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What Causes Difficulty In Initiation Of Urination During Night After Cytoscopy?

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Posted on Sun, 23 Aug 2015
Twitter Sun, 23 Aug 2015 Answered on
Twitter Mon, 14 Sep 2015 Last reviewed on
Question : A week ago a cytoscopy revealed that I have inflammation on my bladder wall.
Knowing this, for the past week I have switched to a low-glycemic, high PH-reactive diet that is high in almonds, avocados, berries, and vegetables (especially celery and cruciferous vegetables that I juice). The results so far have been quite positive. Most of my bladder pain and painful urination has subsided. However, over the past three nights I have encountered the following alarming problem. The first time I awake at night to urinate I experience urinary hesitancy. I feel like I have to urinate but can't. I have to drink some water and wait almost 10 minutes before a flow starts. Strangely, this only happens the first time I get up from sleep. It has not happened during the day, nor does it happen in subsequent trips to the bathroom at night. Should I be concerned? Is this part of the healing process? Thank you
doctor
Answered by Dr. T Shobha Deepak (1 hour later)
Brief Answer:
There is no cause for concern

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Some individual do experience such symptoms after bladder surgery like cystoscopy. They face difficulty in initiation of urination especially so during night. It usually occurs due to detrussor muscle instability following cystoscopy, it is self limiting and should subside. there is absolutely no cause for concern.

Do get back to me if you need any further assistance, will be glad to assist you

Take Care

Best Regards
Dr Shobha Deepak
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Shobha Deepak (4 hours later)
Thank you for your kind answer. Good to know that the urinary hesitancy should subside.

I another question. I believe that my bladder inflammation was caused by diet. In particular, over the past two years I had become more sedentary, yet was still consuming lots of potassium-rich fruits and vegetables (I'm a vegetarian). I understand that too much potassium in the bladder can damage the lining, which can then allow acids to penetrate the lining and cause further damage. Furthermore, I noticed that my pain and inflammation felt greatest when I ate citrus fruits, potassium-rich foods like watermelon and bananas, and ate large meals. For this reason I have switched to a low-glycemic, high-PH-reactive diet that relies on juicing (mainly celery and leafy-green vegetables), high-PH mineral spring water, nuts, berries, avocados, and small portions throughout the day.

After one week on this diet, my bladder pain and painful urination have almost entirely subsided, and I sense that my bladder is healing. If my bladder is in fact healing, how many weeks on average will it take for the bladder wall to repair? If I remain relatively symptom free over the next month, how confidant should I be that the bladder actually did heal? In other words, if my bladder inflammation was caused by something more sinister, such as cancer, would something as simple as diet change be able to eliminate all the symptoms? Thank you.
doctor
Answered by Dr. T Shobha Deepak (3 hours later)
Brief Answer:
There is no cause for concern

Detailed Answer:
Dear Sir

Diet has nothing to do with bladder inflammation, it is the reduced intake of water which is root cause of symptoms , also benign hypertrophy of prostate which is age related is also risk factor for urinary hesitancy. Intake of diet high in potassium puts pressure on kidneys due to filtration and it does not affect the urothelial lining of bladder.
Cystoscopy would have conclusively ruled out endoluminal bladder cancer. Cystoscopy does not cause any ulceration, the symptoms are usually due to bladder irritation and spasm, they should subside within 1 to 3 weeks duration.

Rest be assured there is no cause for concern.

Take Care

Regards
Shobha
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Shobha Deepak

General & Family Physician

Practicing since :2005

Answered : 1774 Questions

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What Causes Difficulty In Initiation Of Urination During Night After Cytoscopy?

Brief Answer: There is no cause for concern Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Some individual do experience such symptoms after bladder surgery like cystoscopy. They face difficulty in initiation of urination especially so during night. It usually occurs due to detrussor muscle instability following cystoscopy, it is self limiting and should subside. there is absolutely no cause for concern. Do get back to me if you need any further assistance, will be glad to assist you Take Care Best Regards Dr Shobha Deepak