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Urology (Expert Forum)
urinary frequency and feelings of leaking
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
urinary frequency and feelings of leaking
by Nancy__0__0, Jun 15, 1999 12:00AM
Posted by Nancy on June 15, 1999 at 12:38:46
About one month ago, I had an exteme allergic reaction to cephzil which I was taking for a sinus infection. I was given a benedril shot and 2 prednisone pills, followed by a shot of cortisone and a prescription of hydroxexene (spell?) 12 hours later. I was then put on a 7 day step down program of cortisone. After 48 hours on cortisone and the hyroxexene, I began having urinary frequency, and feelings of leaking a little urine although no burning. A urinalysis showed the presence of red blood cells (I didn't have my period) and I was put on macrobid. My symptoms seemed to decrease, but after 5 days, the left side of my face went numb. They took me off macrobid and the frequency came back. I went back to the doctor, they did another urinalysis and again found red blood cells, but as the original urinalysis culture came back negative, they told me to go home and drink water. I went to a different family practitioner, the urine culture was again negative, (although red blood cells were again present) but my outer labia, when examined, was red and inflamed. The doctor said the frequency could be a result of all the medications I was one and that the bladder and vaginal area was probably just very sensitive. (I didn't seem to have a yeast infection, she checked me for one).
It's now one month later and while my labia is no longer inflamed, I still have the feelings of frequency. I was given a prescription for Detrol, but after my allergic reactions, I'm pretty reluctant to take any more medications. I'm not sure what to do next; could it just take a long time to recover from the allergic reactions and drugs or is my bladder somewhow now permanently sensitized? Thank you for your help.
Nancy
Posted by HFHS M.D.-AK on June 18, 1999 at 13:39:20
Dear Nancy,
I don’t know if I buy the permanent sensitivity of the bladder theory. I think you should repeat your cultures of the urine and send a urine cytology. If you have blood in the urine, you need to have an IVP and cystoscopy to work-up your hematuria. You can try the bladder relaxing medications such as Detrol or Ditropan, but if these don’t work, you may need to have a urodynamic work-up performed by a urologist.
I think it is important for you to see a urologist if your irritative voiding symptoms and frequency continue. I don’t have your full history nor do I have the ability to ask you questions about your diet and voiding history. You need to have a history and physical by someone who specializes in the care of your problem to better understand your complex case. I think a visit to a urologist may help you gain answers to your questions.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Frequency
