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Incontinence (Urinary) (Expert Forum)
Frequent Urination
Answered by
David A Burks, MD - Interstitial Cystitis, Urology
Henry Ford Health Systems
Detroit - MI
Questions in the Urinary Incontinence forum are answered by Dr. David A. Burks, MD from Henry Ford Health Systems.
Frequent Urination
by suwanda, Aug 23, 2009 10:12AM
I am suffering frm frequent urination problem for 4 years.. Per day it is 10-20 times. Dribbling occurs after urination.I met a specialist in urology and asked me to have UFR, FBS, and a Pelvic Ultra sound scan. He checked the reports and said everything normal. He specified Urimax 4.0 mg for 2 weeks. Even after this treatment the problem exists.
Reports Details are as follows
UFR
---------
1) color- light yellow
2) appearance - clear
3) specific gravity - 1.015
4) reaction (ph) 6.0
5) protein/sugar/ketones/bile pigment/nitrite - nil
6)urobilingen - normal
7)pus cells - occational
8) red cells - nil
9) epithelial cells +
10) casts/crystals/organisms/others - nil
FBS
----------
1) fasting blood glucose venous - 99 mg/dl
US SCAN
---------------
1) prstate gland normal in size
2) the bladder wall thickness is normal and there are no calculi or SOL
3) no renal calculi or hydronephrosis
4) kidney measures, right - 10.3, left - 10.5
5) no gall bladder
Reports Details are as follows
UFR
---------
1) color- light yellow
2) appearance - clear
3) specific gravity - 1.015
4) reaction (ph) 6.0
5) protein/sugar/ketones/bile pigment/nitrite - nil
6)urobilingen - normal
7)pus cells - occational
8) red cells - nil
9) epithelial cells +
10) casts/crystals/organisms/others - nil
FBS
----------
1) fasting blood glucose venous - 99 mg/dl
US SCAN
---------------
1) prstate gland normal in size
2) the bladder wall thickness is normal and there are no calculi or SOL
3) no renal calculi or hydronephrosis
4) kidney measures, right - 10.3, left - 10.5
5) no gall bladder
Doctor's Answer
by David A Burks, MD, Aug 25, 2009 09:16PM
, Aug 25, 2009 09:16PMTo: suwanda
HI, I don't know how old you are, but you are male. You were treated with a standerd pill for men with an enlarged prostate but there was no improvement. I assume you eliminated caffeine drinks that can cause this. I also assume you are not overdrinking fluids to cause the frequency. If not, you sound like you have overactive bladder. It is a common condition in men and women. Urinary urgency is the cardinal symptom. Urgency to void causes frequency, often getting up at night to urinate, and maybe incontinence on the way to the bathroom. Your urine shows no infection, and your kidneys and bladder are normal by ultrasound. Your Urologist needs to check to see that you empty your bladder after you urinate, then he can safely start a medication for overactive bladder and see how you respond. If you don't respond to at least 1 of 3 common medications for this you may need specialized studies to sort out the problem. Good Luck
