Painless frequent urination may be normal or indicate various pathological processes in the body. How to distinguish normality from disease?
Frequent urge to urinate often occurs during menopause, which is also associated with hormonal changes in the body.
Diabetes mellitus
Increased thirst along with frequent urination is one of the first symptoms of diabetes. Why does this happen? The thing is that when the level of sugar in the blood increases, it begins to be filtered in the kidneys and penetrates into the urine. But sugar passes into the urine in a water-bound state. Thus, the body begins to intensively lose water. The patient often experiences dry mouth and severe thirst.
Diseases cardiovascular system
Frequent and painless urination may indicate diseases of the cardiovascular system, which are accompanied by swelling. Thus, after taking certain medications (in particular, diuretics), a massive disappearance of edema may be observed. When creating conditions for formed diuresis, the patient can lose up to 15-20 liters of fluid in just a few days, which stagnated in the body due to weakness of the heart muscle.
Reader Questions
18 October 2013, 17:25 Hello. I am 25 years old. Over the past 2 weeks, I began to notice difficulty urinating. You have to kind of push, squeeze, for the process to begin. After the process starts, the stream seems normal to me. At the moment when I try to squeeze out urine, it feels as if something under the testicles is holding back the urine and gradually releases it in short pulsations, and then the process of urination is, in my opinion, normal. Please advise what this could be and should I worry? Still, as I heard, prostatitis does not happen at 25 years old!
Ask a questionOveractive Bladder
It is a clinical syndrome characterized by the appearance of an urgent urge to urinate, including at night. Incontinence is often observed with an overactive bladder.
This problem may be neurogenic in nature, for example, with some brain tumors or Parkinson's disease. Idiopathic overactive bladder is often observed, the causes of which are unknown.
What to do if you have frequent urination?
First of all, all physiological factors contributing to the development of this symptom should be excluded. If there are no such reasons, then it is necessary to undergo an examination. Initially, you should visit a general practitioner who will prescribe the appropriate examinations for you and, if necessary, refer you to other specialists (endocrinologist, neurologist, gynecologist and others).
Arkady Galanin
A healthy person visits the toilet to empty the bladder up to 9 times a day. Frequent urination is usually associated with cold feet and cystitis (inflammation of the bladder). However, there are many reasons for frequent urination: from physiological characteristics to serious pathological conditions. Why does a person get up at night to go to the toilet or often visit the restroom during the day, experiencing some discomfort in society? Only a doctor can answer these questions. But every person should know the main reasons for the frequent urge to urinate.
Physiological increase in urination
Frequent urge to go to the toilet, which does not require any treatment, can be caused by the use of:
- excessive amounts of liquid, watermelon;
- alcohol, especially beer;
- many cups of coffee;
- meat, pickles, spicy dishes;
- drugs with a diuretic effect - diuretics (Lasix, Furosemide), antihypertensives (Arifon, Acripamide, Lorista, Micardis plus).
Frequent urination is also possible when taking medicinal herbs: corn silk, kidney tea, lingonberry leaves. Even the usual chamomile, a decoction of which is taken for various inflammatory diseases of the throat, can provoke frequent urges. A frequent desire to write is typical for pregnant women, especially in the first and recent months pregnancy. Physiologically, the increased urge to urinate during pregnancy, sometimes requiring immediate emptying, is explained by compression of the bladder by the uterus and movements of the growing fetus, as well as a weakening of the muscle tone of the pelvic day due to hormonal changes. Normally, for pregnant women, the frequency of urges increases by 2–3 times.
Frequent urination: a sign of illness
If a person excludes a physiological increase in urination, one should carefully listen to one’s own body. Typically, frequent urination caused by pathology is combined with other symptoms. The most common causes of frequent urination are:
Diseases of the urinary system
Pathology of any part of the urinary system is always accompanied by frequent urges. In this case, the following symptoms arise:
- urethritis - burning sensation when urinating, feeling of bladder fullness;
- cystitis - painful, frequent passage of small amounts of urine, pain in the lower abdomen;
- pyelonephritis - nagging pain in the lower back, temperature and intoxication (weakness, pale skin, etc.);
- urolithiasis - the movement of even the smallest stones (sand) causes pain in the back and lower abdomen, burning (when sand passes through the urethra), and blood is often detected in the urine;
- urinary incontinence - due to weak muscle tone urethral sphincter, often observed in old age;
- Bladder overactivity - congenital or acquired muscle hypertonicity provokes frequent urge to go to the toilet;
- Prolapse of the bladder - often diagnosed in older women; frequent urges result in the passage of a small amount of urine.
Hormonal disorders
Endocrine disruptions affect the entire body, including urinary function. A frequent desire to visit the toilet occurs in the following conditions:
- menopause in women - the attenuation of the functioning of sex hormones leads to a weakening of muscle tone;
- diabetes mellitus - a feeling of constant fullness of the bladder is accompanied by thirst, itching in the perineum and an unpleasant ketone odor of urine.
Sexually transmitted diseases
Any sexually transmitted infection can cause increased urination. Gonorrhea, trichomoniasis, gardnerellosis and even thrush often occur with the spread of infection to the urinary tract. However, specific, pronounced symptoms (purulent, cheesy or brownish discharge) are not always observed. Most often, such diseases produce erased symptoms (trichomoniasis is asymptomatic in men, gonorrhea in women), and the diagnosis is made only on the basis of a special analysis. Frequent urination may be the only manifestation of infection with mycoplasma, ureoplasma or chlamydia.
Oncological diseases
I constantly want to go to the toilet with tumors of the pelvic organs. Moreover, in women, similar symptoms in combination with menstrual irregularities can be caused by myomatous nodes. A man suffering from prostate adenoma or prostatitis also experiences frequent urination and erectile dysfunction. A rare pathology - urethral cancer - is already at an early stage characterized by frequent urge. Due to the narrowing of the lumen of the urethra, even minimal accumulation of urine in the bladder causes a desire to urinate.
Pathologically frequent urination: what is it?
Frequent urination indicates the presence of pathology in the following cases:
- the frequency of urges is higher than the daily norm (more than 9 times);
- the volume of urine excreted during frequent urination is less than 200 ml;
- At the same time, other painful symptoms appear.
If a person observes all three signs and completely excludes the physiological increase in urination, it is necessary to consult a doctor.
What to do?
If you have a frequent urge to go to the toilet, you should consult a doctor and undergo a thorough examination in a medical facility. Often a consultation with a gynecologist (women) and a urologist (men) is required. The examination includes:
- general urine analysis, sometimes specific tests (for example, according to Nechiporenko) - to detect protein, salts, leukocytes and blood;
- smear from the urethra/vagina - to exclude inflammatory diseases of the genital organs;
- Ultrasound - examination of the bladder and kidneys;
- CT, MRI - most often performed for severe diseases.
- Compliance with adequate drinking regime and healthy eating.
- Genital hygiene.
- Refusal of alcoholic beverages.
- For diagnosed urinary incontinence, the best home remedy is yarrow infusion.
- Diuretic herbs can be used only if the absence of kidney stones has been proven by instrumental studies (ultrasound).
Frequent urination stops only after the causative disease is eliminated. Self-medication or inadequate therapy for inflammatory diseases can ultimately lead to persistent muscle hypotonia bladder and urinary incontinence.
The average person typically urinates four to eight times a day. When you feel the need to do this more than 8 times a day and often wake up at night to relieve yourself, this is a serious problem that needs to be solved as quickly as possible. There is an exception for older people; at their age this is quite normal. In this article, we will describe the symptoms of frequent urination, causes, and treatment options.
I often want to go to the toilet in a small way: symptoms
To understand whether urination is frequent can be determined by several signs:
- Frequency - The level of urination becomes abnormal if you do it 8 times a day and more than 1 time during the night.
- Urine comes out badly - it seems to you that you want to do it more, but in reality there is nothing left to do. There may also be pain and itching in the lower abdomen. Pressure – Some pressure will be felt in the bladder, creating the feeling of having to urinate.
- Urinary incontinence is a condition characterized by a person's inability to control urination, so accidental leakage of urine may occur.
- Dysuria is pain or burning during or after urination.
- Hematuria is when blood is present in the urine.
Why you always want to go to the toilet in a small way: reasons
The constant need to urinate can be caused by various reasons, below we have listed the most common:
Urinary tract infection- the most common cause of frequent urination, it affects millions of women and men. This occurs when the infection is in any part of the urinary tract (bladder, urethra, kidneys, ureters). Urinary tract infections are caused by bacteria that enter the urinary tract. Bacteria can be introduced through sexual intercourse or poor hygiene. The person will also experience pain or burning while urinating. The urine will be cloudy and have an unpleasant odor, and there is a possibility of an increase in body temperature.
You drink too much- when you increase your fluid intake, there is nothing strange in the fact that you want to take small steps more often.
Prostate problems- An enlarged prostate puts pressure on the urethra, interrupting the flow of urine, which causes frequent urination in men. This, in turn, irritates the wall of the bladder, causing it to contract more often.
Overactive Bladder Syndrome- when the bladder contracts frequently, causing the patient to urinate frequently, even if it is not completely full.
Interstitial cystitis- when the tissue of the bladder walls becomes inflamed. The cause of this condition is currently unknown.
Diabetes- The body tries to get rid of excess glucose. If frequent urination is caused by diabetes, there will be other telltale signs. These include fatigue, excessive thirst and hunger, unexplained weight loss or weight gain, nausea, and dry mouth.
Prostatitis- also includes swelling and irritation of the gland. Prostatitis is caused by bacteria affecting the glands. You will notice symptoms such as fever, chills, flushed skin, blood in the urine, burning during urination, pain during ejaculation and/or bowel movements.
Treatment Options
Below we present several treatment options, the technique must be approved by a doctor:
- Urinary tract infections - you will need to take a course of antibiotics, the type and duration of treatment will vary according to the severity of the disease.
- Diabetes - If you think you have diabetes, see your doctor as soon as possible. You will need to radically change your lifestyle and start eating right. If you have type 1 diabetes, you will also have to take insulin injections.
- Overactive bladder syndrome. In this case, treatment should only be prescribed by a doctor.
- Enlarged prostate. Modern medicine involves taking medications to relax the muscles inside the prostate. The most common treatment method is surgery (transurethral resection of the prostate).
- Prostatitis - A course of antibiotics is the usual treatment for this bacterial infection. The length of treatment will depend on the severity of the infection, with acute prostatitis requiring 4 to 6 weeks of antibiotics, while chronic prostatitis may require up to 12 weeks of continuous treatment.
When to see a doctor
You should seek help from a doctor if frequent urination begins to interfere with your everyday life and if you have the following symptoms:
- Fever, pain, vomiting, chills
- Increased thirst or hunger, fatigue, or unexplained weight loss or gain
- There is blood in the urine or it has become cloudy
- Discharge from the genitals
Discomfort in the lower abdomen and frequent urination in women with pain can be symptoms of diseases - both non-infectious and those that are sexually transmitted.
Such diseases arise abruptly, without a prodromal period - the woman begins to feel sudden cramps and the urge to go to the toilet in a small way. Let's figure out why such symptoms occur and what they are.
Symptoms of genitourinary diseases
Pathologies of the genitourinary area have similar symptoms, so differentiate which of them was the cause discomfort, it can be difficult without consulting a doctor.
The symptoms with which women turn to a therapist or gynecologist are familiar to many. All women have had problems with the genitourinary system at least once in their lives. Therefore, health complaints are typical in most cases.
When the genitourinary organs are damaged, burning sensation and frequent urination occur in women, regardless of age.
Negative symptoms increase - weakness, fatigue occur, women complain of aching in the lower back and aching sensations in the pubic area, in projection to the bladder.
Pain in the lower abdomen accompanies the patient all day, and in some women it appears only in the mornings or evenings.
When the genitourinary system is affected, changes affect urination itself. Besides the fact that women often go to the toilet with burning and stinging, each act does not end with complete satisfaction.
Many people complain of a feeling of incomplete emptying of the bladder, when they want to urinate more, but urine is no longer released.
When the bladder becomes infected, pus is found in the urine. Depending on the severity of the inflammatory process, it first becomes cloudy, and with severe inflammation, opaque - so much pus comes out along with the urine.
An admixture of pus is not the only characteristic of pathological processes in the bladder. Blood also appears in the urine.
This phenomenon is called hematuria. The appearance of blood first of all prompts the doctor to think about the presence of stones in the bladder, which with sharp edges damage the mucous membrane of the organ.
In the absence of stones, blood is a symptom of severe cystitis or the development of a malignant neoplasm.
In addition to the fact that frequent and painful urination in women brings inconvenience, this process is also accompanied by a lot of troubles. For example, with inflammatory damage to the sphincter of the bladder, patients begin to leak urine, and their underwear becomes constantly wet. When the disease is advanced, incontinence develops.
The appearance of such signs cannot be delayed, much less so. Prolongation of the situation leads to the transition of the pathology to a chronic form, when treatment is required.
Therefore, at the first stage of getting rid of pathology, they visit the clinic and determine the causes of such symptoms.
Why does discomfort occur when urinating?
When alarming symptoms appear, it is necessary to understand that they did not appear by chance; an infectious process is occurring in the woman’s body.
The infection could have come from outside or from a sexual partner - this factor should also not be discounted when talking with a doctor.
A woman can become infected not only during intimacy, but also transmit the infection to her partner. What diseases cause frequent painful urination and how to treat it?
Non-infectious pathologies
The following reasons can provoke painful urination in women of a non-infectious nature:
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Non-infectious pain occurs under the influence of a provoking factor: hypothermia, heavy lifting, climate change, excessive trauma, unbalanced nutrition. Despite the fact that these reasons are not related to infection, you need to rush to see a doctor - stones and tumors become threatening factors when they are admitted to a medical facility in an urgent state, and not as planned. It's better not to let this happen.
Separately, I would like to mention that pubic lice become the cause of tingling in the genital area and discomfort in the intimate area.
Of course, in the 21st century, the problem of lice is not as acute as it was a couple of decades ago, but the practical experience of doctors shows that even patients from wealthy families can become victims of pubic lice.
Infectious pathologies
Infectious diseases have always been a concern for both doctors and patients. You can get an infection anywhere - from a banal visit to a sauna to contact with a sick sexual partner.
Infections surround a person everywhere, and dozens of types of opportunistic microflora peacefully exist in the body, which do not manifest themselves until a certain moment.
The trigger is a sharp drop in immunity or excessive entry into the body of pathogenic microflora, which the immune system cannot cope with.
Microorganisms that provoke the inflammatory process and cause frequent urination with pain are cocci and bacilli.
Found in both the bladder and urethra. The list of pathogens causing discomfort is impressive - streptococci, E. coli, staphylococci, Klebsiella.
Sexually transmitted infections stand apart. They also cause frequent urination and itching.
The leading pathogens among sexually transmitted infections are Trichomonas, gonococci, mycoplasma, gardnerella, ureaplasma, chlamydia, and treponema pallidum.
Scientists are debating about Gardnerella - according to new data, it can be excluded from the group of STDs, since this bacterium, under conditions of strong immunity, is found in smears even in healthy women in small quantities and does not cause symptoms of the disease. Opponents of new trends advocate the opposite.
Genital pathologies are characterized by pain during urination, the presence of atypical genital organs, and redness of the mucous membrane.
Many people complain that the genital area itches and burns unbearably. Symptoms of sexually transmitted infections vary.
Despite the “typical” symptoms described in textbooks, most signs are erased or manifest themselves so clearly that this makes doctors suspect other diseases.
Test results bring clarity when the desired pathogen is detected in a smear or bacterial culture.
A smear and culture are the first studies that make it possible to find out which pathogenic microflora causes discharge, pain, etc.
Today there is an opportunity to use modern techniques- enzyme immunoassay and polymerase chain reaction.
One analysis allows you to isolate antibodies to the pathogen, and the second - traces of DNA or RNA. After determining the reason why a burning sensation appeared in women in the genital area, and why urination became frequent and painful, treatment began, specifically aimed at the pathogen.
If a woman experiences frequent urination, discomfort during urine output, a feeling of incomplete emptying of the bladder and pain in the kidneys and lower abdomen, a mandatory consultation with a doctor is necessary.
These signs can be provoked by a change in diet or an allergy to cosmetics, as well as infections of the genitourinary system, autoimmune processes.
Weakened immunity is a reason for the proliferation of pathogenic microflora, so it is important to maintain health.
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