Patient's question:
What methods can be used to urinate without catheterization? The patient is 85 years old and very frail, with abdominal distension, and has been unable to urinate for over ten days. They are allergic to Huang'an medicine and suffer from coronary heart disease with daily episodes. Previous treatment and outcomes: They have taken Amoxicillin, Hydrochloride Flupirtine, and Levofloxacin, and have used Furosemide. With so many medications, urination has become increasingly difficult. What kind of help is needed: If the issue is bladder dysfunction and catheterization is not possible, what methods are available besides administering non-allergic symptomatic medications? Please.Doctor's answer:
Hello! Based on the situation you described, the preliminary consideration is: neurogenic bladder. The simplest method is to perform an anal digital examination to check if the anal sphincter is relaxed. If necessary, urodynamics can be performed to help diagnose whether the urinary retention is obstructive or functional. There may also be diabetes. Wishing the elderly patient a speedy recovery. Finally, during the treatment period, the patient needs to follow a balanced diet, maintain a regular schedule, actively participate in physical exercise, regulate physical and mental health, maintain personal hygiene, and avoid bacterial invasion due to weakened immunity.