Recently Answered Questions
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I get weak urine stream with incomplete urination. Please help.
Query: Hello doctor, I have always had a weak urine stream. I had medicines several times for bladder infections, never feel like I fully urinate. But lately, I have a bigger issue, I find myself not able to urinate sometimes, I recently realized if I ejaculate then it is worse. Two nights ago, after se... Read Full »
Answer: Hi, Welcome to icliniq.com. I have a few queries before jumping on to the conclusion. Have you ever been catheterized? Any history of trauma? smoker? Or any chronic illness (diabetes or hypertension)? Any record of RGU or MCUG or ultrasound is done before? Have you been on any medications for this i... Read Full »
I have slow urinating problem with diabetes. Please suggest medication to help both.
Query: Hello doctor, I have a slow urinating problem and I am taking the following medications: Telma H (OD), Glycomet GP (BD), Atorlip 10 (OD), Urimax 0.4 mg (OD), and Vitamin A to Z (OD), and Human Mixtard Insulin 20 units (OD). I have my health check-up done. Please prescribe suitable diabetic and kidne... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Prostate enlargement can cause an obstruction and slow urine. After the age of 50 prostate starts to grow to variable sizes. Although size does not matter but the shape of the prostate can cause obstruction. Medications can shrink the prostate up to 30% and cause improv... Read Full »
I have hypertension, diabetes, and reduced urine output. Is there any problem with my kidneys?
Query: Hi doctor,I am a 54-year-old male suffering from hypertension and diabetes for five years. One week before, my abdomen scanning was done for thin urine flow, and I have attached the reports for you to review. Since yesterday my urine output has been reduced drastically. At a time, only 3.38 fluid ou... Read Full »
Answer: Hi, Welcome to icliniq.com. I thoroughly read your query and understand your concern. I reviewed your reports (attachments are hidden to protect the patient's identity). You surely have an enlarged prostate. Your creatinine is well within the normal range. Post-void urine is higher. Regarding urin... Read Full »
I have been having weak erections after a left testicle injury.
Query: Hello doctor, For the past eight days, I have been having weak or no erections, even during the morning. I was traveling for the last 10 days and consumed two to three beers daily, which is not usual for me. Additionally, I mildly injured my left testicle during sexual activity, which caused slight ... Read Full »
Answer: Hello,Welcome to icliniq.com.Thank you for your query.I understand your concern. I have a few questions for you. Are you diabetic or hypertensive? Are you married or have a regular partner? How would you rate your erections on a scale of 1 to 10? Are your early morning erections preserved? Do you sm... Read Full »
I am experiencing pain in my bladder and penis head, and my urine output is low. Why so?
Query: Hi doctor, I have had pain in the urinary bladder and the head of the penis. Also, my urine output is low. Kindly help. Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. I understand your concern Weak flow and incomplete emptying of the bladder are symptoms of bladder obstruction. This can be caused by stone, stricture, or neurological issues. To reach a diagnosis, we need a few tests like urine analysis, ultrasound of the KUB (kidne... Read Full »
Why am I not having urine build up during the day?
Query: Hello doctor, I have urination problem from six months. There is no urine build up during the day. But while taking bed rest in the day, I have started to urinate more frequently. There was no problem in the morning. I got a checkup done. The ultrasound, urine test, and blood test were normal. Now, ... Read Full »
Answer: Hello, Welcome to icliniq.com. Relax and do not worry. Your problem is not big. I have seen all the reports sent by you (attachment removed to protect patient's identity). It is perfectly fine. Regarding urinary complaints, it looks like the side effect of Clonazepam (Benzodiazepine) and Sertralin... Read Full »
My urine flowmetry showed bladder outlet obstruction. Help.
Query: Hello doctor, After I got delayed urinating and had mild pain in the lower back, I got many discussions with many doctors, and the last doctor did a CT scan and urethra X-ray. He did a cystoscopy on me, but during the urethral X-ray, I got so much pain (before that, he gave me local anaesthesia), an... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Your urine flow shows some amount of obstruction. The urethrogram done has suggested obstruction in the prostatic urethra. However, a cystoscopy must confirm this to evaluate the entire urethra and bladder. First, I... Read Full »
I have voiding difficulties and increased bladder wall thickness. Please help.
Query: Hello doctor, My bladder wall is 0.27 inch wide, and my voiding is not good. Frequent ejaculation closes the voiding duct. The prostate is normal but has calcifications in the center. My sister has bladder issues too. Please help me, doctor. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. An increase in bladder wall thickness suggests obstruction in the flow of urine. Obstruction causes bladder muscle hypertrophy. You will need a physical examination and a cystoscopy test (it is an endoscopy to see for obstruction in the urethra and bladder from inside)... Read Full »
I have had issues emptying my bladder due to poor urine flow for six years. Why?
Query: Hi doctor,I am a 35-year-old male. I have been having issues emptying my bladder due to a very poor urine flow for five to six years. I have to go to the toilet very frequently after drinking. I cannot empty my bladder at any single time. It has to be little drops at a time, every 15 minutes. My str... Read Full »
Answer: Hi,Welcome to icliniq.com.I understand your concern.You mentioned cystoscopy. According to the history you gave, it seems you have a neurogenic bladder. The normal power of the bladder to evacuate itself went away, and either you have to strain during micturation, or you have to apply suprapubic com... Read Full »
Will an enlarged prostate gland cause difficulty in urination after cystolitholapaxy?
Query: Hi doctor, On the thirtieth two months ago, I had a bladder stone removed by cystolitholapaxy. No catheter was put in, and that afternoon I could not urinate. I went back to the urologist, and a catheter was put in. On Monday, it was taken out, and after a few hours, I discovered I could not urinat... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. You have an enlarged prostate gland which causes this difficulty in passing urine, and secondary bladder stones, which were treated. Bladder stone itself is an indication for transurethral resection of the prostate, which causes occlusion and difficulty passing urine. T... Read Full »