Dear Dr. Donohue: I am 36 and accept an acutely awkward botheration that I've announced to my gynecologist and ancestors doctor about. I accept to defecate every half-hour, and it's not aloof a tinkle. It has happened every day for years and is worse during the night. Ancestors and accompany consistently ask, "What's amiss with you?" Both my doctors assigned Detrol. It didn't help. I heard that diabetes ability be the cause, so I was arrested for that. I don't accept it. What could it be? -- S.
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Dear S.: The possibilities are many. To acquisition the actual one, you accept to admeasurement the aggregate of urine anesthetized anniversary day, and you can do this yourself. Get a alembic with aqueous volumes apparent on the sides. You can acquisition one at a angishore or accouterments store. You can defecate anon into the alembic or into a bedpan that you abandoned into the container, and admeasurement the volume. Normally, bodies defecate amid 1.5 and 2 liters (1,500 to 2,000 ml; 1.6 to 2.1 quarts; 50 to 67 ounces) in 24 hours. A advantageous urinary float holds 400 to 500 ml (13 to 16 ounces), so bodies accept to abandoned their bladders three to bristles times a day. If aqueous assimilation is high, again the trips to the bath are more, but not every half-hour.
If your 24-hour urine absolute is greater than 3 liters (3.2 quarts, 96 ounces), you accept polyuria -- the assembly of boundless amounts of urine. Causes accommodate amoroso diabetes, polycystic branch disease, besetting aqueous drinking, aerial claret calcium or low claret potassium. It can additionally be diabetes insipidus, urine overproduction due to abridgement of a hormone alleged vasopressin.
If your absolute aggregate is in the accustomed range, again the botheration is bargain float capacity. Float infections, interstitial cystitis or, in men, an continued prostate gland are possibilities. Float beef spasms additionally do it, and that's what Detrol treats.
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I favor diabetes insipidus or interstitial cystitis as prime candidates. The aboriginal can be diagnosed with claret tests. The additional can be diagnosed with a ambit assay of your float and by affection such as float pain. You should see a urologist or a nephrologist.
Dear Dr. Donohue: My son is 43. Two months ago, he went for a concrete and claret work. The claret tests showed he has too abundant adamant in his blood. His doctor said he had two options: to abolish claret or to booty medication to lower the claret iron. Is this serious? -- B.A.
Dear B.A.: The affliction is hemochromatosis (HE-moe-CROW-muh-TOE-siss). It's a abiogenetic disease, and an afflicted being has to accept two genes for it, one from the mother and one from the father. The affliction causes the anatomy to lose its ascendancy over adamant absorption. Too abundant gets into the claret and is deposited in the liver, the heart, the pancreas, joints, the bark and abounding added places. Alarmist cirrhosis, diabetes and affection abortion can result. Early apprehension of the affliction permits abatement of the adamant and preserves organs. No accident is done. The simplest way to accomplish that is to abolish claret periodically. Claret is the body's barn for iron.
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You and your husband, all your added accouchement and your son's accouchement should be arrested for this illness.
Dear Dr. Donohue: Nowadays there is such a agitation about gluten acuteness and abdominals disease. Which comes first? -- F.G.
Dear F.G.: Gluten acuteness and abdominals ache are altered names for the aforementioned condition. Gluten is a protein begin in wheat, barley and rye. Bodies with a acuteness to gluten advance an disability to blot nutrients, causing diarrhea and weight loss. Gluten acts like a adulteration to their digestive tracts. Treatment is abstention of those grains and gluten.
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You can alarm the affliction abdominals disease, gluten sensitivity, gluten enteropathy or sprue -- whichever strikes your fancy.
Write Dr. Donohue at P.O. Box 536475, Orlando, FL 32853-6475.
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