Frequent urination is a pathological condition during which a person's urine is released more than four times a day. In addition, frequent urination appears. In children in the first year of life, the number of daily urination in pathology can be up to 16 times.
There are many different options, so it is not easy to accurately and optimally describe how many pathological urination can occur in a person per day. Urination may increase with heavy water intake. Also such a diuretic effect is exerted by this series of food products: cranberries, melon, lingonberries, watermelon. Their consumption leads to frequent urination in women and men.
Forms
In accordance with the characteristics of pathology, nosology can be divided into the following forms:
Doctors believe that it is necessary to begin treatment of a disease in patients only when the frequency of urination exceeds ten times per day. The main indicator of the pathology of the disease is the presence of additional signs: pain, itching, burning sensation during urination.
In addition to the problems of frequent urination, a symptom such as pain is noticed. If this is combined with a burning sensation, then this indicates a possible genitourinary infection.
Causes
The main causes of frequent urination can be divided into categories:
- Transient.
- Urgent.
- Stressful.
- Dystonic.
- Mixed.
According to statistics, most urologist patients have 3 forms of the disease: stress - 50%, combined - 32% and urgent (14%). The remaining forms are affected by about 4%.
Reflex contraction
An urgent appearance appears with a reflex frequent contraction of the smooth muscles of the genitourinary tract. A similar condition occurs with diseases of neurology (asthenovegetative syndrome), muscular dystrophy, inflammation of the ureter, pelvis and bladder (cystitis). In inflammatory pathologies, frequent urination in women occurs due to involuntary irritation of nerve receptors in the area of damage to the urethral membrane.
Stress form
The stress form occurs under the influence of the psyche. This pathology leads to strong nerve impulses of the genitourinary organs and the subsequent smooth muscle contraction. A sign of illness in children can be a change of position, weight lifting, running, laughing, sneezing and coughing. Such conditions lead to strong pressure on the bladder. A mixed form of frequent urination is formed by the presence of a muscle and stress component. This pathology leads to many renal diseases: nephroptosis, nephrolithiasis, glomerulonephritis. So what is the cause of the disease?
Factors
There are factors that contribute to this:
- traumatic birth in women;
- genital infections
- menopause;
- gynecological operations;
- hormonal imbalance;
- hypothermia;
- estrogen deficiency;
- connective tissue diseases;
- rapid weight loss;
- uterine dislocation.
Frequent urination without pain. During the second and third trimester of pregnancy, the uterus increases, which contributes to strong pressure on the bladder, and there is a feeling of its fullness. In order to prevent such pathological changes, it is important not to reduce water consumption so that the body does not dehydrate. If the pregnancy is multiple, then this can lead to a constriction of the bladder with the next frequent urination. The disease most often manifests itself in the elderly and in people with central nervous system problems. Neurological pathologies lead to a constant contraction of the smooth muscles of the genitourinary organs with reflexive frequent urination.
Causes of frequent urination in men
This problem makes men go to the doctor, but, unfortunately, not everyone pays her due attention. Usually, in addition to frequent urination, there are other symptoms. As medical practice shows, many diseases are accompanied by frequent urination.
For example, the reason in which men often urinate, sometimes, become disorders in the urogenital system. A series of analyzes and tests are required to identify the true "culprit" of the problem.
So, consider the causes of frequent urination.
Prostatitis
This pathology occurs both in chronic and in acute form, which makes many men visit the toilet more often than usual. Prostatitis usually occurs not only with a symptom of rapid urination, but also with various others that do not have very pronounced symptoms. At the same time, such urge to urinate occurs suddenly and intolerably, and when you try to go to the toilet a very small amount of urine comes out. Also, men often have symptoms of prostatitis, such as difficulty urinating, which tends to progress gradually, a feeling of not completely empty bladder, and there are also problems associated with sexual function.
In addition to the above symptoms, patients can observe pain and burning sensation in the perineum, which are more often expressed with acute prostatitis, general fatigue and discomfort during bowel movements.
If you find such signs in yourself, you must immediately make an appointment with a urologist. Timely started and proper treatment allows you to help a man preserve a full sexual life for many years. The treatment of this disease takes place in a complex, the therapeutic regimen includes:
- physiotherapy;
- antibacterial therapy;
- prostate massage (contraindicated in the acute stage of the disease);
- lifestyle changes (diet, giving up bad habits);
- immunotherapy.
With the timely treatment of chronic prostatitis, it will go into the stage of remission and its duration greatly depends on how the patient will fulfill the prescriptions and instructions of the doctor.
What does urinating often mean?
Prostate adenoma
Prostate adenoma is a benign disease characterized by hyperplasia of the tissues of the prostate gland, after which its size increases. The reasons for the origin of this disease have not been elucidated, but we can certainly say that there is a connection between the age of a man and benign hyperplasia. It has been established that the older the man, the greater the risk of getting this disease; in young people, prostate adenoma is very rarely diagnosed.
The very first symptom of this disease is frequent urination, which mainly occurs at night. In addition, a man may worry about inconclusive urination and urinary incontinence. If there are such signs, it is necessary to consult a specialist, in time the treatment started can help to slow down the progress of the disease. If there is no adequate and correct therapy, then the symptoms will not keep themselves waiting and the signs of prostate adenoma will increase. Men begin to complain about difficulty urinating, that for this they have to make extra efforts and strain to urinate, while the urine stream will be intermittent and sluggish. In especially severe cases, acute urinary retention may occur , this situation requires urgent treatment.
The "gold standard" in the treatment of this disease is a transurethral resection of the prostate gland. This minimally invasive operation, which is well tolerated by patients, but its accomplishment is possible only if there is a certain size of the prostate, which can be another good argument in favor of having to see a doctor.
Medication with frequent urination in men with adenoma can be symptomatic. They are taken at the first stage of the disease, when its symptoms are still weakly expressed. Drugs are prescribed that contribute to the general relaxation of the muscles of the urethra, which will help facilitate the outflow of urine from the bladder. The next group of drugs that are used in the treatment of prostate adenoma, helps to reduce its size and are taken for a long course.
Causes of frequent urination in women
Women have a genitourinary system, which is characterized by increased sensitivity to various pathogens and infections. After pathogens enter the female body, various diseases begin to occur. Most of them are diseases of the genitourinary system, among which there are pathologies of the pelvic organs and kidneys. All this is expressed by frequent urination, but other signs are also observed.
Cystitis
This disease is very common, and occurs along with frequent urination. In addition, cystitis is accompanied by cutting and burning pain during the urination process, a constant feeling of a full bladder constantly arises. There are more serious cases that are characterized by urinary incontinence. Specialists also notice pains in the lower abdomen with cystitis, which can occur both at night and during the day.
Frequent urination during pregnancy
It is known that pregnancy occurs at a time when almost all women experience frequent urge to go to the toilet. Such a phenomenon is not considered a deviation from the norm and is a completely acceptable physiological process and does not have any effect on the fetus. As a rule, similar causes of frequent urination without pain appear.
In the first trimester, a woman has hormonal changes, an increasing amount of gonadotropin, which so often leads to a desire to visit the toilet. Already in the first trimester of pregnancy, the uterus begins to increase and there is pressure on the bladder. One of the main reasons for such frequent visits to the toilet is the increased kidney function in pregnant women.
And already in the second trimester of pregnancy, frequent urination practically does not bother. An exception may be a disease of the urinary system.
In the third trimester, the symptoms again bother the woman, because the uterus, in the same way as in the first trimester, presses the bladder. And the work of the kidneys during this period is more intense than usual, which is why there is a constant need to empty the bladder.
You also need to remember that such frequent urge to withdraw urine will probably be observed with various diseases of the genitourinary system, so you should not delay going to the doctor, especially if, in addition to this problem, pain, burning and other uncomfortable conditions occur.
At the time of pregnancy, a woman must be responsible for the health of her child, since the presence of such disorders in the body can affect him. Therefore, all suspicions in this regard must be agreed with an experienced doctor. The causes and treatment of frequent urination are interrelated.
Healing procedures
What is the treatment for frequent urination? It can be carried out only after the main cause of the disease is established. If one of the forms of the disease is identified, it is necessary to use the following types of treatment:
- physiotherapeutic;
- medication;
- feedback method.
Drug therapy
It includes hormone replacement treatment. This therapy is excellent for women who have estrogen production problems or an imbalance between sex hormones. Clinical experiments in this area confirm that substitution therapy can lead to obvious changes in the body:
- hardening the muscles of the pelvic floor;
- activation of blood supply;
- raising trophic abilities of smooth muscles.
Physiotherapy
Physiotherapeutic methods for the treatment of genitourinary diseases:
- UHF to the lower abdomen;
- electrical stimulation of the pelvic floor;
- myostimulation with rectal and urethral sensors.
Medications for the treatment of frequent urination:
- “Driptan” (oxybutynin chloride), “Detrizutol” (tolterodine) - muscarinic receptor antagonists;
- “Distigmine bromide” increases signaling movement in neuromuscular synapses;
- "Gutron" (midodrin) to take 5 mg 2 times a day;
- "Duloxetine" is used in the stressful form of frequent urination;
- "Spazmeks" has antispasmodic, antimuscarinic effects and has analgesic properties (if there is frequent and painful urination);
- "Vesikar" (solifenacin) is a selective M-anticholinergic.
With frequent urination without pain, the biological feedback method is a kind of pelvic floor muscle training. It is very effective in more than 50% of patients. This procedure is designed to stimulate some muscle fibers using high-frequency electric current.