Painless frequent urination may be a variant of the norm or indicate various pathological processes in the body. How to distinguish the norm from the disease?
Frequent urge to urinate often occurs with the onset of menopause, which is also associated with hormonal changes in the body.
Diabetes
Increased thirst against the background of frequent urination is one of the first symptoms of diabetes. Why is this happening? The thing is that when the level of sugar in the blood rises, it begins to be filtered in the kidneys and penetrate 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 has dry mouth and intense thirst.
Diseases of cardio-vascular system
Frequent and painless urination may indicate diseases of the cardiovascular system, which are accompanied by swelling. So, after taking certain drugs (in particular, diuretics), there may be a massive disappearance of edema. When creating conditions for a formed diuresis, a patient can lose up to 15-20 liters of fluid in just a few days, which has stagnated in the body due to the weakness of the heart muscle.
Questions from readers
October 18, 2013, 17:25 Hello. I am 25 years old. Over the past 2 weeks, I began to notice difficulty in urination. It is necessary, as it were, to push, to squeeze out so that the process begins. After the start of the process, the jet seems normal to me. At the moment when I try to squeeze out urine, it feels like something is holding back urine under the testicles and gradually releases it with short pulsations, and then the process of urination is, in my opinion, normal. Advise what it can be and whether it is worth worrying? Still, at the age of 25, as I heard, prostatitis does not happen!
Ask a Questionoveractive bladder
It is a clinical syndrome, which is characterized by the appearance of an urgent urge to urinate, including at night. Often with an overactive bladder, incontinence is noted.
This problem can be neurogenic in nature, such as with certain brain tumors or Parkinson's disease. Often there is an idiopathic overactive bladder, the causes of which are unknown.
What to do with 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 you the appropriate examinations, 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 commonly associated with cold feet and cystitis (inflammation of the bladder). However, there are many reasons for frequent urination, from physiological features to serious pathological conditions. Why does a person get up at night to use 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 causes of frequent urge to urinate.
Physiological increase in urination
Frequent urge to the toilet, which does not require any treatment, may be due to the use of:
- excessive amount of liquid, watermelons;
- alcohol, especially beer;
- a large number of 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 stigmas, kidney tea, lingonberry leaf. Even the usual chamomile, a decoction of which is taken for various inflammatory diseases of the throat, can provoke frequent urges. Often the desire to write is characteristic of 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 the compression of the bladder by the uterus and the movements of the growing fetus, as well as the weakening of the muscle tone of the pelvic floor due to hormonal changes. Normally, for pregnant women, an increase in urges by 2 to 3 times is considered.
Frequent urination: a sign of illness
If a person excludes the physiological increase in urination, you should carefully listen to your own body. Usually, frequent urination due to pathology is combined with other symptoms. The most common causes of frequent urination are:
Diseases of the urinary system
The pathology of any part of the urinary system is always accompanied by frequent urges. In this case, the following symptoms appear:
- urethritis - burning sensation when urinating, a feeling of overflow of the bladder;
- cystitis - painful, frequent discharge of a small amount of urine, pain in the lower abdomen;
- pyelonephritis - pulling pain in the lower back, temperature and intoxication (weakness, pallor of the skin, etc.);
- urolithiasis - the movement of even the smallest stones (sand) causes pain in the back and lower abdomen, burning (during the passage of sand through the urethra), blood is often recorded in the urine;
- urinary incontinence - due to weak muscle tone sphincter of the urethra, often observed in old age;
- overactive bladder - congenital or acquired muscle hypertonicity provokes frequent urge to go to the toilet in a small way;
- bladder prolapse - often diagnosed in older women, frequent urges result in a small amount of urine being passed.
Hormonal disorders
Endocrine disruptions affect the entire body, including urinary function. Frequent desire to visit the toilet happens 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 smell of urine.
Venereal diseases
Any sexually transmitted infection can cause frequent urination. Gonorrhea, trichomoniasis, gardnerellosis and even thrush often occur with the spread of infection to the urinary tract. At the same time, specific, pronounced symptoms (purulent, curdled or brownish discharge) are not always observed. Most often, such diseases give an erased symptomatology (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. At the same time, in women, similar symptoms in combination with a violation of the menstrual cycle can cause myomatous nodes. A man suffering from prostate adenoma or prostatitis also notes frequent urination and erectile dysfunction. A rare pathology - cancer of the urethra - already at an early stage is characterized by frequent urges. Due to the narrowing of the lumen of the urethra, even a minimal accumulation of urine in the bladder causes a desire to empty.
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 with frequent urination is less than 200 ml;
- at the same time, other painful symptoms appear.
If a person observes all three signs in himself and completely excludes the physiological increase in urination, you should consult a doctor.
What to do?
With frequent urge to go to the toilet in a small way, you should consult a doctor and undergo a thorough examination in a medical institution. Often, consultation with a gynecologist (women) and a urologist (men) is required. The survey includes:
- general urine analysis, sometimes specific samples (for example, according to Nechiporenko) - to detect protein, salts, leukocytes and blood;
- smear from the urethra / vagina - in order to exclude inflammatory diseases of the genital organs;
- Ultrasound - examination of the bladder and kidneys;
- CT, MRI - most often performed in severe diseases.
- Compliance with an adequate drinking regimen and a healthy diet.
- Hygiene of the genitals.
- Refusal of alcoholic beverages.
- With diagnosed urinary incontinence, the best home remedy is a decoction of yarrow.
- Diuretic herbs can only be used if the absence of kidney stones has been proven by instrumental studies (ultrasound).
Frequent urination stops only after the elimination of the causative disease. Self-medication or inadequate therapy of inflammatory diseases can eventually lead to persistent muscle hypotension bladder and urinary incontinence.
The average person urinates between four and eight times a day. When there is a need to do this more than 8 times a day and often wake up at night to go small, this is a serious problem that needs to be addressed as quickly as possible. There is an exception for the elderly, at their age it is quite normal. In this article, we will describe the symptoms of frequent urination, causes, and treatment options.
Often you want to go to the toilet in a small way: symptoms
To understand whether urination is frequent can be understood 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 does not come out well - it seems to you that you want to do it more, but in fact there is nothing to do. There may also be pain and itching in the lower abdomen. Pressure - Some pressure will be felt in the bladder, making it feel like you need to urinate.
- Urinary incontinence is a condition characterized by a person's inability to control urination, thus accidental urination can occur.
- Dysuria is pain or burning during or after urination.
- Hematuria is when blood is present in the urine.
Why you want to go to the toilet all the time 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 is the most common cause of frequent urination and 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. The bacteria can be introduced through sexual intercourse or poor hygiene. Also, the person will experience pain or burning during urination. The urine will be cloudy and have an unpleasant odor, 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 walk more often in a small way.
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 bladder wall, causing it to contract more frequently.
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 wall becomes inflamed. The cause of this condition is currently unknown.
Diabetes The body is trying to get rid of excess glucose. If frequent urination is due to diabetes, there will be other telltale signs. They include fatigue, excessive thirst and hunger, unexplained weight loss or gain, nausea, and dry mouth.
Prostatitis- also includes swelling and irritation of the gland. Prostatitis is caused by bacteria that infects the glands. You will notice symptoms such as fever, chills, flushing of the skin, blood in the urine, burning during urination, pain during ejaculation and/or bowel movements.
Treatment options
Below we give several treatment options, the technique must be approved by the doctor:
- Urinary tract infections - you will need to drink a course of antibiotics, their type and duration of treatment will vary according to the severity of the disease.
- Diabetes - If you suspect you have diabetes, visit 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 need to take insulin injections.
- Syndrome of an overactive bladder. In this case, only a doctor should prescribe treatment.
- Enlarged prostate. Modern medicine involves taking medications to relax the muscles inside the prostate. The most common treatment is surgery (transurethral resection of the prostate).
- Prostatitis - A course of antibiotics is the usual treatment for this bacterial infection. The duration of treatment will depend on the severity of the infection, with acute prostatitis 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 medical attention 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-communicable and those that are sexually transmitted.
Such diseases occur abruptly, without a prodromal period - a woman begins to feel sudden cramps and urge to go to the toilet in a small way. Let's figure out why such symptoms occur and what they are.
Symptoms of diseases of the urogenital area
Pathologies of the urogenital area have similar symptoms, so to differentiate which of them caused discomfort, it can be difficult without consulting a doctor.
The symptoms that women turn to a therapist or gynecologist are familiar to many. All women at least once in their lives had problems with the organs of the genitourinary system. Therefore, health complaints are mostly typical.
With the defeat of the urogenital organs, there is a burning sensation and frequent urination in women, regardless of age.
Negative symptoms are growing - weakness, fatigue occur, women complain of aching in the lower back and aching sensations in the pubic area, in the projection to the bladder.
Pain in the lower abdomen accompany the patient all day, and some women appear only in the morning or in the evening.
With the defeat of the genitourinary system, changes affect the urination itself. In addition to the fact that women often go to the toilet with burning and cutting, each act does not end in complete satisfaction.
Many people complain about the feeling of incomplete emptying of the bladder, when you want to urinate more, but the urine is no longer excreted.
When the bladder is infected with an infection, pus is found in the urine. Depending on the severity of the inflammatory process, it becomes cloudy at first, and with severe inflammation it becomes opaque - so much pus comes out with urine.
The admixture of pus is not the only characteristic of pathological processes in the bladder. There is also blood 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 trouble. For example, with an inflammatory lesion of the sphincter of the bladder, the patients begin to leak urine, the underwear becomes constantly wet. With advanced disease, incontinence develops altogether.
The appearance of such signs does not tolerate delay, and even more so. Delaying the situation leads to the transition of the pathology into a chronic form, when treatment is required.
Therefore, at the first stage of getting rid of the pathology, they visit the clinic and determine the causes of such symptoms.
Why there is discomfort when urinating
When alarming symptoms appear, it is necessary to understand that they did not appear by chance, an infectious process occurs in the woman's body.
The penetration of the infection could be both from the outside and from the 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 pass the infection to her partner. What diseases cause frequent painful urination and how to treat?
Non-infectious pathologies
The following reasons can provoke painful urination in women of a non-infectious nature:
Pain of a non-infectious nature occurs under the influence of a provoking factor: hypothermia, weight lifting, climate change, excessive, trauma, unbalanced nutrition. Despite the fact that these reasons are not associated with an infection, you need to hurry to the doctor - stones and tumors become threatening factors when they are admitted to a medical institution in an urgent state, and not planned. It's better not to let that 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 pediculosis 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 infected anywhere - from a banal visit to the 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 does not manifest itself until a certain point.
The trigger mechanism is a sharp drop in immunity or excessive entry of pathogenic microflora into the body, which the immune system cannot cope with.
Microorganisms that provoke an inflammatory process and cause frequent urination with pain are cocci and rods.
They are found both in the bladder and in the urethra. The list of causative agents of discomfort is impressive - streptococci, E. coli, staphylococci, Klebsiella.
Sexually transmitted infections stand apart. They also cause frequent urination and itching.
Leading among sexually transmitted infections are the following pathogens - trichomonads, gonococci, mycoplasma, gardnerella, ureaplasma, chlamydia, pale treponema.
Scientists are arguing about gardnerella - according to new data, it can be deleted from the STD group, 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 argue the opposite.
Sexual pathologies are characterized by pain during urination, the presence of atypical genital organs, and redness of the mucous membrane.
Many complain that the genital area itches unbearably and burns. Symptoms of genital infections vary.
Despite the "typical" symptoms described in the textbooks, most of the signs are erased or manifest themselves so clearly that it leads doctors to suspect other diseases.
The results of the tests bring clarity when the desired pathogen is found in a smear or in a bacterial culture.
A smear and sowing are the first studies that allow you to find out which pathogens of pathogenic microflora cause discharge, pain, and.
Today it is possible to use modern methods- 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 urination became frequent and painful, treatment begins, aimed at the pathogen.
If a woman has frequent urination, discomfort during the release of urine, 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 reproduction of pathogenic microflora, so it is important to maintain health.
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