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Ask The Urologist Anything (Dr Michael Rotman)
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<blockquote data-quote="Checkdis" data-source="post: 132215" data-attributes="member: 16600"><p>Dr. Rotman,</p><p></p><p>From this posting I am pretty sure you will have an idea of who I am. You have been the only support doctor in my case and I just wanted to give an update on the status of my condition with OAB. Even though my blood work seems to be stabilizing the recent discovery of my increasing TPO, and slightly elevated ALT over the course of just about 2 years has me concerned. My thyroid levels seems to be normal, just my antibodies are elevated. My endocrinologist does not seem to think the TPO antibodies are alarming. He explained some people have them, and some don’t, and to retest in a year. Also my TSH levels are quite normal, so there was no need to further test the thyroid, he explained. He also elaborated that he does not feel that their is a hypogonadal cause to my OAB. He said once diabetes and diabetes inspidus are ruled out he cannot do much more to help from an endocrinological perspective. Surprisingly my LH & FSH are rebounding which is great news and my Testosterone levels are showing great improvements.</p><p></p><p>On the other hand, my episodic OAB is still causing me to have some very bad days which leave me just about paralyzed, and glued to a bathroom. Some days are very tough to get out of the house. Luckily my job allows me to work at home which probably doesn’t help. Exercise is very limited, so my weight doesn’t really change. Even when I limit my diet (eliminating caffeine and alcohol) and avoiding bladder irritants, I do not see improvements. On a positive note I do want to add that from looking back in April 2017, to present day I feel I could be improving. I just am hesitant to say “I am improving” because I have episodes which break down my confidence and build anxiety when I urinate almost 15-20 times a day, without drinking much water.</p><p></p><p>At the beginning of 2018, I was seeing a health psychologist for about 3-4 months in regards to all of this and he concluded that I had mild anxiety and actually discontinued to see me because he felt there was nothing he could do to help me.</p><p></p><p>I am worried that my symptoms will be written off as, “it is all in my head” ordeal. I am concerned about losing my job and the strain on my family. The one thing I want to avoid best as possible is taking SSRI’s or Benzodiazepines, those have showed to help in the past. But becoming reliant on those medications for a long period of time is scary. Would it be best to try a low dose of Desmopressin? I have heard success stories with individuals using this medication to help with Polyuria/OAB. I would love to get my hands on legit Androxal and missed out on a Clinical trial in my area. I am not sure where this medication stands with FDA approval, not much information on it. </p><p></p><p>Episodic symptoms:</p><p>-OAB (Polyuria, 2-3 nighttime bathroom trips)</p><p>-Light headed (as if I am on a boat, not vertigo)</p><p>-Dry eyes (when I wake up I can barely open my eyes)</p><p>-Zero appetite (no hunger triggers)</p><p>-Difficult to lose weight (morning weight 213, bedtime weight 220)</p></blockquote><p></p>
[QUOTE="Checkdis, post: 132215, member: 16600"] Dr. Rotman, From this posting I am pretty sure you will have an idea of who I am. You have been the only support doctor in my case and I just wanted to give an update on the status of my condition with OAB. Even though my blood work seems to be stabilizing the recent discovery of my increasing TPO, and slightly elevated ALT over the course of just about 2 years has me concerned. My thyroid levels seems to be normal, just my antibodies are elevated. My endocrinologist does not seem to think the TPO antibodies are alarming. He explained some people have them, and some don’t, and to retest in a year. Also my TSH levels are quite normal, so there was no need to further test the thyroid, he explained. He also elaborated that he does not feel that their is a hypogonadal cause to my OAB. He said once diabetes and diabetes inspidus are ruled out he cannot do much more to help from an endocrinological perspective. Surprisingly my LH & FSH are rebounding which is great news and my Testosterone levels are showing great improvements. On the other hand, my episodic OAB is still causing me to have some very bad days which leave me just about paralyzed, and glued to a bathroom. Some days are very tough to get out of the house. Luckily my job allows me to work at home which probably doesn’t help. Exercise is very limited, so my weight doesn’t really change. Even when I limit my diet (eliminating caffeine and alcohol) and avoiding bladder irritants, I do not see improvements. On a positive note I do want to add that from looking back in April 2017, to present day I feel I could be improving. I just am hesitant to say “I am improving” because I have episodes which break down my confidence and build anxiety when I urinate almost 15-20 times a day, without drinking much water. At the beginning of 2018, I was seeing a health psychologist for about 3-4 months in regards to all of this and he concluded that I had mild anxiety and actually discontinued to see me because he felt there was nothing he could do to help me. I am worried that my symptoms will be written off as, “it is all in my head” ordeal. I am concerned about losing my job and the strain on my family. The one thing I want to avoid best as possible is taking SSRI’s or Benzodiazepines, those have showed to help in the past. But becoming reliant on those medications for a long period of time is scary. Would it be best to try a low dose of Desmopressin? I have heard success stories with individuals using this medication to help with Polyuria/OAB. I would love to get my hands on legit Androxal and missed out on a Clinical trial in my area. I am not sure where this medication stands with FDA approval, not much information on it. Episodic symptoms: -OAB (Polyuria, 2-3 nighttime bathroom trips) -Light headed (as if I am on a boat, not vertigo) -Dry eyes (when I wake up I can barely open my eyes) -Zero appetite (no hunger triggers) -Difficult to lose weight (morning weight 213, bedtime weight 220) [/QUOTE]
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