Ketamine bladder syndrome is a relatively new worldwide phenomenon. First documented in 2007, the syndrome is a reported ...

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Why doing this one thing could destroy your bladder permanently?!

if you're using this drug it might affect your bladder for the rest of your life I'm Dr Rena Malik urologist and pelvic surgeon and today I'm going to tell you a story of a patient who had this happen to him and which drug it is and how you can prevent this from happening to you 30 year old guy who was presumably normal up until two years ago when he started going to the bathroom every hour every hour he was urinating and sometimes he saw blood in his urine he was also waking up four times at night every night and you can imagine how horrible that is for your quality of life because you are barely getting any sleep if you're waking up every two hours that's presuming you're sleeping eight hours to go to the bathroom so after some time the doctors find out that this patient was on ketamine he was taking ketamine for five years and he had just stopped taking it about three months ago so how does ketamine cause bladder problems and what exactly is ketamine so ketamine is typically a drug use for anesthesia it works by blocking glutamate from the brain from a attaching to these receptors called nmda essentially by doing this it reduces pain it helps with inflammation and also can cause some antidepressant effects but it's become a club drug the reason being is it's kind of dissociative meaning that you feel like you're separated from the world around you and so it gives you kind of an enhanced feeling a lot of people are using this drug recreationally and you might hear of it being called Special K Vitamin K KitKat things like that and so a lot of people don't know this but it can have effects on the bladder also a lot of people are using it because it's reportedly safe and doesn't cause addiction so why a lot of people who want to experiment with drugs will try this as a source of pleasure and so what happens if you take it chronically so usually if someone takes ketamine once or twice they might have some gotta go Gotta Go going to the bathroom more frequently but they usually don't associate it with taking the ketamine if you start using it chronically it can actually leads your bladder to become very small and painful and having to go very very frequently and very very urgently it can also cause urinary leakage and in some cases it can also affect the tubes that drain the kidneys called the ureters these can get blocked so urine cannot get down easily to the bladder and that can cause problems with your kidneys and when they did a cystoscopy on this patient that they wrote the case report about they found these terrible ulcers in the bladder that were bleeding and they also saw a very small contracted bladder so what can you do about it so the first thing you have to do is quit ketamine and after that you can hopefully have some resolution from the symptoms but it may take time and for some people it may not be complete usually we can try to treat the issues so if there's ulcers you can kind of stop the bleeding from the ulcers you can treat with different kinds of medications like we do for overactive bladder and try to improve the symptoms but overall it can take some time and sometimes it may not even get better and so it's a really serious problem and in severe cases it can require reconstructive surgery to enlarge the bladder bottom line ketamine is not for recreational use shouldn't be using it and certainly for using it chronically you can end up with a horribly damaged bladder with a possibility that it may not get better if you've enjoyed learning on this channel please share this Channel with your friends I greatly appreciate you and as always you want to take care of yourself because you are worth it [Music] thank you foreign [Music]

Dr.

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