Trouble peeing at night

User

Posted 10 Sep 2024 at 13:59

So, I finished my RT in March but didn't have the catheter out till May, after which I was given self-administered ones.

Pretty soon I was peeing normally during the day, but still having trouble at night, with a pathetic trickle and bladder not emptying. The moment I got up in the morning, it was fine again! Things gradually improved and by the end of July this was more or less sorted, and I was down to about one catheter per week.

Then something happened, don't know what (I did wonder if it was related to taking Terbinafine for fungal toenails, but I'm told this isn't likely); the nighttime problems are back and now I'm back to three catheters per night. It's a real drag.

I'm seeing urology in six weeks or so, and suppose I can live with this until then if I have to, but would love to know if anyone else has had a similar experience, and what you might have done about it.

User

Posted 10 Sep 2024 at 18:17

When I had acute retention at night following HIFU, I tried taking a double or triple dose of tamsulosin. No help at all.

I subsequently tried anti inflammatories, notably ibuprofen, at maximum safe dose and this helped a lot. Though by then, it was 3 weeks since HIFU and maybe the swelling and inflammation of the prostate (and other tissue around the urethra) would have begun to die down anyway.

Part of the problem is that (for understandable practical reasons) they test your urine flow during the day (called TWOC - Trial WithOut Catheter). But as you (peter1543) have found, a man may be able to pee with only slight difficulty during the day but then his waterworks jam up at night.

I don't know if it's sleep or darkness or whatever that's the trigger.

User

Posted 10 Sep 2024 at 18:55

Thanks, that's interesting. I'll dig out the ibuprofen tonight and see what happens.

User

Posted 12 Sep 2024 at 08:25

Are there any side effects of ibuprofen and is it safe for someone with a history of hepatitis? My grandfather also had problems with urinary blockage and the medication his doctor prescribed didn't help much. Maybe I should ask the doctor to change his medication.

subway surfers

Edited by member 12 Sep 2024 at 08:26 | Reason: Not specified

User

Posted 12 Sep 2024 at 21:03

Ibuprofen is one of the best drugs in terms of side effects. At the point it was launched there was a lot of publicity for paracetamol, newly available over the counter, about how it lacked the stomach side effects of aspirin - the drug company set the ibuprofen recommended dose so that its stomach side effects were no more than paracetamol*. And it doesn't have liver effects anything like those of paracetamol.

(In fact it can safely be used above the recommended dose, and often is in doctor-supervised situations).

However its claims don't include dealing with urinary retention (though it might be helpful for the pain) and I don't know whether Oldie's success was specific to him or a more general effect.

[*Interestingly this isn't generally known within the medical profession, and doctors issue dire warnings about stomach effects of ibuprofen on the basis it could be similar to aspirin which is the same class of drug].

User

Posted 25 Apr 2025 at 09:45

Sounds like you’re on a wild bladder ride. I had a stint post-radiation where nighttime flow was a total crawl too. For me, gentle pelvic-floor squeezes before bed helped nudge things along. Have you tried timing fluids earlier in the evening or slipping in a quick warm bath to relax the muscles? Could be worth a shot. It may not be Terbinafine at all, sometimes our bodies throw curveballs. Hang tight until your urology appt, and track any patterns. Personally, I logged drink times and catheter tally. Made a world of difference spotting triggers. Oh, and FYI, I once checked The247Rx for med tips when researching symptom relief. Hope this helps. You got this, friend!

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