General, a pvr less than 50 ml is adequate bladder empting and a pvr more than 200 ml is inadequate emptying. The upper limits are 3 and 5 mm for a full or empty bladder respectively.
Dear Lybrate user, your problems require regular treatment under a good urologist / neurologist team-- if the treatment at one hospital fails --please be confident and go to another good team in another hospital and continue regular treatment ---uti and bhp are the usual reasons for such problems --any way --repeated scrutiny with detailed investigations by a new team may help to find out the real problem and correct it --your confidence ; positive and optimistic mind is very important in better effect of treatment --especially in your problems ----wish you early control of your health problems.
MCh [Urology & Kidney Transplant], MS - General Surgery
Urologist, Lucknow
Firstly you have to get a.usg kub done as in male uti ultrasound should always be done
secondly you have to be examined by a urologist to rule out prostatitis.
MBBS, MS - General Surgery, MCh Urology and transplant surgeon, Fellowship in Renal Transplantation and Transplant Fellowship (Liver/Kidney)
Urologist, Faridabad
Tamsulosin is safe to be taken for long term. Get a repeat uroflowmetry done to see the benefit of tamsulosin. If no major improvements then we may need to escalate therapy and add newer therapies. And get a urine examination done again along with post voidal residue. Review once done. Will guide you further.
Urispas two times a day after food for five days.
Citralka liquids 10 ml with half glass of water after food for long time if you feel better. It's alkalizer no harm.
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, MCh Urology and transplant surgeon
Urologist, Faridabad
Get uroflowmetry done - if poor flow despite being on alfuzosin and if large amount of urine remaining in the bladder - then you may need cystoscopy + bladder neck assessment followed by incision of bladder neck if its high.
You are probably having a problem with prostate size. There are effective medicines which will shrink the prostate. Please have an online consult with your usg report, the dosage can be determined based upon your prostate size.
Symptom of overactive detrusor muscle of the urinary bladder that contracts with abnormally high frequency and urgency. Overactive bladder is characterized by the frequent feeling of needing to urinate during the day, during the night, or both.
1.You should maintain high grade of personal hygiene. 2.Do change your underclothes at least 2 times a day
3.Wear cotton under garments
4.Stay hydrated. Drink plenty of fluids.
5.Keep the area dry
6. Empty bladder as soon as you feel the urge. Homeopathy is a very effective for this problem n has very encouraging results. And homeopathic medicines are safe and do not have any side effects at all.