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 attacks.Previous treatment history and effectiveness: They have taken Amoxicillin, Hydrochloride Flupirtine, Levofloxacin, and Furosemide. With so many medications, urination has become increasingly difficult?
If it is due to bladder dysfunction and catheterization is not possible, what other methods are available besides non-allergic symptomatic medications? Please advise.
Doctor's answer:
Hello. Based on the information you provided, the patient is an elderly female who has experienced recurrent urinary difficulties. It is most likely due to neuropathy, which results in bladder inhibition impairment, or conditions such as intestinal obstruction at the bladder outlet. The simplest method is catheterization, which is essential. Alternatively, a cystoscopy and urodynamic examination should be performed first to identify the cause before targeted treatment can be administered. The body is weak, and catheterization is particularly necessary. Otherwise, urinary retention will cause even more pain for the elderly.