About Us
Let's Talk Health

About Us


Introducing Let's Talk Health, an initiative from Apollo Hospitals, where our endeavor is to share knowledge which you can use to keep yourself and your family fit & healthy.

Let's Talk Health.
Let's Talk Happiness.

Tags

#BeatDiabetes#CareForHer#GiftAnOrgan#KnowHepatitis#SayNoToDiabetes#UniteToEndTB3D printing of organsAbdomenAbdominoplastyAbnormal Utrine BleedingACacidityACL injuriesAcoustic neuroma in childrenActBeforeTheAttackActive ChildrenAcute Abdomen and Appendicitisacute heart attackacute heart attack symptomsacute heart attack treatmentAcute LeukaemiaADHDadvanced heart checkAdverse drug eventsAIDSAir PollutionAlzheimer's diseaseAnkylosing SpondylitisApollo advanced heart checkApollo Breast Centreapollo concierge medicineapollo health checkupapollo health checkup packagesapollo heart centreApollo heart hospitalApollo hospital cardiology departmentapollo hospital neurologistapollo hospital neurosurgeonApollo HospitalsApollo Hospitals Chennaiapollo hospitals concierge medicineapollo platinum health checkAppendicitisApricotsArthritisArthritis Awarenessarthritis treatmentarthritis treatment in indiaArtificial PancreasAsk Apolloask apollo concierge medicineAsthmaAthlete's FootAutismBaby AcneBaby Bottle Tooth Decayback painBack problemsBariatric Surgery BenefitsBeautyBeetroot benefitsbest Cancer hospital in Chennaibest cancer hospital in indiabest cardiology hospitalsbest heart hospital in Indiabest hospital in indiabest hospitals in Chennaibest medical oncologistbest neuro hospital in Indiabest neuro hospitals in Indiabest neurologistbest neurologist in Indiabest neurology hospital in Indiabest neurology hospitalsbest neurology in Indiabest neurosurgery hospital in Indiabest neurosurgery hospitals in Indiabest neurosurgery in Indiabest radiation oncologistbest surgical oncologistBiomedical Waste ManagementBirth Controlbladder Cancerbladder Cancer treatmentbladdercancerBlepharoplasty Eyelid Rejuvenationblood cancerblood cancer cureblood cancer treatmentBlood PrressurebloodpressureBone & Jointbone marrow cancerBone Marrow Transplantbone specialistBonesbook an appointment onlinebrainBrain changeBreast CancerBreast cancer myths & factsbreastcancerBreastfeedingBronchitisBypass Surgerybypass surgery of heartCABGCalcium Rich Dietcaloriescan nanotechnology be the future of orthopedicscancerCancer Carecancer curecancer hospitalcancer hospital in indiacancer hospitalsCancer mythsCancer PreventionCancer risksCancer specialistcancer surgerycancer TreatmentCarbohydratesCardiaccardiac arrestcardiac heart surgery in IndiaCardiac riskcardiac surgery in IndiaCardio Vascular DiseasesCardiology departmentcardiology department in a hospitalCardiovascular DiseasesCardiovascular emergenciescareCartilageCataractCauses of Cancercauses of heart attackcauses of heart diseasecauses of heart diseasescauses of strokecavitiesCerebral StrokeCervical Disc ProlapseCesarean AwarenesscheckupChemotherapy Carechest painchickenpoxChickenpox In ChildrenchildChild careChild Healthchildbirthchildcarechildhood obesityChildrenChilliesChocolateChocolate BrownieChokingCholangitisCholesterolCholesterol ratioChronic Health ConditionsClean watercoldColds in PregnancyColon CancerColonoscopyColorectal CancerComfort Foods & HealthCommon coldcommon neurological disorderscommon symptoms of strokeconcierge careconcierge doctorconcierge doctors near meconcierge healthcareconcierge medicineconcierge physicianCongenitalconstipationcontactlensescornealtransplantCoronary Artery Bypass Graftingcoronary bypass surgeryCosmetic Ear SurgeryCosmetic SurgeryCosmetic Tooth ImplantsCPRCradle capCriggler NajjarCureDairy ProductsDark chocolate benefitsDehydrationDementiaDengueDengue feverDentalDental CareDental MythsDepressiondepression helpDepression Myths and Factsdepression signs and symptomsdepression symptomsDepression Vs SadnessDiabetesDiabetes mellitusDiabetic footdiagnose a strokeDiagnosisDiaper rashdiarrhoeaDietDieting mythsdiseasesDiwaliDrivingdyslexiaEar CareearpainearsEating DisorderseggsElbow InjuryEmergencyEmphysemaexamsExerciseExercise for bachacheExercises to prevent memory lossexperienceeyeeye cancereye cancer causeseye cancer doctoreye cancer symptomseye cancer treatmenteye cancer treatment in IndiaEye careEye dropsEye exercisesEye FlueyecancerfathersfattyliverFertility TreatmentfertilizationfestivalsFibroidsFire accidentsFire carefitnessFitness AppsFitness blundersflatfeetFlax seedsFlip-flop foot problemsFluFlu VaccinationFoodFood additivesFood AllergiesFood for Brainfood guideFoot painFrozen shoulderfruitsfull body checkupfull body checkup cost in ApolloFunctional NeurosurgeryGastric problemsGastrointestinal BleedingGastrointestinal TractGeneral PhysicianGeneticsGERDGluttonyGymGynaecologyGynecologyhairHair careHair lossHair RestorationHand hygieneHand washhappinessHazardous wasteHead injuryhead injury treatmentHeadacheheadachesHealthHealth & BeautyHealth care unithealth checkhealth check benefitshealth check uphealth checkup packagesHealth hazards of prolonged sittingHealth Managementhealth packagesHealth tipshealthcareHealthcare for womenHealthcare Service QualityHealthcare workers (HCWs)Healthcare-associated infections (HAIs)healthcheckhealthyHealthy backHealthy foodHealthy Hearthealthy heart programHealthy recipehealthyheartHeartHeart Attackheart attack surgeryheart attack symptomsheart attack treatmentheart bypass surgeryheart cardiologyHeart CareHeart checkheart departmentheart diseaseheart disease preventionheart disease symptomsHeart Healthheart painheart problem symptomsheart problemsheart specialistheart specialist hospital in Indiaheart specialist in IndiaHeart Valve Diseasesheartdiseaseheel painHelp loved ones fight depressionherniaHigh Blood PressureHip FractureHIVHoli CareHormoneshospitals in ChennaiHow to deal with cutsHuman developmenthydratedHydrocephalusHypertensionHypothyroidismhysterectomyIBSImmune systemIndia Water WeekInfant diarrhoeainfant teethinginfectionInfertilityINSULINIntensive Care UnitIntraocular LensesInventionIrritable bowel syndromeJaundiceJaundice in babiesJuvenile DiabetesKeratoconuskidneykidney cancerkidney cancer causeskidney cancer doctorkidney cancer symptomskidney cancer treatmentkidney cancer treatment in IndiaKidney StonekidneycancerkidsKnee ArthroscopyKnee painlarynxLeukemiaLifestyleLifestyle changesLifestyle diseasesLight Induced TraumaLimb length discrepancyLiver cancerliver cancer causesliver cancer doctorliver cancer doctorsliver cancer symptomsliver cancer treatmentliver cancer treatment in IndiaLiver TransplantlivertransplantloyaltyLung CancerLung InfectionLung transplantationlungcancerlungsLymphomamalariaMangoMedical & Fitness ParametersMedication errorsMedication safetyMediterranean DietMelanomaMemory lossMenopausemenstrual cycleMenstrual HygienemenstruationMental Disordersmental healthMiddleearmigraineminimally invasive heart surgeryMintMonsoonmosquitomotherMotherhoodmothersmouthmulti speciality hospital in Chennaimulti specialty hospitalmultispeciality hospitalmultispeciality hospital near meMuscleacheMythsnanotechnologyNasal allergiesNatural childbirthNauseaNeck painNerveNeurological Disordersneurologistneurologist in Indianeurology doctorsNoisy earNose BleedNose reshapingnosebleedNosebleedsNutritionOats with dried fruitsObesityObesity & mental healthObesity in pregnancyOcular LesionsOffice safetyoncologyoncology hospital in indiaoncology surgeryOpen heart surgeryOral Healthoralcanceroralhealthorgandonationorthopaedic doctororthopedicorthopedic arthritisorthopedic doctororthopedic hospitalorthopedic near meorthopedic surgeonorthopedicsOsteoporosisOvarian Cancerovarian cancer causesovarian cancer doctorovarian cancer symptomsovarian cancer treatmentovarian cancer treatment in Indiaovary cancerOvereatingpancreasPancreatic Islet TransplantationparentingParkinson'sparkinson's diseaseparkinson's disease causesparkinson's disease symptomsparkinson's disease treatmentparkinson's disease treatment in IndiaPatient-SafetyPCODPeanut butterPediatricPediatric CarePediatric Liver TransplantPelvic PainPeptic Ulcerperceptionperiodspersonal protective equipment (PPE)pharynxPhysiotherapyPICUpilesPlastic SurgeryplasticsurgeryPneumoniaPolycystic OvaryPolycystic Ovary DisorderPolycystic Ovary SyndromePostpartum depressionpregnancyPregnancy WorkoutsPremature BabypreventionPreventive Carepreventive health check upPreventive HealthcarePreventive MedicineProactive Healthcareprofessional help in depressionpsychiatristPsychological FactorsPsychologyPsychotherapyRadiosurgeryRadiotherapyRare CancersReadingRecipeRefractive errorsregular health checkRetinoblastomaRheumatoid ArthritisRight postureRight to sightRisk Factorsrisk of suffering strokesRobotic Heart SurgeryRobotic RadiosurgeryRobotic SurgeryRoseRoutine checkSalt intakeSarcoidosisSatisfactionSciaticaSeafoodself-examinationsexual healthSigns of depressionSinus Corrective SurgerySinusitisSinusitis in childrensittingskinSkin and Hair ProtectionSkin Cancerskin cancer causesskin cancer doctorskin cancer symptomsskin cancer treatmentskin cancer treatment in IndiaSkin careSkin RashskincancerskincareSleepSleeping pillsSleeve GastrectomySlip DiscsmokingSnake BitesSoft tissue sarcomaSore musclesspecialist hospitalspinachspinespringsquintStandard PrecautionsStay hydratedSTD'sStem Cellstereotactic radiosurgerySTIstomachStomach Cancerstomach cancer causesstomach cancer doctorstomach cancer symptomsstomach cancer treatmentstomach cancer treatment in IndiastomachcancerStrawberryStress eatingstress managementstressorsStretch marksStrokesummerSummer foodsSunburnSunstrokesuper speciality hospitalSuperfoodssurgerysurgical oncologySweet toothSwimmer’s earsymptoms of depressionsymptoms of heart attacksymptoms of heart diseasesymptoms of heart problemssymptoms of liver cancersymptoms of ovarian cancersymptoms of strokeSystematic reviewtechnologyTennis ElbowThalassemiaThreadliftThroat InfectionThroatcancerthyroidcancerToddler SwimmingTomatoestop cardiology hospitalstransplantTravellingtreatment for stroketreatment for stroke at Apollo hospitalstreatment for stroke in IndiaTuberculosistypes of heart diseaseUrinary Bladder CancerUrinary IncontinenceUrinary Tract InfectionUrological ProblemsUrologyUTIvaccinationvaccineVitamin DWalkingWalking aidwaterWater Birthweightlosswellnesswhat is heart attackwhat is OsteoporosiswindpipewinterWinter AchesWinter PregnancywomenWomen's HealthWomen's Health TabooswomenhealthWorld Health DayWorld Hepatitis DayWorld Liver DayWorld Malaria DayWorld Parkinson's DayWorld Tuberculosis DayWorld Water DayYeast infectionYogaYogic VisualizationZikavirus
in Health & Happiness

Urological problems in Diabetes

Urological problems in Diabetes

Urological problems usually affect men and women in old age, appear earlier with diabetes. These include urinary bladder problems and urinary tract infections (UTI). While the former is equally present in both sexes, UTI is more prevalent in women.

Bladder problems: Diabetes is amongst the leading causes of damage to nerves controlling the bladder function. Another associated cause is infections. Studies revealed that more than 50 per cent of men and women with diabetes have bladder dysfunctions. Bladder dysfunction can deeply impact a person’s confidence and the quality of life.

The physiology of urination: Our two kidneys excrete water and waste products from blood in the form of urine. The urinary bladder is the receptacle of urine and receives the same from the kidneys through two ureters, one from each kidney. The capacity of an adult urinary bladder is about 600 – 700 ml. The bladder wall is made up of muscles, called Detrusor, which can stretch to accommodate urine and can contract during voiding. The outlet pipe, called the urethra, has sphincters or muscles that keep the outlet closed until voiding is attempted. The urethral sphincters are under volitional control. When sufficient urine is collected in the bladder, the desire to urinate occurs and if situation permits, signal from the brain goes to the sphincters to relax. The detrusor muscles are supplied by involuntary nerves that give signal for contraction and voiding takes place. It is highly integrated action of the brain, voluntary [somatic] nerves and involuntary [autonomic] nerves.

Overactive bladder: Because of the damage to the nerves in diabetes, bladder receives signals at wrong and unwarranted times, causing the bladder muscles to squeeze.

Symptoms

  • Sudden, strong need or urgency to urinate.
  • Increased frequency of urination up to eight or more times a day or three or more times at night.
  • Urinary incontinence, in which there is an involuntary leakage of urine following a sudden, strong urge to urinate. The same may happen due to the insufficient control of sphincter muscles of the bladder.

However, if the nerves to the sphincter muscles are damaged as in the case of diabetes, the sphincter muscles become loose and cause leakage, as it happens in an infant.

Urine retention: On the other hand, nerve damage may also prevent the sphincter muscles or bladder muscles from getting the message for urinating. In such a case, the bladder is not emptied completely and there can be a back flow or back build-up of urine and the same can damage kidneys.

Urinary tract infections: Urinary tract infections may occur due to a host of other reasons in addition to the aforementioned, including from bacteria reaching urinary tract. It is important to treat a UTI without delay since left untreated it may reach kidneys causing pyelonephritis, an infection of the kidneys.

At times the UTIs become chronic and recurring. The infection can get localized in urethra or bladder (cystitis) before traveling up the kidneys.

UTI symptoms

  • Burning sensation while passing urine.
  • Increased urge to urinate and frequent urination.
  • While women experience heaviness or pressure on the top of the pubic bone, men experience the same in the rectum.
  • Pain in the loins or side and fever in case of kidney infection.
  • Diagnosis of UTI is usually made from the presence of bacteria and pus cells in the urine routine sample and subsequent culture. An ultrasound, intravenous pyelogram and cystoscopy may be necessary in many cases.

How to prevent diabetic neuropathy and the associated sexual and urological problems related to diabetes

  • Efficient blood glucose control
  • Personal hygiene
  • Shed those extra kilos and avoid being overweight
  • Quit smoking
  • Exercise regularly & avoiding sedentary lifestyles
  • Manage diabetes through diet control as advised by the dietician and your diabetologist

Treatment

Patients with the above symptoms need certain investigations to find the cause of bladder dysfunction. These include urine examination for any infection, Ultrasonography of kidneys and urinary bladder and Urodynamic Study. Urinary tract infections are treated with antibiotic treatment specific to the kind of bacteria in the urine after the urine culture. UTIs which reach kidneys require long-term antibiotic courses for treatment. Keep yourself well hydrated.

Problem of urine retention due to damage to bladder nerves is treated with medication for improving bladder emptying. Your doctor will advise you on ‘timed voiding’ wherein you are encouraged to urinate after regular intervals to increase proper urination and to treat urinary urgency as well. At times, catheter is inserted into the bladder through the urethra to flush out the urine. Similarly, in case of loose sphincter muscles resulting in urinary leakage, medications or Kegel exercises can strengthen the muscles. At times, the problem has to be rectified by surgery.

For any support required, visit our nearest Apollo Hospital today for proper diagnosis.

Leave a Reply

Your email address will not be published. Required fields are marked *