Recently Answered Questions
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Why do my bladder pain and pressure worsen on holding more than 200 ml of urine in my bladder?
Query: Hello doctor, I am a 32-year-old male with some ongoing urinary problems. Over the past 18 months, I have experienced mild to moderate pain and pressure in my bladder. It worsens if I try to hold my urine, and it is almost always noticeable when I have more than 200 ml of urine in my bladder. Hence... Read Full »
Answer: Hello, Welcome to icliniq.com. The symptoms you have referred to are lower urinary tract symptoms (LUTS). You are having mixed LUTS, which means storage and voiding symptoms. These things at this age are usually due to CP or CPPS (chronic prostatitis or chronic pelvic pain syndrome). You need to v... Read Full »
I had an MRI of my prostate. Please review my reports.
Query: Hi doctor,I have enlarged prostate, urinary retention, and hematuria for almost a year. I had MRI of prostate done. I would like to have the interpretation of images. Currently, I am on Flowmax and Finasteride. Read Full »
Answer: Hi, Welcome to icliniq.com. The MRI scan of the prostate (attachment removed to protect patient identity) shows a grossly enlarged prostate which is indenting the lumen of the urinary bladder and which you are probably aware of. Further, the median lobe of the prostate is showing hypertrophy and p... Read Full »
I have spina bifida. How will the condition progress?
Query: Hello doctor, I have spina bifida, which is a slow degenerative syndrome. In the long run, what kind of deterioration will take place? Read Full »
Answer: Hello, Welcome to icliniq.com. Spina bifida may progress to involve both legs, where one may develop tingling numbness and weakness. One may also develop urinary retention and overflow incontinence. Many times if there is associated cranial abnormality like Chiari malformation, then similar symptoms... Read Full »
Why is my bladder still overstreched despite medication?
Query: Hello doctor,I have a problem of urine dripping for two to three minutes after I urinate. Also, even if I do not have an urge to urinate, I end up passing large amounts of urine. I visited a doctor and he ordered some tests, the results of which I have attached. After seeing the report, the doctor s... Read Full »
Answer: Hello,Welcome to icliniq.com.I have read your query and gone through your reports (attachment removed to protect patient identity). You do have an overstretched bladder. It is as a result of your habit of holding urine for too long. I suggest you to, restrict fluid intake, especially at bedtime, emp... Read Full »
How deal with pain, urine blockage, and penis inflammation?
Query: Hi doctor, I have had pain on the tip of my penis for a few months now. I got tested for STDs, there is no STD present. I got tested for a urinary tract infection, there is no bacteria present and no sign of an infection in the urine samples. I also got tested for a mycosis, there does not seem to b... Read Full »
Answer: Hi, Welcome to icliniq.com. The problem appears to be chronic prostatitis. Often, the symptoms are the sensation of incomplete voiding, dysuria, pain in parts of the urethra or perineum, low backache or pain in the calf. I would suggest, tablet Nitrofurantoin SR 100 mg twice daily for one month, a... Read Full »
Is it good to take Olanzapine for depression?
Query: Hi doctor, I am getting treatment for anxiety, depression, OCD, and untreated childhood ADHD. Currently, I am taking Serta 100 and Zapiz 0.5. I took Olanzapine for four months. Now I stopped taking it slowly due to daytime sleepiness. I am grateful to have these medicines as it has changed my life. ... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your situation and you are doing good. You have depression at present. You are taking one of the good medication for your depression. You must continue your medication. You should try to follow these guidelines to deal with your depression. It will be h... Read Full »
What is the reason behind urinary retention?
Query: Hello doctor, My mother, 66-year-old, has been having some discomfort in the upper abdomen for five days. She has been experiencing some gas and tightness in the upper abdomen. Her stools are a little constipated, but she is going every day. She has had a fever between 99 to 100 degrees F for five d... Read Full »
Answer: Hi, Welcome to icliniq.com. Went through your post and the investigations you have posted (attachment removed to preserve the patient's identity). Your mother has an infection evident by high white blood count (WBC), with predominant cells being neutrophils. Patients with diabetes do not have feve... Read Full »
How do I manage pressure to pass stools and anal fissures?
Query: Hello doctor, Whenever I go to the restroom, I have to push hard to pass stools as I have an anal fissure. The pus comes out in large amounts, and the fissure hurts. I have had these problems for the past two years. I do not know what to do. Now I am having urinary problems too. I find it difficult ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. As per your history and attached reports (attachments removed to protect the patient's identity), I think you suffer from anal fissure. You need surgery to remove the affected area. I suggest you take a fiber-rich diet to avoid constip... Read Full »
How is interstitial cystitis treated?
Query: Hi doctor, I am asking this inquiry on behalf of my niece. She suffers from a bladder condition called interstitial cystitis. She suffers from retention, urgency, and frequency even after taking numerous tests and medicines. It has affected her life severely. She has this problem for two years and ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. You did not mention whether she has done a cystoscopy. For getting the definitive diagnosis of interstitial cystitis, a cystoscopy is mandatory. You can treat this condition by taking Amitriptyline. I cannot predict whether it will work for yo... Read Full »
I have seen a video where a person falls asleep despite having an urge to defecate. Is it possible?
Query: Hello doctor, I have watched a video where a person is held captive in prison. The prisoner needs to relieve himself and asks the guard whether he can use the restroom. The guard tells the prisoner to wait for five minutes. The video shows that the prisoner falls asleep almost right after the guard... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. Thank you for the question on icliniq. There is no relation between urinating and sleep. Once, a 10-year-old patient of mine fell asleep immediately after releasing his bladder, as he had urinary retention for 24 hours and could not sleep due to pain. I hope this he... Read Full »