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Adult ADHD with bladder and bowel issues

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Hello my name is ishtar,
I have Adult ADHD, i was diagnosed when i was 17. I haven't had any medication since then because i turned 18 and now 19. Insurance is no longer available, I feel like i am just getting worse. I can not read one sentence without doing so five times before. I am a college student majoring in biology pre-med i want to be a pediatrician. My ADHD is starting to really be a problem in college and i want to know if there is any way I can fix this?

Also i have weak kindeys or something. If i do not drink enough water, or i drink anything like coffee or soda it burns when i pee. Then for 30 min to 2hrs after it will still burn. I had chlamydia and took pills at the womens center and it went away. I also have had bladder infections and kidney infections in the past. Therefore now i am so confused in what might be wrong with me. The issue is getting bad, now sometimes when the burning happens when i pee i can not control my blader. during the 30min to 2hrs i am feeling discomfort i am also leaking pee here and there. It is emberessing when i am at work or on campus. What should i do? I had a Cystoscopy at 17 and they said everything looked normal but i do not feel normal. what could this be? just weak kidneys?

Also i have stomach problems, i have found blood in my stool several times and i went to the hospital and i had a Esophagogastroduodenoscopy and a colonoscopy, they found a polyp the first time and removed it. the second time they found a infection and removed it. now i bleed again and i didn't say anything because i feel as if it's not helping. I do not have a bowel movement as i should, i do about every few days sometimes a week i have gone 2 weeks without doing it. When i do my stomach hurts really bad and i am constipated. Yet If i take laxitives all they do is make me go all day at all times. If i go running my stomach hurts as if someone is cutting my insides and i need to go use the toilet but i am there for a hour just in pain. therefore it is affecting my physical health too, and it use to affect my schooling because i would feel as if i had to go and i couldn't. I would go to the restroom almost all class period. Also gas, i have more gas than i use the toilet and with the anxiety i have it has brought me to having panic attacks in public. I do not know what could be wrong what should i do?

also one more thing you should know these stomach issues and anxiety did not start until i was 16 after my mom died that year. and my adhd did not become a huge noticeable issue until then aswell, the bladder and kidney issue however started 2 years before she died but could not really tell her much cuz she had colon cancer and was not arround much she had kimo. someone menyioned all this could be a way my body is taking it out,since i didn't morn much after she died. Although i don't think that could be the issue because this is physical health..... what should i do???????

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
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Hello,

Thank you for asking your query at DoctorSpring.

I would like to get some additional information from you so that I can provide my best and learned opinion.

1. Do you still have bladder control issues ? Can you please explain a bit ? Is there any history of involuntary urination ?

2. Currently do you have blood in the stools ? Has it occurred after the procedure ?

3. May I know what are the medication you are taking now ?

You can reply as a followup.
Thank you


Patient replied :

yes i do still have bladder control issues during the time period of the burning sensation. When i urinate it burns only if i have drank soda or other none natural drinks. the burn lasts 30min to 2hrs after urination and the bladder control issue occurs then. no history of involuntary urination only present.

yes, it has occured after the procedure. Sometimes i do still have it. blood in my stool occurs randomly.

I am not taking any medications.


Hello,

Thank you for the additional information.

The ADHD may require medical therapy. You will require evaluation for that purpose. With that you should under go an anxiety and depression screening. There is nothing wrong with your kidneys. This seems to be urethral abrasion (small superficial damage of the urethral epithelium) . Avoid sex / masturbation for 1 week and give it time to heal. Avoid spicy / sugary foods and drinks. Drink plenty of water. If the problem persists even beyond two week the STD tests need to be repeated along with a urine culture and sensitivity.

The blood in stool if persisting has to be re-evaluated. Unfortunately there is no other option. Meanwhile take a high fibre diet . Refer this Mayo clinic information. Target a 40gm/ day intake. It seems you have a component of IBS (Irritable bowel syndrome) which will also benefit from the fibre intake.

The issues you have mentioned does not seem to be related . However there could be an underlying depression / anxiety. IBS if present should be evaluated and treated. You will be better of under the care of Gastroenterologist.

Hope this helps
Please feel free to ask followups.
Thank you


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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