Q. I have urination problem with less urine output and leakage. Please help.

Hello doctor,

Patient is a 50-year-old female. She had a history of early menopause (periods stopped after 35 yrs). Her gall bladder removed last year and she has hypothyroidism and taking Thyronorm .25 mg for the past three years.

Her present complaint is problem in urination, urine flow is low and she has to go to the toilet several times for urination but the urine is very scanty even after applying force. Sometimes there is urine leakage. She was prescribed Urimax 0.2. But she discarded its use as it induced constipation, flatus, and obesity. Sometimes there is a pain in the pelvic region, joint pain, and easily fatigued.

Thank you doctor,

Yes, I feel leakage and my innerwear gets wet. I do not feel any burning or pain in urine. My urine culture test remains always negative. I cannot hold urine for a long time. I have to urinate every two hours on average. My sleep is disturbed because of it.

But when I go to urinate, I feel the urge but no pressure. The flow of urine is weak. I can hold the urine but generally, I void it whenever I feel even a little urge.

I am not diabetic. I do not have any blood pressure. I am suffering from hypothyroidism and take tablet Thyronorm 0.2 daily in empty stomach for the last three years. I am attaching the prescription for your perusal.

Thank you doctor,

USG report is attached. My gallblader was removed last year by laproscopy. No other surgery is done.

Hi,

As per doctor's advice I took Tab Roliten 4 mg for two weeks for my overactive urinary bladder. I got 80% relief. I no longer need to go to pee every hour as I used to do earlier. There is 80% relief in leakage also. I feel the urge that sometimes I have to exert pressure for urine.