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Bethanechol Health Feed

Asked for male, 49 years old from Mumbai

My father has been put on urinary catheter for 10 days as he was unable to pass urine. Doctor has also advised him to take tablet 'macpee' for 10 days. My question is 'how long can macpee tablet be taken? How much period is it safe to take this medicine?

Dr. Deepak Sharma90%(754 ratings)

FIMSA, MD-Nephrology, DM - Nephrology, M...read more

Nephrologist•Delhi

I understand your concern.
However, you need to consult me in detail before I prescribe him an appropriate treatment.
Please consult me online/audio/video at the earliest.
Meanwhile increase water intake to 2 liters liters daily.

Asked for female, 56 years old from Mumbai

My mother aged 85 who is bed bound had 2-3 episodes of hematuria. She was hospitalized and urine sample was collected with the help of a catheter. Her urine routine showed 75-80 pus cells but urine culture and sensitivity test showed no microbial growth. Her usg kub shows that she's having more than 500 cc urine retention. One kidney shows hydronephrosis with dilated ureter. Her abdominal scan shows that her bladder wall is trabeculated with diverticula. She was treated with antibiotics and her urologist prescribed niftas 100 mg 1 tab for 3 months, macpee 25 mg 3 tabs/day for 2 months and veltam 0.4 mg 1 tab for two months. Within 10 days she again had episodes of hematuria which lasted for 2-3 days. Her doc prescribed zifi 200 2 tabs per day for 7 days. After two days of zifi bleeding in urine stopped. Currently she's complaining of lower abdominal pain sometimes and strange discomfort. On checking her spo2 it shows fluctuation and there is increase in pulse rate. Today her pulse jumped to 128 and spo2 dropped to 76 and then normalised to 98. Her pulse rate has never come out to be high and spo2 has never fluctuated this much. Does macpee, veltam cause side effects? If so, whatever my mother is experiencing are the side effects of the meds she's on? She's completed approx 25 days of macpee and veltam and 30 days of niftas 100. Does she require a catheter for urinary retention? We are quite apprehensive in going for the catheter as she may try to pull it out leading to injury. My mother has history of hiatus hernia, oesophageal stricture, oesophageal ulcers, uti, osteoporosis and age-related dementia. She was having hypertension since past sev years but from past one month she is off the antihypertensive as her bp comes out to be normal. please advise. Thanks a lot.

Dr. Vijay Kumar Singh88%(40 ratings)

MBBS Bachelor of Medicine and Bachelor o...read more

General Surgeon•Begusarai

Sorry to hear about how your mother has suffered so much
I am here to help however I can.
(1) puss cells in urine but no growth on culture could indicate "sterile pyuria" which is common in elderly women. Possible reason for this may also be recent or incomplete antibiotic course. There are also several organisms that could cause uti, they may be present in bladder/urine but do not grow on culture media and they are capable of causing hematuria.
(2) there can be several obstructive (...more

Health Query

My dad is taking prescription for prostate and one medicine called Urivoid (Cipla) 25 mg is not available in the market, is there a substitute available for the same.

Dr. Rahul Poddar90%(911 ratings)

MBBS, DNB (General Surgery), MNAMS (Memb...read more

General Surgeon•Ghaziabad

urotone or betheran are substitutes, but should only be taken on prescription as their are side effects of the drug.

440 people found this helpful

Asked for male, 79 years old from Dehradun

Hi, I have been diagnosed with non functionality of bladder resulting in acute urine retention macpee and urimax .4 mg I have some relief now but not fully cured, my question is if the deficiency is untreatable or there are some medicines for restoring functionality (pumping ability) of the bladder. please enlighten me, thank you.

Dr. K.S Jeyarani Kamaraj92%(1166 ratings)

MBBS, DGO -Gynecology & Obstetrics, MD ...read more

Gynaecologist•Chennai

Dear Mr. lybrate-user,
thanks for your enquiry.
We can try our carbon dioxide laser therapy for improving the collagenisation of the bladder wall which can help in reduction of acute urinary retention. If is a 5 – 7 minutes op procedure with 3 sittings each 1 month apart. Its newly launched and very effective.

Asked for male, 70 years old from Mathura

I was prescribed alfusin, tadalafil 5 mg for life time and macpee 25 for three months as my prostate measures 38 gm and pvr on 1st void 240 cc and 2nd void 150 cc. I am a patient of ed and bph for the last 3-4 years. After 2 weeks I am experiencing blurred vision and very uncomfortable. Is it side effect of any of these medicines. Kindly help me as my consultant doctor is about 1500 km. Away from my residence.

Dr. N S S Gauri95%(159289 ratings)

Bachelor of Unani Medicine and Surgery (...read more

Unani Specialist•Kanpur

Gokshuradi avleh 3 gm twice a day
relief in 5-6 days and for complete cure take it for 60 days only
avoid oily and spicy food.

137 people found this helpful

Asked for male, 50 years old from Coimbatore

I am 50 year old male. I had frequent urination during july 2017, when after heavy work and thereafter had alcohol that evening. From next day onwards I had irritation while urinating and also frequent urination. All test were carried out and my serum creatinine stood at 1.15 dl, retention urine at 30 ml. Rest all were normal. The doctors advised to take macpee for 5 days and the symptoms had gone. As and when I work out hard this returns. Now, during january 2020 I had uti and took antibiotic fr the same. The fever resided within four days but the frequent urge to urinate started and it continues. Since then on and off I am alright but during every night I have to visit 3 times to wash room and causally I checked serum creatinine and found to be 1.40.the test was done after breakfast and after workout [ exercise]. Now its entire lock down and visiting hospital has become impossible, since the are is marked as "hot stop for corona" please advice can I take macpee tabulates to relive the symptoms and reduction of serum creatinine.

Dr. Vyankatesh Shivane92%(124 ratings)

MBBS, Diploma in Diabetology

Diabetologist•Mumbai

Yes you can take tab macpee for five days. Take lime juice with little salt five times per day. This will help you to get some relief. However meet your doctor at earliest after lock down is over.

Health Query

I had been operated for spina bifida at the age of 3. I am 45 yrs old now. Besides limping from left leg, I also had neurogenic bladder (post void residual of around 150 ml). I am taking medicines for the same i. E, flotral and urotone/ urivoid regularly. My query is regarding a) the medicines I am consuming can be taken on long term basis? b) doctor had advised me to get static cystogram of bladder done. Is the test safe considering neurogenic bladder?

Dr. Kiran Mehta88%(757 ratings)

Fellowship of the Royal College of Surge...read more

Urologist•Ahmedabad

Dear , yes you can take those medicines for a long time and you will have to take them. Cystogrm would be o. K. As your doctors wants to know if anything else needs to be done.

Asked for male, 72 years old from Birbhum

I have been suffering from prostetomegaly since 8 years and at my first investigation I got urine retention. I had been using urimax. 0.4 but now again it occurs. And doctor told me after investigation and ultrasound that I got benign prostate hyperplasia. He prescribed me catheterization, macpee and solution d for one month. Then he removed my catheter and prescribed urimax d. But again I got urine retention. Now in this lock down situation I am under catheterization with urimax d. 2 trials of catheter removal failed. Now what to do at present. Before one month my prostate size was 47 ml and the psa level was 5.27.

Dr. Amit Kumar88%(14 ratings)

mbbs, ms general surgery, MCh [Urology &...read more

Urologist•Mangalore

One more catheter free trial can be given if fails surgery is best to make you catheter free. Your age your other co morbid condition to be considered before surgery.

Asked for male, 22 years old from Kolkata

I am 22 years old. I had a bulbar urethral stricture operation on last 27th july. Then the doctor advised me to take 1 urotone tablet daily by dividing it into two parts (half part in the morning and half part in the night). By taking the tablet in the process (half part in the morning and half in the night) I am always felling severe belly pain. So is it right way to take urotone tablet by breaking? When will I take this tablet before or after meal? please reply me what can I do?

Dr. Anjanjyoti Sarma91%(1041 ratings)

MCh(Minimally Invasive & Robotic Surgery...read more

General Surgeon•Guwahati

You are already been operated for stricture. If you are generating good flow of urine without the urotone tab, then I will suggest you to stop the medicine. If you cannot generate, then it will be better to consult your urologist for change of medicines. For information, your symptom has no relation with break in tablets.

Asked for female, 56 years old from Mumbai

My mother aged 85 is having hypothyroidism, allergic bronchitis, hiatal hernia, oesophageal ulcers, urinary incontinence and dementia. She's bed-bound since past 2 and a half years. She has had hematuria episodes within a span of 10 days. She has been treated with antibiotics. Usg kub shows post void volume of more than 500 cc. Her kft and cbc is normal. Abdominal ct scan shows that her bladder wall is trabeculated and having diverticula. Is there any alternative apart from catheterization? Currently she has to wear diapers as she's bed bound. She's on a course of macpee 25 mg, 3 tabs/day, veltam 0.4 ,1 tab, niftas 100 mg 1 tab per day. She sometimes complains of lower abdominal pain, her spo2 levels and pulse shows fluctuation. Pulse today reached 128 .this happens sometimes. She has never had such fluctuations before. Can it be because of her medications for urinary retention? Surprisingly, her urine routine (sample collected using a catheter) shows 75-80 pus cells but culture is negative, no growth seen. U please advise .she has completed almost 25-28 days course of the meds for urinary retention and uti.

Dr. Girish Dani94%(16521 ratings)

MD - Obstetrtics & Gynaecology, FCPS, DG...read more

Gynaecologist•Mumbai

In such elderly patient with multiple problems best is a physician ateending her knowing full picture decides keeping balance of many factors. When that physician needs advice of a specalist he would do that.

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