Patient's question:
What methods can be used to empty the urine 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 effectiveness:
- Taken Amoxicillin, Hydrochloride Flupirtine, and Lomefloxacin
- Used Furosemide
Currently, urination is becoming increasingly difficult due to the use of so many medications.
What kind of help is needed:
If it is bladder dysfunction and catheterization is not feasible, what methods are available besides administering non-allergic symptomatic medications? Please help.
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, patients need to follow a regulated diet, maintain a regular schedule, actively participate in physical exercise, regulate physical and mental health, maintain personal hygiene, and avoid bacterial invasion due to a weakened immune system.