Postpartum urination frequency or incontinence

Introduction Postpartum urination frequency refers to the increase in the number of postpartum urination, even dozens of times day and night, postpartum urinary incontinence, refers to postpartum urination dripping, can not stop, or urinate, can not be restrained. Although the symptoms of the two are different, the reasons are basically the same, so the combination is described. Postpartum urination frequency and incontinence, regardless of internal injuries and trauma, bladder loss caused by constraints, the disease is in the bladder. However, the bladder and kidney are the surface, and the lungs are the source of water. Therefore, the lesions are closely related to the lungs and kidneys. Most of the lungs are qi deficiency, and most of the kidneys are yin deficiency or yang deficiency. It is not difficult to identify this key.

Cause

Frequent urination frequency and incontinence after qi deficiency: more due to maternal physique weakness, lack of lung gas, postpartum depletion of blood, make the lungs more virtual, can not restrict the waterway into this disease. "Golden . Its dialectical characteristics are: the frequency of urination can not help, after fatigue, the symptoms worsened, the complexion (white light) white, limb weakness, chest tightness, shortness of breath, low voice. Its treatment is mainly based on qi and solid fixation.

Postpartum urinary frequency and incontinence and kidney yang deficiency postpartum urination frequency and incontinence: both are deficiency syndrome, but the etiology and pathogenesis are different. Kidney yin deficiency postpartum urinary frequency and incontinence, multi-factor yin deficiency, yin and blood in the birth, Yin Yi benefit, or damp heat accumulation under the coke, kidney yin damage, bladder heat, and cost, and kidney yang After the virtual birth, the frequency of urination and incontinence are mostly due to the deficiency of kidney yang, the death of the door, and the qi and blood after the birth, so that the kidney is not solid and the bladder is lost. Its syndrome differentiation features: kidney yin deficiency postpartum urination frequency and incontinence, urinary frequency and urine volume is not much, and there must be hand and foot heart heat, afternoon hot flashes, two redness, red tongue, pulse count and other yin deficiency heat; And the frequency of urinary dysfunction and incontinence after kidney yang deficiency, see the frequency of urination can not help, the amount of urine is more, and the frequent urination at night is especially characteristic, and there are complexion ash, limbs are not warm, pale tongue, weak pulse and so on. Treatment, kidney yin deficiency postpartum urination frequency and incontinence, treatment of kidney and fire.

Postpartum postpartum urination frequency and incontinence: caused by traumatic bladder during childbirth. Its clinical features are: history of trauma, urinary dripping, or mixed with blood. Expelling qi and solid sputum.

an examination

Related inspection

Urine routine urine protein test (PRO) urinary progesterone (P)

Physical examination: more often after the new birth, the symptoms of dysuria, abdominal distension, slumber or increased frequency of urination, even dozens of times a day or night, or urinary can not control themselves.

Differential diagnosis

Differential diagnosis:

Qi deficiency postpartum urination frequency and incontinence: postpartum urination frequency or can not help, lower abdomen bulge, chest tightness, shortness of breath, low voice, pale (white light) white, limbs fatigue, pale tongue, less moss, weak pulse.

Kidney yin deficiency postpartum urination frequency and incontinence: frequency of urination, urine volume is small, body is thin, waist and knees? Soft, hand and foot heart heat, hot flashes in the afternoon, two redness, red tongue, pulse breakdown.

Kidney yang deficiency postpartum urination frequency and incontinence: urinary frequency can not help, more urine, especially at night, both with complexion ash, mental fatigue, limbs are not warm, or lower extremity edema, pale tongue white, weak pulse.

Trauma postpartum urination frequency and incontinence: the bladder is damaged at the time of birth, the urine is dripping continuously, and there is blood between them, the tongue is normal, and the pulse is slow.

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