Guest guest Posted October 28, 2002 Report Share Posted October 28, 2002 Colette, I will not even try to advise you about medications, but I will tell you that my husband had many of the same uninary problems as you describe with your Dad. He was in his early to mid 60's. The problems may have been there before then, but not to the point that we wrote anything down. Speedy took Detrol for a while. We are told in that some folks, it can cause serious constipation. It did (or something did) in Speedy. He had a major bowel impaction in August 2000 that had also blocked the urine from coming from the kidneys. The doctor said that the cat scan showed that he had poop backed up from his toes to his nose. He spent over a week in a hospital 6 hours from our home. After that experience, we stopped detrol and we began the self catherization. In the beginning, he could do it himself. Later, I catherized him 4-6 times a day for more than a year. Immediately, he/we got relief from the having to be up at night. It also helped cut down the number of falls and injuries he was getting during those trips to the bathroom. This is what I understood about what the doctors told us..... In MSA or maybe other neurological disorders, the brain cells that tell the baldder to function may not be strong enough to give the bladder the signal to totally empty the bladder. Thus the bladder might never completely empty. The brain also may not tell the bladder to close and stop the flow. I am sorry that I can not quote all of the medical terms. When we first began this process, Speedy would go to the bathroom strictly on his own and get might get 100-300 cc. Then if we catherized, we might get another 300-500 cc of urine. This should us that he was unable to empty his bladder on his own. Self Catherization: If your Dad is as weak as you describe, someone in your family will have to learn how to catherize. Medicare will pay for homehealth to teach you one time. Our home health nurse happened to be a friend. She came the second time for me, just as a friend. Then we were on our own. The worst part of the entire process is the thinking about it ahead of time. Once you get into a routine it goes rather smoothly. i will have to say that many a day, I had to step back and try to be in my mind something other than a wife, as I catherized Speedy. We also put quilted watherproof pads on the bed. He knew that it didn't matter. All we had to do was wash the pads. Although some times he would still have lots of urine and we would wash the entire bed, but not often. The pads are about 24X24. We used to at a time to cover his hospital bed in the area where his bottom was located. My main point for you is get him to a doctor, a doctor who will help your dad with home health, and other support mechinisams. You or some one in your family will have to be the grrrrrrr teeth to be sure that he gets the best care posssible. Get the catherizing begun as soon as posssbile, if that is the doctor's recommendation. If I can be of any help, feel free to call on me. I would be hahppy to share Speedy's " Story " privately if that would be of any help to you. Most everyone on the list has heard it several times. I wish that someone could say that I am a fastidious housekeeper. Best wishes to you. Marilyn in TN Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2002 Report Share Posted October 28, 2002 Colette, I will not even try to advise you about medications, but I will tell you that my husband had many of the same uninary problems as you describe with your Dad. He was in his early to mid 60's. The problems may have been there before then, but not to the point that we wrote anything down. Speedy took Detrol for a while. We are told in that some folks, it can cause serious constipation. It did (or something did) in Speedy. He had a major bowel impaction in August 2000 that had also blocked the urine from coming from the kidneys. The doctor said that the cat scan showed that he had poop backed up from his toes to his nose. He spent over a week in a hospital 6 hours from our home. After that experience, we stopped detrol and we began the self catherization. In the beginning, he could do it himself. Later, I catherized him 4-6 times a day for more than a year. Immediately, he/we got relief from the having to be up at night. It also helped cut down the number of falls and injuries he was getting during those trips to the bathroom. This is what I understood about what the doctors told us..... In MSA or maybe other neurological disorders, the brain cells that tell the baldder to function may not be strong enough to give the bladder the signal to totally empty the bladder. Thus the bladder might never completely empty. The brain also may not tell the bladder to close and stop the flow. I am sorry that I can not quote all of the medical terms. When we first began this process, Speedy would go to the bathroom strictly on his own and get might get 100-300 cc. Then if we catherized, we might get another 300-500 cc of urine. This should us that he was unable to empty his bladder on his own. Self Catherization: If your Dad is as weak as you describe, someone in your family will have to learn how to catherize. Medicare will pay for homehealth to teach you one time. Our home health nurse happened to be a friend. She came the second time for me, just as a friend. Then we were on our own. The worst part of the entire process is the thinking about it ahead of time. Once you get into a routine it goes rather smoothly. i will have to say that many a day, I had to step back and try to be in my mind something other than a wife, as I catherized Speedy. We also put quilted watherproof pads on the bed. He knew that it didn't matter. All we had to do was wash the pads. Although some times he would still have lots of urine and we would wash the entire bed, but not often. The pads are about 24X24. We used to at a time to cover his hospital bed in the area where his bottom was located. My main point for you is get him to a doctor, a doctor who will help your dad with home health, and other support mechinisams. You or some one in your family will have to be the grrrrrrr teeth to be sure that he gets the best care posssible. Get the catherizing begun as soon as posssbile, if that is the doctor's recommendation. If I can be of any help, feel free to call on me. I would be hahppy to share Speedy's " Story " privately if that would be of any help to you. Most everyone on the list has heard it several times. I wish that someone could say that I am a fastidious housekeeper. Best wishes to you. Marilyn in TN Quote Link to comment Share on other sites More sharing options...
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