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Urinary Retention.

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Hello Sir,
I am Deepak Kumar from Punjab,India.My age is 50. I am facing following problems:
1. Constipation (not satisfactory passing of stool)
2. Phelgm fall in throat with season change and chronic cough
3. All Body pains
4.6-7 time urine at night
5. Back pain at lower portion
6.Right thigh outer side portion pain
7.3 month back stone was reported in my both kidneys of 3-4mm.but since than no pain of stone.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 26 Doctors Online

Hello and thankyou for approaching DoctorSpring with your query.
I have gone through you case and understand your concern.
From what you have described you most likely have symptoms of Urinary retention.
It can be due to prostate enlargement, constipation, medications, urinary tract infection.
Please can you answer a few questions so that we can find the probable cause of the urinary retention.
1) Do find it difficult to urinate, feel dribbling at the end of urination or incomplete emptying of your bladder?
2) Did you notice any blood in your urine?
3) Have you noticed any weight loss or fatigue recently?
4) Are you on any medications on a long term basis for your cold or any other health problem?
5) Since how long have you been experiencing these symptoms?

Depending on this I will advise you on what tests you need to get done.
Please can you reply as a follow up. .

Patient replied :

1)Yes it pain during urination and pressure of urination is not proper.In last its also dribble and quantity is not much.
2)No blood in urine
3)No weight loss and no major problem of fatigue
4)No medication for long till now
5)This problem is 7-8 years old.
Sir please also advice me on Phlegm issue which occur with season change its major problem i am facing nowdays and back problem too.I am also uploading some test report i did last year for your reference.

Hello and thankyou for your reply. I wen through your tests.
Your symptoms of phlegm and urinary symptoms are not related.
For the phlegm I would advise you to take,
1) Steam Inhalation. Inhale through your nose and exhale through your mouth. Repeat this a few times. You can do steam inhalation twice a day.
This should help control your symptoms. You can also use Normal saline nasal irrigation sprays.

Regarding your Lower Urinary tract symptoms, you will have to get the following tests done to find the cause.
1) Uroflowmetry + Postvoid Residual Urine
2) Transabdominal ultrasound
3) Serum Prostate Specific Antigen
4) X-Ray of lumbosacral spine, to rule out cause of back pain.

You can get back to me with the tests results. Treatment can be started accordingly.
I hope this has helped.

Patient replied :

I also want to add that my ESR as tested on 17/03/2014 was 69mm/hr.

Hello and thankyou for the additional information.
ESR could be raised in case of an infection or inflammation. Hence it is advisable to get the above mentioned tests to diagnose the exact cause of your symptoms. In addition I would also advise you to get a PPD test done.

I hope this has helped. Do follow up with your test results.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
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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