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Suggest Treatment For Loss In Bladder Control And Fatigue
I am just about to turn 69 and I m always feeling tired and lethargic. More recently I have developed an overactive bladder and spend half the night walking backwards and forwards to the bathroom. I also drink a lot of water during the day as well as throughout the night and have thick saliva. The only drugs I take are Maxflo (generic) which don t appear to give me much relief and I always get the feeling of never having emptied my bladder properly and I leak. Up until a year ago and maybe more recently I have always been a high energy person, so what could have changed?
Tue, 19 Apr 2016
Understand your concern.
Following are the causes of your problem
Excesssive Alcohol and caffine use, Artificial sweetners and corn syrup, Blood pressor medication, Urinary tract infection, Constipation,
Enlarged prostate, Obstruction of the urinary tract by stone and tumour, Neurological disorder: parkinsons disease, multiple sclerosis and brain tumour.
Risk factor : Over weight, diabetes melitus, neurological disorder.
Consult the doctor 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
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 3-4 hour before meal
5. Avoid alcohol and caffeine
6. Pelvic floor exercise.
B. drugs
1. Anticholinergic- Oxybutynin
2. Mirabegran
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
Following are the causes of your problem
Excesssive Alcohol and caffine use, Artificial sweetners and corn syrup, Blood pressor medication, Urinary tract infection, Constipation,
Enlarged prostate, Obstruction of the urinary tract by stone and tumour, Neurological disorder: parkinsons disease, multiple sclerosis and brain tumour.
Risk factor : Over weight, diabetes melitus, neurological disorder.
Consult the doctor 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
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 3-4 hour before meal
5. Avoid alcohol and caffeine
6. Pelvic floor exercise.
B. drugs
1. Anticholinergic- Oxybutynin
2. Mirabegran
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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