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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Frequent Urination With Normal Ultrasound?

sir i am 27 years 77kg,5.5 unmarried female. i have frequent urination 16 times in a day.i have done sugar test last week in which f 99 and pp value was 121.the ultrsound of whole abdomen was normal.one more thing i have hypothyroidism also for last 3 years.what should i do. i am very upset because i cant drink enough water because of this especially in journey.please help me.thank you.
Mon, 2 May 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern
You should consult the urologist for exact diagnosis.

Following are the other causes of your problem:
Urinary tract infection, Constipation, Pelvic floor muscle weakness, Obstruction of the urinary tract by stone and tumour, Excesssive Alcohol and caffiene use, Artificial sweetners and corn syrup, Blood pressor medication, Large dose of vitamin B and C, Intake of food high in sugars, Neurological disorder: parkinsons disease, multiple sclerosis and brain tumour, steroid intake

Risk factor are obesity , diabetes melitus, neurological disorder.

Consult the urologist and do the following test:
1. Urine analysis
2. Blood sugars and HB1Ac
3. Blood urea, creatinine
4. Clinical examination and measurement of blood pressor and heart rate
5. Cystoscopy
6. Cystogram
7. Pelvic examination
6. CBC, ESR

Following are the advice:
1. Bladder training excercise
2. Double voiding technique
3. Scheduled toilet every 3-4 hours
4. Reduce fluid intake and take more solid fluid
5. Avoid alcohol and caffeine
6. Pelvic floor exercise
drugs
1. Anticholinergic- Oxybutynin
2. Mirabegran
Medical device
You can put urethral insert if not response to drugs and behavior technique.
Last option is surgery is problem is severe
1. Bladder neck obstruction
2. Artificial urinary sphincter

Hope this may help you.

Best regards
Dr. sagar
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What Causes Frequent Urination With Normal Ultrasound?

Hello dear Understand your concern You should consult the urologist for exact diagnosis. Following are the other causes of your problem: Urinary tract infection, Constipation, Pelvic floor muscle weakness, Obstruction of the urinary tract by stone and tumour, Excesssive Alcohol and caffiene use, Artificial sweetners and corn syrup, Blood pressor medication, Large dose of vitamin B and C, Intake of food high in sugars, Neurological disorder: parkinsons disease, multiple sclerosis and brain tumour, steroid intake Risk factor are obesity , diabetes melitus, neurological disorder. Consult the urologist and do the following test: 1. Urine analysis 2. Blood sugars and HB1Ac 3. Blood urea, creatinine 4. Clinical examination and measurement of blood pressor and heart rate 5. Cystoscopy 6. Cystogram 7. Pelvic examination 6. CBC, ESR Following are the advice: 1. Bladder training excercise 2. Double voiding technique 3. Scheduled toilet every 3-4 hours 4. Reduce fluid intake and take more solid fluid 5. Avoid alcohol and caffeine 6. Pelvic floor exercise drugs 1. Anticholinergic- Oxybutynin 2. Mirabegran Medical device You can put urethral insert if not response to drugs and behavior technique. Last option is surgery is problem is severe 1. Bladder neck obstruction 2. Artificial urinary sphincter Hope this may help you. Best regards Dr. sagar