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Overview

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 - 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. Surgery: If 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. 
1968 people found this helpful

Frequent Urge to Urinate - Can it Be a Sign of Prolapsed Bladder?

MBBS, MS - General Surgery, MCh - Genitourinary Surgery, DNB - Urology
Urologist, Delhi
Frequent Urge to Urinate -  Can it Be a Sign of Prolapsed Bladder?

Bladder prolapse is a condition wherein a woman’s vaginal wall ceases to adequately support the urinary bladder. The front wall of the vagina gives support to the bladder under normal circumstances but when this wall weakens, it allows the bladder to droop and become prolapsed. This can lead to a wide range of medical problems such as urinary difficulties, stress incontinence (leakage of urine while coughing or sneezing), pain and discomfort, etc.

Prolapsed bladders are generally associated with menopause. Also known as cystoceles or fallen bladders, they are categorized into four different types depending on the extent to which the bladder has prolapsed.
Grade 1: This is the mild stage wherein a small portion of the bladder droops into the vagina.
Grade 2: This is the moderate stage in which the bladder droops far enough to reach the opening of the vagina.
Grade 3: This is when the condition becomes severe and the bladder protrudes from the body through the opening of the vagina.
Grade 4: This occurs when the bladder has completely prolapsed. The entire bladder protrudes outside the vagina and is normally associated with other forms of pelvic organ prolapse such as uterine prolapse (the sagging of the uterus from its normal spot) and rectocele (prolapse of the wall between the vagina and the rectum).

What are the causes of prolapsed bladders?
Following are the factors that lead to the condition of prolapsed bladders:

  1. Menopause: The vaginal walls are known to become weak upon the onset of menopause. This occurs because the body inhibits the production of oestrogen, the hormone that renders strength to the muscles of the vagina. As a result, the bladder is no longer supported by the vagina.
  2. Childbirth: The process of childbirth puts a tremendous amount of stress on the vagina and often leads to deterioration of the muscles of the vaginal wall. This in turn leads to the condition of prolapsed bladder.
  3. Straining: Anything that puts strain on the walls of the vagina can lead to this condition. This includes lifting heavy objects, chronic constipation, obesity, excessive coughing and sneezing or any other factor that damages the pelvic floor.

What are the symptoms of a prolapsed bladder?
Symptoms of a prolapsed bladder vary from case to case, depending on the category and extent of the condition. Some of the most commonly experienced symptoms of the condition are as follows:
Tissue sticking out of the vagina (that may be tender and/or bleeding)

  1. Frequent urge to urinate
  2. Urinary incontinence (unwanted leakage of urine)
  3. Pain during urination
  4. Pain during sex
  5. Frequent urinary tract and bladder infections
  6. Pain in the vagina, pelvis, lower abdomen or lower back
  7. Incomplete urination

    If you wish to discuss about any specific problem, you can consult an urologist.

3159 people found this helpful

Men Urinary Incontinence Treatment

Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
Urologist, Delhi
Men Urinary Incontinence Treatment

Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:

  1. Stress Incontinence– when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh.
  2. Urge Incontinence– when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards.
  3. Overflow Incontinence (chronic urinary retention)– when you're unable to fully empty your bladder, which causes frequent leaking.
  4. Total Incontinence– when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking.

It's also possible to have a mixture of both stress and urge urinary incontinence.

What causes urinary incontinence in men?

Urinary incontinence in men results when the brain does not properly signal the bladder, the sphincters do not squeeze strongly enough, or both. The bladder muscle may contract too much or not enough because of a problem with the muscle itself or the nerves controlling the bladder muscle. Damage to the sphincter muscles themselves or the nerves controlling these muscles can result in poor sphincter function. These problems can range from simple to complex.

A man may have factors that increase his chances of developing UI, including

  1. birth defects—problems with development of the urinary tract
  2. a history of prostate cancer—surgery or radiation treatment for prostate cancer can lead to temporary or permanent UI in men

UI is not a disease. Instead, it can be a symptom of certain conditions or the result of particular events during a man’s life. Conditions or events that may increase a man’s chance of developing UI include

  1. benign prostatic hyperplasia (BPH)—a condition in which the prostate is enlarged yet not cancerous. In men with BPH, the enlarged prostate presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty, leaving some urine in the bladder. The narrowing of the urethra and incomplete emptying of the bladder can lead to UI.
  2. chronic coughing—long-lasting coughing increases pressure on the bladder and pelvic floor muscles.
  3. neurological problems—men with diseases or conditions that affect the brain and spine may have trouble controlling urination.
  4. physical inactivity—decreased activity can increase a man’s weight and contribute to muscle weakness.
  5. obesity—extra weight can put pressure on the bladder, causing a need to urinate before the bladder is full.
  6. older age—bladder muscles can weaken over time, leading to a decrease in the bladder’s capacity to store urine.

Treating Urinary Incontinence

Initially, your GP may suggest some simple measures to see if they help improve your symptoms. These may include:

  1. lifestyle changes – such as losing weight and cutting down on caffeine and alcohol
  2. pelvic floor exercises – exercising your pelvic floor muscles by squeezing them, taught by a specialist 
  3. bladder training – where you learn ways to wait longer between needing to urinate and passing urine, guided by a specialist
  4. You may also benefit from the use of incontinence products, such as absorbent pads and handheld urinals.
  5. Medication may be recommended if you're still unable to manage your symptoms.
  6. Surgery may also be considered. The specific procedures suitable for you will depend on the type of incontinence you have.
  7. Surgical treatments for stress incontinence, such as tape or sling procedures, are used to reduce pressure on the bladder or strengthen the muscles that control urination.
  8. Operations to treat urge incontinence include enlarging the bladder or implanting a device that stimulates the nerve that controls the detrusor muscles. If you wish to discuss about any specific problem, you can consult an urologist.
1955 people found this helpful

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.
2243 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.

3584 people found this helpful

Popular Questions & Answers

Frequent urination, burning sensation while urinating experienced since 1 week now. I drink water a lot due to summer and hot climate. Not sure what's wrong.

MBBS, MD
Endocrinologist, Delhi
It is suggestibe of UTI. Get your urine culture and sensitivity test done and start antibiotic according to sensitivity test.

Hi, Meri wife ki age 36 years hai us ko hamesha laga rheta ki toilet laga hai jab khasti hai to toilet halki fulki ho bhi jati hai kya karu bataye.

BHMS
Homeopath, Ahmedabad
Homeopathic treatment is best for it take Causticum 30 .further help and treatment you can take online consultation.

Hi, When I urine after sometime I feel that I have to urine again I am urinating very much? Please help me for this issue.

MBBS
General Physician, Mumbai
Dear Lybrateuser, - Your problem could be due to a urinary tract infection - have plenty of oral fluids including 2-3 litres of water - do urine RE/ ME (routine & microscopic examination), culture - depending on the test report medication can be started by the doctor.
1 person found this helpful

I have to go for toilet frequently. This will create pain in abdomen nd disturb my sleeping cycle also for last 7-8 months. My report for urine culture and urine routine is normal. What should I do. Please suggest. Thank u.

MBBS Bachelor of Medicine and Bachelor of Surgery, MBA - Health Care Administration
General Physician, Delhi
Go for fasting Blood sugar and PPSugar blood for HbA1C take plenty of fluids 4-6 litres take Meftal Spas for pain.

I go to urine for 14-15 times in a day and in night it's 3 time. My doctor didn't told me anything important about this and gave me the medicine roliten od 4 mg For 2 months. My age is 25 yr. So tell me about this.

MD - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Endocrinologist, Indore
In case you drink lots of tea, coffee it would be worthwhile to stop it. Only the doctor managing your problem can find out the cause of urinary frequency. There are many potential causes of urinary frequency. Occasionally this is related to the amount or type of fluid consumed. Caffeine and alcohol can cause frequent urination in some patients. One of the more common causes of urinary frequency is a urinary tract infection (bladder or prostate). Frequent urination can be caused by prolapse of the bladder (dropped bladder). Sometimes urinary frequency can be caused by stones in the urinary tract. Bladder obstruction due to an enlarged prostate can lead to urinary frequency. The frequency can be caused by tumours in the bladder. Urinary frequency is occasionally related to neurologic conditions. Stroke, spinal cord injuries, and multiple sclerosis are often associated with frequent urination. Often urinary frequency is caused by abnormal pelvic nerve function and coordination. Urinary frequency can be associated with some serious diseases. Diabetes mellitus can cause frequent urination. Diabetes mellitus can lead to high volume frequent urination.

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?