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What Causes Frequent Urination?

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Posted on Mon, 5 May 2014
Question: Sir, My name is XXXX living in Vanastalipuram and your patient in Kamineni Hospitals Of late, I have a complaint of frequent urination especially between 8.30 pm and 10.30 pm ( 4 times) without much of urgency. I have a kind of discomfort and think am unable to empty the blodder.
doctor
Answered by Dr. V. Sasanka (22 hours later)
Brief Answer: Need Investigations Detailed Answer: Dear XXXX, I suggest you get a few basic tests done straightaway. These include USG KUB with PVR, CUE, Serum Creatinine, RBSugar. I also suggest you get a Uroflowmetry done. I think you might find improvement in urinary frequency with use of medicines like Darifenacin 7.5mg once daily. This could cause dry mouth and you should not take it if you are not on medications like tamsulosin as there is a chance you might develop urinary retention. Let me know your progress. Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. V. Sasanka (10 hours later)
Sir, 've got tests done. 1. Creatinine Result : 1.00 2. Random Plasma Glucose : 82 3. CUE Colour : Pale Yellow Appearance : Clear Specific Gravity : 1.020 Reaction/pH : Acidic (6.5) Protien : NIL Sugar (Glucose) : NIL Urobilinogen : Normal Biliruben : Negative Keytones : Negative Nitrites : Negative Pus Cells : 2-3/HPF R.B.C - Nil Epithelial Cells :4-6/HPF Casts and Crystals : Nil 4.Ultrasound Scan of KUB Right Kidney : 111X40mm, Left Kidney : 105 X 48mm Both kidneys are normal in size, shape and position No evidence of echo reflective calculus noted. Pelvicalyceal system is normal on both sides Prostate size : 37 X 32 X36 mm; volume +23 cc Prostate is mild enlarged in size and echotexture. Urinary bladder is normal. No evidence of any mass lesions noted. Prevoid Urine Volume - 310 CC Post void residual urine volume - 25 CC No evidence of free fluid noted. No evidence para - aortic lymphadenopathy noted Impression : Mild prostatomegaly (Volume - 23 CC) NIL significant postvoid residual urine. Would request your kind advice. Thanking you, P.V Bhasker XXXXXXX
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Follow up: Dr. V. Sasanka (35 hours later)
Sir, Would request once more for your advice as to the test results posted and medication. Thanking you, XXXX
doctor
Answered by Dr. V. Sasanka (1 hour later)
Brief Answer: Darifenacin and Tamsulosin combination will be use Detailed Answer: Hi, I had a look at all the reports you have posted, and as there is no major problem with the reports, i suggest you use Darifenacin 7.mg once daily along with Dynapres (Tamsulosin) as earlier. If do not find relief, you might need other tests like Uroflowmetry which I have mentioned earlier. Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. V. Sasanka (1 hour later)
Sir, How long these medicines are to be taken? Thanking you, XXXX
doctor
Answered by Dr. V. Sasanka (33 minutes later)
Brief Answer: Take over the next 3 months Detailed Answer: Hi again, I suggest that if you find benefit with this combination, you continue to use them for the next 3 months and we will review. If there are any obvious side-effects or if the drugs are not helping - please let me know earlier.
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. Chakravarthy Mazumdar
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Answered by
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Dr. V. Sasanka

Urologist

Practicing since :1995

Answered : 529 Questions

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What Causes Frequent Urination?

Brief Answer: Need Investigations Detailed Answer: Dear XXXX, I suggest you get a few basic tests done straightaway. These include USG KUB with PVR, CUE, Serum Creatinine, RBSugar. I also suggest you get a Uroflowmetry done. I think you might find improvement in urinary frequency with use of medicines like Darifenacin 7.5mg once daily. This could cause dry mouth and you should not take it if you are not on medications like tamsulosin as there is a chance you might develop urinary retention. Let me know your progress. Regards.