Computerized Voiding Diary

Computerized voiding diaries have been developed in an attempt to simplify, augment, and automate bladder symptomatology recording. They have been introduced as alternatives to the standard written diaries, which capture limited amounts of information. A drawback of the computerized diary may be a fear of technology, which is common in certain patient populations, such as the elderly.6

In our clinic, we use a voiding diary that captures urinary frequency, leakage, assessment of leakage, comment on physical activity at the time of leakage, fluid intake, and fluid output (Figure 14-1.4). We use a 3-day diary, which is long enough to be reliable, and short enough to decrease patient burden and increase com-pliance.7 Patients are given the form at the first clinic visit, with verbal and written instructions on how to complete it.

Frequency Chart recording micturition and leakage episodes - Each time you pass your water, mark the chan with an X. If you leak or wet your bed, mark the chart with V. Keep the record for seven consecutive days (or as long as possible). Day is from the time you get up to the time you go to bed

Day

Night

Day 1

XXX

Day 2

XXX

0

Day 3

xxxx

Day 4

XXX

X

Day 5

xxxxx

o

Day 6

xxxx

X

Day 7

xxxxx

Figure 14-1.1. Simple 7 days'frequency chart recording micturition and leakage episodes.

Name Date

For URGENCY, circle the most appropriate number, 0, 2, 5, 15+

For LEAKAGE grade O, W, WW

time

VOL

URGENCY

LEAK

COMMENT

0.2, 5. 15+ 0,2, 5, 15+ 0, 2, 5, 15+ 0, 2, 5, 15+ 0, 2, 5,15+ 0,2, 5. 15+ 0,2, 5, 15+

Figure 14-1.3. Seven-day urinary diary introducing the concept of evaluation of the severity of urgency in minutes.

Date_ Name

Record TIME. VOLUME, URGENCY (0= noil + = moderate, ++ = severe) and LEAKAGE (+ drops/ wet pants, ++ soaked clothes or pad)

TIME

VOL

URGENCY

LEAK

DRINKS (cup/mug)

ACTIVITY (noie pad changes)

Figure 14-1.2. Urinary diary showing a page for single day use of 7-day form.

VOIDING DIARY DAY I

DATE:

ffl ts m

TIME VOIDED

YÎN

if to

ACTIVITY AT TIME OF LEAKAGE

[NTftKE

(ozr

,; pi 1 lip.

'2 00 1 00 A 1:00-2:00 A. 2:00 -3:00 A

• - . •

ii.^.i

3:00 - 4:00 A

4:00 - 5:00 A

; : ' : ;. :

5:00-6:00 A

5:00 - 7:00 A

7:00 - 8:00 A

SCO 0:00 A

E:00 10.00 A 10:00-11:0! A

1':00 A -12:00 P

.v.;

lip

12:00-1:00 F

1:00 - 2:00 P

2:00 - 3:00 F 3:00 - 4:00 e

■ ■:

v.vv.v.iWv..

4:00 - 5:00 F

■ ppi

5 00- 6:00 P

6.00-7:00 F

■ ■

7:00 - 8:00 F

8.00-3:00 F

s

MO-10:00 P

10:00-11:00 P

1':OOP-12:OOÀ

: ■ ' ;

Bam "1 Linker

1) - I ):i: ;r\ fcwdriipK U Wh muterwsar or pfttî S SftaViil :>v km' cniir'm] bladder

C Okrfiing

Bam "1 Linker

1) - I ):i: ;r\ fcwdriipK U Wh muterwsar or pfttî S SftaViil :>v km' cniir'm] bladder

C Okrfiing

Figure14-1.4. Day 1 of 3-day voiding diary,which we used at our clinic.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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