The swelling and decreased urination could be related to how your bladder medications, Mirabeg (mirabegron) and Urotone (bethanechol), are managing your fluid balance, or possibly related to your blood pressure. Since your kidneys are healthy, I highly recommend consulting a urologist next to evaluate your bladder function and fluid output. It is also important to follow up with your primary care doctor to monitor your metformin therapy.

Your flow test results show a slow stream, which can point to either a weak bladder muscle or resistance at the bladder outlet. Urotone DS (bethanechol) works by squeezing your bladder muscle to help it empty. If there is underlying resistance, squeezing harder can actually make your frequent urination feel worse. Solicept (solifenacin) and Mirabig (mirabegron) relax the bladder, which explains why they did not help if your muscle is already underactive or blocked.

It is wonderful that you are looking out for your father?s health. At 60, keeping an eye on kidney function is very wise, especially with borderline diabetes. Generally, his current medications?bethanechol (Urotone), silodosin (Silodal), and atorvastatin (Lipikind)?are safe and do not typically damage the kidneys. However, because diabetes and certain urinary conditions can sometimes affect kidney health over time, routine monitoring of his creatinine levels is a standard and excellent practice. There is no need to worry, but I highly recommend sharing his specific creatinine test results with his doctor during his next visit to ensure his kidneys remain healthy and well-supported.

Yes, Urotone (bethanechol) and Contiflo (tamsulosin) work beautifully together to help your bladder contract and relax, making it much easier to empty. While an underactive bladder is usually managed rather than completely cured, these medications can significantly improve your symptoms within a few weeks, helping you live a normal, comfortable life. Regarding painkillers, everyday options like paracetamol are generally safe to use. However, avoid strong opioid painkillers, as they can worsen bladder weakness.

Hello. I understand how frustrating it must be to deal with ongoing bladder issues. Yes, a 39 mm ovarian cyst can sometimes press against your bladder or pelvic nerves, potentially worsening your difficulty emptying it, especially alongside your history of a blockage. While PCOS itself doesn?t directly block urine flow, the cyst and pelvic pressure might contribute. Your daily medications, Urotone (bethanechol) and Urimax (tamsulosin), are designed to help your bladder contract and relax to empty more easily. I highly recommend discussing this connection with your gynecologist and urologist to see if managing the cyst helps relieve your symptoms. You are doing great taking care of your health.

Since medications like Alfoo, Urotone, and Mirbeg haven't helped, and you have a history of a sensitive prostate, your symptoms might stem from pelvic floor muscle tightness or chronic prostate inflammation. Non-surgical approaches like pelvic floor physical therapy can be highly effective in relaxing these muscles. Daily warm sitz baths, stress reduction, and avoiding bladder irritants can also soothe the area. Additionally, a urologist might consider low-dose muscle relaxants or nerve-calming medications.

I understand how frustrating it is to deal with these symptoms, especially at your age. While a simple, permanent cure for an underactive bladder can be challenging, there are effective long-term solutions beyond Urotone (bethanechol) and Hytrin (terazosin). Depending on the underlying cause, long-term options include pelvic floor physical therapy, clean intermittent catheterization to help empty your bladder safely, or advanced therapies like sacral neuromodulation (a bladder pacemaker). Please don't lose hope. I highly recommend discussing these advanced options with a urologist to find a tailored plan that brings you lasting comfort and improves your quality of life.

Please be reassured that surgery is definitely not your only option. Twenty days on Alfoo (alfuzosin) and Urotone (bethanechol) is a relatively short trial; these medications can take longer to show their full effects, or your doctor may need to adjust your treatment plan. I highly recommend discussing your progress with your urologist. For long-term management and peace of mind, practicing pelvic floor relaxation, avoiding bladder irritants like caffeine, and using stress-relief techniques like mindfulness can significantly improve your symptoms.

I hear your concern, and it is incredibly tough to see your father struggle with vomiting from his treatments. Because of his kidney disease (creatinine 2.4) and high blood pressure, his kidneys are very vulnerable right now. I strongly advise against relying on homeopathy, as it is not scientifically proven to safely treat significant urinary retention (226 ml) or protect his kidneys. Stopping Urotone and Urimax without a replacement puts him at risk for further kidney damage. Please contact his specialist right away to find tolerated, conventional alternatives to help his bladder empty safely and manage his blood pressure.

It is completely understandable to feel concerned about ongoing discomfort. While some mild irritation can occur after a urethral stretching procedure, experiencing burning and pain two weeks later is less common and could suggest a urinary tract infection or localized irritation. Since you are taking Alfoo (alfuzosin) and Urotone (bethanechol) to assist with bladder emptying, it is best to contact your urologist. They will likely want to check a quick urine sample to rule out an infection and ensure your recovery is on track. Please stay well-hydrated, and reach out to your doctor for a reassuring check-up.