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.

Home Management While Monitoring Symptoms: Increase Fluid Intake – Drink at least 2.5–3 liters of water daily to help flush out bacteria. Probiotics & Yogurt – Supports gut and urinary health, especially after taking antibiotics. Avoid Caffeine, Alcohol, and Spicy Foods – These can irritate the bladder and worsen symptoms. Urinate Frequently – Don’t hold in urine; empty your bladder regularly to prevent bacterial growth. Warm Sitz Bath – Sitting in lukewarm water for 10–15 minutes can help relieve discomfort. maintain Hygiene – Wash the genital area properly and wear loose, breathable cotton underwear to prevent bacterial growth. For Pain & Urgency Relief: Urispas (Flavoxate) 200 mg – Can help reduce urinary urgency, frequency, and bladder spasms. Take one tablet three times a day, or as per package instructions. When to Seek Further Medical Help: 1. If symptoms persist or worsen after 48 hours of Fosfomycin. 2. If you develop fever, chills, or flank pain, which could indicate a kidney infection. 3. If urination becomes extremely painful or blood appears in the urine. Since choosing another antibiotic depends on your culture report, it’s best to consult a doctor in person for further treatment if needed.

Left-sided varicocele at your age can often be managed without surgery if the symptoms are mild. Since you’ve had a right-side inguinal hernia surgery before, it’s important to monitor the condition carefully. The tablet Silidol-D8 (Tamsulosin 0.4 mg + Dutasteride 0.5 mg) you are taking is typically prescribed for benign prostatic hyperplasia (BPH) to improve urine flow and reduce prostate enlargement. You may need to continue taking this medication long-term as it helps manage urinary symptoms, but your doctor will decide the duration based on regular follow-ups. It is recommended to undergo routine prostate check-ups and urine flow tests to monitor your condition. If your varicocele causes persistent pain, discomfort, or fertility issues, or if it significantly impacts your quality of life, surgery may be considered. Varicocelectomy or embolization are the common surgical options. However, at your age, surgery is usually recommended only if symptoms are severe, as the risks may outweigh the benefits. To prevent worsening, wear supportive underwear, avoid heavy lifting, and engage in light exercises to promote circulation. Stay hydrated and follow up with your urologist regularly to assess the need for further treatment. Let me know if you need more details or assistance.

Experiencing erectile dysfunction (ED) while on antidepressants is common, as some medications can affect sexual performance. Since your marriage is approaching, it’s best to consult your doctor about adjusting the dosage or switching to a lower-risk antidepressant (like bupropion), which has fewer sexual side effects. You can also discuss taking ED medications such as sildenafil (Viagra) or tadalafil (Cialis), which are generally safe with most antidepressants but should be prescribed by a doctor. Regular exercise, a balanced diet, and stress management techniques like deep breathing can further improve circulation and reduce performance anxiety. For your wedding night, focus on emotional intimacy and relaxation rather than performance pressure. Spend time on foreplay, which can enhance arousal and ease tension. Using lubrication can increase comfort and prevent dryness. Don’t rush—take your time to enjoy the moment. If ED persists, consider consulting a urologist or sexual health specialist for personalized treatments. Let me know if you need help finding a specialist or more tips on managing ED.