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Frequent urination, when to worry?

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Frequent urination means increase in the frequency of urine i.e more than usual visit to the washroom for a person or increased quantity/volume of urine. It can be during the day or night or for some people only at night (nocturia)

Causes

Frequent urination could possibly imply many different health problems to simply drinking too much fluid.

The following various causes

  1. Urinary tract infection – This is the most common cause for increase in the frequency of urination. It is also accompanied by fever & pain in the abdomen NOT TO WORRY but it needs proper Rx for infection.
  2. Diabetes – Diabetes is a condition where not only the frequency of urine increases but also the volume. This usually happens in patients who have sugar present in their urine which pulls out water also along with it. This sometimes leads to severe dehydration in diabetes. Which if not treated promptly can lead to diabetic come. ONE NEED TO BE CAUTIONS.
  3. Pregnancy – Basically uterus and bladder are in close proximity so as the uterus keeps enlarging the pressure on the bladder & thus it may increase frequency NOT TO WORRY.
  4. Cystitis – It is basically infection of the bladder causing pain, discomfort & frequency APPROPRIATE RX is needed.
  5. Diuretics – These are medicines which are used in patients with high BP or in those in whom fluids accumulates in the body/brain. ONE NEEDS TO BE CAUTIONS.
  6. Prostate problems – With age many men experience urinary problems many of which can be attributed to prostate. What happens is the prostate gland increases in size KLA BPH & obstructs the urinary passage. So one feels the urge to urinate & bladder is not emptied completely. APPROPRIATE RX IS NEEDED.
  7. Excessive consumption of fluids, alcohol or caffeine.
  8. Diabetes insipidus.
  9. Overactive bladder
  10. Prolapse (cystococle)
  11. Neurological problems – nerves affecting the bladder

When to see a doctor?

Disrupts sleep or everyday activity

  • Blood in urine
  • Red/dark brown urine
  • Painful urination
  • Pain in lower abdomen or groin
  • Difficulty urination

Diagnosis

After a though physical examination the doctor may advice few tests

  1. CBC – this is in order to rule out any infection in the urine
  2. Urine routine & microscopy
  3. PSA (prostate specific antigen)
  4. Ultrasound examination
  5. Urological tests to detect any nerve disorder
  6. Testing for STTs
  7. Mrodynamic tests

Treatment

This will depend on the underlying cause

Bladder training and exercises

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