Prostate Conditions Confusion
Posted , 10 users are following.
You start looking up prostate information. You end up confused-atleast I do.
I have an enlarged prostate. I also have type 2 diabetes. It's well under control . I'm in shape, not over weight, A1c 6.5 I have to get up ONLY when I am lying down-no other time.
My MD says enlarged prostate. Urologist says overactive bladder caused by type 2 diabetes. Urologist says target is 2 times get up at night. Prescribes oxybutyn. Prescription makes things worse.
My questions: Why problem ONLY when I am lying down-supine position. I also sweat profusely & get dry mouth. You look up information on Internet-says trouble at night is "nocturia" OK Doctor says enlarged prostate BPH? Urologist is wrong. Not diabetes. Only have problem in supine position. Also-I forgot-take Finesteride & tamulsin.
How come ONLY in supine position? How come doctors are seemingly dumb. ONLY happens in supine position? Autonomic bladder? None of them mention that possibility. In case you hadn't figured out-I am really aggravated I cannot get any kind of straight answer from so called professionals.
Doctor says I need the Green light laser brcause my prostate is enlarged. Board Cerified Columbia University graduate urologist-I'm not sure what he knows.
So does Enlarged prostate cause night time voiding problems-even when you take all suggestions(don't drink at night etc etc) If enlarged prostate causing problems at night-why not during the day or when I sit or on my feet.
If brain cultimately controls all of this difficulty at night-why should an enlarged prostate not cause same problem during the day. Why does Internet say "nocturia" is the nighttime problem but not even hint what the cause might be? I see no chain of event causation other then brain getting wrong signal when I am in supine position(my theory).
Anyone have any ideas??!!! My doctors sure don't! Neither is the internet particularly helpful. It is so frustrating-no getting anykind of intelligent answer from anyone. Almost as maddening as the condition itself! And these fools don't understand that "I don't know" is a perfectly good answer. It tells me to look elsewhere! Any help would be greatly appreciated! Pointers-possibilities-no response too strange. Thanks!
1 like, 11 replies
wally5 cdog46
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cdog46 wally5
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caringbah cdog46
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I did all the research and ended up having a prostate artery Embolisation last week. Problem fixed.
No cutting, no bleeding, no impotence, no incontinence....check it out.
N
kenneth1955 cdog46
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johnsv6 cdog46
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simonthethird cdog46
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Years ago I had over active bladder - I was peeing up to 10 times a night. Out of bed, into bathroom [do not put on light] dangle, pee and back to bed all within a couple of minutes. Various tests including stress test [filling bladder with water] diagnosed it and I was prescribed oxybutynin for three weeks which was a life changer.
Now I have enlarged prostate but do not for some reason need to pee at night. I take tamsulosin and finasteride which do have side effects [retrograde ejaculation into bladder], growing breasts [not yet] and regaining head hair [again not]. If I do not take the tablets the act of peeing becomes more difficult.
I think the reason that you pee in the night [and that is all nocturia means] is that whilst the body shuts down to some degree urine is still produced and while you are conscious of it continually in the day "I've had a mug of coffee - I'll need to pee soon, perhaps I'll go now" at night it creeps up inside [unconsciously]until the message goes to the brain "get up and pee or you may wet the bed".
I find that if on occasions I have a disturbed night I do get up simply thinking [though I am not desparate] "I may as well have a pee now and sleep later"
cdog46 simonthethird
Posted
I am totally facinated why no one has a good explanation about the supine position being-to me-anyway- why this is the true indicator unless it has to do with the fact of different body position & strains of the bladder in this supine position.
Otherwise-nocturia is one stupid misleading label. It implies a night time occaision-from the latin word noctis meaning night time. Trouble is for shift workers-can be day-turia- or after noon nap-turia..
simonthethird cdog46
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Very mysterious as you say. Years ago I had incredible frequency and urgency and getting up 10 times a night but cured almost at once with oxy ... Lifechange. Though the symptom of "dry mouth" certainly!
I was in our [UK] hospital yesterday and chatting to one of the staff - not about my condition. They have a "complex case" team where they review patients who have interlocking medical conditions and work out the best way forward; is there any similar facility?
Hickalum simonthethird
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david06982 cdog46
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ron53733 cdog46
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I had rezum procedure due to getting up 6 or 7 times a night. When I try and sleep on my back I usually only get up 1 or 2 times but when I sleep on my belly its 6 or 7 times a night. I've asked my urologist and he has no clue. I can't figure out.