Lump In Scrotum And Detrusitol SR 4mg
The lump in the scrotum has been bothering me again of late. Prior to the discovery of the lump, I stopped driving for a while because my legs were spasmodic. When the spasms struck, my legs would get in the way of the hand controls and steering wheel. The spasms went away about one week after I finished the antibiotics.
Its size has not reduced much after the two-week course of antibiotics. The spasms have returned. I believe there is a relation between the spasms and the lump. I was at the UMMC Rehabilitation Medicine Clinic for my scheduled three-month check-up yesterday. The doctor examined the lump and advised me to get a biopsy done. I am going back to SJMC soon to have the lump checked again by the urologist.
When I went to collect my supply of medication, the pharmacist changed my dosage of Detrusitol from the 2mg twice a day to one 4mg once daily prolonged-release capsule. I told him that I have had problems with the 4mg capsule as it caused problems with urination. He told me that was the only dosage the pharmacy has now and if I prefer the 2mg tablet I have to get it elsewhere. I decided to give the 4mg capsules a try again.
I cannot understand why the pharmacy prefers to dispense the 4mg capsules instead of the 2mg tablets. A one-month supply of Detrusitol SR 4mg capsules costs RM249 while the Detrusitol 2mg tablets costs only RM170 when I last bought them myself. Anyway, the instruction was that I should take one capsule at night. Based on my previous experience with Detrusitol SR, I decided to take the capsule in the morning instead. I had my first dose this morning and will be monitoring my bladder’s reaction in the coming days.
Tags: Detrusitol 2mg tablet, Detrusitol SR 4mg, lump in scrotum, Tolterodine 2mg, Tolterodine SR 4mg
Broken Thoughts
Lethargy.
Dull mind.
Words do not come easy.
Eyes bleary.
Is it the diet?
Are the kidneys on another downward spiral?
Side effects of Detrusitol SR?
Or just the weather?
Too hazed to be depressed.
Sleep.
Let that wash away this stupor.
Sleep.
Gently sleep.
A momentary escape.
Dietary Plan
My dietary plan.
Before meeting Jinny at the appointed time yesterday, I went to see the dietician again. Miss Saw, the dietician at the Lam Wah Ee Hospital, explained to me in detail what my 5 daily meals should be like. My ration of three exchanges of protein for the day could be something like one portion for breakfast, one for lunch and one for breakfast or one and one half for lunch and dinner respectively. Meat protein is preferred over soy-based products as it is easier for the body to absorb. It may be difficult initially but I think I can manage eventually. It is just a matter of getting used to and adapting my daily routine around it.
I also decided to collect the Detrusitol SR since I was at the hospital. Mr. Wong, the pharmacist, had already packed them for me and I need not wait in queue to pay. It was all a breeze. The extreme side effects that I experienced could be due to many other factors and that day could be an exception. I have not felt that lousy since. My medication is getting more expensive - RM249 per month. Hopefully, the condition of my kidneys will stabilise at the current levels. It is going to be a drain on my finances should I need even more expensive drugs.
Tags: Detrusitol SR 4mg, low-protein diet, renal diet, Tolterodine SR 4mg
Detrusitol Discomforts
The extreme side effects of the Detrusitol SR are kicking in. My eyes are dry. I keep blinking and squinting. My mouth is dry too. There is discomfort in the abdomen. I am putting off getting the next three months’ supply from the hospital. No point spending RM747 for medicine that I cannot use nor return. Hopefully this discomfort is temporary; until my body gets used to the drug. I am so depressed now.
Creatinine Alert
Detrusitol SR 4mg
There was a change in his demeanour from the usual. I thought he was perhaps thinking about his other patients’ problems.
“Have you been taking your Detrusitol?”
I mumbled a soft “Yes.”
“How often do you catheterise?”
“Every four hours.”
“Do you have any problems?”
I told him about the fever prior to the bloggers meet in KL.
“When you have a fever next time, come in for a culture. One day of infection is enough to wipe out your kidneys.”
I could only nod. I had a feeling that what he was to say next would not be good. He went on to say that my creatinine had shot up to 262 umol/l from the 180s. The normal threshold is around 100 umol/l. I was on the way to acute renal failure and he was really not happy with the figures. My kidneys, however, were not swollen, which meant that the intermittent catheterisation and Detrusitol are effective. I have to see the dietician again for my diet to be evaluated and revised. My protein intake of two servings per meal has to be reduced to one and one half. That is like cutting down to 75% from the two matchbox-sized portion of meat that I am allowed now.
“If that doesn’t work, you’ll have to go back to see what Dr. Liong can do for you further,” the dietician said.
This calls for another drastic change in lifestyle and dietary intake patterns. The dietician has also advised me to keep a diet log to track accurately what I have eaten. My medication was also changed. I am now to take one dose of 4mg Detrusitol SR just before bed. A one-month supply costs RM249 and it is supposed to be for the long-term. Detrusitol is prescribed for overactive bladder which may result in a reflux of urine back into the kidneys. I am still digesting this sudden assail of bad news. Hopefully the next review, which has been changed to quarterly from half yearly, will show better results.
Tags: Detrusitol 2mg tablet, Detrusitol SR 4mg, low-protein diet, renal diet, Tolterodine 2mg, Tolterodine SR 4mg