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Medical Forum / General / General / August 2005Eyes and urethra irritation -known connection?
Hello I am a man at age 52, weights 62Kg, biking once or twice a week very hard. Regular and diverse nutrition. For more than a year now I suffer from constant eyes-irritation, like feeling tired or like sand in the eyes, which sometimes also blurs my seeing (no secretion). Almost from the same time this irritation began, there was a burning-like irritation along the urethra and some difficulties in urinating and more often urinating urges. As I said these sensations bother me all the time, some days more and some days less for more than a year. In addition to this, sometime I feel stress/pressure or small “click” in the elbow or the knee joints, especially during sport activity. Following my family-doctor advice, urine and blood tests were performed, but urologist (who found my prostate –OK) and rheumatologist whom I have visited could not notice any irregularities and therefore no solution was suggested. (I could be wrong but) I also noticed a strange smell of my urine during that year. Is there a known connection between these symptoms? Could it be an allergic reaction? Who else should I consult? Thanks Gilad  SignatureGilad "Gilad R via MedKB.com" <wrote: > Hello > [quoted text clipped - 4 lines] > tired or like sand in the eyes, which sometimes also blurs my seeing (no > secretion). < snipped > Have you been examined by an optician during this time? http://www.answers.com/main/ntquery?afid=5050&s=dry+eyes > Hello > [quoted text clipped - 21 lines] > Thanks > Gilad While there are potential connections (say, Sjogren's syndrome) it is probably more likely that the cycling could be putting more dust into your eyes, and a poor bike setup or saddle could well cause numbness from pressure on the pudendal nerve or artery. Cycling has been associated with impotence due to compression. I've known of cyclists who've also developed prostate syptoms, though to be fair I'm not sure these are connected. There are a great number of saddles around. Some now come with a cutout in the perineal area. Make sure your saddle is adjusted right--some men turn the nose down, thinking this will put less pressure on the saddle area, but it actually will cause you to slide forward onto the nose. Make sure your handlebars are also set up right. Esp. if you are using dropped handlebars, a poor setup can put too much weight on your hands and cause fatigue and commonly ulnar nerve compression. Steve SignatureCut the nonsense to reply > I am a man at age 52, weights 62Kg, biking once or twice a week very hard. ... > Almost from the same time this irritation began, there was a burning-like irritation along the urethra and some difficulties in urinating and more often urinating urges. I found a possible link between the way you exercise and irritation (aside from what Steven Bornfeld mentioned. Note that I search for these things as kind of a hobby and I'm not a doctor. From http://nursing.advanceweb.com/common/Editorial/Editorial.aspx?CC=8687 : "Nurses who work in trauma have seen the effects of rhabdomyolysis when patients have suffered large amounts of muscle damage, such as crush injuries. Necrotic muscle releases large amounts of myoglobin, which clogs the kidneys and causes acute tubular necrosis." >From http://www.nephrologychannel.com/atn/ : "Acute Tubular Necrosis (ATN): Each glomerulus (microscopic "filtering screen") has a tubule that transports urine to the ureters (see urinary system anatomy) and metabolically alters the urine and its chemicals." Blood tests that detect muscle damage are listed at http://www.usnews.com/usnews/health/heart/cad/cad.test.lab.enz.htm . I'd take Steven Bornfeld's advice, and I'd also excerise a little more often and a little less hard. > Hello > [quoted text clipped - 23 lines] > > Is there a known connection between these symptoms? Look at http://healthlink.mcw.edu/article/926056398.html , see if that rings any bells. HMc > Look at http://healthlink.mcw.edu/article/926056398.html , see if that rings > any bells. > > HMc Wow--this is a new one on me! Is this a relatively new syndrome? Interesting--the most common cause of arthritis in young men? Steve SignatureCut the nonsense to reply >> Look at http://healthlink.mcw.edu/article/926056398.html , see if that >> rings any bells. [quoted text clipped - 3 lines] > Wow--this is a new one on me! Is this a relatively new syndrome? > Interesting--the most common cause of arthritis in young men? No. I don't know if it fits the OP at all, but it's one of those trivial facts from medical school that popped into my brain as I read the post. The syndrome was first described in 1916. HMc Per Gilad R via MedKB.com: >Almost from the same time this irritation began, there was a burning-like >irritation along the urethra and some difficulties in urinating and more >often urinating urges. >As I said these sensations bother me all the time, some days more and some I get the same thing from time-to-time. My correlations are: - Riding too hard. This seems tb the primary correlation. Gets worse with age. - Too much rough ground on a hardtail (I usually ride FS) - Bad saddle size or adjustment. For me it's often a precurser to a prostatic infection or some other UTI. SignaturePeteCresswell >Per Gilad R via MedKB.com: >>Almost from the same time this irritation began, there was a burning-like [quoted text clipped - 12 lines] > >For me it's often a precurser to a prostatic infection or some other UTI. I wonder if the original poster is letting himself get dehydrated? I've had altogether too much experience bicycling in hot, dry weather this summer (hottest, driest summer in at least 50 years here so far), and I've found it all too easy to get dehydrated even on a short ride. Concentrated urine can irritate the urethra, and provides more nutrients for the normal flora which can also cause irritation when they proliferate. It also smells strong, as the OP mentioned. Drinking plenty of water to produce copious dilute urine is a way of washing down the bladder and urethra and combating incipient infections. I don't know if dehydration can cause the eye irritation, but I get it at the same time too. Certainly having air, especially hot, dry and polluted air, streaming over your open eyes continuously at a high flow rate can irritate them. People even get this from computer fans. I wear normal glasses for vision correction, and I've had more of it this summer. I don't know if special cyclist's goggles, or a face visor or wraparound sunglasses would help the OP. He might try the cheap, transparent plastic safety glasses with side panels from a hardware store to see if they help before investing in anything more elaborate. As for the poster's joints, well, once you're in your fifties, you notice that your joints aren't as resilient as they were in your twenties. Bicycling is excellent for strengthening the quadriceps muscles that help hold the knee in good alignment. I've had chondromalacia patellae for thirty years, but it only bothers me now if I go months without cycling, which also seems to be controlling the osteoarthritis I'm developing in my knees. I'd recommend if your knees bother you to use your gears effectively, gear down on upslopes, and don't start in top gear. For that matter, don't use any gear so high that it makes your knees hurt. You still get the exercise, you still get where you're going about as fast, but you strengthen your knees instead of damaging them. I hope this helps. I have no medical qualifications, I'm just speaking from experience. I also have no prostate, so have no experience with prostate problems. |
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