The loss of bladder control that results in leakage of urine during cough or sneeze or inability to control the urge to urinate is called urinary incontinence. Some of the common causes include old age, pregnancy, menopause, childbirth, enlarged prostate, prostate cancer, and urinary obstruction.
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Is it advisable to have artificial valve for urinary incontinence?
Query: Hi doctor, I have secondary progressive multiple sclerosis. I am a 37 year old male. My weight is 165 pounds and height is 6 feet. My neurologist is treating my MS with two rounds of Rituximab infusions (low dose chemotherapy) every six months and a twice-daily dose of an Ampyra capsule. I also take... Read Full »
Answer: Hi, Welcome to icliniq.com. Multiple sclerosis is a progressive disease. So with time, incontinence may change in either direction, positively or negatively. The best option is what you have been doing. It is called CIC (clean intermittent catheterization). It is adaptable to all stages o... Read Full »
Why is there poor bladder control even after ureter lengthening surgery?
Query: Hello doctor, I have poor bladder control for about fourteen years. I underwent bladder surgery to lengthen ureters at the age of five. Medication for bladder spasms taken as needed. I have frequent bladder infections and poor bladder control when laughing or moving. Sometimes it is impossible to c... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand it must be really distressing for you. You have regular cystitis, and incontinence. You also have a history of bladder surgery in the past. Incontinence (poor bladder control) can be due to a lot of causes: neuropathy, stress incontinence, urge incontin... Read Full »
Is the treatment for recurrent UTIs causing urinary incontinence in my 96-year-old mother?
Query: Hello doctor, My mother is 96 years old. Five years ago, she had many recurring UTIs caused by E.coli with positive cultures on urinalysis with burning urination and incontinence. She does not have them now. Now she has dementia and is on the tablet Mirabegron. However, she has more urinary accident... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. For patients with recurrent UTIs (urinary tract infections), on prophylactic antibiotics, for any suspected UTI, we can start treatment irrespective of the reports. So that is one option. The second would be to add a low dose of anticholin... Read Full »
How to improve the kidney function of a liver cirrhosis patient?
Query: Hi doctor, My father is suffering from liver cirrhosis as reported by the doctors. His kidneys are also damaged and due to constipation brain is also getting affected. Urine is not passing. He is unconscious. We tried dialysis twice but there are no signs of improvement as per the doctors here. I j... Read Full »
Answer: Hello, Welcome to icliniq.com. As described in the case summary, the patient's condition is critical (attachment removed to protect patient identity). Decompensated cirrhosis is an irreversible disease, and it seems the patient has all the complications of the disease. The optimum medical manageme... Read Full »
Can Donep M forte and Rejunex CD3 be given together?
Query: Hello doctor, My father suffered a brain stroke before six months and following that, his body is partially paralyzed from the right side. We have shown him to two neurologists and got confused after both gave completely different diagnoses. He had diabetes for a very long time and had blood pressur... Read Full »
Answer: Hello, Welcome to icliniq.com. I reviewed all your father's therapy. I would explain that there is no interaction between these drugs and it is fine to take them concomitantly. Donep-M (Donepezil plus Memantine) is a drug used for dementia. While Rejunex CD3 is composed of vitamin B1 and alpha lip... Read Full »
How can cervical prolapse be treated?
Query: Hello doctor, I am a 72-year-old female and I have a severe prolapse. I was told four years ago that I had a problem in my cervix. So was unable to have a ring fitted around the prolapse. I have been told that it is unlikely cancer. Now after having it all this time, I have been told there are alter... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. Cervical prolapse has four stages according to severity. In severe cases, surgery is the best solution to relieve the pressure symptoms and to prevent complications such as urinary incontinence. The best solution is hysterectomy but in your case you refused it. I th... Read Full »
I have continuous leakage of urine. Please tell me what is causing this.
Query: Hello doctor, I have been taking Furosemide (Lasix) for swollen legs prescribed by PCP 20 milligrams daily as needed since last year. This was during a followup following a hospitalization for swollen legs due to feet infection. The hospital doctor said that the swelling would go down in time, but w... Read Full »
Answer: Hello, Welcome to icliniq.com. Relax and do not worry. I do not think the problem is due to Furosemide. You may be suffering from severe form of stress urinary incontinence which is very common at this age. The cause and severity of stress incontinence are to be found out. I suggest you see a uro... Read Full »
Urinary incontinence,the well known complications of forceps delivery
Query: Hi doctor, Nine months ago, my wife delivered a baby boy. It was a forceps delivery at the eleventh hour after observing for nearly 20 hours for normal delivery. The doctors did not inform us it will be a forceps delivery till last minute. Now, the baby is normal. But, my wife is facing urine incon... Read Full »
Answer: Hi, Welcome to icliniq.com. I went through your query. I totally understand the problem. It is not a very frequent but a well known complication of forceps. I am really sorry to know your wife is suffering from urinary incontinence. I know it is an agonizing problem. Urinary incontinence is of t... Read Full »
I have been doing workouts for the last few weeks and feel the urge to pee while walking. Why?
Query: Hi doctor,I am a 34-year-old female weighing 203 pounds. I have no children and I am not under medications, a nonsmoker, or a drinker. I have been working out the last few weeks, and have started losing weight. I have been feeling great. Then I noticed it felt like my bladder was full, and I went to... Read Full »
Answer: Hello, Welcome to icliniq.com. Sorry to hear that this is bothering you. The answer to your question is no bladder symptoms cannot be brought on by stretching. Please help me with a few more details: 1. Have you given natural birth (normal delivery) to any children? 2. Do you suffer from... Read Full »
How does spina bifida 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 sim... Read Full »