Medical history (history of illness) represents an important component in the diagnosis of obstructive uropathy or refluxuropathy (urinary transport disorder/urinary retention).
Family history
- Is there a history of frequent urinary tract disorders in your family?
Social anamnesis
Current medical history/systemic history (somatic and psychological complaints).
- What complaints have you noticed?
- How long have these complaints existed?
- Do you have any pain? If yes, when does the pain occur?
- How can you characterize the pain? Colicky, dull, etc.?*
- Where is the pain localized?
- In addition, do you have a feeling of pressure in the area of the kidneys?
- Besides this, have you experienced symptoms such as fatigue, fever, weight loss?
- Have you noticed blood in the urine?*
Vegetative anamnesis incl. nutritional anamnesis.
- Have you noticed any changes in urination? Color, quantity, odor, etc.?
Self history including medication history.
- Pre-existing conditions (diseases of the urinary tract)
- Operations
- Radiotherapy
- Allergies
- Pregnancies
Medication history
Antidepressants, antiparkinsonian agents, neuroleptics, and substance groups containing tertiary and quaternary amines, have adverse effects such as urinary retention because of their anticholinergic component (see also under “Anticholinergic Effects of Drugs”):
- AnalgesicsOpioid analgesics (tramadol).
- Antidepressants
- Tetracyclic antidepressants – mirtazapine
- Tricyclic antidepressants – amitriptyline type (e.g., amitriptyline, doxepin, trimipramine); imipramine type (e.g., imipramine, clomipramine); desipramine type (e.g., desipramine)
- Antiparkinsonian agents (amantadine, biperiden).
- Antipsychotics (neuroleptics) – clozapine, melperone, risperidone).
- Muscle relaxants
- Benzodiapezins – terazepam
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Data without guarantee)
