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    #16
    Soap and water is what is recommended by the CDC, but many hospitals have changed over to the use of CHG antiseptic wipes specifically designed for cleaning the skin and the catheter:

    https://sageproducts.com/product-meatal-cleansing/

    http://www.bardmedical.com/products/...y-care-system/

    (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.

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      #17
      Originally posted by SCI-Nurse View Post
      Soap and water is what is recommended by the CDC, but many hospitals have changed over to the use of CHG antiseptic wipes specifically designed for cleaning the skin and the catheter:

      https://sageproducts.com/product-meatal-cleansing/

      http://www.bardmedical.com/products/...y-care-system/

      (KLD)
      The ingredients in these wipes:
      Order # 79521702 Manufacturer# 7952 Brand M-Care Meatal Manufacturer Sage Products Active Ingredients Purified Water / Methylpropanediol / Glycerin / Exopheryl Application Personal Wipe Container Type Soft Pack Dimensions 5-1/2 X 8 Inch Number Per Pack 2 Count Scent Scented UNSPSC Code 53131624 M-Care Meatal Cleansing Cloths can be used as part of your patient cleansing protocol for Foley catheterized patients to improve hygiene and adherence to infection control policy Safe in contact with foley catheters Rinse free alternative to basins Contains Exopheryl odor eliminator PH Balanced

      The cost of these wipes:
      About $.75 per wipe

      To me these seem to be essentially baby wipes/peri-anal wipes. I think there are more effective and less expensive alternates with greater antimicrobial properties.

      Check out the Microcyn products which have FDA approval for dermatological use. For meatus cleansing or supra pubic stoma cleansing, I don't think there is anything better. A couple of sprays on a cotton ball or cotton cosmetic sponge wiped around the meatus or supra pubic stoma is all it takes.


      Last edited by gjnl; 3 Dec 2017, 11:47 AM.

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        #18
        Right, I can't do it by myself
        I noticed also that my urine is never clear since I have catheter, and I drink a lot of water.
        Is irrigation good to do ? If yes, how much liquid and how often?

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          #19
          Routine irrigation is discouraged. A little cloudiness can go along with colonization.

          (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


            #20
            Originally posted by Steve View Post
            Right, I can't do it by myself
            I noticed also that my urine is never clear since I have catheter, and I drink a lot of water.
            Is irrigation good to do ? If yes, how much liquid and how often?
            Not sure I get this one (french canadian here lol) . Can you explain it with differents words?
            Thx

            Comment


              #21
              Originally posted by Vintage View Post
              Hi Steve. Does your urine smell like ammonia? I take L-Ornithine for that. I've sent you a private message.
              https://www.ncbi.nlm.nih.gov/pubmed/19083482
              Yes like ammonia

              Comment


                #22
                Originally posted by Steve View Post
                Not sure I get this one (french canadian here lol) . Can you explain it with differents words?
                Thx
                No. Routine irrigation is not a good idea.

                (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


                  #23
                  I read that...Would it be good to try?

                  Apple cider vinegar

                  You can drink raw unprocessed apple cider vinegar (ACV) to help get rid of the ammonia-like smell from urine. Apple cider vinegar is a great home remedy to get rid of kidney stones naturally and help prevent urinary tract infections. In fact, research has shown that human kidney stones dissolve in acetic acid – the main component of apple cider vinegar.14

                  How to use:

                  To use apple cider vinegar to treat urinary problems that are causing an ammonia smell in your urine, this is what you should do:

                  Mix 1 to 2 tablespoons raw apple cider vinegar in a glass of water.
                  Drink frequently throughout the day to help clear up any urinary infection and dissolve stones that are causing discomfort.
                  Baking soda and water

                  Drinking baking soda and water can help to clear any urinary tract infection that is causing urine to emit an ammonia odor. Baking soda is also an effective natural treatment for getting rid of kidney stones.

                  The journal Reviews in Urology found that baking soda can help to reduce uric acid and dissolve urinary stones. The research found that taking 1 to 2 teaspoons of baking soda in water 3 to 4 times a day was an effective remedy for urinary stones.15

                  Baking soda can also help to relieve the symptoms of a urinary tract infection and get rid of nitrates in urine.

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                    #24
                    Originally posted by SCI-Nurse View Post
                    No. Routine irrigation is not a good idea.

                    (KLD)
                    Merci

                    Comment


                      #25
                      Urine odor often is a result of certain foods...asparagus and garlic being most notorious.

                      Drinking apple cider vinegar probably won't hurt you (use a straw, as it can damage your teeth). I would not recommend including baking soda, as generally you will do better with an acid, not alkaline, urine, and it can cause problems with other electrolytes in your blood as well. Stones in people with SCI are generally not the same as those which develop in those who have a genetic tendency to stone development.

                      (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


                        #26
                        Originally posted by Steve View Post
                        Not sure I get this one (french canadian here lol) . Can you explain it with differents words?
                        Thx
                        Steve, are you uncertain of the term irrigation?

                        It is recommended to irrigate a catheter to dislodge sediment that may clog the catheter and reduce or stop the flow of urine. Irrigation is done by using a quantity of sterile water or saline in a catheter tipped syringe, placing the tip into the funnel end of the catheter and depressing the plunger to pass the water through the catheter and then withdrawing the water, hopefully dislodging any sediment, mucus, debris that may be clogging the eyelets of the catheter

                        The threads I mentioned in post 15 above discuss using an electrolyzed water product that kills 99% of bacteria and fungi. I and others on this forum use Microcyn Wound and Skin Care or similar products as an instillation in our bladders to help prevent urinary tract infections. Instillations into the bladder are done very much like irrigation, but the fluid is retained for a period of time and withdrawn or left in the bladder to flow out with produced urine.

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                          #27
                          Thank you very much, I'll try apple cider vinegar

                          Comment


                            #28
                            Originally posted by gjnl View Post
                            Soap and water with a warm water rinse works well. I prefer to use Microcyn, HydroCleanse, TheracynAH, or MicrocynAH.

                            For more about these products, see:
                            http:///forum/showthread.php?260530-...light=Microcyn
                            http:///forum/showthread.php?133414-...light=Microcyn
                            http:///forum/showthread.php?178789-...light=Microcyn

                            or do a search of Care Cure Community for more threads.
                            Thank you, I'll read it

                            Comment


                              #29
                              L-Ornithine works to eliminate ammonia in a different way from baking soda.
                              " In liver, L-ornithine plays a central role in the urea cycle which converts ammonia to urea [24]. L-ornithine administration has been known to enhance detoxification of ammonia in the liver [25]."
                              https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4055948/
                              Randomised controlled trial of the effects of L-ornithine on stress markers and sleep quality in healthy workers
                              Female, T9 incomplete

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