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Re: bladder neck? From: Karen Lee (fairdamsel_2000@yahoo.com) Thu Feb 3 18:06:31 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: james Connerth: "HRT" Previous message: Joe Cutchin: "Re: bladder neck?" Maybe in reply to: Robert J Woolley: "bladder neck?" Next in thread: john miklos: "Re: bladder neck?" Tamara Bavendam, MD, Urologist, describes Irritable BladderSyndrome with these sx. Recc: eliminate acid food/beverages: cranberry juice and other citrus, strawberries, vinegar, apples, cantaloupes, carbonation, chilies and other spicy foods, coffee (including decaf), tes, pineapple, tomatoes, chocolate. Long list, but in those who follow this there has been an excellent response. They may only need to do this temporarily. For those who suffer long term amitriptyline 10 mg @hs works well. -- Karen Lee, ARNP > At Thu, 3 Feb 2000, Robert J Woolley wrote: > > > >I have a generally healthy (but highly anxious) > young woman (age 24) with > >urinary urgency and frequency for about 10 days, no > dysuria, no hematuria, > >no vaginal symptoms, not pregnant. Urinalysis > completely normal, urine > >culture negative. She saw one of my partners first > and was treated with > >Bactrim and Pyridium, in spite of the negative UA; > no change in symptoms > >with these two meds for 3 days, no change upon > discontinuing them, > >either. She can hold her urine as long as she needs > to (no incontinence), > >but it requires constant voluntary effort, starting > roughly 10 minutes > >after last urination. Urine volume is proportionate > to the duration she > >waits. No problem at night. > > > >The best that I could reason from this was that she > was having weakness at > >the bladder neck, akin to stress incontinence, but > constant instead of > >only with stress, but with sufficient reserve in > the pelvic floor muscles > >(she has never been pregnant) to prevent actual > loss of urine. > > > >Does this sound plausible? If so, is there a name > for it? > > > >I tried treating her with pseudoephedrine as an > alph agonist, no > >response. Today I told her to try > phenylpropanolamine, for the same > >reason. If this fails, what would you do next > (besides send her to a > >urologist)? > > -- > "The things you learn after you know everything are > the important ones" > Talk to your friends online with Yahoo! Messenger. Next message: james Connerth: "HRT" Previous message: Joe Cutchin: "Re: bladder neck?" Maybe in reply to: Robert J Woolley: "bladder neck?" Next in thread: john miklos: "Re: bladder neck?"

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