Thiazide Diuretics

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Susanne - 23 Feb 2008 03:12 GMT

An elderly man I am caring for has just been given 12.5 mg
hydrochlorothiazide for hypertension, plus Cipro for what appears to
be acute prostatitis (but they're not sure about that part because
they couldn't detect the microbe). He had severe hematuria and very
high blood pressure. Now the hematuria is gone, but he can hardly
urinate. Of course, he has had chronic urinary retention for years,
but never so bad as this. He has a diet that has virtually no sodium
in it, and has been that way for years. I'm a little worried that this
diuretic may be making his urinary retention worse, in view of his BPH
and other factors.Is this possible? Should we stop the diuretic till
he can get the procedure done that will relieve the retention problem?
Oh, and by the way, this diuretic doesn't seem to be lowering his
blood pressure.
Thanks very much.

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Robert E. Yorke - 23 Feb 2008 04:56 GMT

This is just my personal opinion, but having just gone through laser
prostate surgery, please allow me:

If this gentleman has been suffering from "chronic" urinary retention,
and for quite awhile, I would strongly suggest getting him to a
competant urologist who has strong experience with laser prostate
surgery, to get the matter resolved once and for all, quickly!

If he goes into lock-up, he is in DEEP trouble.....

>An elderly man I am caring for has just been given 12.5 mg
>hydrochlorothiazide for hypertension, plus Cipro for what appears to
[quoted text clipped - 10 lines]
>blood pressure.
>Thanks very much.

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problems@gmail - 28 Feb 2008 07:09 GMT

> An elderly man I am caring for has just been given 12.5 mg
> hydrochlorothiazide for hypertension,

Given by whom - under what advice ?!

> plus Cipro for what appears to
> be acute prostatitis (but they're not sure about that part because
[quoted text clipped - 8 lines]
> Oh, and by the way, this diuretic doesn't seem to be lowering his
> blood pressure.

Robert E. Yorke wrote:
}This is just my personal opinion, but having just gone through laser
}prostate surgery, please allow me:
}
}If this gentleman has been suffering from "chronic" urinary retention,
}and for quite awhile, I would strongly suggest getting him to a
}competant urologist who has strong experience with laser prostate
}surgery, to get the matter resolved once and for all, quickly!

Is ' laser prostate surgery' the modern version of TURP or
open prostectomy ?

} If he goes into lock-up, he is in DEEP trouble.....
What's "lock-up" in non-slang plain english.

Yes ! I [66 yo] with years of BPH, too was 'tipped over the
threshold by a fractured femur which forced inactivety.
IMO he should IMMEDIATELY have a catheter fitted: a low tech
immediate solution to empty the bladder and releive the back
pressure on the kidneys. This dropped my BP and removed the
other bad symptoms immediatly. It can be done at any hospital
casualty facility, and think about more permanent procedures
later. Once the kidneys stop generating output, permanent
damage starts !

crg.

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