Q: I am 51 years old and have been diagnosed with BPH (benign prostatic hypertrophy). I am taking Tamsulosin Hydrochloride (Omnic) 0.4 mg once daily for the past 3 weeks. My complaint is of b>frequent urination, especially in the night. I also feel that the urine gets left behind and I feel the need to go to the toilet within 30 minutes of voiding. There is no pain or burning sensation. The doctor did PSA test, which was normal and the ultrasound and urine culture too were fine. No stones or UTI found. I am taking BP medicines Betacard, Envas, Amlogard and aspirin. My BP varies 130-140 by 80-90. Though I do find some improvement in the flow of the urine, but the frequency still persists in the night.

A:Your main botheration seems to be urinary frequency at night. You have not specified whether you have frequency during day time as well. If your frequency is a result of incomplete bladder emptying, it would bother you equally during the day as well. In patients with night frequency it is very important to know the pattern of fluid intake and urinary volume distributions during day and night. A 'voiding diary' is necessary to check this. Common causes of night frequency alone may be excessive fluid intake in evenings, diabetes or bladder instability. Rare causes are heart disease with dependent swelling over feet, or early renal failure. Obviously, a complete check is necessary to find the cause, and the treatment would depend upon the cause found.