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Frequent Urination: Treatment, Procedure, Cost and Side Effects

What is the treatment?

The process of eliminating urine which contains water, uric acid, urea, toxins and waste is called urination. The bladder, when filled up totally, exerts pressure and individuals feel an urge to expel the waste fluid out of the body. Normally, people urinate approximately 5-7 times in a period of 24 hours for an average consumption of 2litres of water/fluid. However if a person keeps going to the toilet for more than 8 or 9 times, considering it is not urination inconsistency, then this can be called as frequent urination or pollakiuria in medical terms.

Pollakiuria can be caused due to several reasons. It can be caused by kidney, uterus or bladder problems or medical conditions like diabetes mellitus, diabetes insipidus, prostate gland problems or even due to pregnancy.

Treatment of frequent urination will depend on the underlying cause. Doctors (or particularly urologists) will address the root cause prior to beginning the treatment. Every doctor prescribes routine and culture tests of urine samples to determine the cause.

If the disorder arises due to diabetes, then treatment will involve maintaining the blood sugar level. For bacterial kidney infection, doctors prescribe proper antibiotics to eradicate the bacteria and pain killers cure frequent urination and associated burns, itches and pains.Treatment for overactive bladder begins with behavioural therapies which include bladder retaining, diet modification and monitoring fluid intake. Also, a medication known as an anticholinergic may be used.Apart from these, surgeries are also available depending upon the severity of the disorder.

How is the treatment done?

Doctors will carry out a detailed study of the patient’s medical history before beginning their actual treatment. Physical examinations of urine samples and others are accompanied by questions like the onset and duration of this disorder,the pattern of frequent urination, overall water or fluid consumption, other symptoms of aching, itching etc, any ongoing medicines and so on.

Tests include routine and culture of urine samples, ultrasound, for a visual image of the kidneys, CT scan of the abdomen (KUB- Kidney, Uterus and Bladder), cystoscopy, neurological tests to detect any nerve disorder, and other associated examinations.

Depending on the actual cause of the disorder, doctors prescribe medicines to curb frequent urination.

Treatment may include drugs such as darifenacin (Enablex), desmopressin acetate (Noctiva), imipramine (Tofranil), mirabegron (Myrbetriq), oxybutynin (Ditropan), etc. Antibiotics are used to kill bacteria like E-coli, B-coli that cause infection which results in frequent urination along with other symptoms of pain and itchiness. Otherwise, doctors may recommend a change in the life style and food habit to curb the disorder. Bladder retaining method can also be a technique for treatment. The drug Botox can be injected into the bladder muscle which causes the bladder to relax, increases its storage capacity, and reduces episodes of leakage.

In cases of severe urinal problems, surgeries and operations can be performed to bring the matter under control.

Medicines are prescribed for at least two sessions to prevent the recurrence of the disorder.

Who is eligible for the treatment? (When is the treatment done?)

People who urinate more than usual without any apparent cause like consumption of more fluids, alcohol must consult a doctor for safety. Nocturia or urge for urination at night while sleeping, other urinary problems or worrisome symptoms like fever, pain, blood discharge, difficulty in urinating or emptying bladder, loss of bladder control and leakage, change of urine color call for doctor’s attention.

Who is not eligible for the treatment?

Frequency in urination may increase if the overall water consumption of the body is more than optimum. The body may thus release the excess water content along with the waste materials through urination which counts more than usual. If this happens infrequently or insignificantly, the person will not have to visit a doctor Also if there are no other side issues, then this may be considered as mild.

Are there any side effects?

Treatment of frequent urination with prolonged medicines can cause side effects. For severe cases, when the patient is taking medicine for a very large period, the body may grow resistant to the particular drug and stop responding. Patients may feel nausea, headache, vomiting, loss of appetite, etc. Prolonged medicines also stunt proper growth and development of the body. Short term medicines do not cause side effects if the individual is not allergic to any particular drug.

What are the post-treatment guidelines?

After the treatment, doctor's advice should be strictly followed including timely consumption of medicines, maintaining proper food and liquid intake, urinating as necessary etc. A retest of the physical examinations should be done post medicinal course to check upon the disorder and other related infections.Also, after completion of medicines, it is advised to recheck with the doctor to prevent further recurrence of the issue.

How long does it take to recover?

The duration of the treatment addresses the underlying root cause of the disorder. Depending on the cause, the time varies. For mild infections and problems, the time needed to cure this urination frequency is not much. However, for complicated situations, it may take upto eight months or even a year to get cured.

What is the price of the treatment in India?

The cost required for the treatment of frequent urination is not very money consuming. It mainly includes the consultation fee, varying for different doctors but is usually around Rs.600-Rs 800. The tests prescribed may range in between Rs 1200-Rs 2000. In case of surgical assistance, the price range may increase to Rs 15000-Rs 20000.

Are the results of the treatment permanent?

The treatment results are usually permanent and prompt. However, in some cases, it may provide temporary relief to the patient without eradicating the cause. Frequent urinaion disorder can be triggered if personal health is not taken care of. If medicines are not taken properly or other instuctions are neglected, then pollakiuria may again reappear with more complications.

What are the alternatives to the treatment?

If there is no severe medical condition that needs treatment by a doctor, then urinary frequency can be reduced by home remedies. Most vital is the kegel exercise which strengthens the pelvic and urethral muscles and supports the bladder.Regular exercises can help in toning these muscles which aids to improve bladder control and also reduce urinary urgency and frequency. Bladder can be made to retain the urine voluntarily for a slightly longer time to increase its retention capacity and reduce frequency. It is important to keep in mind that once the urge to urinate is extreme, it should not be held back but released;otherwise it may cause other problems and infections. Monitoring fluid intake and modifying diet can also effectively control frequent urination. Also, ayurvedic treatment can be used to cure pollakiuria.

Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Low Time For Recovery: Medium Price Range:

Rs 600-Rs 20,000

Popular Health Tips

Frequent Urination - Can it be a Sign of Kidney Disease?

DNB (Nephrology), MD, MBBS
Nephrologist, Delhi
Frequent Urination - Can it be a Sign of Kidney Disease?

Polycystic kidney disease is a disorder that is inherited; it is characterized by development of cysts in the kidneys. These cysts are round sacs that contain a water like fluid. Initially, the size of the cysts are small, they tend to increase in size after the fluid accumulation. This disorder can also cause cysts to develop in the liver and other parts of the body.

Symptoms and Complications
The most common symptoms of this disorder are back pain, headache, high blood pressure and kidney failure. It can also lead to formation of stones in the kidney, presence of blood in the urine and an urge to urinate frequently. It also make your kidney prone to various bacterial infections.

Causes
The disease is caused because of the presence of defective genes in the body, implying that this disorder is primarily hereditary. In some cases, the disease is caused by a genetic mutation. Based on the causes, it is classified into two types:

  1. Autosomal recessive polycystic kidney disease: This disorder causes the symptoms to appear immediately after birth, although the symptoms are delayed until adolescence. This disorder only occurs when both the parents carry the defective gene which is passed to the offspring.
  2. Autosomal dominant polycystic kidney disease: This disorder usually tends to occur only after the age of 30. Unlike the previous type, here only one parent needs to carry the defective gene that is passed on to the offspring.

Treatment
The treatment of polycystic kidney disease generally involves dealing with the following signs:

  1. PainChronic pain, usually in the sides of the body or the back, is a common symptom of this disorder. You can opt for pain reliving medication such as ibuprofen. If the cysts are large, then surgery is required to ease the pain.
  2. High blood pressure: High blood pressure is best controlled by a following a healthy diet and lifestyle. High blood pressure can damage the kidneys severely. Medications may also be required to control blood pressure, if it rises abnormally.
2250 people found this helpful

Link Between Heart Diseases and High Blood Pressure

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Link Between Heart Diseases and High Blood Pressure

Blood pressure is the measure of the resistance to the natural flow of blood in the blood vessels. The major, minor and few smaller blood vessels themselves have a thin muscular lining that keeps the vessel supple and aids the flow of nutritious blood within its tube-like structure. The vessel walls resist the free flow causing a reverse pressure that is referred to as Blood Pressure. This pressure strains the heart muscles (Left Ventricle more) to contract strongly to push the nutritious blood into the body circulation system.

Due to numerous factors, there is an increase of resistance within the blood vessels that leads to an increase in blood pressure. At a later stage, this results in lack of adequate blood flow to the end tissues and an accumulation of fluids in the various tissues/organs and a mismanagement of the nutrition-detoxification rhythmic cycle of the body. This takes a long time to develop and unless the last stage hampers body functions, it is not detected. Hence, blood pressure is known as a silent disease.

Systolic and diastolic are the two rhythms corresponding to the expansion and contraction of the heart chambers during pumping of blood into the body. This rhythm creates two distinct pressures within the blood vessels. Systolic is when the heart ventricular chamber contract to pump blood into the body, so the pressure is higher. This indicated the force or strain on the heart to push blood into the circulatory system. Hence, this count is considered significant in evaluating health parameters.

High BP as a disease is declared when three or more readings taken at different times of a day or on consecutive days shows increase in BP. Higher the BP, more strain is exerted by the heart. Since the heart is essentially a muscular organ, the muscles of the heart get affected. Sometimes, the heart muscles increase in mass and size making the heart chambers smaller in volume. This further deteriorates the circulation capability leading to numerous diseases. The strain of pumping nutrition to different body organs is also felt by the heart itself. Lack of nutrition can lead to death of cardiac tissue leading to heart failure. High blood pressure makes the heart walls thicken and becomes stiffer which makes it even more difficult to pump blood. Thickening of the heart muscles is also known as left ventricular hypertrophy and cause heart failure.

A systolic blood pressure reading that is higher than 140 mm Hg or a diastolic blood pressure higher than 90 mm Hg characterizes by high blood pressure. High blood pressure is said to be responsible for 50% of the recorded cases of ischemic strokes and also increases the risk of hemorrhagic strokes.

When heart cannot pump with enough force, there is a mismanagement in the intra-cellular and tissue fluid restoration. This puts a great strain on the kidney function. In due course of time, numerous organs of the body suffer and depending on the body constitution, immunity for rejuvenation and restoration of order, the person suffer from numerous diseases.

Diabetes worsens the situation of BP and adds to the deterioration of heart health, blood vessel health. Poor heart functioning leads to different symptoms like:

  1. Shortness of breath
  2. Swollen ankles or feet
  3. Difficulty lying flat on your back
  4. Bloating and nausea
  5. Irregular pulse
  6. Frequent urge to urinate at night
  7. Fatigue

Due to disturbances in BP and other factors leading to lacking of nutrition to the heart tissue. Heart Disease complications are commonly seen with symptoms as follows:

Radiating or dull pain, especially in the chest, radiating in the arms, especially left arm, neck, back and in the stomach especially in women.

  1. Shortness of breath; change in breathing patterns and heaviness in chest
  2. Dizziness and fainting sometimes
  3. Irregular pulse and palpitations
  4. Sudden onset of excessive sweating
  5. Unexplained fatigue, weakness and depression

Heart Disease can be treated with natural ayurvedic medicaments successfully in more than 80% of patients. Numerous ayurvedic medicines have been clinically evaluated to show positive changes supported with clinical investigation. Since ayurvedic medicines are targeted to reaching the root cause of the disturbances and to reduce the burden of the disease they go beyond the relief of symptoms.

Natural Ayurvedic medicines also participate in the rejuvenation of the heart muscles, the blood vessels, the detoxification of the body and re-balancing of health parameters, Ayurvedic treatment options are gaining great relevance and patient opt for such treatment in greater numbers from all over the world. These treatments are non-invasive and very cost effective. They are good to be taken from prevention to after angioplasty, stent or bye-pass to treat the cause of disease.

Ayurveda is a health science that takes into consideration lifestyle modifications, adequate detoxification, re-balancing body element and strengthening the system from all aspects. Ayurvedic medicines have proved useful in the treatment of Blood Pressure, Diabetes, Vascular disease (leading to atherosclerosis, blockages, wear-tear of blood vessels) and Heart disease. Today, these treatment options are gaining importance and acceptance in our society. If you wish to discuss about any specific problem, you can consult an ayurveda and ask a free question.

3591 people found this helpful

Frequent Urination In Women - Know The Causes!

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
Frequent Urination In Women - Know The Causes!

Burning urination or painful urination is also called dysuria, and it is one of the most common complaints amongst women. Another common problem is frequent urination. What are the causes of these two conditions? Are they in fact related? 

Frequent urination, in simple terms, is also sometimes called overactive bladder and it is the need to urinate more than you normally would. This can cause loss of bladder control too. You may feel extremely full even after using the toilet and the feeling is extremely uncomfortable. Medical practitioners bracket urinating every two hours or more as frequent urination.

Some of the underlying causes are

  1. A urinary tract infection or UTI is the most common cause of frequent urination. UTIs happen when bacteria enters your urinary bladder through the urethra. Men also get UTIs, but it is less common than women as the ladies have shorter urethras. This means that bacteria have less distance to travel before they can infect the urinary tract causing UTIs. UTIs in women can be prevented by proper wiping after using the toilet, which will protect the urethra from E.coli bacteria. Proper hygiene also is a deterrent, especially after intercourse.
  2. Medical conditions affecting muscles, nerves, and tissues. Weakening of nerves due to hernias in the lower back etc. can also cause an overactive bladder.
  3. Oestrogen deficiency caused due to menopause can cause an overactive bladder and a woman finds it difficult to hold the urine for long.
  4. Obesity can also place extra pressure on the bladder.

Burning sensation while urinating 

Common reasons behind it

  1. Frequent urination does not point to any gynaecological issues but burning urination is a common symptom of sexually transmitted diseases or STDs like Chlamydia and Gonorrhea which cause symptoms like pain when urinating and vaginal discharge. Burning urination usually occurs after intercourse when sexually transmitted infections are present.
  2. Burning while urination can also be caused due to UTIs and it is often accompanied by other symptoms of UTIs like painful urination or dysuria or blood in the urine.
  3. Kidney stones are solid masses of crystalized calcium or other materials that start in the kidneys but can pass through the urinary tract causing pain and discomfort.
  4. Urethral stricture is a condition when the urethra narrows and this causes burning and pain during urination in women.
  5. Urethritis is the inflammation of the urethra in women can cause burning on urination.
  6. Pelvic inflammatory disease is an infection of the reproductive organs in women and causes abdominal pain especially during urination or sex.
  7. Bladder cancer
  8. Vulvovaginitis is a common infection of the vulva and vagina, both, and it causes burning and itching while urinating and increased vaginal discharge.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4606 people found this helpful

Frequent Urination - How Lifestyle Changes Can Help?

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Pune
Frequent Urination - How Lifestyle Changes Can Help?

An overactive bladder is a condition that is characterized by a problem in the bladder storage function; a problem that eggs one on to urinate frequently. This condition can cause problems in your social and work life. You may isolate yourself from others and feel embarrassed about the situation.

Symptoms
If you have an overactive bladder, you may exhibit symptoms of frequent urination, involuntary leakage of urine and frequent urge to urinate. These symptoms might disrupt your daily life; so it is important to seek advice from a medical practitioner.

Causes
To better understand what causes an overactive bladder, you need to know how the urination process works. Urine is produced by the kidneys, which flows to the bladder. During urination, the urine is excreted from an opening in the bladder and flows out via the urethra. As the kidneys secrete urine, the bladder starts to fill up. During this stage, nerve signals are sent to the brain; signals that trigger your body to urinate. The bladder muscles tighten that pushes the urine out of the body.

An overactive bladder results from the involuntarily contraction of the bladder, which might happen even if the content of urine in the bladder is low. These contractions create the urge to urinate. The various causes of an overactive bladder are:

  1. Excessive fluid intake, if your fluid intake is high, then you may have the tendency to urinate frequently.
  2. Presence of tumors or stones in the bladder can make the bladder overactive as well.
  3. Excessive alcohol or caffeine consumption has the same effect as an excessive intake of fluids has.
  4. Urinary tract infections may interfere with the entire process of urination, thus causing your bladder to swell up and become overactive.
  5. Other diseases and conditions such as constipation and an enlarged prostate can hamper bladder functioning.

Treatment
There are multiple approaches to treat an overactive bladder; your doctor may use one or a combination of multiple methods.

  1. Medications: Medications such as Trospium and Tolterodine help in relaxing the bladder. These medications help treat symptoms of frequent urination.
  2. Bladder injections: Botox is a protein that is injected into the bladder that causes partial paralysis of the bladder muscles. This helps in treating the constant urge to urinate. However, its effects are temporary as they last for 6-9 months.
  3. Lifestyle modifications: Certain lifestyle modifications such as incorporating exercises to strengthen the pelvic muscles, maintaining optimal weight levels and bladder training to control its functioning can help with managing an overactive bladder.
  4. SurgeryIf the other treatments do not produce the desired results, then surgery is usually recommended. The aim of the surgery is to enhance the storage capacity of the bladder and reduce bladder pressure.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3369 people found this helpful

Frequent Urination - Is It A Symptom of An Overactive Bladder?

DNB - Urology, Andrology & Kidney Transplant, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Sexologist, Jammu
Frequent Urination - Is It A Symptom of An Overactive Bladder?

An overactive bladder is a condition that is characterized by a problem in the bladder storage function; a problem that eggs one on to urinate frequently. This condition can cause problems in your social and work life. You may isolate yourself from others and feel embarrassed about the situation.

Symptoms
If you have an overactive bladder, you may exhibit symptoms of frequent urination, involuntary leakage of urine and frequent urge to urinate. These symptoms might disrupt your daily life; so it is important to seek advice from a medical practitioner.

Causes
To better understand what causes an overactive bladder, you need to know how the urination process works. Urine is produced by the kidneys, which flows to the bladder. During urination, the urine is excreted from an opening in the bladder and flows out via the urethra. As the kidneys secrete urine, the bladder starts to fill up. During this stage, nerve signals are sent to the brain; signals that trigger your body to urinate. The bladder muscles tighten that pushes the urine out of the body.

An overactive bladder results from the involuntarily contraction of the bladder, which might happen even if the content of urine in the bladder is low. These contractions create the urge to urinate. The various causes of an overactive bladder are:

  1. Excessive fluid intake, if your fluid intake is high, then you may have the tendency to urinate frequently.
  2. Presence of tumors or stones in the bladder can make the bladder overactive as well.
  3. Excessive alcohol or caffeine consumption has the same effect as an excessive intake of fluids has.
  4. Urinary tract infections may interfere with the entire process of urination, thus causing your bladder to swell up and become overactive.
  5. Other diseases and conditions such as constipation and an enlarged prostate can hamper bladder functioning.

Treatment
There are multiple approaches to treat an overactive bladder; your doctor may use one or a combination of multiple methods.

  1. Medications: Medications such as Trospium and Tolterodine help in relaxing the bladder. These medications help treat symptoms of frequent urination.
  2. Bladder injections: Botox is a protein that is injected into the bladder that causes partial paralysis of the bladder muscles. This helps in treating the constant urge to urinate. However, its effects are temporary as they last for 6-9 months.
  3. Lifestyle modifications: Certain lifestyle modifications such as incorporating exercises to strengthen the pelvic muscles, maintaining optimal weight levels and bladder training to control its functioning can help with managing an overactive bladder.
  4. SurgeryIf the other treatments do not produce the desired results, then surgery is usually recommended. The aim of the surgery is to enhance the storage capacity of the bladder and reduce bladder pressure. 
1975 people found this helpful

Popular Questions & Answers

Since 1 and half year my urine getting yellowish and I take plenty of water then frequently urination. I am also test of urine and blood but every thing is ok in the test report but I am getting horrible that something is wrong with me so pls suggest me.

BHMS
Homeopath, Noida
Yellow urine (if u don’t have other symptoms like burning or urgency or frequency) is because u drink less water. Increase ur intake of fluids to the point that ur urine is colourless. Do this as well Do the following-- 1. you maintain high grade of personal hygiene. 2. Do change your undergarments at least 2 times a day 3. Wear cotton underclothes. 4. Stay hydrated. Drink plenty of fluids. 5. Keep the area dry. For more details you can consult me.

I am suffering from frequent urination problem. According to urine test report I don't have any infection and the other things were normal. Sometimes frequent urination improves and sometimes increases. But it don't panic when I am slept. What can be the reasons. I am 22 year old male. Also, while faecesing urination start and stops regularly.

DNB - Urology, MS - General Surgery
Urologist, Jaipur
This is more of behavioral issue. When you are under stress the bladder also become overactive. So try some relaxation exercises and decrease stress. Decrease liquid intake when urine frequency increases .That also helps.

I have frequent urination and frequent thirst and I feel very dizzy and after eating I like to eat more and I am always tired and when my hunger start if I don't eat I have headaches and my hands and foot become cold and I start sweating.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
For frequent urination please get USG abdomen and pvrv and urine routine and culture and sensitivity done. If reports are normal then start tab solifenacin 5 mg twice daily for 15 days and see how is the response.

Hi Sir, I had a frequent urination problem and after looking the urine test report (everything was normal) doctor gave me a tab Tas. Soliact (10 mg). My frequent urination problem was gone but when the tablet finished it is again starting. Please help. What to do now. Please help sir.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
Sometimes this medicine has to be taken for a longer period maybe 2-3 months. You can continue same medicine for this period and see how is the response.
1 person found this helpful

Hi sir/madam, Some liquid falling continuously from left side of head and I am getting frequent urination because of this. Can I know what is this and how I can cure it fast thank you.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
These could be two separate problem. You need an ENT specialist advice for liquid coming out of head. For frequent urination please get USG abdomen and pvrv and urine routine and culture and sensitivity done. If reports are normal then you can take tab solifenacin 5 mg twice daily for 15 days and see how is the response.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Difficulty In Urination
Hello!

I am Dr. Piyush Singhania, Urologist, practicing in Navi Mumbai. Today I will talk about a very common problem i.e. difficulty in urination. It can be of 2 types. 1st: Patient can't store it well and they have to rush to the bathroom every now and then. 2nd: Patient who cannot pass urine well. They have to wait. Flow is slow and they have to empty their bladder completely. Urination 7 times in a day and 2 times in night considered normal. Who rush frequently than that, they have to contact the doctor immediately. The problem can be urinary tract infection, overactive bladder due to aging or diabetes, some neurogenic issues. In males and females, causes can be varied.

Like in male prostate enlargement can be the cause of it. Another reason narrowing of urethra through which the urine comes out. Some patients can also have a weak bladder so the bladder cannot push the urine out. Some patients are presents with incontinence urine - leakage of urine. It can be of 2 types. Patient feel urge to urine but they are not able to control so, there can be the leakage of few drops of the urine. Another type when the patient is coughing or laughing loud or when they are lifting heavy weights, they leak some amount of urine.

So, I urge the patient to not suffer silently. Come out and talk to your doctor and get it sorted. Treatment starts for evaluation with history taking and some test like urodynamic study and uroflowmetry. We check where the problem is exactly. Contact a doctor if you are suffering from any such problem. To get more information or to make an appointment, contact me through lybrate.com.

Thank You!
Having issues? Consult a doctor for medical advice