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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bladder Not Getting Empty Completely

Yes, my bladder does NOT EMPTY COMPLETELY when I go to the bathroom. Then a short while later I have urgency and have to evacuate again. Drink at least 60-70 oz water daily...urinate every hour to 1 1/2 hours throughout day and every 3 hrs. at night while sleeping. What is the cost of this service on-line?
Mon, 11 Apr 2016
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General & Family Physician 's  Response
Hello dear.
Understand your concern.
You have urinary incontinence problem:

Following are the causes of your problem

If it is short term
1. Excesssive Alcohol and caffine use
2. Artificial sweetners and corn syrup
3. Blood pressor medication
4. Large dose of vitamin B and C
5. Intake of food high in sugars
6. Urinary tract infection
7. Constipation.

If it is permanent and long term
1. Enlarged prostate
2. Obstruction of the urinary tract by stone and tumor
3. Neurological disorder: parkinsons disease, multiple sclerosis and brain tumour.

Risk factor : Over weight, diabetes melitus, neurological disorder.

Complication: Skin problem:rash and sores
UTI, Stress and anxiety

You should consult the urologist and do the following test:
1. Urine analysis
2. Blood sugars
3. Blood urea, creatinine
4. Clinical examination and measurement of blood pressor and heart rate
5. Cystoscopy
6. Cystogram
7. Pelvic examination
6. CBC, ESR

Doctor may provide following are the treatment
A. Behavior technique
1. Bladder training
2. Double voiding
3. Scheduled toilet every 3-4 hours
4. Reduce fluid intake and take more solid fluid
5. Avoid alcohol and caffeine
6. Pelvic floor exercise.

B. drugs
1. Anticholinergic- Oxybutynin
3. Alfa bloker- Tamsulosin

C. Medical device
You can put urethral insert if not response to drugs and behavior technique.

D. Last option is surgery is problem is severe
1. Bladder neck obstruction
2. Artificial urinary sphincter

Hope this may help you.

Best regards
Dr. sagar
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Suggest Treatment For Bladder Not Getting Empty Completely

Hello dear. Understand your concern. You have urinary incontinence problem: Following are the causes of your problem If it is short term 1. Excesssive Alcohol and caffine use 2. Artificial sweetners and corn syrup 3. Blood pressor medication 4. Large dose of vitamin B and C 5. Intake of food high in sugars 6. Urinary tract infection 7. Constipation. If it is permanent and long term 1. Enlarged prostate 2. Obstruction of the urinary tract by stone and tumor 3. Neurological disorder: parkinsons disease, multiple sclerosis and brain tumour. Risk factor : Over weight, diabetes melitus, neurological disorder. Complication: Skin problem:rash and sores UTI, Stress and anxiety You should consult the urologist and do the following test: 1. Urine analysis 2. Blood sugars 3. Blood urea, creatinine 4. Clinical examination and measurement of blood pressor and heart rate 5. Cystoscopy 6. Cystogram 7. Pelvic examination 6. CBC, ESR Doctor may provide following are the treatment A. Behavior technique 1. Bladder training 2. Double voiding 3. Scheduled toilet every 3-4 hours 4. Reduce fluid intake and take more solid fluid 5. Avoid alcohol and caffeine 6. Pelvic floor exercise. B. drugs 1. Anticholinergic- Oxybutynin 3. Alfa bloker- Tamsulosin C. Medical device You can put urethral insert if not response to drugs and behavior technique. D. Last option is surgery is problem is severe 1. Bladder neck obstruction 2. Artificial urinary sphincter Hope this may help you. Best regards Dr. sagar