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QuestionHello doctor,
I have bladder dyssynergic spasm. The doctor asked me if I have a neurogenic bladder, can I use weight loss pills? I thank you doctor.
Le Tran My Ai (2000)
Answer
Answered by Dr., Doctor Le Thi Huong - General Doctor - Department of Examination, Vinmec Times City International General Hospital.
Hello,
With the question “Can I use weight loss pills with neurogenic bladder? ", the doctor would like to answer as follows:
Neurogenic bladder is a damage to the nervous system that causes the bladder to function poorly, gradually losing its function over time. At that time, the bladder will not be able to operate the cycle of urine retention and urine dilation in a rhythmic manner. This process can be difficult or overactive, with an inability to coordinate with the bladder's contracting muscles.
Common signs of neurogenic bladder are:
Inability to control urination Continuous leakage of urine Urinary retention, urinary frequency, difficulty urinating, dribbling Urine stagnation for a long time easily leads to infection urine, urinary tract infections, kidney stones, reflux of urine from the bladder to the kidneys. If left for a long time, repeated urinary tract infections can lead to kidney failure. You should conduct kidney ultrasound, X-ray, CT scan, MRI scan and perform tests to evaluate bladder function to diagnose the disease early, take timely treatment measures.
There are many causes of neurogenic bladder disease, including:
Birth defects that directly affect the spinal cord such as: spina bifida, sacral aplasia, spinal abnormalities Tumors in the bones Pelvic or tumor in the spinal cord Psychological trauma Spinal cord injury Trauma, disease affecting the nervous system such as: Accident, stroke, spinal surgery, spinal cord injury, Parkinson's disease Complications of diseases other reasons such as diabetes, syphilis, polio,... Principles of treatment of neurogenic bladder:
Ensure kidney function. Minimize complications. Ensure quality of life for patients. Currently, there are the following methods of treating neurogenic bladder:
Psychotherapy: To reduce overactivity of the bladder by will and exercise. Kegel exercises partially strengthen the pelvic floor muscles. Electrostimulation: By placing electrodes near the nerve that stimulates stimulation like electrical impulses, the brain will receive a signal to the patient to be able to urinate. Medical treatment: Certain medications can reduce or strengthen muscle contractions that support proper urination. Surgical treatment: Surgery: The goal is to reduce urinary incontinence or increase urine output. Insert a urinary catheter to ensure complete urinary drainage. Currently, you should visit a nephrologist for treatment advice.
With weight loss pills, you should use them with caution because unforeseen side effects can aggravate bladder irritation. You should choose the right exercise and diet first to bring about long-term effects.
If you still have questions about neurogenic bladder, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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