Possible Problems and Solutions During Intermittent Catheterization
Unable to Insert the Catheter:
Do not force the catheter. If you cannot perform intermittent catheterization on your own, seek medical help immediately. Difficulty inserting the catheter may also be due to insufficient lubrication. Try applying more lubricant and gently attempt insertion again.
If the catheter meets resistance at the sphincter, pause and let it stay there for a moment. Wait for your sphincter to relax and open. Deep breathing and coughing can help. If you still feel resistance, take a break and try again with a new catheter after a few minutes.
Scar tissue may cause difficulty inserting the catheter. If you frequently experience problems with catheter insertion, discuss this with your doctor.
Here’s the English translation for “Blood in Urine” and “Bladder Infection”:
Blood in Urine:
If there is blood on the catheter or in the urine, it may indicate urethral injury. If there is only a small amount of blood, drink plenty of water and continue to follow a regular intermittent catheterization schedule. If bleeding persists or there is a lot of blood, seek medical attention immediately. Remember that some foods (such as beets) can cause urine to appear pink or red.
Bladder Infection:
The most common symptom of a bladder infection is pain during urination. After a spinal cord injury, you might not feel pain. A bladder infection can cause discomfort, headaches, and may lead to muscle spasms. Cloudy and foul-smelling urine can be a sign of infection. If you experience symptoms of infection, please see a doctor for evaluation.
Autonomic Dysreflexia (AD):
An overly full bladder is one of the main causes of AD. Bowel distension or skin problems can also trigger AD. If you have a spinal cord injury at or above the T6 level, you are at risk for AD.
AD is a dangerous rise in blood pressure and is a medical emergency. If your blood pressure rises by 20-40 mmHg accompanied by symptoms, you have AD and need immediate treatment. If left untreated, AD can lead to stroke, seizures, or death.
If you experience any of the following AD symptoms, you should empty your bladder as soon as possible:
- Severe headache
- Nasal congestion
- Facial sweating or flushing
- Blurred vision
- Goosebumps
- Spots in front of your eyes
- Increased muscle spasms
- Nausea
- Metallic taste in the mouth
- Difficulty breathing
- Feeling anxious
- Slow heart rate (bradycardia)
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