Has difficulty falling asleep and often has sleepless nights. Menopausal stopped ovulating at age 52 no longer has hot flashes. Dyslipidemia for 5 years, controlled with a low-cholesterol diet, weight control, regular exercise, and medication. HTN for many years, treated with medications for 10 years.
She has been taking Detrol LA 2 mg PO daily for the past month with no improvement in her voiding symptoms, and she complains of new-onset confusion and difficulty remembering routine tasks. She does not report wetting herself without warning. Urinary leakage is not worsened by laughing, coughing, sneezing, carrying heavy objects, or walking up and down stairs. The patient has curtailed much of her volunteer work and social activities because of this problem. She reports soiling her underwear at least two to three times during the day and night and has resorted to wearing panty liners or changing her underwear several times a day. Susan Jones is a 65-year-old woman with urinary urgency, frequency, and incontinence. It is a wonder that I remembered to come to the clinic today.” I was started on a medication for my leaking a few weeks ago, but it doesn’t seem to be working. However, when I do go to the bathroom, I often pass only a small amount of urine. I feel like I have to urinate all the time.
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