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Suggest Treatment For Urinary Incontinence In A Patient With Huntington S Disease
Hi my son is a 47 year old who has Huntington s Disease ,the last week he has major broblems with incontinance he is usually has a broblems but now it s crazy I have him in pants which aren t working day or night I have noticed the last couple of days he is shaking as if he is cold also his drool is quite thick his urnie is not smeely thank you
Thu, 7 Apr 2016
Hello dear
Understand your concern.
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
5. Avoid alcohol and caffeine
6. Pelvic floor exercise.
B. drugs
1. Anticholinergic- Oxybutynin
2. Mirabegran
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
Understand your concern.
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
5. Avoid alcohol and caffeine
6. Pelvic floor exercise.
B. drugs
1. Anticholinergic- Oxybutynin
2. Mirabegran
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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