How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 42806
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

I am urinating more than 8 times a day since last few weeks.

Customer Question

I am urinating more than 8 times a day since last few weeks. I went to see a urologist who carried our Ultra sound, urine flow and urine test - all clear and hence diagnosed me with active bladder issue and prescribed Vasicare for a month. I used it for a but then start having side effects such very bad constipation and heat rushes. Went to see the urologist again but was not available and saw another who then changed the medicine toor last f Tamsulosin and he believes I have urine retention problem.
I have been taking Tamsulosin for the past few days but completely confused abut my situation as cant see any sign of improvements. Hence, wondering do I need to take another advice
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

I hope you had urodynamic studies to look for bladder spasms. an

Dr. David :

did the vesicare help with the frequent urination?

JACUSTOMER-8p3snq07- :

not really

Dr. David :

what dose did you use?

JACUSTOMER-8p3snq07- :

5 mg

JACUSTOMER-8p3snq07- :

daily

Dr. David :

10mg is the maximum dose

JACUSTOMER-8p3snq07- :

just used it for a week

Dr. David :

are you having 8 times urination at night or during the day.

JACUSTOMER-8p3snq07- :

whole day

Dr. David :

you need to be on the vesicare for at least 2-3 weeks

JACUSTOMER-8p3snq07- :

at night its a lot better

JACUSTOMER-8p3snq07- :

only have to wake up once

JACUSTOMER-8p3snq07- :

and in the morning its not bad either

Dr. David :

I see. so worse during the day.

JACUSTOMER-8p3snq07- :

yep

Dr. David :

what dose of tamsulosin are you using?

Dr. David :

0.4 just one pill?

JACUSTOMER-8p3snq07- :

yep

Dr. David :

the maximum dose is 2 pills a day.

Dr. David :

are you having any side effects of dizziness or lightheadedness from the tamsoulosin?

JACUSTOMER-8p3snq07- :

yep

JACUSTOMER-8p3snq07- :

but manageable

Dr. David :

tamsulosin can drop your blood pressure and cause dizziness.

Dr. David :

is it helping your urinary frequency?

JACUSTOMER-8p3snq07- :

a little

Dr. David :

tamsulosin helps improve urinary flow.

Dr. David :

so you can empty your bladder more completely so you don't have to urinate so frequently.

JACUSTOMER-8p3snq07- :

i am confused about diagnosis

Dr. David :

if you drink lots of water or fluids or sodas during the day, you will have to urinate frequently no matter what.

JACUSTOMER-8p3snq07- :

and isn't tamosulin for prostrate

JACUSTOMER-8p3snq07- :

plus read it has some serious side effect like dysfunction

Dr. David :

tamosulin is flomax and it helps relax smooth muscles along the urethra to help improve urine flow.

Dr. David :

it can be used in patients who have enlarged prostates to help them urinate easier.

Dr. David :

what type of dysfunction?

Dr. David :

its main side effect is drops in blood pressure and dizziness.

JACUSTOMER-8p3snq07- :

and what about impact on sexual life??

Dr. David :

flomax doesn't affect sexual function.

JACUSTOMER-8p3snq07- :

but doc did warn me that i will have dry sex

JACUSTOMER-8p3snq07- :

anyway i am more worried about diagnosis

JACUSTOMER-8p3snq07- :

is it a case of Active Bladder or Urinary retention

JACUSTOMER-8p3snq07- :

during my ultra sound test

JACUSTOMER-8p3snq07- :

my prevoide vole was 563 ml

JACUSTOMER-8p3snq07- :

and post void 63.5

Dr. David :

post void is very small

JACUSTOMER-8p3snq07- :

prostrate volume was 2.87 * 3

Dr. David :

I don't think it is urinary retention.

Dr. David :

prostate volume seems small.

JACUSTOMER-8p3snq07- :

2.87 * 3.22 * 2.75 cm

Dr. David :

that is 2.87cm?

Dr. David :

that is a small prostate.

JACUSTOMER-8p3snq07- :

yep

JACUSTOMER-8p3snq07- :

13.3 ml

Dr. David :

do you drink a lot of fluids during teh day?

JACUSTOMER-8p3snq07- :

yep

Dr. David :

that is why you are peeing a lot during the day.

Dr. David :

you might not need any medications at all.

JACUSTOMER-8p3snq07- :

but i feel like going all the time

JACUSTOMER-8p3snq07- :

for example today

JACUSTOMER-8p3snq07- :

i peed once and then aftrr 15 min

Dr. David :

do you have problems with excessive anxiety during the day?

JACUSTOMER-8p3snq07- :

i had urge to go again

Dr. David :

increased nervousness?

JACUSTOMER-8p3snq07- :

not really

JACUSTOMER-8p3snq07- :

and even now i am having the urge but trying to maintain a gap

JACUSTOMER-8p3snq07- :

most importantly i never had this problem before

Dr. David :

have you tried to drink less fluids during the day?

Dr. David :

also another possibility is cystitis.

JACUSTOMER-8p3snq07- :

nopes

Dr. David :

you might need to have a cystoscopy to look inside of your bladder to see if the bladder is inflamed

JACUSTOMER-8p3snq07- :

ok

Dr. David :

sometimes bladder diverticulosis or a bladder stone can irritate the bladder and cause you to go more frequently.

Dr. David :

did they test your urine to check for blood in the urine?

JACUSTOMER-8p3snq07- :

yep

Dr. David :

was there any blood?

JACUSTOMER-8p3snq07- :

nopes

JACUSTOMER-8p3snq07- :

Glucose, quantative, blood 4.10

JACUSTOMER-8p3snq07- :

albumin was high 51.3

Dr. David :

try to drink less fluids during the day.

Dr. David :

this is albumin in the blood?

JACUSTOMER-8p3snq07- :

and what about medicines

Dr. David :

there shouldn't be albumin in the urine.

Dr. David :

if they don't help, don't take them.

JACUSTOMER-8p3snq07- :

51.3 - sorry that's blood test

JACUSTOMER-8p3snq07- :

Blood - negative in the urine test

Dr. David :

I see.

Dr. David :

try to drink less fluid during the day.

Dr. David :

if that doesn't help, you might need a cystoscopy to look inside of the bladder.

Dr. David :

avoid caffeine and alcohol which can irritate the bladder

JACUSTOMER-8p3snq07- :

ok

Dr. David :

let me know if you have other questions.

JACUSTOMER-8p3snq07- :

anything to worry about

Dr. David :

no, nothing to worry about.

Dr. David :

if you worry less about urination, I bet you will urinate less.

Dr. David :

if done, please leave +++ positive feedback below the chat box.

Dr. David :

you can always reach me as Dr. David if you have other questions.

Dr. David :

thanks for using JustAnswers.com

JACUSTOMER-8p3snq07- :

so should stop the medicine for the time being

Dr. David :

yes, you can stop the medications for the time being.

JACUSTOMER-8p3snq07- :

and just focus on reduce liquid intake

Dr. David :

yes, and focus on not thinking about your urination.

JACUSTOMER-8p3snq07- :

and should i try hold urine

JACUSTOMER-8p3snq07- :

to have a gap

Dr. David :

no, don't try to hold urine. this makes you think about it more

Dr. David :

if you feel you need to urinate, urinate.

JACUSTOMER-8p3snq07- :

but at times i go and have to push a lot

JACUSTOMER-8p3snq07- :

but if i give a gap then no problems

Dr. David :

I think you are getting too focused and caught up in this whole urination think and this is making your symptoms worse.

JACUSTOMER-8p3snq07- :

okay

Dr. David :

do u have other questions?

JACUSTOMER-8p3snq07- :

nopes

JACUSTOMER-8p3snq07- :

thanks for your time and explanation

Dr. David :

you are welcome

Dr. David :

don't forget to leave +++ positive feedback below

Dr. David :

so I can get credit for helping you today

Dr. David :

you can always reach me as Dr. David if you have other questions.

Dr. David :

thanks for using JustAnswers.com

JACUSTOMER-8p3snq07- :

ok thanks

Dr. David :

do you see the feedback area below the chat box?

Dr. David :

do you have any other questions?

Dr. David :

don't forget to leave positive feedback below.

Dr. David :

thanks.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions