Why do older people have frequent urination and urgency? Do they often wet their pants?

Patient's question:

There is an elderly person in the family, a male, 73 years old. The symptoms of frequent urination and urgency are quite prominent. He often has to go to the toilet, and sometimes he urinates on his pants if he is a bit late. Sometimes, even after using the toilet for an hour or so, he needs to go again. Basically, he cannot go on long trips, which greatly affects his life! He has also been taking medications such as Sanjin Pian and Qiangu Kang, but the symptoms are still intermittent, and it seems that the medication is not very effective!

Doctor's answer:

Medical Analysis: Hello, based on your condition, we consider the following: prostatitis and benign prostatic hyperplasia (BPH). BPH is one of the most common conditions among elderly men.
Advice: It is recommended to take medications such as Prostect, Trimethobenzamide (or Terazosin, Tamsulosin), and Flomax. Additionally, Combining these with anti-inflammatory drugs like quinolones can yield better results in improving urinary symptoms.
Prevent various infections, such as colds and diarrhea. Also, drink plenty of water, quit smoking and alcohol, and reduce the intake of spicy and irritating foods. Chinese herbal medicine options like Liuwei Dihuang Wan, Buzhong Yiqi Wan, and Jinkui Shenqi Wan can also be taken for regulation. Surgical treatment may be necessary if needed.
Hope this helps.

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