying the urinary bladder walls).

As a consequence afferent stimuli navigate to the central nervous system leading to two main commands: (a) conscious feeling of urination urge, (b) coordinated processes of urination act (comprising detrusor muscle stimulation and urinary sphincter release).

Abdominal compression would not be helpful to produce additional urine, as it is instead controlled by more sophisticated mechanisms.

Please, don’t treat your body such way, think of so many beautiful things life could offer instead.

I think that there are not any true references to support your fears; you just are supposing things that could never happen in your actual health condition. Try to not torture yourself any more.

You are healthy! Healthy! Only healthy!

Only other things are just your mind fiction! If you want things remain just that, you don’t have to try anything!

But if you want the truth, you need to fight and embrace it. You should change the way you think, your daily life style, focus on your real life (and not in just urine output measurements) to achieve beneficial results.

That’s my opinion!

You can contact me further when necessary!

Hope you are going to feel better after facing with the true facts of your health and life!

Best wishes,

Dr, Iliri

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