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    catheter keeps getting blocked

    hey guys,
    so my sp is still giving me problems. every since i got sick 2.5 months ago i have been struggling with my catheter. so after my hospital stay in june i was on antibiotics more or less until earlier this month. it was like a 6 weeks continuous then a break then again for 2 weeks, then stopped again, basically this cycle continued until this month. the reason for this was whenever i stopped the antibiotics i started having insane amount of sediment. it was like someone was filling my tube with chalk. so because of this my catheter kept getting blocked, and very often(like today) merely flushing it didnt help, had to get it replaced. so we did a bunch of tests and everything was fine, that was the 1 day my urine was clean. so i was asked to stop the antibiotics. anyway the problem persists and im super tired of it. any suggestions? any help would be appreciated.
    btw the tests i did were;
    an ultra sound,
    and a bunch of urine/blood tests.
    i refused a cystoscopy because my doc wasnt going to put me under.
    PLEASE HELP

    vaibhav

    #2
    I don't know what size yours is, mine is a 22. I find that not drinking enough water (I try to drink 4 quarts a day) and eating dairy products are the only times I have those kinds of problems. We do change it every 2 weeks and if it starts to clog we irrigate/flush it with saline. The only other trick I use (and some people won't agree) is if my urine is dirty or I don't feel quite right we will flush it with a saline antibiotic mixture and clamp it off for 10 minutes. We take a large bottle of saline and dissolve 1 or 2 Cipro pills in it, shake up the bottle and insert about 20 to 30 cc's into my bladder and clamp it off with a hemostat for 10 minutes then release the clamp.

    You may want to double check how you are rinsing out your leg and night drainage bags or even swap them both for new ones. Hope this helps and you feel better soon!
    ^^(A)^^

    Comment


      #3
      I would ask for the cysto again that is so they can look into your bladder to find stones. Also make sure your drinking enough fluids and also changing your bags at least once a month. I change mine every other week. But you can get a month out of them as long as you are rinsing them out really good every day

      may also be time to get an infectious disease doctor involved as well
      T6 Incomplete due to a Spinal cord infarction July 2009

      Comment


        #4
        I would second drinking enough fluids...at least 3 liters daily, mostly water. Sediment can be a sign that you have stones or sand/sludge in your bladder and this may need to be removed during a cystoscopy procedure by your urologist. Sediment can also be a sign that you are leaching a lot of calcium out of your bones, which is more common in those with recent injuries. Renacidin is not very helpful for this type of clogging (as it is for managing encrustations on the inside of the catheter). If you have an indwelling urethral catheter, I would caution against using a larger size, as this can increase the risks for urethral damage. For a SP catheter, it is common to use a 22 or 24 Fr. catheter for better flow and less clogging.

        (KLD)
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

        Comment


          #5
          If you cannot feel your bladder most doctors do not want to use a general anesthetic as that has many complications too. My urologist only offers the general during a cystoscopy when it includes a biopsy of the bladder. In regular cystoscopies you can ask for a pain medication to be added to the solution used to inflate your bladder. I didn't know this until I saw it later in the bill. He added fentynal and it stopped all irritation that I could feel the following day or two. But I do have full feeling in my bladder. It is an important test to have every few years after you've had an indwelling for 5 years or more or if you are having problems that less invasive tests aren't able to answer. And yes, the size of your catheter is important and you can flush with water too. Saline is not really necessary but whatever you use does need to be sterile so either buy sterile or boil and cool to use.
          Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

          Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

          Comment


            #6
            thanks everyone, few things
            1. my catheter is 16fr and always has been, i have a sp.
            2.i have gotten a cystoscopy a bunch of times back home and always have been put under.
            3. i have crazy sensation down there. changing my sp or whenever i used an indwelling has always been a very painful experience for me despite using tons of xylocaine jelly.
            4. even urodynamics is too painful for me.
            5. last year when my catheter(was a sp) was stuck it was soo painful when he kept trying to pull it out he had to put me under to pull it out.
            6. i flush my catheter using normal saline.
            7. right now im drinking between 2.5 to 3 liters a day, i usually used to drink 1.5l and never had a problem until this issue started.
            8. we did the ultrasound to determine if there are any stones in there but nothng showed up
            9. i am moving back home soon and will get a cystoscopy asap once there.
            meanwhile what can i do while here to prevent this from happening again and again

            Comment


              #7
              Originally posted by vaibhavjain View Post
              thanks everyone, few things
              9. i am moving back home soon and will get a cystoscopy asap once there.
              meanwhile what can i do while here to prevent this from happening again and again
              See above.

              (KLD)
              The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

              Comment


                #8
                Change to an 18 french to start and drink more water.
                Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

                Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

                Comment


                  #9
                  thanks for the reply guys, appreciate the health

                  Comment


                    #10
                    I had the same problem with the blocking. Candida albicans, a fungus, was responsible. 5 days of fluconazole resolved the issue. Might be worth a try. Good luck.

                    Comment


                      #11
                      Originally posted by Tayberry View Post
                      I had the same problem with the blocking. Candida albicans, a fungus, was responsible. 5 days of fluconazole resolved the issue. Might be worth a try. Good luck.
                      Could be. I'd call the doctor back who ordered the urine tests and see if he/she tested for fungal growth besides bacterial. Do you use latex or silicone or silicon coated latex catheters. If you use latex you might try silicone coated latex when you get a bigger size to see if that helps.
                      Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

                      Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

                      Comment


                        #12
                        hey
                        i just started usiing latex catheters coated with silver? after my doctor suggested them. made no difference. sediment is still there, output is usually low aroound 300/400 ml, its weird.

                        Comment


                          #13
                          Could you be allergic to the latex?
                          T6 Incomplete due to a Spinal cord infarction July 2009

                          Comment


                            #14
                            i dont think so..i have had a sp since 3 years now, always used latex catheters. this problem only started a few months ago(3)

                            Comment


                              #15
                              If you're allergic to latex, you're likely to react after being in contact with the latex in rubber gloves or by inhaling airborne latex particles, which can be released when latex gloves are removed. Latex allergy symptoms can range from mild to severe, depending on the degree of your sensitivity and the amount of latex allergen to which you're exposed. Your reaction can worsen with repeated exposure to latex.
                              Mild symptoms. Mild latex allergy symptoms include:
                              • Itching
                              • Skin redness
                              • Hives or rash

                              More-severe symptoms, Latex allergy symptoms that are more severe include:
                              • Sneezing
                              • Runny nose
                              • Itchy, watery eyes
                              • Scratchy throat
                              • Difficulty breathing
                              • Wheezing
                              • Cough

                              Anaphylactic shock symptoms.The most serious allergic reaction to latex is an anaphylactic (an-uh-fuh-LAK-tik) response, which can be deadly. It's rarely the first reaction to latex exposure. Anaphylactic reactions develop immediately after latex exposure in highly sensitive people. Signs and symptoms include:
                              • Difficulty breathing
                              • Wheezing
                              • Drop in blood pressure
                              • Dizziness
                              • Loss of consciousness
                              • Confusion
                              • Rapid or weak pulse


                              All the best,
                              GJ

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