Womens Health
frequent urination
1 Replies
jessie4423 - December 31

I am having frequent urination at night and has been going on for a while. I've had blood work and have been tested for a UTI and everything is negative. I am only 26 and I haven't had any issues with anything but now I am worried. I must pee like 8 times before I can actually fall asleep and sometimes I wake up out of a dead sleep to pee and I just do not have any clue what this is or what to do please help..


Tasha_21 - March 27

Frequent urination can be a symptom of many different problems. When frequent urination is accompanied by fever, an urgent need to urinate, and pain or discomfort in the abdomen, you may have a urinary tract infection. Other possible causes of frequent urination include:

Diabetes. Frequent urination is often an early symptom of both type 1 and type 2 diabetes as the body tries to rid itself of unused glucose through the urine.

Pregnancy. From the early weeks of pregnancy the growing uterus places pressure on the bladder, causing frequent urination.

Prostate problems. An enlarged prostate can press against the urethra (the tube that carries urine out the body) and block the flow of urine. This causes the bladder wall to become irritable. The bladder begins to contract even when it contains small amounts of urine, causing more frequent urination.

Interstitial cystitis. This condition of unknown cause is characterized by pain in the bladder and pelvic region. Often, symptoms include an urgent and/or frequent need to urinate.

Diuretic use. These medications that are used to treat high blood pressure or fluid buildup work in the kidney and flush excess fluid from the body, causing frequent urination.

Stroke or other neurological diseases. Damage to nerves that supply the bladder can lead to problems with bladder function, including frequent and sudden urges to urinate.

Less common causes include bladder cancer, bladder dysfunction, and radiation therapy.

Often frequent urination is not a symptom of a problem, but is the problem. In people with overactive bladder syndrome, involuntary bladder contractions lead to frequent and often urgent urination, meaning you have to get to a bathroom right now -- even if your bladder is not full. It may also lead you to wake up once or more during the night to use the bathroom.

Diagnosing the Cause of Frequent Urination
If urinary frequency interferes with your lifestyle or is accompanied by other symptoms such as fever, back or side pain, vomiting, chills, increased appetite or thirst, fatigue, bloody or cloudy urine, or a discharge from the penis or vagina, it's important to see your doctor.

To diagnose the cause of frequent urination, your doctor will perform a physical examination and take a medical history, asking questions such as the following:

Are you taking any medications?
Are you experiencing other symptoms?
Do you have the problem only during the day or also at night?
Are you drinking more than usual?
Is your urine darker or lighter than usual?
Do you drink alcohol or caffeinated beverages?

Diagnosing the Cause of Frequent Urination continued...
Depending on the findings of the physical exam and medical history, your doctor may order tests, including:

Urinalysis. The microscopic examination of urine involving a number of tests detects and measures various compounds that pass through the urine.

Cystometry. A test that measures the pressure inside of the bladder to see how well the bladder is working. Cystometry is done when a muscle or nerve problem may be causing problems with how well the bladder holds or releases urine.

Cystoscopy. A test that allows your doctor to look at the inside of the bladder and urethra using a thin, lighted instrument called a cystoscope.

Neurological Tests. Diagnostic tests and procedures that help the doctor confirm or rule out the presence of a nerve disorder.

Ultrasonography. A diagnostic imaging test used to visualize an internal body structure.

Treatment for Frequent Urination
Treatment for frequent urination will address the underlying problem that is causing it. For example, if diabetes is the cause, treatment will involve keeping blood sugar levels under control; treatment for overactive bladder may include drugs such as Detrol LA, Ditropan, Enablex, Oxytrol, Sanctura XR, Tofranil, and Vesicare.

There are also many things you can do on your own to reduce urinary frequency. They include:

Bladder retraining. This involves increasing the intervals between using the bathroom over the course of about 12 weeks. This helps retrain your bladder to hold urine longer and to urinate less frequently.

Kegel exercises. These exercises help strengthen the muscles around the bladder and urethra to improve bladder control and reduce urinary urgency and frequency. Exercising pelvic muscles for five minutes three times a day can make a difference in bladder control.

Diet modification. You should avoid any food that appears to irritate your bladder or acts as a diuretic. These may include caffeine, alcohol, carbonated drinks, tomato-based products, chocolate, artificial sweeteners, and spicy foods. It's also important to eat high-fiber foods, because constipation may worsen the symptoms of overactive bladder syndrome.

Monitoring fluid intake. You should drink enough to prevent constipation and over-concentration of urine, but you should avoid drinking just before bedtime, which can lead to nighttime urination.



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