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Urology/lactulose

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Question
QUESTION: if you take lactulose twice a week will it reduce your electrilites.is it safe for elderly with cronic constipation

ANSWER: Howard:

This is a little outside my expertise as a urologist, but in general lactulose is considered safe for elderly patients to take regularly; however, it's best to check with your physician about your particular situation.

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QUESTION: am I correct that most causes of frequent urination is from prostate not cancer.should I occasionally take  tomataojuice to compenstat loss of sodiumfrom riexcess urination

Answer
Howard

Frequent urination is much more likely to be from prostate enlargement. There is no need for tomato juice or any other extra sodium source as there is little sodium in the urine and it is quickly made up by a standard diet. Plus you risk sodium excess. The frequency is a bladder/prostate issue and not a urine overproduction problem.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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