Priapism: The Ischemic Fifth Limb
Priapism is defined as an unwanted prolonged erection. Similar to acute brain and heart ischemia, time is tissue for ischemic priapism. Initiate treatment as soon as possible, preferably within 4-6 hours to minimize the risk of impotence that occurs in 100% of patients with untreated ischemic priapism at 48 hours.
Physical Side Effects Of Anxiety Can Include Urinary Retention
Anxiety is a normal reaction to stress. When it becomes overwhelming and gets worse over time, however, it can manifest into an anxiety disorder. People with anxiety disorders can experience a range of symptoms and side effects, even physical ones. More frequent symptoms include a pounding or rapid heartbeat, unexplained aches and pains, dizziness, and shortness of breath, but anxiety can also cause less common side effects like urinary retention.
Causes Of Total Incontinence
Total incontinence is when your bladder cannot store any urine at all. It can mean you either pass large amounts of urine constantly, or you pass urine occasionally with frequent leaking in between.
Total incontinence can be caused by:
- a problem with your bladder from birth
- injury to your spinal cord this can disrupt the nerve signals between your brain and your bladder
- a bladder fistula a small, tunnel like hole that can form between the bladder and a nearby area, such as the vagina
Obstruction In People With A Penis
Possible causes of obstruction in people with a penis
- Cystocele. Cystocele occurs when the bladder lowers and pushes against your vagina.
- Rectocele. This is when the rectum expands and pushes against your vagina.
- Uterineprolapse. Uterine prolapse occurs when the uterus lowers and pushes against the bladder.
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- speech restricted to solitary words or expressions that might not make good sense.
- having a restricted understanding of what is being stated to them.
- requiring aid with the majority of day-to-day tasks.
- consuming much less and also having troubles ingesting.
- digestive tract and also bladder urinary incontinence.
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Very Low Flow/nearly No Urination
Finally, another common problem is feeling the need to urinate, but with little coming out. We mentioned earlier that this is often similar to those that cannot control their urination at all. Somehow, when the fight-or-flight symptom is activated, the muscles and brain center that control urination simply don’t work properly, and this is the result.
Another reason may related back to those that need to urinate often. Remember, anxiety can make you feel like you need to urinate, but anxiety doesn’t create more urine. That means that if you constantly feel like you need to go, you may go to the bathroom but not have very much urine left to void.
This combination can make you worry that you have a prostate-related issue, or something more serious. You should still get checked out by a doctor, just in case. But often the issue is simply that you’ve already urinated, and while you feel the “need” to go, your body isn’t ready to release anything.
First Some Fast Facts
There are two types of strokes, ischemic stroke, and hemorrhagic stroke.
The ischemic stroke is the more common one, and it occurs when a blood clot blocks a blood vessel in the brain, causing brain cells to quickly die from the lack of blood circulation and oxygen, which in turn causes the body to lose some neurological functions. The ischemic stroke can also occur when plaque builds up inside an artery, causing it to narrow and eventually become blocked.
If you have suffered a mini ischemic stroke , you are at risk of suffering a more serious one.
Hemorrhagic stroke is the second type, and it happens when the blood vessel bursts or leaks.
In the United States, stroke is the fifth leading cause of adult death and disability, and nearly 800,000 people experience strokes each year.
These conditions can make you more at risk of stroke: diabetes, heart disease, obesity, and high cholesterol level.
What Are The Symptoms Of Urine Retention
Chronic urine retention, or urinary retention, usually begins with mild symptoms that progressively worsen with time. In chronic urinary retention, you are usually able to urinate, but with some degree of difficulty. Symptoms of chronic urinary retention include:
Constant, mild bladder discomfort, which you can feel just above the pubic bone or lower abdomen
Difficulty in starting to urinate
Dribbling when not urinating
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Sundowning is a traumatic signs and symptom that impacts individuals in mid to late-stage Alzheimers and also various other kinds of dementia, and also as the problem advances, the signs often tend to intensify. Those with dementia can come to be hyper, flustered and also perplexed, and also these signs can expand right into the evening, creating rest disturbance.
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Urinary Retention Prescription Medication
Some medications that may help with urinary retention include:
- antibiotics to treat infections such as urinary tract infection, prostatitis, or cystitis
- medications that help urethral muscles relax, widening the channel and increasing urine flow
- medications that decrease the size of the prostate for men suffering from BPH
Nerve Disease Or Spinal Cord Injury
Many events or conditions can damage nerves and nerve pathways. Some of the most common causes are
- vaginal childbirth
- infections of the brain or spinal cord
- accidents that injure the brain or spinal cord
- multiple sclerosis
- heavy metal poisoning
- pelvic injury or trauma
In addition, some children are born with nerve problems that can keep the bladder from releasing urine.
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Specific Conditions Of Urinary Retention That Only Apply To Men
Enlarged Prostate The major reason men experience urinary retention is due to a problem with the prostate gland. The urethra passes through the prostate from the bladder to the penis where urine is expelled from the body. An enlarged prostate caused by an infection, benign prostatic hyperplasia or prostate cancer, presses down on the prostate and hampers the normal flow of urine from the body. The larger the prostate gets, the more difficult it becomes to expel urine. This is very common in older men, who may then have hassles with leaking.
STIs Diseases spread by sexually transmitted infections can also cause swelling in the genital areas as well as the prostate, and add to the blockage issues.
Blockage problems- Blockage problems in men can cause urine to back up into the system. This can lead to other unpleasant urinary hassles such as leaking and bladder infections.
Scar tissue This may develop as a result of radiation, or surgical procedures involving the urinary tract and can constrict the urethra or bladder outlet, causing urinary blockage.
Infection- An infection on the tip of the penis that may develop from STI or thrush issues is likely to cause painful, difficult urination.
Whether you are male or female, and whether you have an obstructive or non-obstructive type of urinary retention or even both it is essential to visit a doctor as soon as possible to stop serious health issues developing.
When Should I See A Health Care Professional
See a health care professional right away if you are unable to urinate or have severe pain in your abdomen. Acute urinary retention can be life threatening.
If you have any of the other symptoms of urinary retention, such as trouble urinating, frequent urination, or leaking urine, talk with your health care professional about your symptoms and possible treatments. Chronic urinary retention can cause serious health problems.
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Blockage Or Narrowing In The Urethra Or Bladder Neck
For you to be able to urinate normally, all parts of your urinary tract need to work together in the correct order. Urine normally flows from your kidneys, through the ureters to your bladder, and out the urethra. If a blockage or narrowing occurs somewhere along the urinary tract, you may have difficulty urinating, and if the blockage is severe, you may not be able to urinate at all.
Medical problems that may narrow the urethra and block urine flow include
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For life-threatening and time-sensitive injuries and illnesses, call 911 or go to the nearest emergency room. DispatchHealth shouldnt be used in a life-threatening emergency and doesnt replace a primary care provider.
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Urinary Retention: Does Drinking Water Really Help
Urinary retention is a condition characterized by an inability to fully empty the bladder. The bladder serves as a storage tank for urine, a substance made by the kidneys after they have filtered out waste and extra water from your blood. Once made, the urine travels to the bladder where it will stay until a person is ready to urinate. In a healthy individual, the bladder can hold up to two cups of urine comfortably for up to five hours.
Urinary retention can occur for a variety of reasons. Among men, an enlarged prostate is the most common cause. Among women, bladder muscle dysfunction and urinary stones are the typical culprits. Individuals with this condition may experience:
- Feeling the need to urinate right after using the bathroom
How Does A Stroke Affectyour Bladder
Since a stroke causes neurological damage to the body, the nerves that control the bladder can also be damaged.
Nerves play a big role in the process of urination. When you urinate, the nerves that control the bladder trigger the bladders detrusor muscle to contract and push urine into the urethra, and the nerves also signal to the urethral sphincters to relax and let urine flow out of the body. When you are not urinating, the nerves signal the detrusor muscle to relax and the sphincter to contract to keep the urine in.
After a stroke, nerves controlling the bladder can be damaged. Because nerves can no longer properly signal to the bladder, this can lead to frequent urination , inability to hold in urine , sudden urge to urinate or inability to urinate .
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Why Do Dementia Clients Pee Almost Everywhere
When there is a of intelligence and also memory as an outcome of dementia, urinary incontinence might take place. The adjustments in an individuals mind that accompany dementia can disrupt an individuals capability to: identify the requirement to visit the bathroom. have the ability to wait up until it is suitable to visit the bathroom.
Common Causes Of Urinary Retention
Examples of some of the most common causes of non-obstructive urinary retention are:
A pelvic fracture is a break that affects the structure of the pelvis, which can include the hip bones, sacrum, or coccyx, and be extremely painful. If complications occur, it may lead to internal bleeding or an injury to the bladder.
Certain medications, such as antihistamines, and antispasmodic drugs which aid digestion, can cause urinary retention. They decrease bladder muscle contraction, preventing the bladder from being completely emptied.
Antidepressant meds have anticholinergic properties at therapeutic doses that contribute to urinary problems.
The side effects of anesthetics after surgery can impair muscle or nerve function of the bladder. The pain-relieving drugs often have a disruptive impact on the neural messaging to the part of the brain, which controls the nerves and the muscles in the urinary process.
Accidents that injure the brain or the spinal cord can also impact negatively on the neurological process of the urinary system.
Fortunately, no matter what type of urinary retention you may have, there is treatment available.
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Cold And Flu Medications That Cause Urinary Retention
Flu season and colds hit every winter, and even with a flu shot, many people still experience those days of a cough, runny nose, and congestion.
Since the symptoms of the cold or flu can make it hard to work or play, a lot of people choose over-the-counter cold medications to fight the symptoms. Keep in mind that other than Tamiflu , which is a prescription drug for people who have tested positive for the influenza virus, these over-the-counter medications available help with symptoms alone. They do nothing to treat the actual virus.
Common medicines like pseudoephedrine work by constricting the muscles in the nasal passages and sinuses to help the sufferer breathe better. The muscle fibers in the nose and sinuses are under the control of alpha adrenergic receptors.
These alpha receptors also can be found in the muscles surrounding the bladder and prostate. When a male takes a cold medicine, these same muscle fibers may contract around the prostate and narrow the urine flow. If a person has an enlarged prostate , the urinary channel may be narrowed even more, causing painful urinary retention.
While urinary retention in response to cold and flu medications most often occurs in older men with benign prostatic hypertrophy, it has been reported in children as young as age 3.
When To See A Doctor
Anyone experiencing symptoms of acute urinary retention should go to the emergency room.Chronic urinary retention is not a medical emergency, but it does usually indicate a potentially serious underlying problem.
A person should schedule an appointment with a doctor for urinary retention that lasts longer than a few days or that goes away and then returns.
People who experience temporary urinary retention due to medication or anesthesia may not need medical treatment if the symptoms disappear and do not return.
Although anyone can develop urinary retention, it is more common as a person ages. Males are also more likely than females to have urinary retention due to prostate issues and partial blockages of the urethra.
Some other risk factors include:
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When To See A Doctor For A Herniated Disc And Urinary Retention
If you have bladder control problems, see your doctor as soon as possible. Urinary retention can push on the kidneys, which may cause pain or other medical conditions including infections or kidney damage.
Your doctor can do tests that measure pressure in your bladder and other parts of your urinary tract. They may also remove some urine to see if theres blood or other problems in your system.
How Is It Diagnosed
To diagnose urinary retention, a doctor will first ask about the history of your symptoms and perform a physical exam. The physical will include an examination of your genitals and rectum to look for any symptoms affecting those areas that may also affect the urinary tract.
Some other tests that may be used to confirm a diagnosis
likely be inserted to help quickly drain the urine. Local anesthesia will be used to make sure you dont feel pain or discomfort from the catheter.
If a catheter doesnt work or cant be used because of an injury or other condition, a doctor may insert a suprapubic catheter into the skin above your bladder to drain the urine.
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Should I Be Worried About Urinary Retention
Urinary retention affects people of all ages and occurs in both sexes. However, it is most common in older men who have an enlarged prostate gland. It develops slowly over time. You may not notice it until you are unable to urinate. This causes swelling and discomfort in your bladder. It is a condition that is diagnosed in millions of adults due to various causes, but it doesnt have to control your life. If youre struggling from one or more of the symptoms of urinary retention, you may need to visit a urologist. Diagnosis is important in case of urinary retention as treatment starts with identifying an underlying medical cause.
Urinary Retention At A Glance
- Urinary retention, either acute or chronic, is the problem of being unable to empty the bladder properly.
- Urinary retention occurs most frequently in older men, but it can affect women and men of any age.
- Chronic urinary retention may cause few symptoms and sometimes people dont know they have it until urinary incontinence causes them to seek treatment.
- Acute urinary retention is a medical emergency and may involve complete inability to urinate and painful, urgent need to urinate.
- Surgical and other treatments are available to resolve urinary retention.
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How Is Urinary Retention Treated
Treatment for urinary retention can depend on whether you have the acute form or the chronic form, as well as the cause of the condition. For the acute form, a catheter is put into the urethra to drain the bladder.
Treatment of the chronic form or the acute form that becomes chronicwill depend on the cause.
Medications for enlarged prostate: For men with an enlarged prostate, certain drugs may be used to try and open it up or shrink it. These include alpha-blockers and 5-alpha reductase inhibitors . Also, procedures or surgery to open up the prostate may be tried.
Procedures for enlarged prostate: Many procedures are available when this problem is due to an enlarged prostate. Office-based treatments can be done with just local anesthetic only. These include water vapor therapy and prostatic urethral lift .
There are also several surgeries done under general anesthesia which are available. These include shaving down the inside of the prostate and opening up the prostate with a laser . A laser can also be used to carve out the entire enlarged portion of the prostate through the urethra , or this part of the prostate can be removed through the belly . All of these procedures can be effective in opening up the blockage.
Treatment for nerve issues: If the retention is due to a nerve-related issue, you may need to use a catheter on yourself at home.