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Macpee 10Mg Tablet Health Feed

Asked for female, 56 years old from Mumbai
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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.

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

General Surgeon•Begusarai
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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
Asked for male, 49 years old from Mumbai
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FIMSA, MD-Nephrology, DM - Nephrology, M...read more

Nephrologist•Delhi
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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 male, 79 years old from Dehradun
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MBBS, DGO -Gynecology & Obstetrics, MD ...read more

Gynaecologist•Chennai
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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 female, 56 years old from Mumbai
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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.

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

Gynaecologist•Mumbai
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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.
Asked for male, 22 years old from Kolkata
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MCh(Minimally Invasive & Robotic Surgery...read more

General Surgeon•Guwahati
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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.
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PDDM, MHA, MBBS

General Physician•Nagpur
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Most likely your symptoms are due to what is called as Neurogenic bladder. I shall be happy if you can post me few more details to help me in making comments on your problem. 1) What is the size of your prostate reported on
Ultrasound
scanning and what is post void urine residue? 2) Have you ever done uroflometry and Urodynaemic study to evaluate bladder function? 3) Have you ever subjected to endoscopic examination of bladder (Cystoscopy)? 4) Have you ever tried drugs like Bethanechol t...more
Asked for female, 2 years old from Imphal
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BHMS, CGO

Homeopath•Pune
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First to find out the right cause like - cystitis, urinary tract infections, fibroids /pelvic masses/constipation etc etc. Their is not as such home remedies for this problem, you have to take a proper homeopathic treatment for this, few tips - often mild degrees of difficulty can be managed with simple advice. When sitting on the toilet, make sure that your legs are apart rather than having your knees together. Leaning forwards or even standing slightly may alter the angle of the bladder neck e...more
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