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Sensitive Bladder Health Feed

Ulcer In Urinary Bladder - How They Can Be Treated?

Dr. Sunil Prakash 87% (91 ratings)
FISN, FISPD, MD - General Medicine, MBBS, DM
Nephrologist, Delhi
Ulcer In Urinary Bladder - How They Can Be Treated?

Hunner's ulcers, simply put are painful ulcers in your urinary bladder. These ulcers are inextricably linked to another disorder called the painful bladder syndrome or intestinal cystitis. They occur in 10 to 15 percent of people with interstitia cystitis. These, in fact, are red patches or lesions on the bladder wall which can stiffen tissue and cause reduced bladder capacity. Hunner’s ulcers bleed, ooze pus and can be of different sizes. The ulcers in the bladder can be extremely painful and uncomfortable.

These are called Hunner’s ulcers because they were first described by Dr. Guy LeRoy Hunner, a Johns Hopkins gynecologist, in 1915. Since Hunner’s ulcers are seen only in people with intestinal cystitis, it’s important to know more about this painful life-altering bladder disorder before we can even understand how to deal with them.

Interstitial cystitis (IC)
IC is also called painful bladder syndrome. Another important thing to know about IC is that it strikes more women than men. IC is a chronic disorder and there’s no cure for it. It causes recurring bouts of pain and pressure in the urinary bladder and the pelvic area. This is often accompanied by an urgent and frequent need to urinate. Sufferers may have to rush to the ‘loo’ as much as 40, 50, or 60 times a day.

Diagnosis
Hunner's ulcers can only be accurately diagnosed by doing a cytoscopy which involves inserting a fibre-optic tube through the urethra to look at the bladder wall closely. During this procedure, a tissue sample from the bladder wall is usually also taken to rule out bladder cancer. Cytoscopy is usually done with hydrodistention under local anesthesia. This involves filling the bladder with a liquid for stretching it to provide a closer view of the bladder wall. Usually, a urologist performs this surgery along with a gynaecologist. IC and also Hunner’s ulcers are both a diagnosis of exclusion. This means that they’re diagnosed only after a number of other conditions have been ruled out.

Hence, the urologist will first take your thorough medical history, followed by a physical exam and a pelvic exam for women patients and perform tests for ruling out infection, and other disorders like bladder stones and cancer, kidney disease, multiple sclerosis, endometriosis, sexually transmitted diseases amongst others. Only after these tests are inconclusive or uncertain and if there is blood in urine, will the urologist go for cystoscopy.

Treatment
There's no cure for IC, but Hunner’s ulcers can be cured by burning them off the bladder wall. Called fulguration, the process uses electricity or laser to burn the ulcers on the bladder wall. Resection is also used in which skin from around the Hunner’s ulcer is cut for removing both the ulcer and the inflamed tissue around it. The problem is that ulcers may recur in the same location.
So, managing IC becomes critical. Your doctor can try to treat the patient with one treatment or with a combination of treatment depending on the condition of the patient.

Pain medicines are the first line of treatment to manage Hunner’s ulcers and IC both, and many patients do go in for this. Patients also find relief by modifying their diet to remove foods and drinks like caffeinated beverages- tea, coffee, colas etc. Sodas, artificial sugars and fruit juices, especially Cranberry juice can trigger intense pain and discomfort, so these are usually contraindicated. Another important aspect is patient education about normal bladder function and tips on self-care and behavioural modifications like stress control to manage Hunner’s ulcers.

2907 people found this helpful

Hi Sir, I am 29 yrs. Frequently I have rbc in my urine. I consulted urologist and also nephrologist, they advised all investigations and advised medications. But still I have rbc s in urine. Doctor told me its not a major problem. What can I do. Please help me, is it any major problem?

Dr. S.K. Tandon 96% (33770 ratings)
M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
Hi Sir, I am 29 yrs. Frequently I have rbc in my urine. I consulted urologist and also nephrologist, they advised all...
If nothing in ultrasound then don't worry. Repeat urine test after a week of drinking plenty of water.
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I am suffering from frequent urination and it mainly happen in cold weather I can understand it’s common but my frequency is more than normal sometime it’s after 20-20 minutes so please help.

Dr. Vijay Singh 91% (47 ratings)
B.H.M.S., B.Sc.
Homeopath, Lucknow
I am suffering from frequent urination and it mainly happen in cold weather I can understand it’s common but my frequ...
Dear patient dear patient, this is not a matter of too much panic, it is a type of urinary infection and advises you to drink water and liquid things. In this you have to use the personal toilet. Homeopathic medicine: can notharis- 30, power, consume three doses per day for one month. Pathological test: urine test = r / m.
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I am 26 year old suffering from frequent urge to urinate but when go to urinate only drops come out and urine stream is very weak. And in ac room I get more urge to urinate. I can't determine whether my bladder is empty even after urinating.

Dr. Sajeev Kumar 95% (32821 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I am 26 year old suffering from frequent urge to urinate but when go to urinate only drops come out and urine stream ...
You have urinary incontinence and need a urology check up. If there is infection it need to be treated. Feeling to urinate more while sitting in a/c room is normal for all people.
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All About Overactive Bladder

Dr. Ankur Malpani 89% (10 ratings)
MBBS, MS - General Surgery, DNB - Urology
Urologist, Bhopal
All About Overactive Bladder

A problem pertaining to the storage function of the bladder that results in bouts of sudden, often uncontrollable urge to urinate is referred to as an overactive bladder. This condition which is marked by unconditioned or involuntary loss of urine can sometimes be quite difficult to stop. People who experience such a condition often feel humiliated and as such tend to limit their social and work life. Despite such, only a few are conscious that a brief evaluation can help them manage and overcome an overactive bladder.

Mechanism of Urination

During urination, the urine proceeds from the bladder and flows into the urethra which is located at the tip of the penis in men and above the vagina in women. As the bladder fills, the nerve signals in the brain prompts urination by coordinating the relaxation and contraction of the urinary sphincter muscles.

Causes and Symptoms of an Overactive Bladder

Primarily caused due to involuntary contraction and relaxation of sphincter muscles, several conditions can lead to overactive bladder. 

Some of them are: 

1. Parkinson's disease, Alzheimer's and other neurological disorders
2. Poor kidney function due to diabetes
3. Medications that lead to increased production of urine
4. Bladder abnormalities like tumors or stones
5. Constipation
6. Excessive consumption of caffeine or alcohol

Some of the common signs of an overactive bladder are:

1. Bouts of sudden, uncontrollable urge to urinate
2. Awakening at night frequently to urinate
3. Urinating more than eight times a day

Risks

The risk of an overactive bladder gradually increases with age. Conditions such as diabetes and an enlarged prostate results in the increased likelihood of an overactive bladder. People who have previously faced strokes and heart attacks experience cognitive decline which often times lead to the development of an overactive bladder.

Urinary incontinence as well as a host of associated factors can be detrimental to your life. Emotional distress, interrupted sleep cycles and depression are some of the observed complications of this condition.

Thus if you experience or entertain suspicion of an overactive bladder, you should consider visiting a general physician who might refer you to a specialist, if need be.

1 person found this helpful

Frequent Urination - Can It Be A Sign Of Enlarged Prostate?

Dr. Pawan Mittal 85% (26 ratings)
MBBS, MS - General Surgery, MCh - Urology
Urologist, Zirakpur
Frequent Urination - Can It Be A Sign Of Enlarged Prostate?

The condition of enlarged prostate occurs due to the enlargement of a man’s prostate gland, with the passage in time. Also known as benign prostatic hyperplasia (BPH), it is more common in men over the age of 60. Some cases might have symptoms and others may be symptomless. Although the causes are relatively unknown, it is evident that BPH is not a form of cancer, neither does it cause cancer.

The prostate is located below the bladder and is responsible for producing the fluid needed by semen. The growth of the prostate tissue that is associated with benign prostatic hyperplasia begins near the inner prostate which is a tissue ring around the urethra. Its growth is generally inward.

Causes

It is of common knowledge that in males, the urine originates from the bladder and flows through the urethra. BPH is a condition where the prostate experiences a benign i.e. non cancerous enlargement which leads to blockage of urine flow through the urethra (the urinary duct). The resultant enlargement, caused due to the gradual multiplication of cells, subjects the urethra to extra pressure. Further narrowing of the urethra causes more contraction of the bladder, resulting in the urine being forcefully pushed out of the body.

With time, the condition leads to the bladder muscles gradually becoming thicker, stronger and oversensitive. Contraction occurs even due to the presence of small amounts of urine, giving rise to frequent needs of urination. At one point, the bladder muscle is unable to overcome the effects of the narrowed urethra. Due to this, urine does not pass properly and the urethra is not emptied.

Some of the common symptoms of enlarged prostate include:

1. Frequent urination
2. Urgency to urinate
3. Difficulty during urination
4. A slow or weak urinary stream
5. Requirement of extra effort to urinate
6. Interrupted sleep due to need of urination

Further risks

Sometimes, when the bladder is not emptied completely, a risk of urinary tract infections develops. Some other serious problems which can be a result of enlarged prostate include blood in urine, bladder stones as well as acute urinary retention (inability to urinate). In some rare cases, kidney and/or bladder damage might also result from such a condition.

3153 people found this helpful

Frequent urge to urinate, severe pinching pain while and long after urinating, feeling very weak, sudden urge to urinate and not able to hold it.

Dr. Vijay Singh 91% (47 ratings)
B.H.M.S., B.Sc.
Homeopath, Lucknow
Frequent urge to urinate, severe pinching pain while and long after urinating, feeling very weak, sudden urge to urin...
Dear patient, you do not have to worry too much, you may have urinary infection or kidney stones. Liquid and water should be consumed in large amounts. Avoid eating leafy vegetables and tomato. In this you have to always use the personal restroom. Advice for test: usg kub, urine= r/m homeopathic medicine: 1- can notharis- (30 power), two drops, morning and evening, up to two weeks. 2-barberis vulgaris- (30 power), two drops, noon and night, up to two weeks.
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I am masturbating daily. I am 19 is also emission at night and frequent urination in morning time it cause of prostate cancer sir.

Dr. Sajeev Kumar 95% (32821 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I am masturbating daily. I am 19 is also emission at night and frequent urination in morning time it cause of prostat...
It is not harmful or a sin to do masturbation and is a good habit for relieving your sex drive, if you are not married in which case you can have sex daily people wrongly believe that masturbation is a bad habit or sin and it causes loss of energy and many side effects can occur. All these are myths and it is a safe act to give vent to sexual drive in men who cannot do sex. People fear if they have adverse effect on marriage or that their energy is wasted and such many funny misbeliefs are going around and all are not true. One can do as many times as he feels and health or energy is not affected or there will be no effect on marriage. There is no need to worry or try to stop the habit and you can do as many times as you feel and is comfortable to do masturbation is a healthy sexual activity that has many benefits for your physical and mental health. There are limited studies on the benefits of masturbation, but studies on sexual intercourse and anecdotal reports suggest that sexual stimulation, including stimulation through masturbation, may help you: •relieve built-up stress •sleep better •boost your mood •relax •feel pleasure •relieve cramps •release sexual tension •have better sex •better understand your wants and needs couples may also mutually masturbate to explore different desires, as well as avoid pregnancy. Self-pleasuring also helps you prevent sexually transmitted infection.
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I am 31 years old. Frequently I am facing urine infection and finding bad smell while urinating. I am also facing diabetics problem. I am not taking any medicine for diabetics. I am using homeopathy medicine for hepatitis-b.and also continuous bladder pain. Please suggest to me whom to consult either a urologist or diabetics consultant.

Dr. Vijay Singh 91% (47 ratings)
B.H.M.S., B.Sc.
Homeopath, Lucknow
I am 31 years old. Frequently I am facing urine infection and finding bad smell while urinating. I am also facing dia...
Dear patient, first of all you should treat and prevent diabetes, which will facilitate you to treat urine infections, otherwise the urine infection will occur again and again. Nowadays diabetes has become a common problem. Actually diabetes is lifestyle or hereditary disease. This can be improved by improving food and physical exercise. Treat yourself to a skilled homeopathic doctor who will treat your diabetes, urine infection and hepatitis b together.
1 person found this helpful
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