Is It Urinary Incontinence? Urgency and Leakage Issues

Q: Is It Urinary Incontinence? Urgency and Leakage Issues

Hello： If you experience urgency and incontinence on a weekly basis, it is necessary to seek medical attention. <br>If the perineum has been injured and has not recovered after several weeks, it is advisable to maintain a balanced water intake. <br>You can eat fruits, but avoid b

Could you please clarify if this is considered urinary incontinence?

I would like to ask the doctor if this counts as urinary incontinence.
Recently, sometimes after drinking water, I feel a sudden urge to urinate within 20 minutes, but other times I don’t.
I have a habit of drinking tea, and the fruits I eat are also diuretic.
I urinate about 8 to 9 times a day.
Recently, I noticed that on two occasions, the urge was so strong that I almost couldn’t hold it, and I leaked a drop or two.
I forgot the details of the last incident, but just now it happened again.
Last night, I got up to use the bathroom, and this morning I woke up at 9:00 AM without needing to urinate.
After waking up, I drank a glass of water and ate some cantaloupe, and it wasn’t until 11:30 AM that I suddenly felt a very urgent need to urinate, resulting in a drop leaking out.
Could you please tell me if this qualifies as urinary incontinence or if it is related to any other condition? Additionally, I am the person who previously mentioned having black strands in my semen due to trauma to the perineum.
I’m not sure if there is any related impact, but I noticed that the black strands have disappeared in the past two days.

Niming, 20~29 year old female. Ask Date: 2017/01/11

Dr. Du Shixi reply Urology

Hello: If you experience urgency and incontinence on a weekly basis, it is necessary to seek medical attention.
If the perineum has been injured and has not recovered after several weeks, it is advisable to maintain a balanced water intake.
You can eat fruits, but avoid beverages and irritating foods.
Aim for a 30-minute walk each day; improvement within 3-5 days is acceptable.
If the symptoms persist, you should consult a doctor.
Thank you for your inquiry.
(Going 8-9 times a day is considered normal.)

Reply Date: 2017/01/11

More Info

Based on the information provided, it appears that the 15-year-old boy diagnosed with Ewing's Sarcoma is experiencing complications related to his chemotherapy treatment, specifically acute cystitis (bladder inflammation) and hematuria (blood in urine). These symptoms can arise from the use of certain chemotherapeutic agents, particularly if hydration protocols are not followed properly.

1. Potential for Permanent Damage
In terms of whether this situation could lead to permanent damage, it is essential to understand that acute cystitis and hematuria, while concerning, do not always result in long-term complications. The kidneys and bladder are resilient organs, and with appropriate medical intervention, many patients recover fully. The doctor has indicated that there is no damage to the kidneys, which is a positive sign. However, ongoing monitoring is crucial. If the boy continues to experience blood in his urine or bladder inflammation, further evaluation may be necessary to rule out any underlying issues, such as kidney involvement or other complications related to the chemotherapy.

2. Kidney Damage Concerns
Regarding the possibility of kidney damage, it is important to note that while the doctor has stated there is no kidney damage, the symptoms of bladder inflammation could potentially mask underlying kidney issues. The kidneys can be affected by the same chemotherapeutic agents that cause bladder irritation. Therefore, if symptoms persist, it would be prudent to conduct further imaging studies or laboratory tests to ensure that the kidneys are functioning properly.

3. Diagnostic Accuracy
As for the diagnosis of Ewing's Sarcoma, it is generally considered to be a well-defined entity in pediatric oncology. While there can be variations in interpretation among different pathologists, the diagnosis is typically supported by specific histological features and imaging studies. If there are lingering doubts about the diagnosis, seeking a second opinion from a pediatric oncologist or a specialized cancer center could provide reassurance and confirm the treatment plan.

4. Seeking a Second Opinion
It is entirely reasonable for the family to seek a second opinion, especially given the complexity of the case and the recent complications. Consulting with another pediatric oncologist can help clarify the diagnosis and treatment options. It is vital to ensure that the treatment plan is appropriate and that all potential side effects are being managed effectively.

5. Legal Considerations
If the family is considering legal action against the hospital or the treating physician, it is essential to document all medical records, treatment plans, and communications with healthcare providers. Consulting with a medical malpractice attorney who specializes in healthcare cases can provide guidance on the next steps. They can help determine if there was negligence in the administration of chemotherapy or in monitoring the patient's condition.

Conclusion
In summary, while the boy's symptoms are concerning, they do not necessarily indicate permanent damage, especially if managed appropriately. Continuous monitoring and supportive care are crucial. The family should feel empowered to seek further opinions and advocate for their child's health. Open communication with healthcare providers is essential to ensure that all concerns are addressed and that the patient receives the best possible care.

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