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Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8703
Experience:  Doctor of Medicine
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I am 42 years old and have been suffering with constantly peeing

Customer Question

I am 42 years old and have been suffering with constantly peeing during the night. I visited the doctor she tested my urine found no problems relating to a possible urinary tract problem. Last night I noticed I drank water between my many visits to the loo and the water was pee'd out immediately. I did a sugar test it is negative. The doctor said I need to try and visit the loo more often during the day as I could have swopped my daily / nightly patterns with regards XXXXX XXXXX She prescribed the following tablets lyrinel to help me from the urges which I do not take on a regular basis. Strangely during the day I dont have the urge to pee although I just go as the doctor instructed. Last night was truly outrageous I could have went 7 times (although I can understand as I drank coffee half an hour before I slept). I have picked up weight and don't exercise
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. SH replied 2 years ago.

Dr. Shahzad MD :

Hi there. Thank you for your question. I will be helping you out with your queries

Dr. Shahzad MD :

welcome

JACUSTOMER-m6c6hsze- :

Thanks Doctor I would also like to mention that I am not extremely fat however I have picked up 7kgs

JACUSTOMER-m6c6hsze- :

furthermore I use brazepam to sleep as I do suffer from insomnia

Dr. Shahzad MD :

How much fluids do you take in a 24 hour time

JACUSTOMER-m6c6hsze- :

about 1 litre that would include water and coffee however it is getting colder and I have reduced my water intake

Dr. Shahzad MD :

What about the amount of caffeinated beverages?

Dr. Shahzad MD :

How much do you take those?

JACUSTOMER-m6c6hsze- :

I have a cup of tea in the morning the rest of the day I sip on water and sometimes at night a cup of coffee or tea or hot chocolate

Dr. Shahzad MD :

What does your doctor say is the cause of this?

JACUSTOMER-m6c6hsze- :

she couldnt conclusively diagnose me like I explained in my introductory statement she said it could be that my bladder swopped out my daily and nightly urinary patterns

JACUSTOMER-m6c6hsze- :

she suggested i take the sugar test which i done and it is negative

Dr. Shahzad MD :

Has lyrinel helped any?

JACUSTOMER-m6c6hsze- :

it does help although i still am aware that i have to go to toilet and i havent taken it regularly

JACUSTOMER-m6c6hsze- :

what i mean i still know that i want to pee is that i can still feel the need to go to the loo although it is not urgent

JACUSTOMER-m6c6hsze- :

and I did not take the lyrinel as I do not want to function on a tablet as a long term condition

Dr. Shahzad MD :

I understand

Dr. Shahzad MD :

Since how long are you having this problem?

JACUSTOMER-m6c6hsze- :

I noticed it about 2 months ago

Dr. Shahzad MD :

How is your kidney function?

JACUSTOMER-m6c6hsze- :

could Doc be more specific with regarding to kidney problems ?

JACUSTOMER-m6c6hsze- :

as I am not aware of having any such problems

Dr. Shahzad MD :

What is your creatinine level?

Dr. Shahzad MD :

Creatinine clearance and GFR?

JACUSTOMER-m6c6hsze- :

that i do not know ... neither do i know the GFR

JACUSTOMER-m6c6hsze- :

if you referring to the colour of my urine it is very clear

Dr. Shahzad MD :

No

Dr. Shahzad MD :

not color of urine

JACUSTOMER-m6c6hsze- :

then i do not know the creatinine level and gfr...

Dr. Shahzad MD :

Increased night time frequency of urination can be due to deranged kidney function.

Dr. Shahzad MD :

Which is one thing that you should confirm or should be confirmed with testing.

JACUSTOMER-m6c6hsze- :

please explain deranged kidney function ?

Dr. Shahzad MD :

Deranged kidney function means raised creatinine level, reduced GFR which stands for glomerular filtration rate.

Dr. Shahzad MD :

Are you with me?

JACUSTOMER-m6c6hsze- :

ok i understand I need to go back to the doctor and do a kidney test however is there any other possibility ???

Dr. Shahzad MD :

Can you please let me know if you are on any other medications for anything?

Dr. Shahzad MD :

Please let me know.

JACUSTOMER-m6c6hsze- :

i use brazapam for sleeping as I suffer with insomnia

JACUSTOMER-m6c6hsze- :

besides that I do not use any other medication except if I have a headache or flu

Dr. Shahzad MD :

Since how long are you using this?

JACUSTOMER-m6c6hsze- :

I have insomnia for the last 27 years and I have used several other tablets to assist me to sleep like nomisol however the last 3 years I am using brazepam

Dr. Shahzad MD :

What is your height and weight?

Dr. Shahzad MD :

Do you have any other medical problems?

Dr. Shahzad MD :

Other problems like sleep apnea?

JACUSTOMER-m6c6hsze- :

i weigh 47 kgz

JACUSTOMER-m6c6hsze- :

I am 4.2

Dr. Shahzad MD :

Any other medical problems?

JACUSTOMER-m6c6hsze- :

i dont have sleep apnea loosing breath while sleeping coz usually the tablets make me sleep right through

JACUSTOMER-m6c6hsze- :

i dont have any other medical problems

Dr. Shahzad MD :

Have you been under more stress recently or in the past few months?

JACUSTOMER-m6c6hsze- :

yes i could be although stress does'nt have clear symptoms]

Dr. Shahzad MD :

I understand, I think that your symptoms could be either stress related or related to medication i.e. bromazepam (although its rare to have nocturia with it but its still possible).

Dr. Shahzad MD :

Other causes include bladder hyperactivity, interstitial cystitis.

Dr. Shahzad MD :

Lyrinel is something that will most likely help if its due to bladder hyperactivity or stress.

JACUSTOMER-m6c6hsze- :

so should i take the lyrinel more regularly ?

JACUSTOMER-m6c6hsze- :

and when should i stop it

JACUSTOMER-m6c6hsze- :

i dont want to have it as chronic

Dr. Shahzad MD :

You should take it before going to bed.

Dr. Shahzad MD :

and more regularly.

JACUSTOMER-m6c6hsze- :

and when would i know to stop it ?

Dr. Shahzad MD :

well, first of all we need to know if its effective or not.

Dr. Shahzad MD :

If its effective then I would use it for at least two to four weeks.

JACUSTOMER-m6c6hsze- :

it seemed effective since i slept after i took the lyrinel

Dr. Shahzad MD :

Thats great

Dr. Shahzad MD :

so you should continue taking it.

JACUSTOMER-m6c6hsze- :

and then should i stop it after 4 weeks

Dr. Shahzad MD :

Stop it after four weeks and see if your symptoms have improved.

JACUSTOMER-m6c6hsze- :

i just read doctor oz explaining that 20 million women suffer the same problem although i could not follow his entire programme and did not hear exactly what he was referring too ... do you perhaps know ?? what is it that 20 million women suffer with that causes them to go to toilet at night ?

JACUSTOMER-m6c6hsze- :

and if the symptoms has not improved after 4 weeks then what should I do ??

JACUSTOMER-m6c6hsze- :

by the way I have never been pregnant

Dr. Shahzad MD :

Usually the cause is not known. Idiopathic in other words.

JACUSTOMER-m6c6hsze- :

what is idiopathic

Dr. Shahzad MD :

idiopathic means cause is unknown.

Dr. Shahzad MD :

In almost all these cases medications like lyrinel are used.

JACUSTOMER-m6c6hsze- :

are u confident that lyrinel will or have assisted to overcome this problem

JACUSTOMER-m6c6hsze- :

as i am desperate

Dr. Shahzad MD :

Yes

Dr. Shahzad MD :

I am confident.

JACUSTOMER-m6c6hsze- :

is there any other things i could do besides not drinking beverages at night and using the lyrinel maybe something herbal ?

JACUSTOMER-m6c6hsze- :

i dont want to be dependent on the lyrinel after 4 weeks

JACUSTOMER-m6c6hsze- :

in the event if it does not work

Dr. Shahzad MD :

Reduce caffeine.

Dr. Shahzad MD :

Try and reduce stress as much as you can.

JACUSTOMER-m6c6hsze- :

caffeine i reduced drastically from 7 to 8 cups a day to maybe 1 or 2

JACUSTOMER-m6c6hsze- :

stress is unidentifiable and i dont know whether it is a conclusive deduction to say reduce stress

Dr. Shahzad MD :

I understand but thats how it is.

JACUSTOMER-m6c6hsze- :

i am not happy with that response

Dr. Shahzad MD :

In other words.

Dr. Shahzad MD :

There is usually no known cause of this.

JACUSTOMER-m6c6hsze- :

yes exactly

Dr. Shahzad MD :

I would like that your kidney function should be evaluated first.

JACUSTOMER-m6c6hsze- :

hence i enquired whether there was anything else like a bladder cleanse thing i could do etc

JACUSTOMER-m6c6hsze- :

i will have my kidney tested

JACUSTOMER-m6c6hsze- :

could it be water retention ?

Dr. Shahzad MD :

If you had water retention you would be swollen.

Dr. Shahzad MD :

Are you with me?

JACUSTOMER-m6c6hsze- :

i understand.

JACUSTOMER-m6c6hsze- :

should i use citro soda ?

Dr. Shahzad MD :

No

Dr. Shahzad MD :

There is no need for that

JACUSTOMER-m6c6hsze- :

what else strengthens the bladder

Dr. Shahzad MD :

Pelvic floor exercises.

JACUSTOMER-m6c6hsze- :

i have mentioned this but would like to re-iterate that i drank the lyrinel at 1am this morning with about half a glass of water and i was shocked to find that the amount of water was immediately peed out

Dr. Shahzad MD :

You can find more details on pelvic floor exercises on the following link:

Dr. Shahzad MD :

http://www.mayoclinic.org/healthy-living/womens-health/in-depth/kegel-exercises/art-20045283

Dr. Shahzad MD :

These may help with your urine as well.

Dr. Shahzad MD :

Please do rate me for my services before you leave.

Dr. Shahzad MD :

That is the only way I am credited here for my time.

Dr. Shahzad MD :

Kindest Regards

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