Feel Like You Gota Pee Again
Frequent Urination: Causes and Treatments
Medically Reviewed by Minesh Khatri, MD on May 15, 2021
Gotta become all the fourth dimension? The technical proper name for your problem is frequent urination. In most people the bladder is able to shop urine until it is convenient to become to the toilet, typically four to eight times a day. Needing to go more than 8 times a solar day or waking up in the dark to get to the bathroom could mean you're drinking too much and/or too close to bedtime. Or it could betoken a wellness trouble.
Causes of Frequent Urination
Frequent urination can exist a symptom of many unlike problems from kidney disease to simply drinking too much fluid. When frequent urination is accompanied by fever, an urgent need to urinate, and pain or discomfort in the abdomen, you may have a urinary tract infection. Other possible causes of frequent urination include:
Diabetes. Frequent urination with an abnormally large corporeality of urine is often an early symptom of both type ane and blazon 2 diabetes every bit the trunk tries to rid itself of unused glucose through the urine.
Pregnancy. From the early weeks of pregnancy the growing uterus places pressure on the bladder, causing frequent urination.
Prostate problems. An enlarged prostate can printing against the urethra (the tube that carries urine out the torso) and cake the flow of urine. This causes the bladder wall to get irritable. The bladder begins to contract even when it contains small amounts of urine, causing more frequent urination.
Interstitial cystitis. This condition of unknown cause is characterized past pain in the float and pelvic region. Frequently, symptoms include an urgent and/or frequent need to urinate.
Diuretic use. These medications that are used to treat loftier blood pressure level or fluid buildup work in the kidney and flush excess fluid from the torso, causing frequent urination.
Stroke or other neurological diseases. Damage to fretfulness that supply the bladder tin can lead to problems with bladder part, including frequent and sudden urges to urinate.
Hypercalcemia. Information technology ways the calcium levels in your blood are above normal. Causes include overactive parathyroid glands (hyperthyroidism or hyperparathyroidism), other illness (tuberculosis, sarcoidosis), inactivity, and even cancer (lung, breast, kidney, multiple myeloma). Besides frequent urination, symptoms of hypercalcemia may include:
- Excessive thirst
- Tum upset
- Nausea and vomiting
- Constipation
- Bone and muscle pain and weakness
- Brain bug: Defoliation, fatigue, and depression
- Heart issues (rare): Racing or skipping pulse (arrhythmia) and other heart problems
Diabetes insipidus. This is a rare condition that causes your torso to make a lot of urine that is "insipid," or colorless and odorless. Most people pee out i to 2 quarts a day.
Other causes. Less common causes include pelvic organ prolapse (in females), bladder cancer, ovarian cancer, bladder dysfunction, and radiation therapy.
Often, frequent urination is not a symptom of a trouble, simply is the trouble. In people with overactive bladder syndrome, involuntary float contractions atomic number 82 to frequent and often urgent urination, meaning you have to become to a bath right now -- even if your float is not full. It may as well lead you to wake up once or more during the night to use the bathroom.
Diagnosing the Cause of Frequent Urination
If urinary frequency interferes with your lifestyle or is accompanied by other symptoms such equally fever, back or side pain, vomiting, chills, increased appetite or thirst, fatigue, bloody or cloudy urine, or a discharge from the penis or vagina, it'due south of import to see your doctor.
To diagnose the crusade of frequent urination, your doctor will perform a physical exam and take a medical history, asking questions such every bit the post-obit:
- Are y'all taking any medications?
- Are yous experiencing other symptoms?
- Do you accept the problem only during the day or also at night?
- Are you drinking more than than usual?
- Is your urine darker or lighter than usual?
- Do you drink booze or caffeinated beverages?
Depending on the findings of the physical exam and medical history, your doctor may lodge tests, including:
Claret Tests. Routine claret exam can check for kidney office, electrolytes, and blood sugars
Urinalysis. The microscopic exam of urine that also involves a number of tests to find and measure various compounds that laissez passer through the urine.
Cystometry. A test that measures the pressure level inside of the bladder to see how well the bladder is working; cystometry is washed to determine if a muscle or nerve problem may be causing problems with how well the bladder holds or releases urine. In that location's a broader terms called urodynamics that includes tests such every bit cystometry, uroflowmetry, urethral pressure and others.
Cystoscopy. A test that allows your doctor to look at the inside of the bladder and urethra using a thin, lighted instrument called a cystoscope. In that location's a broader term called urodynamics that includes tests such every bit cystometry, uroflowmetry, urethral pressure level and others.
Neurological Tests. Diagnostic tests and procedures that help the doctor confirm or dominion out the presence of a nerve disorder.
Ultrasonography. A diagnostic imaging test using sound waves to visualize an internal body structure.
Treatment for Frequent Urination
Treatment for frequent urination will accost the underlying problem that is causing it. For example, if diabetes is the cause, handling will involve keeping blood sugar levels under control.
The treatment for overactive float should begin with behavioral therapies, such as:
- Bladder retraining. This involves increasing the intervals betwixt using the bathroom over the course of about 12 weeks. This helps retrain your bladder to hold urine longer and to urinate less frequently.
- Nutrition modification. Yous should avert any food that appears to irritate your bladder or acts as a diuretic. These may include caffeine, booze, carbonated drinks, tomato-based products, chocolate, artificial sweeteners, and spicy foods. It's besides of import to swallow loftier-fiber foods, because constipation may worsen the symptoms of overactive float syndrome.
- Monitoring fluid food intake. You lot should drink plenty to foreclose constipation and over-concentration of urine. Avoid drinking merely earlier bedtime, which can lead to dark urination.
- Kegel exercises. These exercises aid strengthen the muscles around the bladder and urethra to improve bladder control and reduce urinary urgency and frequency. Exercising pelvic muscles for five minutes 3 times a day can brand a divergence in bladder command.
- Biofeedback. This technique tin can help yous learn how your pelvic muscles work to help you better control them.
Treatment may also include drugs such as darifenacin (Enablex), desmopressin acetate (Noctiva), imipramine (Tofranil), mirabegron (Myrbetriq), oxybutynin (Ditropan), oxybutynin peel patch (Oxytrol), solifenacin (Vesicare), tolterodine extended-release (Detrol LA), and trospium extended-release (Sanctura XR). Oxytrol for women is the only drug available over the counter. Darifenacin is specifically for people who wake up more than than twice a night to urinate.
There are other options for those who do not respond to lifestyle changes and medication. The drug Botox can be injected into the bladder muscle causing the float to relax, increasing its storage chapters, and reducing episodes of leakage.
Several types of surgery are also available. The to the lowest degree invasive involve implanting small nerve stimulators only below the skin. The nerves they stimulate control the pelvic floor and the devices tin manipulate contractions in the organs and muscles inside the pelvic flooring.
Source: https://www.webmd.com/urinary-incontinence-oab/frequent-urination-causes-and-treatments