Since your fasting sugar (<100) and post-meal sugar (110) are normal, this frequent urination is unlikely to be diabetes related. After recent Cataract surgery, the medicines you used — Nimesulide tablets and steroid-containing eye drops like Dexamethasone (present in Milflodex) — generally do not directly cause urinary frequency, especially when used short term. Passing urine every 2 hours without extra thirst, burning, fever, or increased fluid intake is more commonly due to mild bladder irritation, urinary tract infection (sometimes without pain), anxiety/stress, sleep disturbance, or reduced physical activity affecting bladder habits. Because this change started suddenly and has lasted 10 days, you should get a urine routine test and urine culture to rule out silent UTI or inflammation. In summary, your sugars look normal and this is likely a temporary bladder/urinary issue rather than a serious systemic problem, but a simple urine test and doctor consultation in person will help confirm the cause and guide treatment.
Hello, thank you for sharing your concern. The reason of your issue might be due to Increased fluid intake/ Temporary body stress after surgery/ reduced physical activity, etc. Here is my advise-
1. Monitor fluid intake (avoid excessive water, caffeine, tea, and coffee in the evening). Try bladder training, gradually increase the interval between urination. Stay moderately active during the day. Observe if the frequency continues to improve over the next 3–5 days.
2. Get these tests done - Urine routine examination, Urine culture.
3. Seek medical evaluation- Burning while urinating, Fever, Lower abdominal pain, Blood in urine, Urinating every hour or less.
4. Since it has already improved slightly from 2-hourly to 3–4 hours during the day, it may simply be a temporary post-surgery body response, which usually settles within 1–2 weeks.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine
Hello
Most likely temporary and not dangerous.
After cataract surgery, frequent urination can happen due to: •stress response from surgery •increased fluid intake (often unnoticed) •reduced activity/resting more •medication effects (rarely from anti-inflammatory drugs) •sleep disturbance changing bladder rhythm
Your normal blood sugar readings make diabetes unlikely, and no pain or burning makes infection less likely.
What to do: • Monitor for 1–2 weeks • Seek medical check if it continues, or if you develop burning, fever, pain, or excessive thirst
A urine test can easily rule out infection if needed.
I trust this helps Thank you Take care
Hello Thanks for sharing all these details! It sounds like you’re experiencing some changes in your urinary habits after your cataract surgery, which can be concerning. Here are a few potential reasons for the increased frequency of urination:
### Possible Causes 1. Fluid Intake: - If you’ve been drinking more fluids (especially if you’re taking medications that might cause dryness or irritation), this could lead to more frequent urination.
2. Medications: - Nimesulide can sometimes cause fluid retention or changes in kidney function, which might affect urination. However, it’s not commonly associated with increased urination. - Milflodex (if it contains any corticosteroids) can also lead to increased thirst and urination.
3. Post-Surgery Effects: - After surgery, your body may be adjusting, and changes in activity levels or stress can affect urinary habits. Sometimes, anesthesia or medications used during surgery can have lingering effects.
4. Dietary Changes: - Even if you’ve been eating healthy, certain foods (like those high in caffeine or sugar) can increase urination.
5. Underlying Conditions: - Conditions like diabetes or urinary tract infections can cause increased urination. However, your fasting blood sugar levels seem stable, which is a good sign.
### Recommendations 1. Monitor Fluid Intake: - Keep track of how much you’re drinking and see if reducing fluid intake before bed helps with nighttime urination.
2. Consult Your Doctor: - Since this is a new symptom following surgery, it’s best to discuss it with your doctor. They can evaluate if it’s related to your medications, surgery, or if further tests are needed to rule out any underlying conditions.
3. Keep a Diary: - Note the frequency of urination, fluid intake, and any other symptoms (like pain or urgency) to share with your doctor.
4. Stay Active: - If possible, try to incorporate some light physical activity, as it can help with overall health and may improve urinary function.
### Summary While there are several potential reasons for your increased urination, it’s important to consult with your healthcare provider to rule out any serious issues and get personalized advice. If you notice any other symptoms like pain, burning, or changes in urine color, seek medical attention sooner.
Thank you
Hi, I’m Dr. Nikhil Chauhan. Here is a urologist’s perspective on your frequent urination:
· Likely Culprit: Steroid Eye Drops (Milflodex) · These contain a steroid which can get absorbed into the bloodstream. · A known side effect is increased blood sugar, and high blood sugar makes you urinate frequently. Even if your fasting sugar is normal, the drops can cause spikes after meals. · Other Possible Factors: · Fluid Shift: Being less active can cause fluid to pool in your legs during the day, which is processed into urine when you lie down at night (nocturia). · Mild UTI: Although you have no pain, a mild infection post-surgery is possible. · Immediate Recommendation: · Check your blood sugar 2 hours after a meal today. · If sugar is high, contact your eye surgeon—do not stop the drops without consulting them, as your eye needs to heal.
Dr. Nikhil Chauhan — Urologist
Frequent urination after cataract surgery, while not a common side-effect of the procedure itself, could be due to several factors. Post-operative stress or anxiety might cause temporary urinary frequency, but since this is persisting beyond initial recovery, consider also the medication’s role or an underlying health issue. Napapact, though not typical for triggering such symptoms, and Nimesulide could indirectly affect hydration levels or cause slight fluid retention leading to changes in urination patterns. Milflodex eye drops are unlikely to impact urinary frequency significantly but confirm with your doctor in case of a rare interaction with the other meds. Given that your blood pressure and diabetes markers are stable, it seems less likely they’re directly contributing. However, even slight changes in routine or diet might influence frequency, especially with altered activity levels. Also, consider lifestyle adjustments; if fluid intake has increased, particularly before bed, reducing it closer to nighttime could help. However, if this continues or if you notice other symptoms like discomfort, increased thirst, or temperature changes, it’s wise to consult your healthcare provider. They can check for a urinary tract infection or other metabolic issues that might require a different intervention. If the problem doesn’t resolve on its own, a deeper look into your hormonal or renal function with your doctor might be prudent. Always prioritize follow-up care if symptoms persist or worsen to ensure there’s no more serious underlying condition at play.
Frequent urination every 2–3 hours after surgery can sometimes occur due to temporary stress response, increased fluid intake, mild urinary irritation, or changes in daily activity and sleep patterns, especially when blood sugar levels are normal. Since there are no other symptoms like burning, fever, or pain, it may be temporary and could improve as your routine returns to normal after recovery. Consult a General Physician and consider a urine routine test if the frequent urination continues, to rule out urinary infection or other causes.
