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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recovering From Transverse Myelitis, Frequent Urination, Incontinence, Taken Terol For UTI. Plan Of Action?

I am 57, Male and in the process of recovery from Transverse Myelitis .I had regained bowel control to an extent but still suffer from problem of frequent urination and incontinence .The steroid dosage of methylprednisolone is completed.Being on Catheter for a month;i have developed UTI for which i have been advised to take Martifur 100 mg thrice a day after meals.Even after taking Terol LA 2 mg (Twice a day) and Gabapin ME 300;there is no relief from frequent and consistent urination and it gets problematic when i am asleep.I am also taking Shelcal 500 and Bevon.The problem of frequent urination at short intervals is making me feel weak and causing excessive fluid loss. Kindly, provide me a comprehensive outline of the plan of action to be taken for proper rehabilitation.I am attending physiotherapy sessions for 30 mins twice a day
Mon, 2 Dec 2013
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Urologist,  's  Response
Hi,
I suggest you have a few tests done. These include a Uroflowmetry, and an estimate of post void residue and an assessment of Serum Creatinine. If these are abnormal, you might not derive benefit from drugs like Terol.
Depending on the flow and residue, we might have to start you on a system of self catheterization to reduce chances of kidney injury due to high bladder pressures.
Also you should ensure that urinary infection has been controlled properly with appropriate antibiotics. The excessive urination alone is unlikely to cause dehydration and weakness.
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Recovering From Transverse Myelitis, Frequent Urination, Incontinence, Taken Terol For UTI. Plan Of Action?

Hi, I suggest you have a few tests done. These include a Uroflowmetry, and an estimate of post void residue and an assessment of Serum Creatinine. If these are abnormal, you might not derive benefit from drugs like Terol. Depending on the flow and residue, we might have to start you on a system of self catheterization to reduce chances of kidney injury due to high bladder pressures. Also you should ensure that urinary infection has been controlled properly with appropriate antibiotics. The excessive urination alone is unlikely to cause dehydration and weakness.