Re: Symptoms Much Worse At Night


"Ed" <ed@xxxxx> wrote in message
news:1c9mj1580ve0lpb058ocsf4n2i62sosvo5@xxxxxxxxxx
> On Wed, 28 Sep 2005 17:38:20 -0400, "Pete" <pete@xxxxxxxxxx> wrote:
>
>>
>>"Ed" <ed@xxxxx> wrote in message
>>news:faglj113c5m0srai42qukamevb5gp7b12d@xxxxxxxxxx
>>> On 28 Sep 2005 05:23:39 -0700, "kap" <stevkaprel@xxxxxxxxx> wrote:
>>>
>>>>I started having urinary problems about seven years ago. About 3 l/2
>>>>years ago, I began to have "almost" acute urinary retentions at night
>>>>(almost completely blocked but going away in an hour or an hour and a
>>>>half). A month ago, I had my first AUR and catheterization.
>>>>
>>>>All of the "almosts" and the AUR occured at night. I am always ok
>>>>during the daytime, except for frequency.
>>>>
>>>>Is this experience typical? Does it suggest any kind of syndrome in
>>>>particular?
>>>
>>> I have had similar experiences. My problem is that my flow becomes
>>> slow when my bladder is nearly full, and flow stops altogether when it
>>> is too full. Very nasty... in other words, when I need to pee the
>>> most, I can't pee at all.
>>>
>>> In the first years I had retention only during the day, caused by such
>>> things as having to drink 4 glasses of water for an ultrasound. These
>>> days my problems are more at night... probably because I have
>>> developed some degree of urgency that ensures I pee in time when I'm
>>> awake (and I defy the radiologists by not drinking all that water
>>> before ultrasounds), and because my bladder size has become less. That
>>> latter fact means I get up two or three times during the night... but
>>> because I'm asleep, I might get up a bit too late, when my bladder is
>>> over-full. Then peeing is very difficult or (occasionally) impossible.
>>>
>>> When I'm critically full, typically I can (with great effort) produce
>>> a few cc's but can't sustain flow. So it stops after maybe 5-10 ccs.
>>> Then I temporarily feel great relief and no need to pee any more...
>>> even though I'm still critically full, with an aching bladder. I have
>>> to wait about 5 min before I can produce another batch, hopefully with
>>> more volume than before. In this way, with each 5-min session, I can
>>> increase the flow stepwise and rescue myself. This requires about
>>> 20-45 minutes total.
>>>
>>> Sometimes I just can't produce enough in these intervals to equal the
>>> inflow from the kidneys... and then I go into complete retention,
>>> unable to produce even a drop.
>>>
>>> So then it is time to go to emerg for a catheter. But my experiences
>>> there have been bad... each time having to wait 2 hours or so for
>>> relief. By then I have more than 1 liter in my bladder, and it is so
>>> over-stretched that the capillary blood vessels are bleeding and there
>>> is risk of permanent damage.
>>>
>>> Nowadays I do self-catheterization (against the advice of my first
>>> uro) ... no waiting and much less stress. If you want to do this,
>>> better ask your uro about it or do it at your own risk.
>>>
>>> My prostate is ~150 cc. I take Flomax and it has helped quite a bit to
>>> reduce the incidence of retention.
>>>
>>> Ed
>>
>>Ed...as a follow up to my other messages in the thread, I want you to know
>>that my heart is with you on your problems. It sounds terrible. I have
>>trouble coping with my prostatitis/bph (mostly prostatitis) and can not
>>get
>>any help, and live in 24/7 hell, and find it very difficult to deal with.
>>
>>Your problem sounds very serious. What do your uro's say is causing the
>>retention problem you have. It doesn't sound like a urethral blockage
>>(including the prostatic urethra), since that would show up on a
>>cystoscopy,
>>which I'm sure you've had. Is it a problem with your bladder muscles not
>>contracting or what. I am very concerned and do care...Pete
>>
> Oh, it's not that big a deal. I haven't had an episode of retention
> now for 10 months or so. Life is good.
>
> But I do manage my fluid intake carefully and do have some tricks for
> getting through the night.
>
> Ed

Ed...I apologize for caring. What you wrote sounded damn serious. You said
you were going to emer room for caths and nowadays you are doing self caths,
and now you are saying you are all right. Huh!!! What was causing the
problem before, and how come all of a sudden it is all right. If you don't
want to talk about it, okay...Pete


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