Medical Questions? Ask a Doctor Online!
Generally speaking the only treatment that is needed is the presence of the foley. This is similar to the healing process after prostate surgery. The foley maintains the patency of the urethra and applies gentle pressure along the length of the urethra. The damaged lining of the urethra can then heal along the passage defined by the foley catheter. In those people that have larger amounts of bleeding, it may require surgery to coagulate the site of bleeding, but healing usually occurs without needing this intervention.
The amount of blood that can be loss before causing trouble is also dependent upon the level of blood before the incident and whether he has any significant heart or lung disease, but in a person with no pre-existing anemia and no significant heart or lung disease, the human body would need to lose several pints of blood for it to be dangerous.
The system still lists this as waiting for expert action. Did you have any further questions?
Yes, the bleeding is most likely to stop. Increased activity is not as much of an issue for healing as placing traction on the foley. If the foley is well secured, then he can be as active as he is able. The only other issue relative to activity is whether he is lightheaded. The amount of blood loss that you describe would not usually cause difficulty with lightheadedness, unless he has a pre-existing condition that would make it more likely. If he is lightheaded when he first stands up, then it would be reasonable to be cautious with activity and encourage hydration. If he has no lightheadedness, then he can be normally active.
Thanks again. I hope the Vitamin K will help, too. But at what point would you say he needs to go to the ER? Like, if I don't see the bleeding slowing down or stopping after how many more hours of bleeding at 1 teaspoon per hour?
If the bleeding has not significantly improved over the next few days, you should contact his physician. It may be most efficient to be seen in the office of a Urologist rather than the ER. If he has severe or persistent lightheadedness, then it would be appropriate to be seen in the ER.
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