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tamsulosin

Posted , 13 users are following.

dcooperxyz
dcooperxyz

This is slightly odd question and appreciate it’s quite petty but I wonder if anyone knows the answer .

I’m on Tamsulosin for a bladder blockage . Diagnosed after the usual tests . These enable me to pee ok, not great but ok . 

However ,I notice that when I have a few drinks ( beer) I cannot pee hardly at all , early hours and the morning after it just dribbles out slowly . 

Of course the obvious answer is not to drink to excess.

Has anyone else noticed this and is the alcohol rendering the pills ineffective ?or is the volume of beer affecting the blockage ?  I take the pill before dinner around 6 pm. 

Thanks guys 

0 likes, 18 replies

18 Replies

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  • Pepasan
    Pepasan dcooperxyz

    Posted

    I find that the fuller the bladder the more likely the stream will be slower. I therefore empty my bladder whenever I first feel the need if at all possible. If I don’t, I find I have to go twice within 10 to twenty minutes in order to feel comfortable again.
  • Supertractorman
    Supertractorman dcooperxyz

    Posted

    Quantity in the bladder is the problem and will get worse if your Prostate is growing and causing the blockage.  Maybe go and try to pass water after each pint, but relax as stress worrying about it can make it worse.

    David

  • joseph75
    joseph75 dcooperxyz

    Posted

    I've had reoccurring prostrate inflammation for the past 9 months. I've been on tamsulosin for 8 months.  My urologist was very emphatic about "No alcohol, caffeine, or spicy foods".  He's repeated this instruction a couple of times, saying these items irritate both the bladder neck and prostate.  I've noticed that when my prostate isn't acting up, I can drink a beer with no consequences. If I have 2 beers, my urine flow is much slower. One night, I had a beer before dinner, a glass of wine with dinner, and a brandy after dinner. I paid the price with painful, slow urination for about 12 hours. From my experience, there are two factors. If the prostate or bladder is in turmoil for any reason, alcohol can definitely make it worse. At anytime, for me, the consumption of more than 2 beers will have a negative effect on my ability to pee. 

    The same with coffee. If the prostate is OK, I can drink a cup of mild coffee, without consequences. If I'm having a bad prostate day, I avoid coffee and drink green tea, with about 20% of the caffeine as coffee. I avoid spicy.

  • Royse
    Royse dcooperxyz

    Posted

    Alcohol in general is not good for the prostate and is a risk factor for prostate cancer. Anything that acts as a diuretic such as coffee or tea will irritate your bladder and fill it quicker which doesn’t help.
  • mike24933
    mike24933 dcooperxyz

    Posted

    I have suffered from restricted flow and associated problems for many years. I have been on Tamsulosin and Dutasteride for years as well. The problem just kept getting worse. After a protracted period of dithering I have just had a turp operation. I have only now realised how much inconvenience I have been putting up with for so long. You just get used to it so it seems tolerable. Your letter reminds me of this. I know the thought of an operation is daunting but I found the reality nowhere near as bad as some would have you believe. I know it isn't answering your question but I think it is worth considering having the op' and getting rid of the problem.

    • alanatcroydon
      alanatcroydon mike24933

      Posted

      I have read that TURP can take away (not just diminish) sexual performance, so I avoided it.  my PAE at end June seems to have reduced the pressure on my bladder without the other undesirable side effects (at least, so far!)
    • Royse
      Royse alanatcroydon

      Posted

      TURP should be a last resort. Where did you have your PAE done.
    • mike24933
      mike24933 alanatcroydon

      Posted

      Turp does cause retrograde ejaculation but it certainly doesn't "take away" sexual performance. In my experience even RE isn't as bad as it was on the drugs. I know there are several procedures which will alleviate this problem and I am not suggesting that turp is superior to the others. In my experience the improvement in my quality of life overall has been huge and far preferable to letting the problem linger on with drugs which only offer a partial solution.

    • alanatcroydon
      alanatcroydon Royse

      Posted

      In Poland.  Medical tourism is a growing activity there.  Cost (without fares from UK : I booked those separately) was PLN 12500 (just under £3000)

  • dcooperxyz
    dcooperxyz

    Posted

    The problem I have is that although my prostate is normal size , my URO diagnosed a blockage  in my bladder neck which has resulted in chronic prostatitis and he offered  surgery in the form of a BNI ( bladder neck incision) unfortunately this Op will very likely result in retro ejaculation which I’m not keen on . As far as I’m aware the other options such as PAE are not suitable for my condition although I have another meeting with my URO next month to find out for certain . 

    Thanks for everyone’s posts 

  • rdemyan
    rdemyan dcooperxyz

    Posted

    I was on avodart and tamsulosin. There's a reason this combination is termed "castration drugs".  The tamsulosin seemed to make my tinnitus worse, so my uro switched me to alfuzosin (generic for Uroxatral). After about a week on the alfuzosin/avodart, my tinnitus has improved and my libido has suddenly ramped up.  My flow is better on the alfuzosin (I keep a journal).  I'm getting up twice a night, which to me is tolerable).

    My point is that you might want to try a medication change; but since your issue is the bladder neck, a procedure might be the way to go.  In my case I have a 100 gram prostate which we're trying to reduce in size with the Avodart.  So it makes sense for me to continue on with the combination (alfuzosin/avodart) for at least six months and see how things go.  

    • TKM
      TKM rdemyan

      Posted

      Instead of tamsulosin or alfuzosin you could try cialis, which will not cause RE.

      Thomas

    • rdemyan
      rdemyan TKM

      Posted

      While on avodart and tamsulosin I also did take low-dose, daily cialis for a short period.  Although the cialis did help to improve the amount urinated a bit, the nasal congestion from the tamsulosin and cialis was too much for me.  I also took cialis a couple of times with the alfuzosin and there was also an improvement in the amount urinated each time I went during the daytime.  But the improvement was incremental and the congestion was again too much.  I have not tried cialis and avodart without and alpha blocker.

      I am not having RE with the alfuzosin.

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