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Suggest Treatment For Urinary Incontinence

Posted on Thu, 12 Feb 2015

Question: I'm 41 years old have also having problems holding my urine and today couldn't hold my bowels. I also have been having back pain.

Answered by Dr. Srilatha Myaka (23 minutes later)

Brief Answer:
need more information

Detailed Answer:
Hello dear,welcome to healthcare magic.I understand your concern.
I would like to know further information like:-
1) How about your menstrual cycles?
2) Are you in pre menopause stage?
3)How many children s you have?
4)were they normal vaginal deliveries or ceasarian deliveries?
5)Any history of surgeries in past?
6)What is the type of incontinence like is it at the time of sneezing,coughing etc.
OR even at normal times?
7) Any other symptoms like heaviness in pelvic region or vagina?

Kindly provide me the information for further discussion.
Looking forward to hear from you.
Best regards....Dr.srilatha

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Srilatha Myaka (39 minutes later)

1. menstrual cycles are very heavy 7 days
2. pre menopause stage not sure have been having hot spells
3. How many children s you have?
4. were they normal vaginal deliveries or ceasarian deliveries/3 normal last one ceasarian and premature
5. Any history of surgeries in past Had tubes tied after last birth and ankle surgery
6. type of incontinence/ never during coughing or sneezing I feel pressure and discomfort and can never hold it Today I felt very hot and could not hold it felt like someone was twisting something in my lower back and I could not hold it ...I felt like I needed to throw up but couldn't Very scary never experienced this before. Having to pee yes but not the other. I hope I explained myself as best I could very difficult to explain

Answered by Dr. Srilatha Myaka (1 hour later)

Brief Answer:
It might be UTI with or without PID

Detailed Answer:
Hello dear,I got your information.

I am sorry for your condition.

In my opinion your condition can be explained in following scenarios:-

1)Urinary tract infection(UTI)-It might be UTI. In UTI due to burning feeling in urethra there can be urinary in continence.There will be frequent back pain in conditions like uti with renal stones.In post menopausal women UTI are more commonly seen.

2)pelvic inflammatory disease;-PID is due to infection in pelvis,this can be ascending infection from genital tract.in this condition there might be heavy bleed and back pain

there might be a chance that both the conditions co-exist in some cases.

3)it could be fibroids with PID,where we can see heavy bleeding with backache.

i am not diagnosing any condition.Since there are many similar features present its worth evaluating.

In case a patient with similar complaints visit my office i would like to do following test.

1.abdominal ultrasound
2.complete urine examination
3.complete blood picture and serum creatinin.
4.fasting blood sugar
5.per speculum examination and per vaginal examination.

i suggest you to discuss with your doc for further analysis.

regards
Dr srilatha
Gynecologist

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Srilatha Myaka (46 minutes later)

Will do thank you so much!!!!

Answered by Dr. Srilatha Myaka (16 minutes later)

Brief Answer:
you welcome

Detailed Answer:
kindly give your feed back and rate our services.
I wish you a quick recovery

best regards
Dr srilatha

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Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju