Patient's question:
What methods can be used to urinate without catheterization? The patient is 85 years old and very frail, with abdominal distension that has lasted for over ten days. They are allergic to Huang'an medicine and suffer from coronary heart disease with daily episodes.Previous treatment and outcomes: Taken medications such as Amoxicillin, Hydrochloride Flupirtine, and Levofloxacin; used Furosemide. With the use of so many medications, urination has become increasingly difficult.
What kind of help is needed: If the issue is functional bladder dysfunction, what methods are available besides catheterization under the condition that it cannot be performed? Additionally, what medications without side effects and not allergic to Huang'an medicine are recommended? 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 a speedy recovery. Finally, during the treatment period, the patient needs to follow a balanced diet, maintain a regular routine, actively participate in physical exercise, regulate physical and mental health, maintain personal hygiene, and avoid bacterial invasion due to a weakened immune system.