Urinary incontinence - urgency to pass urine

. Identity
2. Age -66 years
3. Sex - Male
4. Married/Unmarried/widow - married
5. weight - 67 Kg
6. Height …. 5' 4'
7. country - India
8. climate - Tropical
9. Family History - No had this type of disease
10. Qualification of patient - post gradyate
11. Nature of working - retired teacher
12. Complexion: - wheatish
13. Constitution: Well built-medium
14. Veg/
15. History of taking - only Tea/ Coffee

16. List of your complain first 1. urinary urgency - 5 years, pass only small volumes, no problem with flow, urine is clear, nothing abnormal in urine examination/chemical tests.
2.- Diabetic - last two years mild diabetes - fasting sugar 125, PP 180. Taking Allopathy medicine - Amaryl 0.5 mg once daily after breakfast. Brings sugar level to fasting 75, PP 110.
3- Other problems are age related - eg. tired ness after waling 4-5 km, irregular and incomplete erection, decreased apetite but no indigestion, good food habit.
……
17. Since how long you are suffering for each complain - 5 years
18. current medicine you are taking for each complain - no medication
19. Diabetic or non Diabetic - Diabetic
20. Desire sweets/sour/salt - sweets and salty
21. Thirst – depends on weather - normally Small quantity and frequent in summers, which decreased with weather - that is verysmall in winters
22. Tongue color - slightly chalky
23. Current BP -never had any BP problem - 120/75(without medicine and with medicine)
24. What exactly is happening ? - After taking aglass of water I must frequently urinate. This starts within one hour. The amaount of urine passed is small about 100- 150 ml each time.
If I take one or two glass of water before going to bed then I have to urinate several times in the night - may be 3-4 times.
The volume is larger when I urinate in the morning,.
25. How do you feel ? - No other problem, excellent health and mental conditions. I can still read, write for long hours or walk long distances.
26. How does this affect you ? - I have to avoid drinking liquids since I have to frquently visit the toilet for passing urine.
27. How does it feel like ? - embarrassing
28. What comes to your mind ? - nothing important - I consider it a age related problem that a few men must suffer.
29. One situation that had a big effect on you ? - Yes one some occassions the urge to urinate is so strong that I had passed urine before I reached the toilet. It happens several times that a drop will trikle if I delay it any more.
30. How did that feel like ? - Really embarassing but no more- since I have become habitual to this happening.
31. What sensation do you experience in that situation ? Strong urge in the neck of penis- urethra
32. What are you showing by that gesture of your hand.(habits or Action) ? Nothing
33. desire or like and dislike of food - nothing
33. Name of foods which increase your problem - Liquids - all type, some times I blame it on excessive tea if taken on that day?
34. Body odor ,/sweating/- bad smell - acetic acid like
35. Under line the right word for you ---- Anxiuous, Hopefull, Calm , failure to learn from mistakes -
Morose, Quarrelsome, Hasty, Lachrymose, Anxious, Delirious, Groping, Despairing, Sad, Hopeful, Fearful, Restless, Calm, Drowsy, dullness, Anger, Being overwhelmed, Depression and gloom Despair and faithlessness , Despondency from overwork, Domination of others, Doubt or Discouragement, Easy impressionability, Fear and Shyness, Fear for the others welfare, Fear of losing mental balance, Feeling of powerlessness, Guilty and self-blame, Hard master onto oneself with an urge to inspire others, Hopelessness, Immaturity of Mind/Emotions, failure to learn from mistakes impatience, indecision in difference or boredom Intolerance and criticism lack of mental tranquility, lack of motivation and incentive longing for past happiness, nostsliqia, low self-confidence, Mental Fatigue, Mental torture or worry, Mental/emotional and physical weariness, Overcome for welfare of others, Overenthsiasm, Pride or aloofness, Resentment and bitterness, Sadness, greif, shock, Self centered talkativeness, Self-distrust, Shame or feelings of un cleanliness, Terror, jealousy, Weakness too willing , Fear from known thing, fear from unknown thing. Whether you can able to give public speech or not. - reluctant
36. Aggravation (increases-time, season,)- Rainy season, Winter - drinking large volume of liquids& Amelioration (Decreases) - Dry weather, avoiding/decreasing intake of liquids
37. . Details of the adverse features in the Pathological ,ECG, XRay Ultra-Sound's tests already conducted - No Prostate, Doctors say that I suffer from a reactuive bladder which does not permit retention of a larger volume of liquid.
38. Attached here your photographs of the affected area. (if required/optional)