
What Causes Frequent Urination?

Question: Sir,
My name is XXXX living in Vanastalipuram and your patient in Kamineni Hospitals
Of late, I have a complaint of frequent urination especially between 8.30 pm and 10.30 pm ( 4 times) without much of urgency.
I have a kind of discomfort and think am unable to empty the blodder.
Brief Answer:
Need Investigations
Detailed Answer:
Dear XXXX,
I suggest you get a few basic tests done straightaway. These include USG KUB with PVR, CUE, Serum Creatinine, RBSugar. I also suggest you get a Uroflowmetry done.
I think you might find improvement in urinary frequency with use of medicines like Darifenacin 7.5mg once daily. This could cause dry mouth and you should not take it if you are not on medications like tamsulosin as there is a chance you might develop urinary retention.
Let me know your progress.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


Sir,
've got tests done.
1. Creatinine Result : 1.00
2. Random Plasma Glucose : 82
3. CUE
Colour : Pale Yellow Appearance : Clear Specific Gravity : 1.020
Reaction/pH : Acidic (6.5) Protien : NIL Sugar (Glucose) : NIL
Urobilinogen : Normal Biliruben : Negative Keytones : Negative
Nitrites : Negative Pus Cells : 2-3/HPF R.B.C - Nil Epithelial Cells :4-6/HPF
Casts and Crystals : Nil
4.Ultrasound Scan of KUB
Right Kidney : 111X40mm, Left Kidney : 105 X 48mm
Both kidneys are normal in size, shape and position
No evidence of echo reflective calculus noted.
Pelvicalyceal system is normal on both sides
Prostate size : 37 X 32 X36 mm; volume +23 cc
Prostate is mild enlarged in size and echotexture.
Urinary bladder is normal. No evidence of any mass lesions noted.
Prevoid Urine Volume - 310 CC
Post void residual urine volume - 25 CC
No evidence of free fluid noted.
No evidence para - aortic lymphadenopathy noted
Impression : Mild prostatomegaly (Volume - 23 CC)
NIL significant postvoid residual urine.
Would request your kind advice.
Thanking you,
P.V Bhasker XXXXXXX

Sir,
Would request once more for your advice as to the test results posted and medication.
Thanking you,
XXXX
Brief Answer:
Darifenacin and Tamsulosin combination will be use
Detailed Answer:
Hi,
I had a look at all the reports you have posted, and as there is no major problem with the reports, i suggest you use Darifenacin 7.mg once daily along with Dynapres (Tamsulosin) as earlier. If do not find relief, you might need other tests like Uroflowmetry which I have mentioned earlier.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


Sir,
How long these medicines are to be taken?
Thanking you,
XXXX
Brief Answer:
Take over the next 3 months
Detailed Answer:
Hi again,
I suggest that if you find benefit with this combination, you continue to use them for the next 3 months and we will review. If there are any obvious side-effects or if the drugs are not helping - please let me know earlier.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
