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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Urinary Retention

Hi..i am preety shetty and i m 23 years old female and i am unmarried.I hav a problem dat i hav to go no of times for urination,with poor flow,and my problem is increasing now i m getting confusing i am contracting or relaxing my bladder muscles.I met my physician and urologist,KUB USG was done.Thank god,i hav no ifinfection of kidney,UT,no stones in kidney and urethra and my Urine culture test results were negative.My problem is urinary retention.So i got cleared that is why every time i hav to go forcebly with poor flow like drops but not satisifying again i hav to go immediately.so my doctor prescribed Veltam for 2 months..can this cures my problem? How can i take without knowing whether i hav muscular prooblem at lower area or its Nervous issue or narrowed urethra?can i take without confirming my problem or i hav to go for furether checkups to know the exact areaof my problem?
Thu, 28 Nov 2019
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General Surgeon,  's  Response
Hi.

Noted your detailed history and investigations reports, opinion of Urologist and taking Veltam.
You are a female patient, unmarried, no urinary tract infection yet the problems remains.
Hence I would advise you the following in such a situation:
Consult Urologist only.
You need additional investigations:
Urethro-cystoscopy.
Bladder pressure studies, Uroflo and all.
MRI of the lower spine to see for any nerve or spinal cord problem that can cause your symptoms.
Discuss about stress and anxiety as these can cause or increase such problems.
Once a proper diagnosis is done then only a possibility of a proper management can be thought about.
You may need bladder training and exercises to improve on if needed.

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

Regards,
Dr. T. Chandrakant, General Surgeon
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Suggest Treatment For Urinary Retention

Hi. Noted your detailed history and investigations reports, opinion of Urologist and taking Veltam. You are a female patient, unmarried, no urinary tract infection yet the problems remains. Hence I would advise you the following in such a situation: Consult Urologist only. You need additional investigations: Urethro-cystoscopy. Bladder pressure studies, Uroflo and all. MRI of the lower spine to see for any nerve or spinal cord problem that can cause your symptoms. Discuss about stress and anxiety as these can cause or increase such problems. Once a proper diagnosis is done then only a possibility of a proper management can be thought about. You may need bladder training and exercises to improve on if needed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon