urinary infection
I am a 30-year-old woman. I have been suffering from lower abdominal discomfort accompanied by fever for the past 10 days. I also feel a burning sensation while urinating. Why is this happening? What should I do now?
You are probably suffering from an infection in the urinary bladder, which can be acute or recurrent. ‘Ascending infection’ by the bacteria that resides in the introitus (the area around the vagina) often causes the lower urinary tract infection. The bacteria E.Coli residing in the rectum ascends to the urinary bladder through the vagina. The problem is acute in women after intercourse and during the peri-menopausal period. However, it’s not a serious problem. Proper antibiotic is necessary for relief. So consult an urologist for medication.
enlarged prostate
I have been diagnosed with an enlarged prostate. The prostate weighs 40 gm. P.S.A is normal. My sleep gets disturbed as I urinate 4-6 times at night. The flow is normal and there’s no burning sensation. How can I get rid of the problem? I am 70 years old.
You have not mentioned the quantity of residual fluid. However, your problem seems to be nocturnal frequency. It may be due to intake of excess fluid (water, tea, drink, etc). Enlarged prostate may also be a cause. The symptoms insofar as enlarged prostate is concerned are urgency and nocturia.You are advised to restrict the intake of water to 1.5 litre per day. If the situation doesn’t improve, you can opt for digital rectal examination and uroflowmetry. If the diagnosis is still not confirmed, then endoscopic and urodynamic evaluations have to be done.
blood in urine
I am 45 years old. I have been suffering from intermittent painless bleeding during urination for the past six months. What could be the cause?
It’s a case of haematuria (blood in urine). It may be gross, initial or terminal. Usually, prostate causes initial or terminal bleeding. In case of total haematuria, the blood may come from any lesion in the kidneys, the ureter or the urinary bladder. Other sources could be urinary tract infection or stone in the urinary tract. Symptoms should not be neglected. A thorough evaluation is necessary to find out the cause of bleeding. So consult an urologist.
bed wetting
My 13-year-old boy still wets bed at night. Does he need medication? Please help.
The exact cause of nocturnal bed wetting is still not known. It could be due to some psychological factors. Usually, it happens during deep sleep (between 2 and 3 am). This symptom is called primary eneuresis. It spontaneously recurs at the age of 14 or 16. Sometimes it may be delayed, but it does recur. Alarm therapy (adjust the alarm to a specific time which is just before the time of voiding) does help to a certain extent. Reducing water intake can also help.
Abnormal opening
My newborn son urinates through an abnormal opening in the penis. His opening is not at the tip of penis, but a little above the organ. What should I do now?
Normally, the opening should be at the tip of the penis. But in case of congenital anomalies, the urethral orifice may open either under or above the penis. If the opening develops below the penis, it is called hypospadius. If it’s above the penile surface, then the condition is termed epispadius. So your child is suffering from epispadius. Consult a urologist or a paediatric surgeon or a plastic surgeon as you child needs reconstructive surgery.
YOUR HEALTH
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