Urological Disorders Online Doctors Consultation — page 3

Hello mousumi ji , As you stated your issues Frequent urination without pain or burning, especially with a normal pelvic ultrasound report, can be due to several non-infectious or non-anatomical causes. As a doctor, here are some potential explanations and advice for managing this issue: Possible Causes: 1. Overactive Bladder (OAB):This condition causes a sudden, uncontrollable urge to urinate, leading to frequent urination, sometimes with no clear underlying anatomical cause. It might occur even without pain or burning. 2. Bladder Irritability:Factors like stress, caffeine intake, or other lifestyle factors can cause bladder irritation, resulting in frequent urination without infection. 3. Diabetes:High blood sugar levels can cause increased urine production. If this is not already ruled out, a simple blood test to check for diabetes could be helpful. 4. Interstitial Cystitis (IC): A condition that causes bladder discomfort and frequent urination, though it typically also involves some discomfort. It can be difficult to diagnose as it often doesn’t show on imaging. 5. Hormonal Changes:In women, hormonal fluctuations (e.g., due to menopause) can affect bladder function and lead to increased frequency of urination. 6. Psychogenic Causes Anxiety or psychological factors can sometimes lead to frequent urination without any underlying medical issues. Advice: 1. Lifestyle Modifications: - Limit caffeine and alcohol: These can irritate the bladder and worsen symptoms. -Fluid management-Ensure You are not over-hydrating or drinking large amounts of fluid in a short period. - Timed voiding-you can try to schedule regular bathroom visits rather than waiting for the urge, which might help in managing frequency. 2. Behavioral Therapies: - Bladder training exercises: These help gradually increase the intervals between urination. - Pelvic floor exercises-Strengthening pelvic muscles can sometimes help with bladder control.like kegel excercise 3. Check for Diabetes A simple blood sugar test can rule out diabetes as a cause. 4. Further Investigations: - If symptoms persist or worsen, further investigations like a urine culture (to rule out a low-grade infection), urodynamic studies, or cystoscopy might be considered to assess bladder function more thoroughly. It’s important to keep track of the frequency of urination, fluid intake, and any other symptoms like changes in urinary stream, blood in urine, or nocturia (night-time urination) to assist in diagnosing the underlying cause. And if I would advise to get checked by urologist once If any further issues you can ask me

For a 63-year-old patient with Type 2 Diabetes (for 25 years), an enlarged prostate, and high BP, undergoing CT Coronary Angiography (CTCA) with contrast dye, kidney precautions are essential. Since contrast dye is eliminated through the kidneys, staying well-hydrated before and after the scan helps flush it out. A kidney function test (serum creatinine & eGFR) should be done before the procedure to assess any risk of contrast-induced nephropathy (CIN). Some doctors recommend pausing Metformin for 48 hours post-scan to prevent lactic acidosis, especially if kidney function is borderline. If fasting is required for the scan, diabetes medications should be adjusted to prevent hypoglycemia. Patients with an enlarged prostate should empty their bladder before the scan to avoid discomfort. After the scan, monitor urine output—any significant decrease or swelling should be reported to a doctor. Increased urination is common, helping to remove the contrast dye naturally. Blood sugar levels may fluctuate, so regular monitoring is advised. High BP medications should be continued unless directed otherwise. Those with a history of contrast allergies should inform their doctor beforehand. Overall, hydration, kidney monitoring, and proper medication management are key precautions for a safe procedure.