Managing Bladder Issues: Tips for Recovery and Dietary Support - Urology

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Bladder issues


About four months ago, I was diagnosed with urinary retention (I have benign prostatic hyperplasia and have been on medication).
After examination, it was found that my bladder was distended and unable to contract, so I had a urinary catheter placed, which has been in for about four months.
Occasionally, I can urinate a small amount through the catheter, but if I don't urinate, I experience a strong urge to go, which lasts for 2-3 days and then subsides.
Is it normal to urinate through the catheter? The doctor mentioned that the bladder nerves can only heal through self-repair.
Are there any dietary or exercise recommendations that could help with recovery? Thank you.

Mr. Huang, 70~79 year old female. Ask Date: 2024/02/02

Dr. Li Minghui reply Urology


Hello: You can take walks, strengthen pelvic floor muscle exercises, and pay attention to the patency of the urinary catheter, as sometimes leakage occurs due to catheter obstruction.
Wishing you good health.

Reply Date: 2024/02/02

More Info


Managing bladder issues, especially after a diagnosis that leads to urinary retention, can be challenging. Given your situation, where you have been experiencing difficulty urinating due to an enlarged prostate and bladder dysfunction, it’s essential to approach recovery with a combination of dietary support, lifestyle changes, and possibly physical therapy.


Understanding Your Condition
From your description, it sounds like you have been diagnosed with bladder distension, which can occur when the bladder is unable to contract effectively. This can lead to the use of a urinary catheter or bag, as you mentioned. The urgency you feel, along with the intermittent ability to urinate, indicates that your bladder may still have some degree of function, but it is not operating optimally. The nerves that control bladder function can take time to heal, and in some cases, they may require rehabilitation.


Dietary Recommendations
1. Hydration: It’s crucial to stay well-hydrated, as this can help maintain bladder health. Aim for at least 8-10 glasses of water a day unless otherwise directed by your doctor. However, be mindful of your fluid intake if you notice increased urgency or discomfort.

2. Avoid Irritants: Certain foods and beverages can irritate the bladder. Common irritants include caffeine, alcohol, spicy foods, and acidic fruits. It may be beneficial to keep a food diary to identify any specific triggers that worsen your symptoms.

3. High-Fiber Foods: Incorporating high-fiber foods can help prevent constipation, which can put additional pressure on the bladder. Foods such as whole grains, fruits, vegetables, and legumes are excellent choices.

4. Healthy Fats: Omega-3 fatty acids found in fish, flaxseeds, and walnuts may help reduce inflammation in the body, which can be beneficial for overall health.

5. Prostate Health: Since you have an enlarged prostate, consider foods that support prostate health, such as tomatoes (rich in lycopene), cruciferous vegetables (like broccoli and cauliflower), and green tea.


Lifestyle Changes
1. Pelvic Floor Exercises: Engaging in pelvic floor exercises (Kegel exercises) can strengthen the muscles that support the bladder and improve urinary control. These exercises involve tightening and relaxing the pelvic muscles and can be done discreetly throughout the day.

2. Scheduled Voiding: Establishing a routine for attempting to urinate can help retrain your bladder. Try to go to the bathroom at regular intervals, even if you don’t feel the urge.

3. Physical Activity: Regular physical activity can improve overall circulation and may help with nerve function. Aim for at least 30 minutes of moderate exercise most days of the week, as tolerated.

4. Stress Management: Stress can exacerbate bladder issues. Techniques such as deep breathing, meditation, or yoga may help reduce stress levels.


Follow-Up Care
It’s essential to maintain regular follow-ups with your healthcare provider to monitor your condition. If you notice any changes in your symptoms, such as increased urgency, pain, or changes in urine output, inform your doctor promptly. They may consider additional interventions, such as medications to help relax the bladder or therapies aimed at improving bladder function.


Conclusion
While recovery from bladder issues can be a gradual process, incorporating these dietary and lifestyle changes can support your healing journey. Remember to listen to your body and consult with your healthcare provider before making significant changes to your diet or exercise routine. Your proactive approach to managing your health is commendable, and with time and appropriate care, improvements are possible.

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