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Suggest Treatment For Severe Pain During Urination

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Posted on Tue, 8 Nov 2016
Question: I wonder what drug I take is causing a huge problem with urination. I am bone on bone in both knees and am told I need both knees replaced but that I would not heal or survive. I am in the bathroom almost every hour. Also, have no circulation in lower leg so doctor would do angioplasty first. Do not know what to do.
Thanks. XXXXX
doctor
Answered by Dr. Dr. P. T. Patil (43 minutes later)
Brief Answer:
Please specify your urinary problems in detail

Detailed Answer:
Hello
Thanks fr query .Based on the facts that you have Bilateral Osteo Arthritis of the knee joints and need Bilateral knee replacements .But the surgery is being considered to be high risk on the grounds of you having Cardiac problems and Urinary problems .

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) What are your urinary problems apart from increased frequency for urination ?

The urinary problems at this age in females are mostly due to UTI resulting from incomplete emptying of bladder due to senile narrowing of urethral passage (Urethral Stenosis ) However this can be corrected and cured by urethral calibration and taking appropriate antibiotics .

As regards cardiac problems doing angioplasty will help to improve cardiac circulation and ejection factor .

With due precaution and proper preoperative assessment , treatment and advancement in field of anesthesia and surgery I think the risk involved in surgery of knee replacement can be minimized .

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (6 hours later)
I don't think I would survive knee replacement surgery because the doctors said I would not heal. I have had 7 angioplasties done on my left leg due to very poor circulation.

I do not have a urinary problem other than frequency and also have a very dry mouth. The pharmacist said this was due to meds.

I also have a kidney problem and am in the final stage. This doctor said I am high risk.

I also have many heart problems. I had 2 heart attacks while in hospital having the angioplasties. Still don't know what to do with increasing pain. Thanks Dr. Pati. XXXXX
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
You have to carry on with pain killers that you can tolerate

Detailed Answer:
hello
Thanks for follow up .
I feel very sorry for the misery you are going through .Looking at the multiples health issues that you have your Dr has rightly decided not to operate upon you .

Unfortunately you will have to carry on with pain killers at tolearble levels
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. P. T. Patil (2 hours later)
Doctor:
Due to a liver transplant (NASH) in 2008 at Northwestern, I am not allowed to take pain killers. I am not suffering too much at this point. FYI... the urination problem is not at all a factor in this problem. The lack of leg circulation is a big factor. I'm sure the heart arteries are clogged too. There is no "tolerable level" for pain killers. I do an INR blood test every month and pain killers affect those numbers.
I am not in misery at this time. Perhaps a new procedure will come along that I can go through. We should be moving forward in medicine and I hope to hear of something new and helpful. Thanks! XXXX
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
Follow the guidelines of cardiologist

Detailed Answer:
Hello
Thanks for follow up .

Follow the guide lines and treatment advocated by your cardiologist .The decision regarding knee transplant can be considered after few months depending upon the status of circulation in legs .

Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10583 Questions

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Suggest Treatment For Severe Pain During Urination

Brief Answer: Please specify your urinary problems in detail Detailed Answer: Hello Thanks fr query .Based on the facts that you have Bilateral Osteo Arthritis of the knee joints and need Bilateral knee replacements .But the surgery is being considered to be high risk on the grounds of you having Cardiac problems and Urinary problems . I shall be happy if you can post me few more details to help me in making comments on your problem. 1) What are your urinary problems apart from increased frequency for urination ? The urinary problems at this age in females are mostly due to UTI resulting from incomplete emptying of bladder due to senile narrowing of urethral passage (Urethral Stenosis ) However this can be corrected and cured by urethral calibration and taking appropriate antibiotics . As regards cardiac problems doing angioplasty will help to improve cardiac circulation and ejection factor . With due precaution and proper preoperative assessment , treatment and advancement in field of anesthesia and surgery I think the risk involved in surgery of knee replacement can be minimized . Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you . Thanks and Regards. Dr.Patil.