Urinary Issues: Concerns About Residual Urine and Blood in Urine

Q: Urinary Issues: Concerns About Residual Urine and Blood in Urine

Hello： 1) It's important to fully empty the bladder. <br>2) That's not possible; moisture can also be present in food, not just in the water we drink. <br>3) If you're not very active, urine shouldn't be too yellow, which is fine, but if the urine is yellow, you should drink more

Urinary problems

Dear Doctor, I'm back again, feeling anxious.

1.
I had a follow-up appointment on December 18.
The results showed that my post-void residual urine increased from 23 ml (on November 20) to 47 ml this time.
Last time, there were no red blood cells in my urine, but this time the urinalysis showed 2-4 RBCs, while other results were normal.
The doctor prescribed Dampurine again and added Methycobal.
I confessed to the doctor that I was worried about becoming dependent on medication, so I only took 20 out of the 28 Dampurine tablets prescribed on November 20, which led to a reprimand from him.
Additionally, I asked him about the cause of the hematuria, and he still believes it is due to incomplete bladder emptying.
Should I not worry too much about this?
2.
I also noticed that sometimes I don't drink much water, but my urine output seems to be more than the amount of water I consumed.
Is this a common occurrence?
3.
Drinking more water has its benefits, but if I have issues with bladder distension and incomplete emptying, drinking more water shouldn't cause any problems, right? I drink about 1500 to 2000 ml daily.
Thank you for your patience in addressing my questions.

Er Mao, 50~59 year old female. Ask Date: 2017/12/21

Dr. Du Shixi reply Urology

Hello: 1) It's important to fully empty the bladder.
2) That's not possible; moisture can also be present in food, not just in the water we drink.
3) If you're not very active, urine shouldn't be too yellow, which is fine, but if the urine is yellow, you should drink more.
Wishing you good health.

Reply Date: 2017/12/21

More Info

Understanding urinary issues, particularly concerning residual urine and the presence of blood in urine, can be quite complex and concerning. Based on your description, it seems you are experiencing a combination of symptoms that may indicate underlying urinary tract issues. Let's break down your concerns and provide some insights.

1. Residual Urine and Blood in Urine: The presence of residual urine (the amount of urine left in the bladder after urination) and blood in the urine (hematuria) can be indicative of several conditions. The increase in residual urine from 23ml to 47ml suggests that your bladder may not be emptying completely. This could be due to bladder dysfunction, obstruction, or other urinary tract issues. The presence of red blood cells (RBCs) in your urine can be alarming, and while your doctor attributes it to incomplete emptying, it is essential to consider other potential causes such as urinary tract infections (UTIs), kidney stones, or even more serious conditions like tumors.

2. Concerns About Medication Dependency: It’s understandable to be concerned about becoming reliant on medications like Dampurine (used to help with bladder function) and Methycobal (a form of vitamin B12 that can help with nerve health). It’s crucial to communicate openly with your healthcare provider about your concerns. They can help you understand the necessity of these medications in your treatment plan and explore alternative options if dependency is a concern. It’s also important to follow their advice on medication adherence, as inconsistent use may hinder your recovery.

3. Urine Output vs. Fluid Intake: It is indeed possible to have a situation where your urine output exceeds your fluid intake. This can occur due to various reasons, including diabetes mellitus, certain medications, or even conditions affecting kidney function. If you notice this pattern consistently, it would be wise to discuss it with your healthcare provider, as it may require further investigation.

4. Hydration and Bladder Health: Drinking adequate amounts of water is generally beneficial for urinary health, as it helps dilute the urine and can reduce the risk of infections and stone formation. However, if you have issues with bladder emptying, drinking excessive amounts of water might lead to discomfort or increased urgency without effective voiding. Your current intake of 1500-2000ml is within a healthy range for most individuals, but you should monitor how your body responds to this intake, especially given your urinary concerns.

5. Next Steps: Given your symptoms, it may be beneficial to undergo further evaluation. This could include imaging studies like an ultrasound or CT scan to assess for any structural abnormalities in the urinary tract, as well as a urodynamic study to evaluate bladder function. Additionally, a referral to a urologist may provide more specialized care and insights into your condition.

In conclusion, while some of your symptoms may be manageable, it is essential to remain vigilant and proactive in addressing them. Regular follow-ups with your healthcare provider, adherence to prescribed treatments, and open communication about your concerns will be key in managing your urinary health effectively. If symptoms persist or worsen, do not hesitate to seek further medical advice. Your health and comfort are paramount, and addressing these issues early can lead to better outcomes.

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