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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Pressure During Urination Be Treated?

Now i am taking one Tablet of Urimax D and one Tab of Roliten 2mg at nightdaily. I am getting pressure for urinating almost every 2 Hours both in Day or Night. i,e. almmost 12 tmes in 24 Hrs. My BPH ,size of Prostrate is 43grams. out of 12 times,at night between 12pm to 6am -3 times. I urinate and sleep again. Urine in bladder insignificant after void as per USG. Kidney is normal.water in take 3 and half litre a day. Age -69 yrs. having good health otherwise,goes for walking for 45mins inthe evening at normal walking speed. Kindly advise next course of medicine.
Tue, 20 Aug 2019
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General Surgeon 's  Response
Hello,

The probable cause of your symptoms can be the following as per your history you have provided:

Severe cystitis / Stone in the urinary bladder / Severe UTI. The urge, pressure, burning, cramp and even the stringy blood clot can be explained by any of the suggested diagnosis.

The dark / coffee color of the urine can be altered blood color in the urine on disintegration.

There is already a history of bladder infection in the past. This is in fact urinary tract infection of the whole urinary system and the previous infection can form a nidus on which small stones can develop.

I can understand the plight you may be going through with all expected yes and nos in your mind.

The best way is to get an exact diagnosis so that the treatment can be targeted well; I would suggest the following:

First of all, to give urine for tests before the antibiotic are started as even a single dose of an antibiotic can change the real picture. Urine- routine, microscopy, culture and sensitivity.

Blood tests: CBC to see WBC count whether increased or not; urea, creatinine, sugar. Ultrasonography (USG): will help in detailed diagnosis, of kidneys, ureters and urinary bladder/stones/infection.

The treatment can be started with the consultation of your Doctor - antibiotics the moment urine sample is given, Urilizer ( urinary alkalinize), symptomatic and supportive as needed.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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How Can Pressure During Urination Be Treated?

Hello, The probable cause of your symptoms can be the following as per your history you have provided: Severe cystitis / Stone in the urinary bladder / Severe UTI. The urge, pressure, burning, cramp and even the stringy blood clot can be explained by any of the suggested diagnosis. The dark / coffee color of the urine can be altered blood color in the urine on disintegration. There is already a history of bladder infection in the past. This is in fact urinary tract infection of the whole urinary system and the previous infection can form a nidus on which small stones can develop. I can understand the plight you may be going through with all expected yes and nos in your mind. The best way is to get an exact diagnosis so that the treatment can be targeted well; I would suggest the following: First of all, to give urine for tests before the antibiotic are started as even a single dose of an antibiotic can change the real picture. Urine- routine, microscopy, culture and sensitivity. Blood tests: CBC to see WBC count whether increased or not; urea, creatinine, sugar. Ultrasonography (USG): will help in detailed diagnosis, of kidneys, ureters and urinary bladder/stones/infection. The treatment can be started with the consultation of your Doctor - antibiotics the moment urine sample is given, Urilizer ( urinary alkalinize), symptomatic and supportive as needed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon