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Post flap issues

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    Post flap issues

    5 weeks ago I had an ischial flap surgery and a few days ago I was discharged home from the hospital. I urinated through Foley catheter during my stay in hospital. I am now on 2 weeks of bed rest before I can start the sitting program but I removed the catheter and started to intermittent cath on my side (I'm in the prone position almost all day). Although my urinalysis came back clear I need to cath every 1.5 hours and there is only 150 cc of urine in the bag. I take anticholinergic drugs but I didn't while in hospital. I am aware that the bladder contracted a bit but I was surprised that after only 5 weeks the volume decreased from 500 cc to only 150 cc. The other thing is that I'm constipated and bloated. Maybe hard stool and gas also impacts my bladder. Is there anything I can do to increase the bladder capacity? Or I just have to wait and it will be resolved in a week or something? How can I deal with constipation?

    It is not only what you are putting out, but also what you are taking in that is important. Are you drinking enough water to make more urine? Also, what type of bed are you on? Some of the air loss beds can cause dehydration due to the amount of heat that they generate. I would recommend that you make sure that you are drinking enough and continue on the medications. I can not tell you when your bladder volume will return. That is individual.

    As far as the constipation goes, try increasing the fiber in your diet - plenty of fresh fruits and vegetables. Drink plenty of water! And continue your bowel regimine as prescribed. If you are not having results, you might want to contact your primary care provider. They may want to try something a little more vigorous.

    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.