Left Lower Abdominal Pain and Urinary Issues: Home Remedies for Seniors

Left lower abdominal pain and difficulty urinating?

The elderly family member is currently 94 years old, bedridden, and using a nasogastric tube.
Recently, they have been experiencing a persistent urge to urinate but are unable to do so.
Upon inquiry, there is pain in the lower left abdomen and near the bladder area below the navel.
Due to the severe pandemic situation, it is inconvenient to go to the hospital.
Are there any suitable over-the-counter medications that can address this urgent issue? Thank you.

Coco, 90~99 year old female. Ask Date: 2021/05/28

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you can take Tylenol first, but it is still recommended to see a urologist.
Wishing you good health.

Reply Date: 2021/05/28

More Info

When dealing with left lower abdominal pain and urinary issues in elderly patients, especially those who are bedridden and using a nasogastric tube, it is crucial to approach the situation with caution. Given the patient's age and current health status, self-treatment should be carefully considered, and professional medical advice is always recommended. However, I can provide some general insights and potential home remedies that may help alleviate discomfort until a healthcare professional can be consulted.

Understanding the Symptoms
The symptoms described—persistent urge to urinate, inability to do so, and pain in the lower abdomen—could indicate several underlying issues. In elderly patients, common causes of urinary retention and abdominal pain may include:
1. Urinary Tract Infection (UTI): UTIs are common in older adults and can cause pain, urgency, and difficulty urinating.

2. Bladder Obstruction: This could be due to an enlarged prostate in men or other anatomical changes.

3. Constipation: This can lead to abdominal pain and pressure on the bladder, causing urinary issues.

4. Kidney Stones: These can cause significant pain and urinary difficulties.

5. Neurological Issues: Conditions affecting nerve function can lead to bladder control problems.

Home Remedies and Over-the-Counter Options
While it is essential to seek medical attention, especially for a 94-year-old patient, there are some home remedies and over-the-counter options that may provide temporary relief:
1. Hydration: Ensure the patient is adequately hydrated. If they are able to drink fluids, encourage them to do so, as this can help flush the urinary system. However, if they are on a restricted fluid intake due to other health issues, consult a healthcare provider first.

2. Warm Compress: Applying a warm compress to the lower abdomen may help alleviate pain and discomfort. This can relax the muscles and provide some relief.

3. Herbal Remedies: Some herbal teas, such as chamomile or peppermint, may help soothe the digestive system and reduce discomfort. However, ensure that these do not interact with any medications the patient may be taking.

4. Over-the-Counter Pain Relief: If the patient is not contraindicated for nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen, these can help manage pain. However, always consult with a healthcare provider before administering any medication, especially in elderly patients with multiple health conditions.

5. Gentle Movement: If the patient is able, gentle movement or repositioning may help relieve pressure on the bladder and abdomen. Encourage them to change positions frequently if they are bedridden.

6. Monitor Symptoms: Keep a close eye on the patient's symptoms. If the pain worsens, or if there are signs of fever, chills, or other concerning symptoms, it is crucial to seek medical attention promptly.

When to Seek Medical Help
Given the patient's age and the complexity of their symptoms, it is vital to seek medical help as soon as possible. If the situation worsens or if there are signs of severe pain, fever, or inability to urinate for an extended period, emergency medical attention may be necessary.
In conclusion, while there are some home remedies and over-the-counter options that may provide temporary relief for left lower abdominal pain and urinary issues, the best course of action is to consult with a healthcare professional. They can provide a thorough evaluation and appropriate treatment tailored to the patient's specific needs.

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