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Suggest Treatment For Urine Retention In The Morning

Posted on Thu, 23 Jul 2015

Question: I have been experiencing urine retention for awhile....... this problem have not been consistent it goes and comes. It only happens in The morning but once I ever empty my bladder it gets better, then it goes for a period of time normal, then eventually shows back up again. Just had to go to the er. And they emptied my bladder with a catheter. Now I have since urinated three times on my own. Just wanted to add that I don't drink much water..... any ideas

Answered by Dr. Mukund Savaskar (26 minutes later)

Brief Answer:
In-consistant repeated Bladder retention- Under Investigation

Detailed Answer:
Hi,Dear Good Evening from XXXXXXX
Thanks for your query to HCM. I studied your query in all the details and understood your concerns.

After reviewing the query details and the medical history, I need more info as follows-
a-Since when you had started on anti-high BP drugs
b-What are the anti-hypertensive drugs which you take?
c-Since how long you have this retention problem?
d-what are the following current and old reports on-
Urine microscopy, Complete Blood Count, fasting and post-prandial sugar, renal profile

Till the time you send this information, please act on the following health tips-
a-Take plenty of fluids
b-Maintain private part hygiene
c-Spinach soups and Skimmed butter milk -2 times a day
d-Banana Milk shakes x 2 times a day.
This would recoup your body and would take care from further retentions.
Welcome for any further query in this regard.

Await your reports and more info for the final advise on how to avoid the repeated bladder retention and how to avoid-catheterisation to relieve bladder retention.

Have a Good Day.
With Regards,
Dr.Savaskar M.N.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Mukund Savaskar (27 minutes later)

I haven't made appointment with a family.doctor yet. I went to the er nd they said my urine was normal. I've been having this problem for over two years but it's never been where I couldn't empty my bladder. This just.got like this maybe two months ago. There hAve been time when I couldn't go and I will drink a bottle of water and go six times...lol.... my blood pressure medication is Bisoprl/hctz 2.5/6.25mg.... this is all the information I have at the moment
I've been on hbp medication since 2009..... I've had bp problems since I was in high school. It runs in the family. I'm also obese. Was in a car accident where I suffered an open book pelvis fracture don't know If this could also be a contribution to the situation :-)

Answered by Dr. Mukund Savaskar (1 hour later)

Brief Answer:
In-consistant Bladder retention under Investigation

Detailed Answer:
Hi,Dear,Good evening from XXXXXXX
@My impression of your case after the new info -is-
-Bisaprolol Induced Bladder Retention- and
-Open Book Pelvic fracture-contributions to it- to be studied by special test after 3 wkly review
Thanks for the prompt reply.This detailed brief up from you has made my views clearer to resolve your bladder retention problem
@After review of the new facts-following impressions would help to follow these-few important health tips-
a-The problem is more complex as the open pelvic fracture and bisaprolol are complicating the situation and are causing this retention of bladder.
b-I would advise you to give trial for 3 wks -with bisaprolol with PLENTY OF FLUID intake and to study whether the urine voiding comes to normal after 3 wks.
c-I would review all the test advised last,along with the next 3 wkly review.
d-I would consider special tests only if the Bladder Retention persists after this 3 wks trial with Plenty fluids.
@Hope this would resolve your worrisome query.
Welcome for any further query in this regard,and would love to help you to resolve this bladder retentions problem till it is solved to your satisfaction.
@I would take opportunity to request you to Write strong recommendations promoting my services for the benefit of my new and old patients at HCM clinic.
Wishing you fast recovery..!!
Have a Good Day.
With Regards ,
Dr.SAVASKAR M.N.
Super-specialist in NCCD-Non-Curable Chronic Disorders and
Rejuvenation therapies in tissue and organ failures.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Mukund Savaskar (3 hours later)

Wow..... I didn't know that this medication can cause urine retention.......also I went to the er this morning with no symptoms other than not empting my bladder they placed a catheter in and now when I do urinate it burns...... they took two attempts with the catheter. The first lady was unsuccessful and when she pulled it out, blood was in the tube.......it was told to me I didn't have an infection, but I'm burning when I urinate now.....

Answered by Dr. Mukund Savaskar (9 hours later)

Brief Answer:
BLADDER RETENTION WITH OPEN BOOK-PELVI FRACTURE-

Detailed Answer:
Impression-BLADDER RETENTION WITH OPEN BOOK-PELVI FRACTURE-
Hi, Good Mornig from XXXXXXX -3rd Follow up reply-/11.06 am /monday
I reviewed your case in reference to the latest facts of urinary retention

Please update ASAP on few important facts as follows-
a- Please let me know which year you had open book pelvic fracture?
Upload any reports of that time- if available-at your leisure ASAP.
b- What's the URINE PH NOW?

Your doctors are doing their best, and they have to do with in the limitations of your info / Time and / Science / and its Execution in practice.

Don't worry and get depressed and annoyed. Soon the solution will be executed for you...!!
And thanks for the-Morning Report of the urinary retention-
The pain and the burnig indicates -Catheterisation Urethritis-that is the normal response to Repeated Catheterisation. In this situation, the treatment advise-
i) A Silicon Catheter for Bladder training NOW-for this situation -for few days, and to reduce repeatative urethral trauma-can be tried in your case at this stage to reduce your AGONY.
ii) Get the Urine Ph and
-thereafter ONLY-start urine alkalinizing agent Citralka 2 tsf in a Glass of Water x times a day-
- with Plenty of Fluids x at least 4-5 liters per day in all.
iii) ANTIBIOTICS-if need be with advise from your doctor-to cotrol damage from Acute-urethritis, if your doctor feels, as they are the best informed tech-people in your case.
iv) Continue-Deep Exercises / Spinach Soup -if you get relief/ Skimmed butter Milk-if it suits and soothing your internally / and Banana Milk Shake-if it energises you x 2-3 times a day besides the other things advised.
-Please get me your urine ph -if it could be done / and pending reports as asked last after 2 wkly review

Hope this would resolve the current problems with you. Welcome with any further query in this urgency problem faced by you. I would love to resolve it to its root and would help you. Don't forget to write a Good/Strong Review-for the efforts and services given to you,for the benefit of my new and old HCM patients. Pass a word of recommendation for Me And HCM -to all concerned and contacted with you.
Thanks again for the patient follow-up.

Wish you early recovery.

Hope to see you with reports after 2 wks for the review.
Good Day .
Dr.Savaskar M.N.
M.S.-GENL-CVTS
SUPER-SPECIALIST IN NCCD AND REJUVENATION THERAPIES FOR TISSUE AND ORGAN FAILURES

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mukund Savaskar (9 hours later)

Hi and Good morning... my pelvis fracture was in 2006. My urine phone would be a test for me kidneys to see how they function right? If so can you get a test kit for that or do you have to go to the doc for that? I did however perform a UTI test at home and did find traces of an infection late last night, this however wasn't detected when u went to the er yesterday morning. Thanks for all your hard efforts and very informative advice. The doctors down here don't really act to concern about getting to the bottom of patients concerns. Much appreciated doc...,, :-)

Answered by Dr. Mukund Savaskar (1 hour later)

Brief Answer:
Bladder Retention -with Old Open Book Pelvic fracture

Detailed Answer:
My Diagnosis-Bladder Retention-with Old Open Book Pelvic Fracture
HI,Dear,Good Evening from XXXXXXX / 4th follow-up and closing reply./10.18 pm /monday
-Thanks for the kind words expressed by you.
I went through all the info given by you and would like to give you following treatment suggestions till next 2 wkly review-
a-Urine PH-is the test of the urine for knowing the ACIDITY and is done in routine Urine Examination world over and your doctor would do for you in his laboratory.
So please update photograph of the Urine Examination report which you have.
b-Upload your UTI -(Urinary Tract Infection )-test Report copy to me for my study.
c-I take a note of your urine report for UTI test-showing Traces of infection.
See you after 2 wks for a review work up on your case.
Welcome for any new queries before your next appointment.
I would close this dialogue now.
@Request you to write good and strong review ASAP after this reply, to recommend MY and HCM services for the benefit of the new and old patient of HCM and Mine.
Wishing you early recovery.
Good Night.
With Regards,
Dr.Savaskar M.N.
M.S.Genl-CVTS

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Mukund Savaskar (1 hour later)

Ok.....thanks again

Answered by Dr. Mukund Savaskar (24 minutes later)

Brief Answer:
Bladder Retention Due to ? Open book Pelvic Fracture

Detailed Answer:
By By and Good day.
See you after 10 days.
Dr.SAVASKAR

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj