Patient Question: Disease: urinary frequency is not smooth urinary impurity condition description: more than twenty years ago suffered from the disease is to use testosterone undecanoate or compound horny colt capsule to cure the disease, after a few years, appear urinary frequency urinary urgency urinary bifurcation urinary residual leakage and other symptoms, with anti-inflammatory drugs or Chinese medicine after the symptoms are relieved, and after a few years, appear urinary waiting urinary weakness urinary impurity urinary short urinary slow urinary according to the text mayflies can be, there is residual urine, nocturnal urination more than two times, urinary inappetence, urinary interruption, and so on! Until now, sometimes in a good mood, sleep well, urination does not want it, the symptoms will be alleviated a little bit, but this situation is less than a month in a year, the recent physical examination: prostate gland within the strong light point 4mm, urine occult blood 2 +. In addition, sleep and gastrointestinal problems. Hope to provide help: residual urine can be reduced, nocturia can not be more than once, sleep can be improved a little. Treatment process: may be two years old when the small intestinal gas surgery medication: drug name: Cordova, Pulean taking instructions: Gauthierine Harlem Shani Cordova Serodosin one of them have served, have served more than ten years, there is an effect, but the effect is not obvious. The first time I took a tablet, I felt uncomfortable all over the body, and I took it for a month. After taking retention of urine capsule or six flavors of dihuang pills, it seems that the stomach and intestines are not comfortable, and after taking suraxan tablets, the urination is even more uncomfortable. Re: Hello, according to your description, residual urine does not need to worry, sleep adjustment please go to the neurology department for treatment. Frequent urination and dysuria, you need to record your own urination diary for 3 days (see http:///zhuanjiaguandian/songyong301_67306426.htm for the format), good luck. Patient Question: Thank you for your reply. Under normal circumstances, I urinate an average of 2 hours during the day, an average of 3 hours at night, 24 hours a day, a total of about 12 times, according to the whirlpool “startled Mukong Animal Le Contempt Pi bamboo bamboo Kake Kan Gizzard, less than one-fifth of the time, of course, eat more boiled water or fruit {particularly watermelon or pears} to eat more often, the number of times of urination is even more. I probably can’t go wrong with prostatitis, but what kind of disease do I suffer from when I have weak contraction of the urethra muscle and decreased bladder capacity? Is it part of an overactive bladder disorder? Or neurogenic bladder? Or pelvic floor dysfunction? Or prostate hyperplasia? Or something else? Also, am I on pennants now? I can only go by the feeling that the medication I’m taking is working a little bit, because when I first started having the disease, it was hard for me to even go 100 minutes without peeing. Now I can basically go two hours or less without urinating, except of course when I eat a lot of boiled water or pears and paw paws. In addition, in your urination diary, when I eat a lot of boiled water, I can’t urinate all at once, and I have to urinate several times within a few minutes to basically finish urinating with great effort, does this count as one time or several times? Reply: Hello, according to the description of your symptoms are not very serious, it is recommended to record the whole day 24h urine volume, and strive to control in about 1500ml. Meanwhile, continue to take Cordova. I wish you good luck. Patient Question: Thank you. I urinate 24 hours a day at 6:00 (wake up), 9,11,13,15,17,19,21,23 (bedtime), 2:00, 4:00, 6:00 (wake up). But if you eat more water, then the number of times you urinate is more, according to the smell of the gadfly pastor rely on the gap รบ bad straw 5 Nao ruthenium taxpayers, but the total amount of 24 hours a day should not be less. Basically, I can’t sleep after urinating at 4:00 a.m. until dawn, is there] a way to make my nocturnal urination (getting up) no more than once? Also I have the urge to urinate all the time. Some doctors say: don’t stay up to urinate, as soon as you have it, pass it out. But some doctors say: try to delay peeing and wait until you have a lot of urine, so that you can increase your bladder capacity. I don’t know which opinion is correct? You said that I should continue to take Cordova, should I continue to take Prostaglandin? Also can I still take Testosterone Undecanoate or Compound Speed Colt Capsules? Re: Hello, 1. If you have a high total urine output throughout the day, you should control it to about 1500ml and limit the amount of water you drink before going to bed.2. As I have not seen the detailed pictures of the urodynamic examination, I cannot determine the compliance of your bladder, but if the ultrasound does not reveal any renal pathology at the moment, you can try to delay the voiding of the urine.3. For the same reason, it is not possible to know the exact volume of your bladder at the moment, but it is safe for you to have a residual volume of less than 50ml of urine, and you do not need to intentionally void the urine. 4, Cordova can continue to be taken, and if necessary, Valium can be added at bedtime. Prostaglandin can be discontinued. Testosterone undecanoate need to decide whether to take according to the serum testosterone laboratory results. Good luck. Patient’s question: My urination time and volume in another 24 hours (6:00-6:00) are: 270ml at 6:00, 170 at 7:20, 200 at 9:20, 250 at 10:35, 250 at 12:00, 140 at 14:30, 100 at 17:00, 125 at 19:25, 100 at 21:30, 100 at 23:30, 150 at 2:30. 1855ml in total. 150. total 1855ml,I have more urine in front of me because I drink more boiled water, you said control at 1500ml left stone, so I drink less boiled water in the back, and less urine, but the result is still over 355ml. is it not possible to drink too much boiled water? The details of the urodynamic report I did in 2012 are as follows:1 Filling period: bladder sensation is normal, unstable contraction of the detrusor muscle is seen, compliance is normal, when the bladder fills up to 270ml there is a strong urge to urinate and urge to urinate.2 Voiding period: detrusor reflex is present, maximal detrusor R force is 42cmH2O, maximal urinary flow rate is 4ml/s, after voiding, there is no detrusor muscle contraction hypercontractions seen.3 Post free voiding residual Urine 8ml.Conclusion:1 Lack of forceps contraction.2 Decreased bladder capacity. A recent ultrasound was performed as follows: both kidneys are still normal in size and shape, with smooth surfaces, no significant enhancement of renal cortical echogenicity, and no significant separation of the collecting system.CDFI: blood flow distribution is normal in the renal region. CDFI: blood flow distribution in the renal region was normal, and no obvious dilatation of bilateral ureters was observed. The bladder was normal in shape and contour, and the bladder wall was slightly rough, and its internal translucency was still acceptable. Transabdominal wall examination: prostate upper and lower diameters 28mm, anterior and posterior diameters 26, left and right diameters 42, regular morphology, intact peritoneum, internal echogenicity is not homogeneous, and a 4mm strong spot is seen inside. Residual urine: 23 ml. Ultrasound suggests: prostatic hyperplasia with calcification. Urine routine abnormalities are: urine vitamin C: + -, urine occult blood: 2 +, red blood cells (sediment): 5.28, bacteria (sediment): 231. In addition, after I take the schizandra tablets, the urinary tract obstruction is more serious, I am afraid that should not be taken. Based on the above, I would like to ask for your advice again. Thank you. Response: Hello, according to your latest voiding diary, it seems that nocturia is 1-2 times, residual urine is not a problem, it is still recommended that you continue to take Cordova, urodynamics for 2 years ago, and review if necessary. Good luck. Patient Question: Thank you for your response. I am handwriting you my urination diary for the last 4 days, Day 1: 170ml at 6.25pm,200 at 8.25pm,250 at 9.40pm,250 at 11.00pm,140 at 13.30pm,100 at 16.00pm,125 at 18.25pm,100 at 20.30pm,100 at 22.30pm,150 at 1.30pm,200 at 5.05pm. total of 1785ml on 11 occasions. Day 2: 50 at 06h30,150 at 09h20,120 at 11h40,100 at 14h10,70 at 15h40,155 at 16h40,270 at 17h00,200 at 17h50,160 at 20h10,270 at 23h40,250 at 02h10,220 at 04h45.Total of 12 sessions of 2015 ml.Day 3: 170 at 06h30,180 at 08h45,250 at 1015,220 at 11h00,135 at 12h50,160 at 15h20,120 at 16h30,220 at 18h40,110 at 20h40,110 at 22h40,270 at 0h45,340 at 03h15.A total of twelve times 2285ml.Day four: 7h00 290,9h30m120,12h145,15h140,17h45m125,20h15m110,22h45m130,1h10m250,3h15m300,5h10m250. total 10 times 1860ml. four days of raking in 1500ml, one day up to 2285ml, nocturnal urination 2 to 3 times, if If I take less boiled water, the amount of urine each time will be even less. What can I do to improve this? Answer: Hello, it is still recommended that you reduce the amount of water you drink. You are advised to reduce the amount of water you drink. You can urinate more than 300ml at a time, so we recommend that you train yourself to delay urination, so that you can urinate 250ml-300ml at a time. Patient’s question: Hello. I am writing to you a handwritten diary of the last two days of urination, the first day: 250ml at 6:30, 150 at 9:30, 100 at 11:40, 200 at 14:00, 200 at 15:50, 155 at 16:40, 250 at 18:40, 100 at 20:40, 150 at 23:00, and 340 at 2:50, a total of 1895ml in 10 times. the second day: 220 at 6:50, 220 at 10:50, and 340 at 2:50, a total of 1895ml in 10 times. 50 minutes 220,10 hours 140,11 hours 200,13 hours 10 minutes 160,16 hours 135,18 hours 15 minutes 140,21 hours 15 minutes 180,22 hours 30 minutes 70,1 hours 20 minutes 350,3 hours 50 minutes 300,6 hours 10 minutes 220. a total of 11 times 2115 ml. In general: during the day according to the smell shot mayfly kang old wash (weight) bad 250ml, the second half of the night Generally can reach 250ml to 350ml. is this related to sleep? I delayed urination after the press Wen mayfly Kan sewing ute shore anger, but sometimes it seems to be a little uncomfortable, below (is not called the pelvic floor or the triangle?) It’s a little swollen or a little sore. A little bit of course. When I had an ultrasound in 2010, I had 75ml of residual urine (it was done after eating several bottles of mineral water). But when I had an ultrasound in 2011, the residual urine was 0 (I didn’t drink any water before the ultrasound). The last ultrasound this year, the residual urine was 23 ml. Based on the above, I would like to ask you again for your opinion on how to improve the situation. Re: Hello, aim to control urine output at 1500ml, other advice as before. I wish you good luck. Patient’s question: Hello. I am writing you my urination diary for the last two days. Day 1: 220ml at 6:30, 150 at 9:00, 100 at 11:30, 100 at 14:10, 125 at 16:40, 130 at 17:35, 120 at 21:00, 165 at 0:10, 280 at 2:30, 190 at 4:40, a total of 1580ml in 10 times. The next day: 750 at 7:15, 70 at 8:30 (stool and urine), 100 at 11:05, 100 at 13:50, 125 at 16:15, 140 at 19:40, 120 at 22:00, 70 at 23:35, 300 at 2:50, 220 at 5:30, 70 at 6:30 (stool and urine), 1565 ml in total for 11 times. The total number of times a day, the total volume of urination is less than the original, but the nighttime urination can not be controlled to a time, according to the azure which may be (especially during the day) most of the less than the normal value, in addition to the still weak urination, there is residual urine, etc., delayed urination, urination is relatively longer than the original time can be a little longer, but the bottom (is not called crotch?) sometimes a little swollen or a little pain, or a little pain. Sometimes it is a little bit swollen or painful, a little bit of course. Based on the above, I would like to ask for your advice again. Re: Hello, according to your urination diary, the volume of urine is well controlled, and the frequency of urination is slightly reduced. If you go to bed at 23:00 and wake up at 6:00, your nocturnal urine output is slightly high, so it is recommended to limit water intake after 8:00 pm. Other recommendations are the same as before. Good luck. Patient Question: Hello. I am writing to you a diary of my urination from October 11th at 6:00 to 14th at 6:00 for three days. Day 1: 170ml at 6:30, 225 at 10, 255 at 12, 190 at 15, 260 at 17:20, 200 at 20:10, 180 at 22:50, 250 at 1:50, 230 at 4:45, total of 9 times 1960ml. Day 3: 175 at 8:45, 300 at 10:55, 200 at 14:00, 200 at 16:40, 360 at 19:10, 220 at 22:15, 245 at 2:05, 205 at 5:05. 8 times 1,905 ml. After delayed urination training, the total number of times has decreased from 12 to 9 or even 8 times, and I can get more than 200ml of shirts. However, it is difficult to control the night rising to once, urination] has impact, there is residual urine, etc.. In addition, if I am scarp plucky, the total amount of urine in a day should be 2000ml. If the total amount of urine in a day is controlled at 1500ml, then the total amount of water I drink in a day must be less than the normal minimum. Based on the above, I would like to ask for your guidance again. Thank you. Re: Hello, due to the daily diet will have porridge, soup and other water intake, additional water supplementation does not need to be too large. Your current frequent urination symptoms are still improving, it is recommended to continue to control the amount of water intake, and to control the urine volume at 1500 ml. To achieve the effect of nocturia once, you need to adjust the sleep, short-term may be difficult, but most likely does not affect the quality of life. Good luck. Patient Question: Hello. I did ultrasound on October 20, ultrasound: the size and shape of both kidneys is still normal, the surface is smooth, the renal cortex echoes are not significantly enhanced, the collecting system did not see b obvious separation. cdfi: renal area blood flow distribution is normal. CDFI: blood flow distribution in the renal area is normal. bladder filling is poor, and the inner wall is not [… Transabdominal wall examination: prostate upper and lower diameters of 27mm, anterior and posterior diameters of 25mm, left and right diameters of 40mm, morphology is regular, the peritoneum is intact, the internal echogenicity is uneven, and a strong light spot of 5mm is seen inside. Residual urine (-). Ultrasound suggests: prostate calcification foci. 6:00 on October 16th to 6:00 on October 17th, the date of urination: 300 at 6:20 pm, 200 at 11:00 pm, 150 at 15:00 pm, 130 at 18:00 pm, 120 at 20:30 pm, 120 at 23:00 pm, 400 at 2:00 pm, 170 at 5:35 pm, a total of 8 times 1590 ml. 6:00 on the 20th to 6:00 on the 22nd, two days of urination date: the first day: 6:35 pm 140,205 at 11:00,200 at 14:30,170 at 17:15,180 at 20:25,130 at 23:00,150 at 1:30,175 at 5:00.Total 8 times 1350ml.Day 2: 200 at 9:40,230 at 14:45,200 at 19:20,225 at 22:45,370 at 1:00,250 at 2:25,350 at 5:15,300 at 6:00 on the 20th to 6:00 on the 22nd day. Total 7 times 1790ml. out of the 7 to 8 times I urinate in a day, I feel like I have one to two times when I urinate cleanly. This time the ultrasound was done just enough to drain the urine. However, the strong spot is 5mm bigger than the original one, and 4mm strong spot is seen within the previous finding, I don’t know if there is] any solution for this? Based on the above, I would like to ask for your advice again. Thank you. Reply: Hello, the number of times you urinate is close to normal, and the volume of urine is under reasonable control, so keep it up. There is no need to worry about the strong light spots, they are just calcified foci of previous inflammatory changes, and the size of the ultrasound is not an absolute value, there will be some discrepancy. The treatment strategy remains the same. Good luck. Patient question: Hello. Now I basically scars dazzle shot 6 to 8 times, including nocturia 2 times or 1 time (each accounted for about 50%), the total volume of urine in a day between 1200ml to 1900ml. But on October 29th 6pm to 30th 6pm this day total urine volume reached 2725ml,while on November 1st 6pm to 2nd 6pm this day total urine volume is only 820ml.These two days are especially abnormal, I don’t know what is the reason? In addition, I woke up in the second half of the night on November 17th and urinated 550ml at a time. Does this mean that my bladder capacity has increased, I usually urinate more than 200ml each time. Should I Cordova continue to take it? Or which one is the most suitable for me to take, such as Gauthierine Haldol Masani Cordova Serodosin? Now the problem of frequent urination has been basically solved, but the urination is not smooth and weak, and the urination is not complete and the urination is still a little bit, in addition, there is still sleep is not very good, the stomach and intestines are not very good, the urinary occult blood is 1+, and the prostate gland is 5mm light spot, and so on. In addition, you said that the total amount of urine in a day in about 1500ml, I can not reach exactly 1500ml, so in the more and less point on the problem is to choose more point? Or less? For example, which is better, 1400ml or 1600ml? Please advise me according to the above, thank you very much. Reply: Hello, 1. Generally, we calculate the urine output of a day from the time we wake up in the morning to the next morning, rather than recording 24 hours at any point in time. Occasionally 2 days of abnormal urine volume, there will not be a big problem, mostly due to diet, weather, exercise are due to change. 2, your current urinary frequency symptoms lifted, urination can continue to take Cordova and other drugs, although the individual response to different drugs may be different, but the overall efficacy is equivalent. 3, the prostate strong light spot, occult blood recommended regular review of ultrasound, routine urinalysis, PSA examination, do not need special treatment. 4.Urine volume 1400-1600ml can be, there is no precise data corresponding to clinical symptoms, so there is no need to be too precise. Good luck. Patient question: Hello. These days I basically scarred dazzle shot 6 times, nocturia 1 time. The situation of frequent urination and waiting for urination has been basically lifted. Now there are still 4 major problems: 1, Scar Dazzle 6 times in the urination, most of the time there is residual urine. (I always try to urinate as much as possible every time I urinate, or as little as possible.) 2, weak urine. 3, poor sleep. 4, with similar to the undecanoic acid testosterone medication to cure the disease. And of course sometimes there are urine splitting and so on. I used to go to zhejiang first hospital, zhejiang province hospital of traditional Chinese medicine, zhejiang province hospital of traditional Chinese medicine with strychnine capsule medicine I served after a certain effect (urination powerful). But strychnine is poisonous and cannot be taken more than once, so I only took it for two weeks. There are also doctors convinced to sniff Bisphosphonium tablets, but another doctor said: if the situation is okay, it is better not to take. So I had taken it for a month and then stopped taking it. Isn’t it harder to change the lack of urination and weakness? Also if I take one of the Gauthierine Harlequin Marshmallow Nicotine Cordova Serodosin etc. for a long time, should I take the one with the least side effects? Which one do you think has the least side effects. I feel as though the effects are the best with the Marshani. But I take basically Cordova. Are there any other medications [similar to testosterone undecanoate] that have side effects? If so, do you recommend one, supplements are fine. Based on the above, your guidance would be appreciated, thank you. Reply: Hello, 1, residual urine less than 50ml will not have any effect on you. 2, urinary weakness still need to be treated by drugs such as Cordova. 3, sleep problems can be adjusted by a neurologist. 4, testosterone undecanoate before the application of the recommendation of the testosterone blood levels, if low, you can try to apply, health care products I do not know. 5, Cordova class of drugs are roughly equivalent in terms of efficacy, side effects, are relatively safe! If you want to know more about testosterone, you can choose the one with good efficacy. I wish you good luck.