Intermittent Selfcatheterization

The acute management of any type of UR requires bladder drainage. This can be accomplished by insertion of an indwelling urethral catheter, a suprapubic catheter, or intermittent self-catheterization (ISC). The primary goals of management are to empty the bladder and prevent renal deterioration. The ideal method would mimic the physiologic cycle, provide discretion and convenience for the patient, and have no risk of infection or injury to the urinary tract. Intermittent self-catheterization is able to fulfill many of these requirements.

There are numerous factors to consider when deciding on the best method of catheterization for a patient. Intermittent self-catheterization may not be possible for patients who lack the manual dexterity or mobility to reach the urethra by themselves. Often, the primary caregiver can perform the procedure; however, it places a large burden of responsibility on the caregiver, and forces complete dependence of the patient on the caregiver for bladder emptying.

At first, patients are often reluctant to accept the concept of self-catheterization. With teaching and reassurance, most patients quickly master the technique and enjoy the freedom from the indwelling catheter. Intermittent self-catheterization does not require sterile technique or special cleansing products and can be performed over a private or public toilet. A short female straight catheter and packet of lubrication can be kept conveniently in a purse or pocket. We instruct patients to perform catheterization as frequently as needed to achieve volumes between 300 to 400 mL, mimicking the normal physiologic bladder cycle and reducing the risk of damage to the upper tracts from overdistension of the bladder.

Herbal Remedies For Acid Reflux

Herbal Remedies For Acid Reflux

Gastroesophageal reflux disease is the medical term for what we know as acid reflux. Acid reflux occurs when the stomach releases its liquid back into the esophagus, causing inflammation and damage to the esophageal lining. The regurgitated acid most often consists of a few compoundsbr acid, bile, and pepsin.

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