Frequent urinary urgency: what to do?

When the bladder fills, it is normal for urgency to develop over time. But if the urge to urinate constantly or is particularly strong, it may indicate a disruption of the bladder. Behind the symptoms may be various causes, including bladder infection or an enlarged prostate in question. Important for the diagnosis is whether urinary urgency occurs during the day or at night and how much urine escapes when urinating. Read here which causes can be behind frequent urinary frequency and which treatment options there are.

There is not always a disease

In our body every day about 1 to 1.5 liters of urine are formed. How much urine is exactly produced, depends mainly on the amount of liquid absorbed. The urine is produced in the kidneys and then accumulates in the bladder. When it is full, we feel urgency due to the pressure of the fluid on the bladder wall. When urinating toxins and degradation products are flushed out of the body with the urine.

If you drink a lot or eat large amounts of water-rich foods, such as watermelons, cucumbers or tomatoes, frequent urination is normal. However, when urinating a lot of urine should come out of the bladder. In general, urinating up to ten times a day is still normal. If you need to go to the bathroom more often, you should see a doctor.

Frequent urinary urgency: causes in men and women

With frequent urination, three different forms are generally distinguished:

  • polyuria
  • pollakiuria
  • nocturia

In a polyuria, large urine volumes of about two to three liters are excreted daily. This is significantly more than the norm. Often along with the frequent urinary urgency a strong feeling of thirst occurs - this is especially the case with diabetes mellitus.

In addition, polyuria can also be caused by excessive consumption of alcohol or coffee, as well as medications such as diuretics, which have a draining effect. Likewise, diseases such as kidney failure or heart failure come into question as a cause. In addition, it is also possible that extreme urinary stress causes frequent urination.

Pollakisuria as a cause

If there is a frequent urge to urinate but little or no urine can be given off, this is called pollakiuria. In men, this phenomenon usually indicates a disease of the prostate.

In women, frequent urination, with only small amounts of urine given off, often occurs in the early stages of pregnancy.

Likewise, a Pollakisurie but also indicate a irritable bladder or cystitis. Typical of cystitis are burning and painful urination. In addition to cystitis, other diseases of the urinary tract such as pyelonephritis come as a cause in question.

Nocturnal urination

Especially in the elderly, it comes especially during the night to frequent urination. Nocturia is when the bladder is regularly emptied more than twice during the night. This significantly disturbs sleep and can lead to symptoms such as headaches, difficulty concentrating and tiredness during the day.

In women, infection of the lower urinary tract such as cystitis is often the cause of the discomfort. On the other hand, nocturnal urinary urgency usually indicates a benign enlargement of the prostate gland in men. By restricting the urethra, they can not drain all the urine from the bladder when urinating. Then the bladder refills faster through the remaining residual urine and urine urgency is triggered again.

Make the correct diagnosis

If you suffer from frequent urination, you should consult a doctor and have the cause of the condition cleared up. At the beginning, the doctor will usually have a detailed conversation with you and clarify the following questions:

  • When does the urge to urinate (during the day or at night)?
  • Does urine give a lot of urine or less?
  • Do you have a strong thirst?
  • Do you take certain medications such as diuretics?
  • Do you take a lot of fluids, especially in the form of coffee or tea?

Maybe the doctor will recommend you to keep a so-called void diary. In it you can note how often and in which situations the urge to urinate occurs. Write down how much and what you drank before.

Examination of blood and urine

Following the interview, the doctor may order an examination of the blood and urine levels as well as the blood's concentration (osmolarity). Likewise, an ultrasound of the urinary tract and the prostate, an X-ray examination or a bladder mirror of the bladder may be useful. Depending on the suspicion may also be the function of other organs such as the heart to be examined.

In some cases, a urodynamic examination is also carried out. Among other things, it is measured, which amount of urine the bladder can save and whether there is an involuntary loss of urine. Also, the function of the pelvic floor muscles can be checked in this way.

What helps against frequent urination?

If you need to go to the bathroom very often, you should always have this checked by a doctor. Most are harmless causes behind the symptoms, but there are also serious diseases such as diabetes, prostate cancer or heart failure possible. Which therapy with frequent Urndrang is exactly accomplished, is substantially dependent on the underlying illness.

If there is no organic cause, you should try to train your bladder specifically. Do not go to the toilet at the first insertion of the urinary tract, but deliberately suppress it for a while. So your bubble slowly gets used to larger quantities. By no means should you drink less just because you often need to go to the bathroom. This will only harm your body in the long term.

Medications relieve the symptoms

If the frequent urinary frequency severely limits your quality of life, medicines can also be used for the treatment. Anticholinergics or spasmolytics, for example, ensure that the ability to contract the bladder is reduced. For men, so-called alpha-blockers are also recommended, which relax the muscles of the prostate. For women, however, estrogens are more helpful.

In addition, consult a doctor or pharmacist to see if herbal remedies are also suitable for the therapy. For example, in the case of a stimulating bladder, the discomfort caused by eating pumpkin seeds can be alleviated.

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