Commentary: Holding your pee in and the snarl of applying mass healthcare advice
SINGAPORE: A 29-year-one-time immature working professional visited our dispensary lament of difficulty with urinating.
She had problem starting and frequently felt that she could non complete voiding. She too had a dull flow.
Later on some questions, we institute out she also had a habit of belongings back peeing due to work commitments. She went to the toilet but twice a day and drank very little fluids.
After a series of tests, we plant she had what is known every bit voiding dysfunction, where at that place is poor coordination between the bladder muscle and the urethra because of a weakening of float muscles. This weakening is generally irreversible.
Fifty-fifty with medication, she had to re-learn relaxing her pelvic floor muscles with pelvic floor exercises taught by physiotherapists or specialist nurses.
The simply silver lining is her condition thankfully had non affected her kidneys though she needed to exist monitored closely for the long term.
Property IN YOUR PEE IS ALRIGHT?
Yous may have read some news reports suggesting that information technology is alright to concord your urine. Unless medically advised by urologists, doing so is not suitable for anybody and other urological conditions have to be ruled out first.
WATCH: Is it okay to hold your pee?
The National University Hospital (NUH) Urology Heart sees a good number of patients with overactive bladders and float retraining is actually one conservative, not-invasive treatments. This involves holding dorsum urinating for slightly longer intervals subsequently the urge to begin until i's bladder capacity improves and the patient develops a amend controlled urination schedule.
In fact, property in your pee is a course of treatment for overactive bladders. For stress incontinence which is more common in females, pelvic floor exercise is usually the prescribed treatment. When prescribed by urologists, these forms of holding urine are condom for healthy people.
NOT FOR THOSE WITH DIABETES, SPINAL Cord Bug OR PELVIC SURGERY
Still, property dorsum urination might come with risks for some groups of people - including those with primary neurological conditions, spinal cord injuries, spinal cord congenital weather, or stroke, equally well as those who have had pelvic surgeries or diabetes.
READ: Unable to look sideways? Unusual signs of diabetes often unnoticed, ignored or denied, a commentary
They may potable normal amounts of fluids but have a poor sense of how much water is in their float and utilize the toilet infrequently. Holding back urine tin increment their risk of urinary tract infections, developing dysfunctional voiding or kidney disorders.
They have to exist monitored carefully for urological complications. In a worst case scenario, they may require a catheter.
Not FOR THOSE WITH PROBLEMS WITH PEEING
Sometimes people as well experience bug with peeing – nothing comes out despite feeling an urge to apply the bathroom. This usually happens to immature, otherwise good for you, females. Many of these patients nosotros have seen have the addiction of holding back urination because of work or because they fearfulness public washrooms may exist dirty.
They may as well have poor fluid intake and constipation. Some experience a very tiresome stream. Many only seek medical attention when they have urinary tract infections. Opposite to intuition, nosotros would propose patients like these to drinkable more than water and urinate more frequently.
Physiotherapy may also be recommended and so that they learn to relax their pelvic floor.
Lastly, patients who have recurrent urinary tract infections should non hold back urination if they experience a strong urge to go to the bathroom after drinking fluids because this may cause some other infection if there is stagnant urine in their bladder.
During an acute urinary infection, they should consume more h2o and urinate when they have a strong urge to, after seeing a doctor and being treated with antibiotics. Subsequently recovery, they should keep upwards with the good work of consuming more water (ranging from i.five to 3 litres, depending on trunk weight) and practise urinating regularly.
A normal, salubrious person can concord their pee for about ii to three hours, depending on fluid consumption, but annihilation longer might exist problematic.
Anyone with these symptoms and those with difficulties peeing should seek help from their family unit doctors or see a urologist. Nosotros frequently advise patients to be wary most applying widely dispensed medical advice as diagnoses can vary from patient to patient.
Sticking to 1 without fully appreciating how their medical history might bear upon them in a unique mode might not be the best idea.
All patients have their own weather condition and stories and we cannot have a 1-advice-fits all model to healthcare. It is best to consult a specialist and get a tailored programme if you take issues in the bathroom.
Dr Fiona Wu is an associate consultant from the Section of Urology at National University Hospital.
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