How do I manage my persistent urine retention problems?

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

If you are experiencing true urinary retention, where the bladder does not empty or feels persistently full, increasing water intake or reducing sodium intake alone is unlikely to resolve the underlying problem. The focus should be on identifying the exact cause and assessing bladder function.

Since your investigations have been normal for the last seven months, the next appropriate step would be a post-void residual (PVR) measurement using a bladder ultrasound. This test measures the amount of urine remaining in the bladder after urination. If a significant amount of urine remains, further evaluation with urodynamic studies may be required to assess bladder function in more detail.

In the meantime, you may try the following measures:

• Practice double voiding by attempting to urinate 20 to 30 seconds again after finishing.

• Follow timed voiding by emptying the bladder every three to four hours rather than waiting for the urge to urinate.

• Maintain adequate hydration but avoid excessive fluid intake.

• Review all medications with your physician, especially those used for Meniere's disease, as some may affect bladder emptying.

Once the post-void residual volume is known, treatment can be directed toward the underlying cause.

I hope this is clear, and if you have any questions at any time, please feel free to ask.

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Thank you for providing this additional information.

The fact that your symptoms started shortly after taking Bendroflumethiazide 2.5 mg and around the time of your menstrual cycle provides important clinical context.

Bendroflumethiazide is a thiazide diuretic that increases urine production and can sometimes lead to dehydration and temporary changes in the body's fluid balance. However, it is important not to assume that a single dose is solely responsible for the ongoing reduction in urine output without further evaluation.

The weight gain of approximately 3.3 pounds, reduced urine volume, and feeling of fluid retention suggest that your fluid balance may have changed. The priority is to determine whether the bladder is retaining urine or whether the kidneys are producing less urine.

You may gently press the lower abdomen just above the pubic bone:

• If the area feels soft and there is no discomfort or pressure, significant urinary retention is less likely.

• If the area feels firm, swollen, or painful with a strong urge to urinate but an inability to pass urine, urgent medical assessment is recommended.

I would suggest the following for the next 24 to 48 hours:

• Maintain normal hydration and drink according to thirst.

• Avoid excessive fluid intake.

• Continue following the dietary recommendations given for Meniere's disease.

• Monitor your urine output and body weight.

You should seek immediate medical attention if:

• You stop passing urine completely for six to eight hours.

• You develop severe lower abdominal pain or swelling.

• You experience shortness of breath or worsening symptoms.

It would also be advisable to contact your treating physician to discuss this reaction and consider repeat electrolyte and renal (kidney) function tests.

I hope this is clear, and if you have any questions at any time, please feel free to ask.

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

It is reassuring that your lower abdomen feels soft and that you are still passing urine, although the volume is reduced. This makes significant urinary retention less likely.

If your symptoms are related to temporary fluid balance changes, improvement may occur within approximately 48 to 72 hours. However, the recovery period can vary depending on hydration status, kidney function, hormonal changes, and individual response.

I would recommend discussing this with the physician who prescribed Bendroflumethiazide, as repeat electrolyte testing and renal (kidney) function tests may be needed to ensure there are no underlying abnormalities.

If you stop producing urine completely, develop worsening symptoms, or experience signs of urinary retention, please seek immediate medical attention in the emergency room (ER).

I hope this is clear, and if you have any questions at any time, please feel free to ask.

Thank you.

Thanks for clarity Medicine effect would have gone but hormonal changes during menstruation can have effect as there was overlap ,good news is that you have done your blood work . For now, since your abdomen is soft and you are still urinating, continue with your usual low-sodium diet and steady, moderate fluid intake. Once those blood results come back, they will give clear map of your hydration status and confirm that your kidneys are safely recovering from this perfect storm. Best regards

6-8 glass of water /day that is about 1.5 to 2.0 L a day .