Unsurprisingly, many individuals who expertise issues peeing don’t precisely shout from the rooftops about it. That’s most likely why our Ask the Skilled clinic on the topic, held from Three to six December, attracted numerous questions from nameless members in search of recommendation from our panel of specialists.
Questions ranged from stress incontinence to sort 2 diabetes, from needing to pee within the evening to ureteral stents, and from catheter administration to interstitial cystitis.
Among the many many questions and solutions, which you’ll be able to learn on our ‘Problems Peeing’ Ask the Expert page for a 12 months, have been:
“Why is it when my blood sugars are managed I need to pee incessantly and I’ve slight incontinence?” requested one member.
Sharon Clovis, a nurse on the panel of specialists, replied “You want a movement charge, publish void residual and probably urodynamics and/or a versatile cystoscopy, and/or ultrasound to find out the character and extent of your signs.”
“I at the moment have bilateral ureteral JJ stents, these have been locations previous to a hysterectomy which I had 4 weeks in the past as a result of intensive adhesions round my left ureter and bladder,” mentioned one other member. “The stents trigger me a whole lot of ureteral ache, fixed urge to cross urine even straight after a wee and I always really feel nauseous. Will all of the signs go as soon as they’re eliminated?”
Elaine Hazell, one other nurse on our panel, gave this recommendation: “I’m afraid the ureteric JJ stents do usually trigger horrid bladder irritation, ache, frequency of passing urine & typically blood within the urine. It’s the tip of the stent that’s sitting in your bladder irritating the bladder wall & the fixed urge to pee is the response to a international physique (the stents) within the bladder. This will likely be resolved as soon as they’re eliminated & you shouldn’t have any additional bladder issues.”
An 81-year-old man puzzled why he needed to incessantly stand up within the evening to pee, whereas he solely peed usually in the course of the day – a difficulty many individuals are greater than conversant in.
“It’s possible you’ll be experiencing what is known as nocturnal polyuria,” replied Elaine. “That is if you cross greater than two thirds of your urine at evening. Do your legs swell within the daytime? Or are you much less lively than you was? What can occur once we grow old is that as a result of inactivity or different well being issues fluid swimming pools within the decrease limbs & grow to be swollen. The fluid is unable to return within the circulation to the guts and kidneys. Whenever you lay down the fluid flows again to the guts and kidneys, and it’s worthwhile to cross it out. Within the morning the ankles usually are not swollen however the fluid refills all through the day. Firstly, it’s best to attempt to elevate the legs within the day-time so the fluid can movement again to the guts. It’s best to cease consuming fluid 2-Three hours earlier than mattress. Keep away from caffeinated drinks akin to tea and occasional within the afternoon/night time.”
In lots of of those circumstances our specialists inspired folks to see their GP and ask to be referred to a certified urologist for skilled assist.
Many due to the Urological Basis and nurses Sharon Clovis and Elaine Hazell, and guide urologist Ian Pearce for answering all people’s questions within the clinic.