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Harm Reduction Urinary retention from stimulants

@coraline: im not saying self caths dont have a place in medicine, im saying is the people that do use them have had proper training and a legitimate use. also, there is no difference between streight caths and foleys in so far as the tip is concerned, or the way they are introduced. but i digress. my point is, noone should do this unless they were trained. the risk of damage to the lower urinary tract is too great.


all alpha 1 receptor blockers even more selective ones affect blood pressure to some degree, but each person reacts differently so you might jsut have to sample them to see which works best. in general, the newer molecules, more selective they are the better they work only on the urinary system.
as far as which you can get im not an expert in each country's legislation so i dont know... there are also few reasons why a young person might require them... you might just want to talk to your md about it and see what he thinks.

ephedrine helpful? why? isnt it a stimulat as well, quite a dirty one at that iirc...

green tea might help indeed... im sure there are other plant diuretics available....
 
Public piss syndrome. I guess it doesn't help when your cocks half its normal size. Especially after meth, although i got a feeling its got to with dehydration, i piss constantly when on meth. I can relate to a much lesser degree while on mdxx.
 
Coraline said:
There is no damage from straight caths when done properly. You don't need to be a professional to do this....I am a medical professional and I have seen men and women treat their urinary retention this way. They had a neurogenic bladder....
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I think I'm going to have to agree with kingme - of course caths have a place in medicine (bit off topic?! and can say one of the most weirdest tangents i've seen in a thread! lol) however unless properly trained/educated - which I assume you would with your pt's Coraline? :) - and (especially) for the reason explained by the OP, the possible damage (ie, physically, bleeding or infectious) really wouldn't out way (said) reason....well maybe that's just me personally. :D

Coraline said:
....He's doing stims. If he doesn't see a doctor or stop using the stimulants then he will keep the urinary retention. He can develope damaged kidneys....Then you back them up with urine too? Your just asking to be on dialysis. That's no fun.
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Yeah I agree, an often unknown possible side effect of stimulant abuse! (Especially if there is already damage) the addition of extra load upon the kidneys (the metabolism of multiple drugs such as in these posts) would only exacerbate the situation.

Interesting post there kingme (re: the alpha blockers)! I wasn't aware of these! (though I probably should have tbh :\)

blight12 said:
Lol i wish it didnt, if beer didnt dehydrate you the world would be a much sweeter place.
But keep in m ind it can really help with vasoconstriction but be sure to drink alot of proper fluids along with the alcohol.
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Two of the main effects of alcohol on the system - vasoconstriction and it's diuretic action. The effect of which (more or less) the hangover!

pharma-sutra said:
...By the way, anyone know why this happens? I know people who suffer "speed aka Colombian dick" but are able to still urinate with ease , just needs that extra push and focus. But for me, it is like trying to mind control my bladders to evacuate already! Also anyone notice its its worst during the peak and comedown? I can get the peak, but during comedown....!
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Afaik the exact/specific cause of penis size whilst on stimulants is not entirely known - however (imo) it's pretty easily explained by basic biological/pharmacological first principles....a combination of a stimulant's sympathomimetic action - primarily the shunting of the blood supply (redirection of the anastomosis') from peripheral organs/areas more centrally (that is to the vital organs). And unfortunately the penis isn't (apparently :!) a vital organ. lol.

pharma-sutra said:
....Should I talk to my MD about this? I do get a bad case of public piss syndrome (can't urinate in busy urinals, can't urinate under stress and loud music, etc)
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I would say that if you're worried or concerned enough to ask the question, it maybe a good idea to ask your GP. They are the ones with the extensive training and taught (not surprisingly lol) to diagnosed disease states. >_< So if you believe there maybe an issue, ask! :)

Goodluck!
 
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^ It's only a suggestion. The OP should see a DR. and quit taking the stimulants. But what are the chances of him doing that? If he was going to see a DR. he probably would have instead of posting on BL.

Using a straight cath is safe and easy to use unless there is abnormal structural features like BPH (benign prastrate hyperplasia). Even if he did you can still use one but would have to be taught how. Plus going to the ER they will insert one to drain your bladder. This is the first line of treatment. If they can not get to the bladder because of structural features they send you to surgery and insert a superpubic catheter.

http://www.emedicinehealth.com/inability_to_urinate/page7_em.htm

Being unable to pee is very serious. It's not just uncomfortable it's dangerous.

"Urinary retention often occurs without warning. It is basically the inability to pass urine. In some people, the disorder starts gradually but in others it may appear suddenly. Acute urinary retention is a medical emergency and requires prompt treatment. The pain can be excruciating when urine is not able to flow out. Moreover one can develop severe sweating, chest pain, anxiety and high blood pressure. Other patients may develop a shock like condition and may be require an admission to the hospital. It is not unusual for an individual to develop a heart attack after suffering acute urinary retention. Other more serious complications of untreated urinary retention include bladder damage and chronic kidney failure.[2] Urinary retention is a disorder which is treated in a hospital and the quicker one seeks treatment, the fewer the complications.

In the longer term, obstruction of the urinary tract may cause:

Bladder stones
Atrophy of the detrusor muscle (atonic bladder is an extreme form)
Hydronephrosis (congestion of the kidneys)
Hypertrophy of the detrusor muscle (the muscle which squeezes the bladder to empty it during urination)
Diverticula (the formation of pouches) in the bladder wall (which can lead to stones and infection)"

http://en.m.wikipedia.org/wiki/Urinary_retention#section_4
 
Ive always gotten this from opiates and for me its like the opposite, stims actuslly make it easier to go whil on them. But since Ive gotten used to them curing my urinary retention from suboxone when I stop taking stims It takes me 10+ min to piss in my own home and if im out its next to impossible.
 
Coraline said:
^ It's only a suggestion. The OP should see a DR. and quit taking the stimulants. But what are the chances of him doing that? If he was going to see a DR. he probably would have instead of posting on BL.
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You're wrong, I have already booked an appointment with my GP to talk about my urinary retention problems, I just hope they don't associate it with me abusing stims and revoke my stimulant medications for ADD. I don't have a habit nor have thru any addictions, just have gone on some crazy sessions in the past few years of my life, but have never gone as far as testing my limit.

tyrael said:
Afaik the exact/specific cause of penis size whilst on stimulants is not entirely known - however (imo) it's pretty easily explained by basic biological/pharmacological first principles....a combination of a stimulant's sympathomimetic action - primarily the shunting of the blood supply (redirection of the anastomosis') from peripheral organs/areas more centrally (that is to the vital organs). And unfortunately the penis isn't (apparently :!) a vital organ. lol.

I would say that if you're worried or concerned enough to ask the question, it maybe a good idea to ask your GP. They are the ones with the extensive training and taught (not surprisingly lol) to diagnosed disease states. >_< So if you believe there maybe an issue, ask! :)

Goodluck!
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Hm that could be a probable cause, but why wouldn't body consider it a vital organ! haha

Thanks for the input and advice everyone. I'll see what the doctor says and see if any damage was done or if treatment is needed.
 
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If you have a legitimate prescription for a legitimate problem, I very highly doubt your doctor will immediately assume you're abusing the medication. As others have said, that can be a normal side effect of stims. I, personally, have the opposite problem, but anyway. Some people just get those side effects much worse than normal. That doesn't scream "junkie" to the doctor! He'll probably just assume you have some underlying medical condition making it worse, and even if you don't, you'll probably walk away with some advice that isn't "let's lower your dose." Don't be scared, is my point. When I had horribad -- and I mean really, truly, unbelievably bad, like, Discovery Channel bad -- constipation from opiates that I was taking for my gallstones, even though I totally was abusing them, nobody thought that. Instead they hit me with the whole "water, fiber, Colace" speech. That was while admitted to the hospital for complications from the gallstones, so I had plenty of doctors and nurses checking me out.

Anyway, I'm very glad that you're getting it looked at. Urinary retention can be extremely painful, I know. My bladder was beaten up following exploratory surgery and I swear I could not move a twitch. I had to call an ambulance because all I could do was lay perfectly still, sandwiched between two heat pads. I thought it was the surgery -- imagine my surprise when they cathed out over 2 liters of tinkle, gave me a painkiller shot, and I was perfectly fine. Before that I'd been munching on painkillers like crazy, and it didn't do a damn thing.
 
didn't read the whole thread, but drink plenty of water, perhaps take a diuretic if necessary. Approach a doctor, say your psych has prescribed you stims, or just tell them you're a user, and ask them if its okay to get a script.

There a plenty of organic/herbal/household diuretics too.

STAY AWAY FROM OPIATES, lol, cos then you'll be blocked up completely on both ends.
 
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I'm talking about acute on set urinary retention. I'm not talking about after you are able to urinate again.

I had to wear one after a procedure for a week.

He took it out. I was fine for sometime. Then all of a sudden I woke up and tried to urinate and I could not. I waited for a while and had no success. I called the dr. He said to come to the office or ER IMMEDIATELY. I went to his office and had it back in for three days and I was fine after it was removed the last time.

I know the situations are different but no matter what the cause it is still a medical emergency. If I could not urinate I would be worried. I know what can happen with not being able to urinate and damage is causes when it happens all the time. Just like when you hold it, it also caused damage to your bladder and it stretches out. You are at a higher risk of kidney infection due to the residual urine that is being held. Bacteria can grow.

Anyways, I'm glad your getting checked out. That's the best thing you can do. Good luck at your appt.
 
Sex Panther said:
^

how about weed?
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yes, even weed!


alcohol helps with urinary retention, but if i am also baked or on suboxone, i still end up standing with my dick out for 5mins or something until i am like fuck it, and pee sitting down.\

just weed usually doesnt cause extreme urinary retention, i just get distracted easily from the task at hand ;)
 
I had a horrific experience with urinary retention last week from amphetamine abuse. You have to look at it as a side effect from 'abusing' said stimulant.

Some stuff that I have come to find that has helped me out tremendously.

Dose lower and stay hydrated. Do not redose until you have abnormal excess stimulation, even though this is where amphetamine becomes most euphoric, IMO. Something NT suggested to me was before dosing eat a small meal and take a small dose of niacin or l- arginine. As both help with vasoconstriction. I have found taking a small amount of clonazepam to help dilate the size of my urethra, but it alas takes away from the jitteriness and openness of the stimulant high overall.

I would overall just dose low because this will help with many things such as vasoconstriction, paranoia, dehydration, and pupil dilation. Or you can try lower doses of stronger stimulants.
 
Coraline said:
I'm talking about acute on set urinary retention. I'm not talking about after you are able to urinate again.

I had to wear one after a procedure for a week.

He took it out. I was fine for sometime. Then all of a sudden I woke up and tried to urinate and I could not. I waited for a while and had no success. I called the dr. He said to come to the office or ER IMMEDIATELY. I went to his office and had it back in for three days and I was fine after it was removed the last time.

I know the situations are different but no matter what the cause it is still a medical emergency. If I could not urinate I would be worried. I know what can happen with not being able to urinate and damage is causes when it happens all the time. Just like when you hold it, it also caused damage to your bladder and it stretches out. You are at a higher risk of kidney infection due to the residual urine that is being held. Bacteria can grow.

Anyways, I'm glad your getting checked out. That's the best thing you can do. Good luck at your appt.
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zoey! please delete some of your inbox stuff, I tried to message you but it was full :( lost the whole message lol.
 
Hi guys, sorry for bumping this thread, but I talked with my doctor about this issue and he just lowered the dosage fbor my ADD medications and suggested me to not take them daily, only when needed. Since I only have acute urinary retention (not chronic) and only happens when I am on mdxx or large doses of amps, should I still go back and have my doctor to conduct an urinalysis?

PS. I find weed can exacerbate AUR when using it to comedown off stims. One way I found that can relieve this is by massaging my lower back while trying to evacuate urine. Does this warrant me to further seek medical attention from a specialist or something?

@ Coraline.. by the way, according to this article http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1477632/
cath is actually very high risk for young men with AUR
 
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Diuretics would be useless in this situation if not harmful. Someone may have cleared that up, but I did specifically read someone suggesting it's use.

It acts by promoting sodium retention in the bladder , causing a concentration gradient that forces water into the bladder from the kidneys. All this does is cause GREATER dehydration and a greater amount of fluid in the bladder -- it does NOT act to relax the sphincters of the bladder at ALL, which would make the problem worse.

HCTZ for short, or hydrochlorothiazide is a great example. It decreases blood pressure, and is generally a first line treatment of such and has been around forever.

Diuretic does not equal expelling of the bladder.
 
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