Lump In Scrotum And Detrusitol SR 4mg

Detrusitol SR 4mg capsule and Detrusitol 2mg in their respective blister packs

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.

It Is Expensive To Be Sick

Sangobion, KY Jelly and Ketosteril

Yesterday was my scheduled medical check up at UMMC. As I am holding the card issued by the Department of Social Welfare Malaysia for disabled persons, doctor’s consultation, medical tests and medicine are free. These are Detrusitol, Lactulose and other supplements. Those would have cost RM200 per month if I had to pay for them. Apart from that, I am also taking Ketosteril to supplement my low-protein diet and Sangobion for anaemia, both of which the hospital does not provide. One box of 100 Ketosteril tablets costs RM260. I need two boxes per month. That is the minimum. The recommended dosage is 4 boxes. I also bought several other items, namely KY Jelly and one silicon foley catheter, which are cheaper at the UMMC pharmacy than other places. The bill came out to RM1109.20. This is where most of my income from online activities go to. What people say is true – money cannot buy health. Given a choice, I would rather be healthy and happy than wealthy. No, I am not rich either. That makes it doubly painful.

All Is Not Well With My Kidneys

Wuan took me to UMMC for my scheduled medical check-up today. The blood test revealed that my serum creatinine has hit the roof again – 289umol/l. This is the highest level yet. and is an indication that something is not right. I had to see the dietician to review my low-protein diet again. I have been stuffing myself with rice to appease the hunger pangs during meals. My allowable daily rice quota is one bowl but I have consistently blew it by adding another bowl into each meal. Rice contains protein. This I have to replace with fruits from now on. Fruits too contain protein but in lower amounts than rice.

In addition to Detrusitol for my overactive bladder, and Lactulose and Dulcolax for my bowel management, Dr. Chung, the doctor on duty, also prescribed calcium (calcium lactate), iron (ferrous fumarate) and folic acid tablets. According to him, after so many years of not walking, my bones would have become osteoporotic. The fact that I have not been keepng to my standing exercises aggravated the condition. The calcium supplement was to reduce the osteoporosis. The iron and folic acid tablets were to replace the Sangobion that I have been taking for aneamia. He also wrote a referral for me to see a urologist to perform a urodynamic test to determine the pressure in my bladder. Looks like I have to go back for a series of tests and to collect my medication on a regular basis from now on. That I have to do nonetheless in order to maintain the health of my kidneys and other complications associated with spinal cord injury.