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I have an underactive bladder. Kindly help.
Query: Hello doctor,I am suffering from OAB, UTI and pus cells 30 to 40. I have been under treatment for past two years by a urologist, surgeon, and an infection specialist. In recent urodynamic test after removal of the catheter, I am unable to void means suffering now by UAB. I do not know how I became p... Read Full »
Dr. Hafiz Muhammad Hassan Shoukat
Answer: Hi, Welcome to icliniq.com. Both are opposite conditions. If you mean overactive and underactive bladders from these abbreviations, (these were not standard abbreviations) it is fairly possible that you might have over treated for overactive bladder, you can stop the treatment, and can be restarte... Read Full »
Kindly explain the ultrasound report taken for frequent urination.
Query: Hi doctor, I am checking on for my dad's health condition. He has been urinating every once in a while. If I can give you a ratio of how many time he urinates in an hour, is usually twice which is not normal. On consulting a nephrologist, we were advised for an ultrasound scan. I have the report and... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query and reports (attachment removed to protect patient identity). Your father is having obstruction to drainage of the urinary bladder, leading to very high bladder pressure which has damaged the ureter and kidney. The reason for this is not app... Read Full »
My father keeps pulling out his Foley catheter. How to stop this?
Query: Hello doctor, My 86-year-old father with dementia has an indwelling long-term Foley catheter (approximately five years). He has pulled it out several times, but yesterday completely pulled it out and is in the hospital with sepsis. He is in a memory care unit. Is there anything that can be done to p... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Is it that he was unfit for surgery, a catheter was placed due to urinary retention, or is it placed as he is bedridden and cannot go to the toilet? If it was the first case, it is best to place a simple urethral stent procedure that can be done under local anesthesia or ... Read Full »
Why do I have frequent urination with pain and discomfort after catheterization during laparotomy?
Query: Hello doctor, I was admitted to a hospital for an emergency laparotomy 16 months ago to examine my abdominal fluids, but no problems were found, and I was discharged. During the laparotomy, they had placed a catheter to collect my urine which was fitted and removed. When it was removed, I experience... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. These problems are common after catheterization, especially if the catheter was placed for more than a week. These symptoms can be due to inflammation of the bladder and the prostate caused by the catheter. Usually, we check urine for culture, do a flexible cystoscopy t... Read Full »
Can catheterization cause pseudomonas UTI with green discoloration of urine?
Query: Hi doctor, Should Augmentin 875 mg be used to treat pseudomonas aeruginosa that is caused by UTI? Also, urine is still a slight green color. The urine test was actually taken 25 days ago. Urine is still a slight green color after completing the Augmentin course for three days. No other symptoms are... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Pseudomonas are usually present with a mainly foreign body like a stone or a tube, or catheter or a stent. Therefore ultrasound KUB (kidney, urethra, and bladder) is advised for diagnosis. Second, for your report (attachments removed to protect the patient's identity), ... Read Full »
Will an enlarged prostate gland cause difficulty in urination after cystolitholapaxy?
Query: Hi doctor, On the thirtieth two months ago, I had a bladder stone removed by cystolitholapaxy. No catheter was put in, and that afternoon I could not urinate. I went back to the urologist, and a catheter was put in. On Monday, it was taken out, and after a few hours, I discovered I could not urinat... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. You have an enlarged prostate gland which causes this difficulty in passing urine, and secondary bladder stones, which were treated. Bladder stone itself is an indication for transurethral resection of the prostate, which causes occlusion and difficulty passing urine. T... Read Full »
Can blood in urine occur due to the irritation of catheter tip on the bladder?
Query: Hello doctor, I went into total urinary retention on March 14. I attended an ER and a foley's catheter was fitted, and I was advised that I had a slightly enlarged prostate (BHP). A week later, I was prescribed Tamsulosin 400 mcg. On March 26, the catheter was removed, but I went into retention aga... Read Full »
Answer: Hi, Welcome to icliniq.com. Coming to your query, I will answer first your questions step by step. For you doubt regarding, could the tip of the catheter be grating at the bladder wall and causing bleeding. Yes, but chances are minute and the amount of blood is also less. You can say sometimes clots... Read Full »
Is it possible to have changes in cystoscopy result due to prolonged foley catheter usage?
Query: Hello doctor, I have been on a foley catheter since two. COVID prohibited the procedure at that time. I am having a cystoscopy on the 18th of this month. If all is well, will my bladder be too weak since it has been on the foley for so long? Foley has been a pain and I am on Xarelto and Plavix wh... Read Full »
Answer: Hello, Welcome to icliniq.com. Coming back to your query, you need to answer some of my questions first. When the catheter was put how much urine came in the first 15 minutes (did your bag get filled fully, half or what)? Were you on a floral Finastride combination before you were put on a catheter?... Read Full »
Kindly suggest me an apt Foley's catheter size for my grandmother.
Query: Hello doctor, My grandmother is 88 years old and is currently paralyzed on the entire body for the past six months now. She is fed through Ryle's tube and a catheter is also inserted since the day she was paralyzed which is changed periodically. My question is that currently, the catheter number whi... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. Catheter number 22 is very big for females. We usually use 14 or 16-number catheters in females. So at this age, I would suggest 14 number catheter. If the urethral orifice is a little big then you can use 16 ... Read Full »