Catheter Problems

Dealing With Urinary Catheter Problems

Occasionally people may experience problems with their urinary catheters or accessories and the advice below should help. In all cases remember thatgood fluid intake is essentialand often problems can be sorted simply by increasing intake. Below you’ll find information on some of the associated risks and problems you may encounter with a catheter.

Poor drainage or non-drainage of urine

• Check the catheter tubing is not kinked or twisted
• Check the drainage bag is properly connected and doesn’t need emptying
• Ensure the leg or night bag is below the level of your bladder
• Make sure you’re drinking enough fluids
• Walking encourages better drainage and may dislodge any debris in the catheter

Excess leakage of urine around the catheter

• A small amount of leakage may occasionally occur as there is a gap between the body (urethra) and the catheter
• Leakage could be the result of a bladder spasm which can sometimes occur when you first have a catheter fitted but should pass within 24 – 48 hours
• Provided your catheter is draining correctly, leakage is not an emergency, however it is advisable to mention this to your health professional

Discomfort or pain

• Check that your drainage bag is not pulling on your catheter and that it is adequately supported
• Pain in your lower abdomen or back (with or without fever) could indicate a urinary tract infection and you should seek advice from your GP

Blood in your urine

• You may occasionally experience specs of blood in your urine and this is generally nothing to worry about
• 尿液中大量的血液可能是尿路感染的迹象，你应该告诉你的家庭医生，以防你需要一个疗程的抗生素
• If you experience fresh blood or blood clots you should seek immediate advice from your GP or health professional

When To Call A Healthcare Professional

如果您的医疗保健专业人员已经给您指示，当您遇到导管问题时通知他或她，一定要遵循这些指示。

Call your Healthcare Professional if:

• 没有尿液或很少的尿液流入收集袋，你觉得你的膀胱是满的。
• You have new pain in your abdomen, pelvis, legs, or back.
• Your urine has changed colour, is very cloudy, looks bloody, or has large blood clots in it.
• The insertion site becomes very irritated, swollen, red, or tender.
• Your urine has a foul odour (maybe a fishy smell).
• Urine is leaking from the insertion site.
• You have a fever.
• You develop nausea, vomiting or feel unwell.

Do not wait until late in the afternoon to call a Healthcare Professional.

如果你有导管问题，请立即联系他人。

Important Points To Remember When You Have A Catheter

• Drink plenty of fluids. At least 12 cups (4 pints) per 24 hours. This will dilute your urine and possibly reduce the risk of infection. It will also help flush out any debris in your bladder.
• Cranberry Juice can have a beneficial effect in cutting down the rate of infection although research is still ongoing. It is best taken in small doses throughout the day but no more than two large glasses. Do not take Cranberry Juice if you are taking Warfarin tablets or any other anticoagulant.
• 让你的腿和夜袋低于膀胱的水平，以防止尿液倒流。
  Avoid disconnecting the leg bag unnecessarily or touching the end of the connector as this can lead to infection.
• Do not use oil-based creams or talcum powder around the catheter area.
• 尽量避免便秘，因为这会影响导管的功能。
• Movement such as a little exercise can often get rid of any debris such as old tissue cells in your bladder.
• Hygiene is vitally important, always wash the area around where the catheter enters your body at least once per day with soap and water to remove any encrustation or debris which may have dried to your catheter

Taking Care Of Yourself

• Drink plenty offluidsand take regular exercise, but avoid anything too vigorous, ensure your catheter is well supported before any exercise.
• It is recommended that 5 pieces of fruit or vegetables are eaten per day to promote health and maintain a healthy system.