This is Dr. David
I hope you had urodynamic studies to look for bladder spasms. an
did the vesicare help with the frequent urination?
what dose did you use?
10mg is the maximum dose
just used it for a week
are you having 8 times urination at night or during the day.
you need to be on the vesicare for at least 2-3 weeks
at night its a lot better
only have to wake up once
and in the morning its not bad either
I see. so worse during the day.
what dose of tamsulosin are you using?
0.4 just one pill?
the maximum dose is 2 pills a day.
are you having any side effects of dizziness or lightheadedness from the tamsoulosin?
tamsulosin can drop your blood pressure and cause dizziness.
is it helping your urinary frequency?
tamsulosin helps improve urinary flow.
so you can empty your bladder more completely so you don't have to urinate so frequently.
i am confused about diagnosis
if you drink lots of water or fluids or sodas during the day, you will have to urinate frequently no matter what.
and isn't tamosulin for prostrate
plus read it has some serious side effect like dysfunction
tamosulin is flomax and it helps relax smooth muscles along the urethra to help improve urine flow.
it can be used in patients who have enlarged prostates to help them urinate easier.
what type of dysfunction?
its main side effect is drops in blood pressure and dizziness.
and what about impact on sexual life??
flomax doesn't affect sexual function.
but doc did warn me that i will have dry sex
anyway i am more worried about diagnosis
is it a case of Active Bladder or Urinary retention
during my ultra sound test
my prevoide vole was 563 ml
and post void 63.5
post void is very small
prostrate volume was 2.87 * 3
I don't think it is urinary retention.
prostate volume seems small.
2.87 * 3.22 * 2.75 cm
that is 2.87cm?
that is a small prostate.
do you drink a lot of fluids during teh day?
that is why you are peeing a lot during the day.
you might not need any medications at all.
but i feel like going all the time
for example today
i peed once and then aftrr 15 min
do you have problems with excessive anxiety during the day?
i had urge to go again
and even now i am having the urge but trying to maintain a gap
most importantly i never had this problem before
have you tried to drink less fluids during the day?
also another possibility is cystitis.
you might need to have a cystoscopy to look inside of your bladder to see if the bladder is inflamed
sometimes bladder diverticulosis or a bladder stone can irritate the bladder and cause you to go more frequently.
did they test your urine to check for blood in the urine?
was there any blood?
Glucose, quantative, blood 4.10
albumin was high 51.3
try to drink less fluids during the day.
this is albumin in the blood?
and what about medicines
there shouldn't be albumin in the urine.
if they don't help, don't take them.
51.3 - sorry that's blood test
Blood - negative in the urine test
try to drink less fluid during the day.
if that doesn't help, you might need a cystoscopy to look inside of the bladder.
avoid caffeine and alcohol which can irritate the bladder
let me know if you have other questions.
anything to worry about
no, nothing to worry about.
if you worry less about urination, I bet you will urinate less.
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so should stop the medicine for the time being
yes, you can stop the medications for the time being.
and just focus on reduce liquid intake
yes, and focus on not thinking about your urination.
and should i try hold urine
to have a gap
no, don't try to hold urine. this makes you think about it more
if you feel you need to urinate, urinate.
but at times i go and have to push a lot
but if i give a gap then no problems
I think you are getting too focused and caught up in this whole urination think and this is making your symptoms worse.
do u have other questions?
thanks for your time and explanation
you are welcome
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