Easy way to solve your Urinary retention

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Urinary Hesitancy

• Hesitancy is the trouble to start the urine
  stream when wanting to urinate.

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Definition

• Hesitancy is where the person feels that the
  bladder is full and wants to pass urine, but then
  has to wait a long time before the urine stream
  starts to flow.

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Possible causes

• The underlying problem is inability of the
  bladder outlet (sphincter) to open quickly and
  easily, or inability of the bladder muscle
  (detrusor) to contract efficiently, or a
  combination of the two.
• In men over the age of 40-50 the most common
  cause is narrowing (obstruction) of the bladder
  outlet due to enlargement of the prostate. This
  may be due to prostate cancer or non-cancerous
  enlargement (benign prostatic hyperplasia BPH).
• In younger men (around 30-40 years) the cause may
  be inflammation or infection of the prostate
  (prostatitis) or narrowing (stenosis) of the
  bladder neck.
• In young men under the age of 20-30, and also
  sometimes in women, the cause may be
  psychological, when they feel anxious or stressed
  and find it difficult to start urinating,
  especially in the presence of others. This is
  known as bashful bladder or anxious bladder.
• Conditions that affect the nerve supply of the
  bladder can cause hesitancy, e.g. spinal cord
  injury, Parkinsons disease, stroke, and diabetes
  mellitus.
• Certain medicines can cause hesitancy, e.g.
  pseudo-ephedrine, which stimulates contraction of
  the smooth muscle in the sphincter, or
  antidepressants, which impair contraction of the
  detrusor.

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Homecare / Self-treatment

• You need not be too concerned about hesitancy
• if it is your only urinary complaint,
• if it is clearly made worse by stress, anxiety or
  in unfamiliar surroundings,
• and if it has been present for a long time
  without becoming worse.
• There is not much one can do, except trying to
  relax, or learning to live with the condition.

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When to see a doctor

• You should see a doctor
• if the hesitancy is becoming worse or
• if you have other urinary symptoms such as
• having to pass urine very often during the day
  (frequency) or night (nocturia),
• feeling a very strong urge to pass urine
  immediately when the bladder is full (urgency),
• pushing or straining to start the urine flow,

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a weak stream (stranguria), stopping and starting
of the urinary stream (intermittency), feeling
that the bladder is not empty after urination,
pain on passing urine (dysuria),involuntary
leakage of urine (incontinence) orblood in the
urine (hematuria).
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Treatment

• Depending on what causes the symptom of urinary
  hesitancy, the treatment may vary from simple
  reassurance to stopping medication that affects
  the bladder, or giving medication that will relax
  the bladder outlet muscles or shrink the prostate
  size.

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