Frequent urination is a condition in which a person experiences the urge to urinate more often than he or she normally would. Under normal circumstances, a person passes urine 4 to 8 times a day. But when a person passes urine more than 8 times a day or wakes up multiple times at night to go to the toilet, then it usually indicates the problem of frequent urination.
For people experiencing frequent urination, the urge to pass urine is often sudden and accompanies the feeling of a full bladder. A person may also experience the feeling of losing control over their bladder. Frequent urination can take a toll on your normal day-to-day routine and adversely affect your sleep cycle.
Frequent urination can be a sign of one or more underlying medical condition(s). These conditions include:
Besides the aforementioned health conditions, frequent urination can also be a sign of stress or anxiety, high intake of diuretics, stones in bladder or kidney, interstitial cystitis etc. In some cases, it can also indicate sexually transmitted infection (STI), bladder cancer, colon diverticulitis, tumour in the pelvic region etc.
There is no specified number of visits to the washroom that indicate frequent urination in early pregnancy. It is more about needing to urinate more frequently than in normal circumstances. The uterus, while growing in early pregnancy, exerts pressure on the urinary bladder.
The pressure exerted by the uterus triggers contractions in the bladder. This results in the need to urinate more often during early pregnancy. Similarly, the hormonal changes also brought on by pregnancy also trigger the kidneys to produce more than usual urine.
Besides the recurring urge to pass urine, there are certain other symptoms that may accompany frequent urination. Some of those are:
However, these symptoms generally vary depending on the underlying medical condition.
A number of biological processes are associated with the production and expulsion of urine from the body. Therefore, a number of factors can influence the urge to urinate more frequently. Some of the possible causes of frequent urination are:
Other possible causes include sexually transmitted infections, tumours in the pelvic region, bladder cancer, or history of radiation or chemotherapy.
Also, there are certain conditions that can cause frequent urination in men and women. Men with an enlarged prostate are at increased risk of experiencing frequent urination as the pressure exerted by the prostate can irritate walls of the urinary bladder and stimulate contractions. This results in a recurring feeling of passing urine. Similarly, pregnancy leads to a growth of uterus in women that often presses against the bladder and triggers the bladder to contract.
Doctors will carry out a detailed study of the patient’s medical history before beginning their actual treatment. It also includes
Frequent urination tests:
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.
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.
Depending on the condition, possible treatment may include or involve:
Treatment may include drugs such as: darifenacin (Enablex), desmopressin acetate (Noctiva), imipramine (Tofranil), mirabegron (Myrbetriq), oxybutynin (Ditropan), etc. Medicines are prescribed for at least two sessions to prevent the recurrence of the disorder.
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.
Treatment for overactive bladder includes doing pelvic exercises, such as Kegels or bladder retraining exercises, to help delay urination, diet modification and monitoring fluid intake. Also, a medication known as an anticholinergic may be used. Apart from these, in cases of severe urinal problems, surgeries are also available depending upon the severity of the disorder.
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.
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.
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.
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.
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.
The problem of frequent urination can be resolved by addressing the underlying cause. If lifestyle habits such as high intake of fluids, diuretics, caffeinated beverages, alcohol, nicotine and artificial sweeteners are responsible, then monitoring and limiting their intake can provide relief from frequent urination.
However, if a medical condition is responsible for the problem, then you need to consult a physician in order to get the condition diagnosed. After the condition is diagnosed, the physician will prescribe a suitable treatment regimen.
Frequent urination at night (also known as nocturia) is a condition that can be prevented by reducing the intake of water and other fluids before going to bed. Avoid consumption of foods and beverages that may irritate the walls of the bladder. Also, do not consume diuretic foods and beverages at night.
There are certain measures that can be followed to reduce the frequency of urination naturally. These include:
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.