Frequent urination in men without pain: causes and treatment. Causes and treatment of frequent urge to urinate in women without pain and with painful sensations Frequent urge to urinate in women without pain treatment

To get rid of such an unpleasant and sometimes debilitating symptom as frequent emptying of the bladder, it is necessary to establish the exact cause of its occurrence.

Treatment of frequent urination requires an etiological, pathogenetic and symptomatic approach. The choice of therapy methods is determined only by the doctor, so do not postpone your visit to him.

If the cause of frequent urination is physiological, then eliminating them will relieve the patient of the unpleasant symptom. We are talking about the following events:

• restoration of the water regime, exclusion from the diet of alcohol, highly carbonated drinks, spices, herbs, watermelon, etc.;
• exclusion of stressful and exciting situations;
• During pregnancy, women are recommended to take a knee-elbow position, which helps reduce the load on the bladder.

Etiological therapy involves influencing the underlying cause of the disease, which allows you to cure an unpleasant symptom or reduce it as much as possible.

We are talking about prescribing antibacterial agents, hormonal drugs, glucose-lowering tablets and others.

Pathogenetic therapy consists of eliminating various links in the pathogenesis of the disease (for example, surgical intervention for malformations of the bladder).

Symptomatic treatment includes the prescription of such groups of medications as painkillers, anti-inflammatory, antispasmodics, psychotropic drugs and others.

Physiotherapeutic treatment methods are widely prescribed, the choice of which is determined by the underlying pathology (UHF, electrical stimulation, etc.)

• Diuretic therapy. When taking diuretics, the number of urinations increases, and the volume of urine increases.
• Pregnancy. We will talk about this factor in more detail below.
• Nutritional features. Eating large amounts of spicy food, pickles, animal and vegetable fats irritates the bladder receptors and contributes to increased urination.
• Abuse of caffeinated drinks such as green tea, coffee, and alcohol, especially beer.
• Hypothermia of the lower extremities. Many people probably noticed that when they were cold, the urge to go to the toilet “in a small way” became more frequent. This can be considered a normal reaction of the bladder after hypothermia.
• Psycho-emotional shocks. During stress, the body's cells suffer from oxygen starvation, one of the manifestations of which is frequent urination.
• Period. Before menstruation, fluid is retained in the female body, so with the arrival of menstrual periods, it begins to be excreted in the urine, as a result of which urination becomes more frequent.
• Climax. During the period when a woman’s reproductive function fades, hormonal and metabolic changes occur in the body, which contribute to increased frequency of urination.

Normal urination rates

Before getting down to the question of what frequent urination is and what its main causes are, it is necessary to understand what frequency of bladder emptying is considered normal.

For people of different age groups, the number of trips to the toilet “in small ways” varies. This is influenced by factors such as the time of day, the amount of fluid drunk during the day, the nature of the diet, the level of physical activity, etc.

Young children have the urge to urinate much more often than teenagers and older people, which is absolutely normal.

Age	Number of urinations per day	Volume of urine excreted per day
Child from birth to 28 days	20-25	150-450 ml
Child from 1 month to one year	8-10	300-800 ml
Child from 1 year to 5 years	5-8	500-1000 ml
Child from 5 to 10 years old	6-7	650-1200 ml
Child from 10 to 14 years old	5-6	1000-1500 ml
Adult men and women	4-8	800-1600 ml

Diseases of the urinary system are the most common cause of frequent urination. Let's look at these diseases.

Cystitis. This disease is characterized by inflammation of the mucous membrane of the bladder. Women suffer from cystitis more often than men, since the female urethra is shorter and thicker than the male urethra, which facilitates the penetration of pathogenic microorganisms into the bladder from the external environment.

With cystitis, there is pain in the lower abdomen, and urination becomes more frequent and is accompanied by pain and burning. Also, after going to the toilet, a woman experiences a feeling of incomplete emptying of the bladder and the urge to urinate. In addition, there may be urinary incontinence and the appearance of pathological impurities in it, causing it to become cloudy.

Urethritis. Urethritis is an inflammation of the urinary canal that is caused by various pathogens.

Urination with urethritis becomes more frequent, accompanied by itching, pain and burning in the urethra.

Pyelonephritis. This disease is an inflammation of the renal pyelocaliceal system, which is caused by pathogens. Frequent urge to urinate is characteristic of chronic pyelonephritis. Women also experience lower back pain, body temperature rises, shivering, and the urine becomes cloudy due to the admixture of pus and blood.

Urolithiasis disease. Frequent urination with blood is often a sign of urolithiasis, since stones can damage the lining of the urinary tract, causing pain and bleeding. Also symptoms of this disease There may be an interruption in the stream of urine, pain in the lower abdomen and along the urinary canal, which radiates to the inner thigh and genitals.

Atony of the bladder. With this disease, the walls of the bladder have weakened tone. Atony of the bladder is manifested by a frequent urge to urinate, during which a small amount of urine is released.

Overactive bladder. This condition is a complication of other diseases of the urinary system, in which the activity of the nerve receptors in the walls of the bladder increases, which is manifested by a frequent urge to urinate.

Uterine fibroids. In the initial stages of the disease, only menstrual irregularities, lower abdominal pain, and metrorrhagia are present. After the tumor reaches a significant size, it begins to compress the bladder, which is expressed by a frequent urge to urinate.

Prolapse of the uterus. This condition leads to displacement of all organs that are located in the pelvis, in particular the bladder. Therefore, patients suffer from heavy periods, pain in the lower abdomen, uterine bleeding, as well as frequent urination and urinary incontinence.

Frequent and excessive urination in women can be caused by pathology of the endocrine system, for example, diabetes mellitus and diabetes insipidus.

Diabetes. With this disease, the body does not have enough insulin, resulting in increased sugar levels in the blood and urine. Glucose is able to carry water molecules, so when it is actively excreted from the body in urine, it takes water with it, causing frequent urination.

Not diabetes. This disease is characterized by severe thirst and an increase in daily diuresis due to a malfunction of the hypothalamic-pituitary system.

The appearance of frequent urination in diseases of the heart and blood vessels is explained by the fact that during the day fluid accumulates in the body tissues, which is actively excreted at night, causing nocturnal nocturia.

Estrogens in the body are responsible not only for the possibility of egg fertilization, but also for the muscle tone of the vagina and urethra. These hormones promote active blood supply to the organs of the genitourinary system, including the urethra. Due to this, the normal tone of the muscular lining of the urinary canal is maintained.

Therefore, when hormonal levels change dramatically in women during menopause, a weakening of muscle tone is observed in the urethra, which is manifested by increased urination. In addition, during menopause, many women suffer from urinary incontinence.

Also important role The appearance of frequent urination in women who do not have a menstrual cycle is due to the fact that estrogens affect the secretion of immunoglobulins, the sensitivity of the receptors of the bladder and urethra.

During menopause, women may complain of frequent urination at night and during the day, urinary incontinence and a feeling of bladder fullness. Also, after the decline of reproductive function in women, the risk of developing infectious processes in the urinary tract increases significantly. Therefore, it would not hurt for women with this problem to be examined by a urologist.

Main causes of frequent urination

The main cause of frequent urination in men is a urinary tract infection. Pathogenic microorganisms cause irritation of the cells of the mucous membrane of the bladder, which causes an increased urge to go to the toilet.

The area of ​​localization of inflammation does not play a role. It all depends on the type of inflammatory process.

The disease can be acute or chronic. A characteristic feature is that the urge occurs suddenly and is unbearable. When trying to go to the toilet, only a small amount of urine is observed. A frequent accompanying symptom is a feeling of incomplete emptying of the bladder, deterioration of potency, difficulty in eliminating urine, when it is necessary to further strain the muscles.

• Prostate adenoma.

A disease of a benign nature, in which hyperplasia of prostate tissue is observed, with its further increase. It is diagnosed much less frequently in young people than in older people. A characteristic feature is the urge to urinate without result, especially at night, or uncontrolled urinary incontinence. As the disease progresses, urine output becomes heavy, the stream is weak and intermittent. A critical case is urinary retention.

A disease that means the growth of prostate tissue, the occurrence of urethral obstruction. The symptoms are similar to adenoma.

Inflammation of the bladder is often accompanied by acute pain and burning, cloudy urine, and the presence of impurities in it, but one may simply experience frequent urination without pain. The temperature also rises, the patient shudders, and there is a loss of strength. Immediate treatment is required, as a transition from acute to chronic form is possible.

Stones, sand or salts form in the renal pelvis, ureters and bladder. Frequent urge to urinate in men is just one of the symptoms that worries the least. When stones pass through the ureter or urethra, intense pain is observed. Renal colic may begin.

• Pyelonephritis or glomerulonephritis.

Complex and, of course, life-threatening kidney diseases. Frequent urination is accompanied by a number of other symptoms.

With pyelonephritis, the main symptom is a dull aching pain radiating to the lumbar region. Its intensity may vary depending on the type of inflammation and the presence of complications. Accompanied by high temperature up to 41 degrees, chills, weakness.

Glomerulonephritis is characterized by the presence of fever, edema, increased blood pressure, a decrease in the amount of urine, and blood in it.

This disease is associated with impaired carbohydrate metabolism. It remains asymptomatic for a long time. The first symptom is frequent urination, especially at night. At the same time, the amount of fluid released is increased. The patient is also often tormented by thirst and itching of the skin, especially in the genital area. Performance decreases sharply, chronic fatigue, lethargy appear, problems with erection appear, and infertility may develop.

At its core, this is a malfunction in the urinary system. Normally, 60% of the fluid is released during the day, and 40% at night. In case of violations, this ratio changes. Then there is frequent night urination in men. In this case, a person gets up to go to the toilet more than 2 times. Such night urination in men is a pathology.

This is a disease in which the urethra becomes inflamed due to damage by a variety of pathogenic microorganisms. It is one of the most common reasons. The urethra is easily susceptible to any infections.

The desire to urinate occurs immediately after strong excitement.

• Overactive bladder.

With this pathology, there is no inflammatory process. Frequent urination occurs due to hyperfunction of the bladder muscle, which is constantly in an active state. An overactive bladder in men is an individual feature. People with this phenomenon suffer from regular urges during the day and at night.

The presence of even a small amount of liquid inside is acutely felt by a person; for most people, such a desire arises only when the bladder is full. There is incontinence, in which representatives of the stronger sex do not have time to get to the toilet. In this case, uncontrolled contractions of the bladder muscles occur, after which it empties. But this doesn't always happen.

This is a congenital or acquired narrowing of the urinary canal. With this pathology, difficulty occurs when urinating, the pressure of the stream gradually weakens.

Sexually transmitted infections such as trichomoniasis, syphilis, chlamydia, and gonorrhea are the leading causes of frequent urination in men. Pathogenic microorganisms infect the prostate and seminal vesicles. Pain, stinging and unpleasant odor of discharge are also symptoms of these diseases.

• Damage to an area in the brain or spinal cord.

With pathological changes in the pontine urinary center, periaqueductal gray matter and cerebral cortex, a lack of coordination of the pelvic floor muscles is observed. In this case, urine is released uncontrollably at the slightest exertion: coughing or running, laughing.

Frequent urination should not be ignored, because it can be a symptom of many diseases. Timely treatment ensures that a man remains healthy and avoids problems in the future.

Frequent urge to urinate does not always indicate the onset of some pathological process; sometimes they are associated with the influence of one or more of the following factors:

• a large volume of liquid drunk during the day (more than 3 liters of water), which includes compotes, fruit drinks, coffee, alcohol, carbonated drinks, etc. (this results in frequent and copious urination);
• eating foods that have a strong diuretic effect (for example, cucumbers, watermelon, melon, lingonberries and others);
• the body is in a state of stress or strong excitement (due to nervousness, oxygen starvation of the cells of the whole body occurs, which results in frequent urination without pain and other unpleasant symptoms);
• with a cold or general hypothermia of the body, against the background of which blood circulation centralizes and blood flow in the kidneys improves, which stimulates the act of urination (most often observed in young girls staying in the cold);
• pregnancy period (we are talking about the early and late stages of gestation, when the most intensive growth of the uterus and its pressure on the bladder occurs).

Watermelon has an excellent diuretic effect, so eating it always causes frequent and abundant emptying of the bladder.

If frequent painless urination is caused by one of these factors, then, after eliminating them, the patient’s well-being returns to normal, and no special treatment is required.

Painful and frequent urination in women: causes

Frequent urination in women with pain, which is accompanied by other unpleasant symptoms (cutting and burning in the urethra, lower back pain, the appearance of blood and pus in the urine, increased body temperature, general weakness, increased sweating, etc.) may indicate inflammation of the genitourinary system.

Most often, the above symptoms are observed in diseases such as:

• cystitis;
• urethritis;
• chlamydia;
• gonorrhea;
• trichomoniasis.

Frequent urination in women with sexually transmitted diseases is explained by the fact that the organs of the reproductive and urinary systems are closely connected. Therefore, an infectious process that has developed in the bladder or urethra can spread to the genitals and vice versa. For example, many women experience a combination of inflammation of the urethra and vaginal mucosa.

The infection can enter the genitals through an ascending route, that is, from the urethra to the vagina and further to the uterus and appendages. And also from the vagina to the urinary canal, bladder and even kidneys.

The reason for frequent and painful urination in women may lie in irritation of the vaginal mucosa, for example, if the rules for using hygienic tampons are not followed.

In addition, there is frequent urination after sex, which is also associated with irritation of the vaginal tissue. This condition is transient, so pain and burning in women goes away the next day. But it should be noted that at this time the protective mechanisms of the irritated mucosa are weakened, so there is a risk of pathogenic microbes entering the body.

If frequent and painful urination after sexual intercourse bothers a woman for several days, then it is necessary to visit a urologist to be examined for a urinary tract infection.

During pregnancy, a woman may experience many inconveniences, such as nausea, drowsiness, general weakness, back pain, as well as painless frequent urination, which is normal.

During pregnancy, a woman's body undergoes changes in hormonal levels, metabolism, and an increase in the volume of circulating blood, which creates additional stress on the urinary system. For example, amniotic fluid is renewed every 2-3 hours, which cannot but affect the pregnant woman’s diuresis.

But the most significant factor that provokes very frequent urination in women during pregnancy is the increase in the size of the uterus, which puts pressure on the bladder, forcing it to empty. There is also a tendency - the longer the period, the more frequent urination. Moreover, frequent night urination is also typical for pregnant women.

In addition, during pregnancy, troubles such as spontaneous release of small portions of urine during coughing and laughter can also occur. But even this is considered the norm while waiting for a baby.

Frequent urination during pregnancy, which causes pain in the lower back and/or lower abdomen, bloody or purulent discharge from the urethra, increased body temperature, burning in the urethra, require immediate contact with a urologist. The listed symptoms are characteristic of diseases of the genitourinary system and can negatively affect the course of pregnancy and the condition of the fetus.

Predisposing factors

The main factors that can trigger increased frequency of bladder emptying:

• congenital or acquired deformities of the genitourinary system;
• sudden gain or loss of body weight;
• hormonal disorders, the onset of menopause;
• presence of connective tissue diseases;
• frequent recurrence of genitourinary tract infections;
• gynecological operations;
• history of difficult childbirth and others.

Frequent urination in women at night can also be caused by both physiological conditions and various diseases.

The appearance of nocturnal nocturia can be caused by menstruation, pregnancy and menopause.

If we talk about diseases, frequent night urination in women is most often a symptom of urethritis, cystitis, diabetes mellitus and diabetes insipidus, chronic renal failure and diseases of the cardiovascular system.

Symptoms to watch out for

You should not delay visiting your doctor if, in addition to frequent urination, you experience one of the following symptoms:

• body temperature suddenly rises, apathy, malaise and other signs of intoxication syndrome appear;
• urination is frequent and painful, with pain in the kidneys, lumbar region or lower abdomen;
• blood pressure rises, appears headache diffuse nature, etc.;
• discharge of various types appears from the lumen of the urethra (mucous, purulent, bloody and others);
• the color and natural smell of urine changes, it becomes cloudy or darker;
• urine is released in small portions, and the patient has to make an effort to empty the bladder.

Frequent urination is often accompanied by severe pain

Diagnostic algorithm

Before proceeding with laboratory and instrumental diagnostics, the doctor conducts a thorough examination of the patient and collects an anamnesis of the disease.

Women are required to undergo a bimanual examination on a gynecological chair, and men need to do a digital rectal examination.

Laboratory instrumental diagnostics includes the following examination methods:

• general blood and urine analysis;
• biochemical analysis blood and urine;
• urine analysis according to Nechiporenko, Zimnitsky test;
• hCG (if pregnancy is suspected in a woman of reproductive age);
• glycemic profile, glucose tolerance test;
• X-ray diagnostics (general X-ray, excretory urography and others);
• Ultrasound of the kidneys, bladder and pelvic organs;
• additional studies according to indications, their choice depends on the reason for increased urination (cystoscopy, CT, MRI and others).

Each patient should keep a urinary control diary.

The frequent urge to urinate in men creates a certain discomfort, because a person has to be close to the toilet, which is not always possible. Due to constant trips to the toilet at night, there is a high risk of insomnia, irritability, decreased performance, decreased overall tone and chronic fatigue.

In addition, the lack of timely treatment for this pathology causes the underlying disease to worsen and become chronic. Therefore, at the first sign of frequent trips to the restroom, you should consult a doctor and undergo the necessary tests.

When going to see a doctor, you need to know as much as possible about the nature of your problem. He may ask questions to determine the cause of the disease. It will be necessary to answer the following questions:

• When did the frequent urination start?
• What could be the reasons, was anything unusual noticed?
• What is the basis of nutrition, are there any bad habits?
• What is the number of sexual partners, are contraception used?
• Are there hereditary diseases?

In addition, an appointment may be issued for the following studies: blood test, blood biochemistry, urine test. Additionally, an instrumental study must be performed if the analysis shows an unclear picture of the underlying disease.

Treatment at home

The choice of treatment tactics for frequent urination directly depends on the cause of its occurrence. Let's consider the basic principles of treatment.

• Antibacterial therapy. Antimicrobial drugs are used for inflammatory processes of the urinary and reproductive systems, which are caused by pathogenic microbes. For example, for cystitis, the drugs of choice may be Furamag, Norfloxacin, Gentamicin and others, and for pyelonephritis - Ceftriaxone, Amoxiclav, Metrogyl and others.
• Uroantiseptics. This group of drugs includes Furadonin, Furazolidone, Uronephron, Canephron, Urolesan and other drugs that are used both for cystitis and urethritis, and for pyelonephritis.
• Pre- and probiotics. Since in many diseases that are accompanied by frequent urination there is a change in the normal microflora in the urinary and genital tract, a mandatory component of therapy is the administration of pre- and probiotics. In this case, tablets Laktovit, Linex, Yogurt, Biogaya, Bifiform and others are highly effective.
• Antispasmodic therapy. This type of therapy is indicated for urolithiasis, since stones irritate the urinary tract and cause spasm, which is manifested by pain and frequent urge to urinate. Patients can be prescribed No-shpa, Spazmolgon, Riabal, Drotaverine and others.
• Insulin therapy. This type of therapy is used for diabetes.
• Surgical treatment. For urolithiasis, tumors of the uterus or bladder, atony of the bladder and other diseases, surgical intervention may be the only effective method treatment.

If frequent urination is associated with cystitis, it is important to begin treatment as soon as possible. Doctors recommend drinking at least two liters of water a day for cystitis to “wash” the infection from the bladder. Antibiotics and herbal medicines are also often prescribed. Herbal remedies can enhance the effect of antibiotics.

For example, in a study based at the Department of Urology and Andrology of Moscow State University, the addition of the drug Urolesan to the therapeutic regimen accelerated recovery from cystitis and increased the effectiveness of treatment to 83%. This effect is due to the fact that Urolesan helps normalize urine pH and has antiseptic, anti-inflammatory and diuretic effects, which increases the effectiveness of antibiotic therapy.

Folk remedies for frequent urination in women are effectively used as a complement to the main treatment.

Let's look at the most effective folk methods for treating this problem.

• Decoction of boron uterus: 10 grams of the dried plant are poured with one glass of boiling water and boiled in a water bath for 10 minutes, then left for 2-3 hours and filtered through a sieve. The decoction should be taken 15 ml 3-4 times a day for 12 weeks. A decoction of boron uterus allows you to normalize hormonal levels during menopause and eliminate the frequent urge to urinate.
• Rosehip root decoction: 40 grams of crushed rosehip root are poured into two glasses of boiling water and boiled for 15 minutes over low heat, then left for 2-3 hours and filtered. Drink 100 ml of medicine before meals 3-4 times a day.
• Infusion of lingonberry leaves: 5 grams of fresh or dried lingonberry leaves are poured with one glass of boiling water, covered with a lid and allowed to brew for 15-20 minutes. Drink the prepared and strained infusion throughout the day, several sips for one month.
• Yarrow infusion: 7-8 grams of the dried plant are poured with boiling water and left for 30-40 minutes, then filtered and drunk 50 ml 3-4 times a day before meals. Important! Medicines prepared from lingonberry leaves, rosehip root and yarrow effectively eliminate inflammation in the bladder and urethra.
• Corn silk infusion: Pour 10 grams of crushed corn silk into one glass of boiling water, cover with a lid and leave for 15 minutes. The finished infusion must be filtered through a sieve. I take the medicine 100 ml twice a day for urolithiasis.

Any folk remedy can be used to treat frequent urination only with the permission of the treating doctor.

Be attentive to your health and listen to its signals, one of which is frequent urination, since any pathology of the urinary system can affect a woman’s reproductive function.

How to treat frequent urination in men at home? To do this, you must follow the prescribed diet and use recipes traditional medicine. Of course, this is possible provided that the urinary tract disease is at an early stage and there are no medical contraindications.

First of all, you need to limit your daily salt intake. This will reduce the load on the kidneys. It cannot be completely excluded from the diet, since sodium chloride maintains water and electrolyte balance.

In addition, you must follow these rules:

• Don't overeat;
• Drink a lot of regular clean water(at least 1.5 liters per day);
• Avoid spicy, smoked foods, processed foods, and fast food;
• Eat healthy foods: cereals, fruits, seafood;
• Quit alcohol, tobacco and drugs.

The use of traditional medicine methods can also have a beneficial effect on the patient’s condition.

Folk remedies:

• A decoction of St. John's wort and yarrow. Take 5 g of each plant, dry or fresh, pour 1 tbsp. hot water. Let it brew for 10 minutes, then drink. You can drink this infusion instead of tea three times a day for a whole week.
• Onion compress. You need to take 1 large fresh onion and grate it on a fine grater. Place the resulting pulp on a cotton cloth and cover with gauze. The place for the compress is the lower abdomen. Remove the fixed mixture after 2 hours, rinse the skin with warm water. Additionally, it is recommended to use a decoction of parsley, chamomile and sage.
• Olive oil. Use a quality product whenever possible. Take about 15 ml of oil on an empty stomach. You can eat in half an hour. It is recommended to take the oil for about 2 months. In this case, grapes and apples, as well as watermelons, melons, pumpkins and zucchini should be excluded from the diet.
• Egg alcohol tincture. Mix 100 ml of pure alcohol with 2 raw eggs and stir until smooth. Take the resulting mixture 15 ml. Drink one part immediately, the rest at regular intervals of an hour. Do not consume on an empty stomach. This treatment can be used for 3 days in a row.
• Horsetail bath. Pour boiling water over 50 g of this plant and let it brew for an hour. After straining the resulting decoction, take a sitz bath. If it has already cooled down, warm it to room temperature. The course of treatment is 10 days.
• Compress from white cabbage. You need to take 2-3 large leaves from one head of cabbage. Using a bandage, secure the bladder projection in place and leave overnight. In the morning, throw away the leaves. You can repeat this harmless procedure every day for a week.

Prevention

Prevention measures are as follows:

• timely diagnosis and treatment of diseases (genitourinary, endocrine, cardiovascular and others);
• maintaining an adequate drinking regime;
• carrying out gymnastic exercises to strengthen the pelvic floor muscles (if they are weak);
• maximum avoidance of hypothermia of the body, being in a draft;
• carrying out activities for general hardening of the body, maintaining a healthy lifestyle, etc.

Frequent urination in women is not always a cause for concern.

Firstly, the frequency of emptying the bladder is strictly individual. Secondly, increased frequency of urges may be caused by changes in diet and other reasons.In this case, frequent urination usually lasts less than 2 days and is not accompanied by any other painful symptoms.

Seeing a doctor is necessary if a woman experiences serious discomfort, while simultaneously noting pain, a change in the amount of urine produced, and a disturbance in the rhythm of life.

Causes of frequent urge to urinate in women

Causes of frequent urination in women

The conventional norm is to urinate up to 10 times a day (1-2 times a night). However, increased frequency of urges is not a pathology if a woman:

• drinks large amounts of liquid and coffee (has a pronounced diuretic effect), took alcohol the day before;
• takes diuretics;
• trying to lose weight with the help of special preparations (often containing diuretic herbs);
• experiences hormonal changes during menopause;
• is elderly (after 60 years, 2/3 of urine is excreted at night, which is associated with physiological aging of the body);
• experienced a stressful situation (“bear” disease);
• was in the cold (hypothermia causes spasm of the smooth muscles of the bladder).

In these situations, women experience a frequent urge to urinate without pain, which resolves on its own after eliminating the causative factor (withdrawal of diuretics, normalization of the drinking regime, etc.).

Possible diseases, symptoms

If frequent urination is observed for more than 3 days and is accompanied by discomfort, a number of diseases should be excluded.

Pathology of the urinary tract

Every third representative of the fair sex reports frequent urination caused by inflammation of the bladder or kidneys.

Urethritis - an inflammatory process in the urethra - is considered in most cases a female disease. The short and wide urethra is an entry point for infections.

This factor is aggravated by improper hygiene. At the same time, the woman notes a burning sensation in the perineum and the release of mucus from the urethra.

Cystitis is a common disease characterized by inflammation of the bladder mucosa. Frequent urge to urinate with pain in women is accompanied by pain in the lower abdomen (pulling, cutting nature).

In advanced cases, changes in urine are detected: blood, cloudy color due to the appearance of protein and an increase in leukocytes.

Pyelonephritis - the development of inflammation in the kidneys - is accompanied by hyperthermia up to 39-40ºC, signs of intoxication (weakness, nausea) and lower back pain, sometimes radiating to the leg. Pus and blood elements are detected in the urine. Chronicity of the process is accompanied by hypertension.

Urolithiasis disease gives characteristic symptoms: urination suddenly stops, although the feeling of fullness of the bladder remains.

The pain spreads to the suprapubic region and perineum, intensifies with movement (shaking in a car, walking) and during urination.

Bladder muscle weakness provokes frequent urges that require immediate urination. The condition resembles the period of pregnancy, but the amount of urine excreted is sharply reduced (the norm is 150-250 ml).

Progression of muscle weakness leads to urinary incontinence.

The opposite condition, which gives similar symptoms, muscle hyperactivity, is caused by excitability nervous system.

The proximity of the genital organs causes dysfunction of urination in gynecological diseases.

Uterine fibroids - a tumor that has reached a large size, compresses the bladder and provokes a frequent painless urge to urinate. Associated symptoms: menstrual irregularities, lower abdominal pain, uterine bleeding.

Accompanied by frequent urination, heavy menstruation, pain and bleeding from the vagina.

Venereal diseases- many of them (mycoplasmosis,) are often asymptomatic. Others (,) give vivid symptoms: severe pain when urinating, itching in the perineum, unpleasant-smelling vaginal discharge (white, purulent, brownish).

Genital herpes (the appearance of sharply painful blisters on the genitals) is also accompanied by frequent urination.

Diseases of other organs and systems

Frequent urination is often caused by the following pathological conditions:

• anemia - muscle weakness of the bladder occurs;
• / - daily urine volume increases to 3-5 liters, urine has an unpleasant odor, the patient notes thirst, itching in the perineum, dry mouth, weakness and weight loss;
• cardiovascular pathology - is the cause of the accumulation of fluid in a woman’s body during the day and the frequent urge to urinate at night.

Frequent urge to go to the toilet is not a pathology for a pregnant woman, although this condition does cause some discomfort, especially when in crowded places.

In the first trimester, frequent urination both day and night is caused by physiological changes in hormonal levels; in the last trimester, by pressure on the bladder from the enlarged uterus and fetal movements.

Reduced urination looks more suspicious during pregnancy; this condition can negatively affect the development of the fetus.

Diagnostics

A mandatory test for frequent urination is a urine test. This may reveal leukocytes (a sign of an inflammatory process), red blood cells (if the kidneys and bladder mucosa are damaged), bacteria/fungi, protein, and salts.

The scope of subsequent diagnostics depends on the recorded symptoms in the woman and may include:

• advanced urine tests (culture, Nechiporenko test, Amburge analysis, etc.);
• cystoscopy (endoscopic examination of the bladder);
• gynecological examination and (exclusion of sexually transmitted infections);
• Ultrasound examination of the bladder, kidneys, genitals;
• blood test for sugar, study of hormonal levels (if fibroids are detected);
• ECG (if heart disease is suspected).

The main goal of the treatment program is to eliminate the causative disease:

Antibiotic therapy- obligatory in case of identified inflammation. The choice of drug, its dosage and duration of use are determined by the attending physician, taking into account the identified pathogen.

For cystitis/pyelonephritis, broad-spectrum antibacterial medications (tablets, injections) (Amoxicillin), renal antibiotics (Palin), and herbal preparations (Fitolysin) are usually prescribed. The best drug for inoculating E. coli in urine is Fosfomycin.

Diabetic conditions are treated by an endocrinologist using hormonal agents and hypoglycemic drugs.

Uterine prolapse/fibroids, stones in the urinary system often require surgical intervention. Surgeons have extensive experience in laser surgery and endoscopic techniques for restoring women's health.

Diet - it is advisable to exclude from the diet foods that irritate the urinary tract (spices, alcohol, carbonated drinks).

Physical exercise- special gymnastics helps strengthen the pelvic muscles and prevents the development of urinary incontinence.

Herbal medicine - the most effective medicinal raw material for frequent urination is the herb yarrow (it has an anti-inflammatory effect and helps even with senile urinary incontinence).

However, it is worth remembering: any medicinal plant has contraindications, and treatment should be long-term (at least 2 weeks, with repeated courses).

Physiotherapy procedures - UHF, electrophoresis, mud give a good effect in case of advanced inflammatory process.

Limit fluid intake, especially before bed.

Proper hygiene: replace bathing with showering, wash from front to back (to avoid the introduction of E. coli), follow recommendations for the use of tampons and pads during menstruation.

Warming the bladder at home when the infection has already developed does not give the desired result.

Painful urge to urinate, accompanied by other symptoms and lasting more than 2-3 days, requires medical consultation.

Health is the main value of a woman. Listen to your body's signals, do not neglect qualified medical care and be healthy!

During the day, a healthy person secretes an average of 1500-2000 ml of urine, which is about 75% of the liquid he takes per day (the rest is excreted in sweat and feces). The normal frequency of urination ranges from 4 to 6 times a day. This may happen more often if you take in more fluids or drink more often. If frequent urination is not dependent on fluid intake, this may indicate a medical condition.

Frequent urination is divided into subcategories. The first is associated with an increase in total urine volume (also known as polyuria). The second is with urinary dysfunction, in which there are problems with storing urine and emptying the bladder. Finally, there may be urinary incontinence (involuntary loss of urine).

Urination

Urination is the process of removing urine from the bladder through the urethra. In healthy people, urination is strictly controlled. In infants, sick people and older people, urination may be spontaneous.

This process is under the control of the central, autonomic and somatic nervous systems. The brain centers that regulate urination include the pontine micturition center, the periaqueductal gray matter, and the cerebral cortex. In men, urine is expelled through the penis, at the head of which the urethra ends, and in women through the vulva.

Causes of frequent urination

Frequent urination is characteristic of diseases of the lower urinary tract and prostate. At the same time, with each urination, a small amount of urine is released; the total amount allocated per day does not exceed the norm (1500-2000 ml). Frequent urination can be pronounced - 15-20 times a day or more. Frequent urination can be observed only during the day and when moving, disappearing at night and at rest, which usually happens with stones in the bladder.

Increased urination at night occurs with prostate tumors: adenoma and prostate cancer. Constant frequent urination occurs with chronic bladder diseases, but can also occur when taking certain medications, such as diuretics. Frequent urination during the day and lack of urination at night is characteristic of neurosis.

Diseases that cause frequent urination

Prostate adenoma

Prostate adenoma - in this condition, frequent urination in men occurs mainly when the adenoma grows in the area of ​​the periurethral glands. With this form of growth, the lumen of the urethra is blocked very early, even before the adenoma reaches a large size and urinary disturbances are disproportionate to the volume of the prostate gland.

Initial changes characteristic of benign prostatic hyperplasia can be noticed after a man reaches the age of forty. However, during a digital rectal examination, the urologist cannot obtain information about the form of prostate growth. Only the use of truzi (transrectal ultrasound of the prostate gland) makes it possible to identify early changes in the prostate, leading to frequent urination.

Cystocele

Cystocele is a descent of the bladder below the pubic symphysis, protruding into the vagina, and when straining, beyond the vulvar ring. In this condition, in addition to frequent urination, women also experience urinary incontinence when coughing or strong laughter and straining, and sometimes incontinence develops during sexual intercourse. This pathology is diagnosed during a gynecological examination.

Prostatitis

Prostatitis is a fairly common cause of urinary problems in men. With prostatitis, inflammation of the posterior part of the urethra, the prostatic part of the urethra and the neck of the bladder develops.

With this disease, an imperative (uncontrollable) urge to urinate may appear, which is accompanied by the release of a few drops of urine. In addition to these symptoms, prostatitis may also cause pain when urinating. Prostatitis is diagnosed using digital rectal examination, analysis of prostate secretions and ultrasound of the prostate gland.

Radiation cystitis

Radiation cystitis is one of the types of cystitis. Occurs during radiation therapy of tumors of the genitourinary system. In this case, damage occurs to the epithelial cells that line the mucous membrane of the bladder. As a result, severe irritation of the bladder neck occurs and the urge to urinate occurs. Radiation cystitis can be diagnosed by a characteristic clinical picture and information about the use of radiotherapy.

Reactive arthritis

Reactive arthritis is a group of diseases of the musculoskeletal system, the trigger of which is sexually transmitted infections, in particular chlamydia and mycoplasmosis. In reactive arthritis, the pathogenesis factor is antibodies to joint tissues. These antibodies begin to be produced in response to the presence of sexually transmitted bacteria in the body.

Typically, reactive arthritis manifests itself in the form of asymmetrical lesions of the knee, ankle and metacarpophalangeal joints. In this case, urethritis occurs primarily. Urethritis causes frequent urge to urinate. Also, with reactive arthritis, the eyes can be affected and conjunctivitis may develop. Sores may appear in the mouth and on the penis. Diagnosis is based on identifying sexually transmitted diseases.

Spinal cord injuries

Spinal cord injuries are a common cause of urinary disorders. Diagnosis is based on obvious clinical signs.

Urethral stricture

Urethral stricture is a narrowing of the urethra, congenital or acquired. With urethral stricture, frequent urination is accompanied by a feeling of difficulty urinating. The urine stream becomes weaker.

Urinary incontinence

Urinary incontinence is involuntary urination during coughing, laughing or straining. Incontinence may have a neurological cause or a lack of coordination of the muscles of the pelvic diaphragm.

Urinary tract stones

Urinary tract stones - can irritate the bladder neck. Small fragments sometimes become lodged in the back of the urethra and can cause a strong urge to urinate and blood in the urine.

Infections of the genitourinary system

Infections of the genitourinary system - cause inflammation of the urethra and cystitis. Characterized by frequent painful urination, unpleasant odor and color of urine. If an infectious nature is suspected, a urine test is taken for bacteria (bacteria culture), as well as for sexually transmitted infections.

Iron-deficiency anemia

Iron deficiency anemia can cause urinary problems. With iron deficiency, the mucous membranes become easily vulnerable, so the bladder mucosa also suffers. To diagnose this condition, a blood test for iron is taken.

Changes in urine composition

If the acidity of the urine is disturbed (this can happen when eating a large amount of meat, some hot and spicy foods), the mucous membrane of the bladder can be irritated and cause a strong urge to urinate.

In addition, frequent urination may be a symptom of the following diseases:

Frequent urination in women is a possible sign of many diseases. It is worth saying that an adult woman urinates no more than 15 times a day. But it all depends on age, as well as the use of all kinds of drugs that can significantly increase this figure. In addition, it also increases during pregnancy. Sometimes frequent urination in women can also be accompanied by pain.

First of all, it is worth saying that frequent urination can occur with diseased kidneys, as well as with a cold. The most common disease that is accompanied by increased urination is cystitis. But in this case, this phenomenon is also accompanied by burning and pain in the lower abdomen. Cystitis is a very complex inflammatory process in the bladder, and its appearance can be caused by multiple external factors.

Most often, frequent urination requires special drug treatment, which is accompanied by the use of dangerous antiviral drugs and antibiotics.

If the cause of the problem is certain diseases or pregnancy, medications may be prescribed to normalize the functioning of the excretory system. But in the case of pregnancy, as a rule, the problem does not require special drug treatment.

Frequent urination in women can also be a sign of some kind of sexually transmitted disease. In these cases, urination is usually very frequent, and a small amount of urine is released. If such symptoms occur, you should definitely consult a doctor.

Frequent urination in men

Frequent urination is a decrease in the interval between urination of less than 2 hours with sufficient drinking regimen: for men it averages 3 liters per day, for women – 2 liters.

Prostatitis

The most common cause, which is accompanied by frequent urination, in men under the age of 50 years. The prostate gland is located around the urethra just below the bladder. Therefore, inflammation of the prostate causes irritation of the receptors (sensitive nerve endings) of the bladder, which causes a false urge to urinate, although there is little urine in the bladder.

Prostate adenoma (benign prostatic hyperplasia, BPH)

This disease is associated with age: the older you are, the greater the likelihood of developing prostate adenoma. Therefore, frequent urination in men over 50 years of age is mainly due to prostatic hyperplasia. Of course, in older men, prostatitis cannot be ruled out as a cause of frequent urination.

In BPH, tumor tissue grows from the periurethral glands (these glands are located in the wall of the urethra in the prostate area; they produce lubricating mucus that protects the urethra from the inside from the effects of urine). This tumor is not malignant, and as it grows, it becomes difficult for urine to flow out of the bladder when urinating. The bladder is not completely emptied due to prostate adenoma. And it will take less time to fill the bladder to the volume at which the desire to urinate appears.

Cystitis and pyelonephritis

This is an inflammation of the bladder and kidneys. These diseases are much less common in men than in women. When the bladder becomes inflamed, additional irritation of the receptors in its mucous membrane occurs. As a result, there is a false urge to urinate when the bladder is not full.

Overactive Bladder (OAB)

This pathology is characterized by frequent imperative urge to urinate not only during the day, but also at night. OAB is not associated with inflammation of the bladder and prostate: tests of urine and prostate secretions are good in this case. The bladder muscle (detrusor), responsible for emptying, is in an “excited” state (hypertonicity). The threshold for irritation of the detrusor is reduced, so a small effort is required to cause its contraction and, as a result, urination.

Frequent urination in men requires examination by a urologist to make an accurate diagnosis. You should not take medications taken for cystitis on your own. Women are especially guilty of this, and they can also recommend this treatment to their sexual partner.

The frequency of urination in children varies in each specific age period. This is due to the development of the genitourinary system, bladder enlargement and changes in diet.

For example, children in the first month of life can urinate up to 25 times a day. Such frequent urination in newborns is associated with breastfeeding and the small size of the bladder, which increases significantly by the year. Children aged 1 year urinate up to 10 times a day, by 3 years the norm of urination is already 6-8 times a day, and by 6-7 years it decreases to 5-6 times.

Causes

Factors such as:

• drinking plenty of water;
• taking diuretics (removing fluid from the body);
• infections of the genitourinary system (cystitis, urethritis, nephritis);
• viral respiratory infections;
• development of diabetes mellitus;
• nervous tension, anxiety, neuroses, etc.

Treatment

Inflammatory processes associated with frequent urination in children may require hospital treatment, but in some cases they can be treated quite effectively at home. Bacterial infections require treatment with antibiotics. In case of cystitis, you can additionally give the child decoctions of herbs such as bearberry and bear's ears in an acceptable dosage.

For inflammation of the urethra and ureters, warming the lower abdomen, as well as warm sitz baths with the addition of chamomile decoction, help well. In the treatment of frequent urination in children, it is important to give the child plenty of plain water, cranberry and lingonberry fruit drinks. The volume of liquid should be about 1.5-2 liters per day. It is necessary to exclude salty and spicy foods, smoked foods and spices from the child’s diet.

Frequent urination during pregnancy

During pregnancy, a woman experiences many inconveniences: drowsiness, nausea, various painful sensations that can appear and disappear throughout the entire pregnancy. This also applies to frequent urination.

Some women, from the first days of pregnancy, begin to go to the toilet more often than before, others - exclusively in the later stages, and some - throughout pregnancy. But there are also those whose bladder functions normally.

And although frequent urination worries most expectant mothers, during the normal course of pregnancy it should be.

Reasons for frequent urges

The frequency of the urge to urinate depends on the total volume of fluid in the body. This is blood, amniotic fluid, which is renewed every three hours, as a result of which a woman has to go to the toilet more often. During pregnancy, a woman’s kidneys work for two, processing waste products from both mother and child. In addition, the growth of the uterus and fetus place increasing pressure on the bladder.

However, from the 4th month of pregnancy the uterus moves slightly into the abdominal cavity, but towards the end of the term the pressure resumes with greater force as the baby descends. If frequent urination during pregnancy is accompanied by cramps, pain and fever, then it may be a symptom of a genitourinary disease and you should consult a doctor. An additional alarming symptom is frequent urination in very small portions.

How to help yourself with frequent urination

As a rule, frequent urination during pregnancy is an uncomfortable condition that just needs to be endured. A woman may experience it for another day after giving birth, but then the frequent urination will go away. However, you can help yourself a little.

Try to reduce your fluid intake, including foods and dishes that contain large quantities of it, after six o'clock in the evening, which will allow you to avoid waking up too often at night for “low needs”.

Secondly, while urinating, lean forward slightly to empty your bladder completely. Under no circumstances should you endure it - go to the toilet as soon as you feel the need.

Control the amount of fluid you drink; you need to drink at least 1.5-2 liters per day. And you don’t need to worry too much about frequent urination during pregnancy. Just the opposite, if you urinate little, this is a reason to think about it.

Questions and answers on the topic "Frequent urination"

Question:27 years. After a stab wound in 2007, the liver and lung were sutured. Gradually, I began to worry about very frequent urination, about 30 times a day, in small portions. There are pains in the kidney area on both sides in the morning. Doctors, tests, examinations - they don’t give anything, I’m in a lot of pain.

Answer: You did not write which doctors you saw. Required: urologist, nephrologist, venereologist. Other causes: spinal cord injury, medications, overactive bladder.

Question:Hello. I am 47 years old. Not long ago I was diagnosed with rheumatoid arthritis. I take methotrexate, medrol, calcemin, essentiale. I noticed that urination became more frequent. About 8-10 times a day, 200-250 g. I drink about two liters of liquid. Twice tea and once coffee. I go more often in the first half of the day. At night very rarely, once every 2-3 months. I feel some heaviness in my lower abdomen. The latest urine test shows leukocytes 2-4, red blood cells - 0-1. Protein and sugar are normal. I saw a gynecologist a month ago, everything was normal. What could it be? Should I go to a urologist?

Answer: Hello. Possibly a side effect of the drugs. You should discuss this with your doctor.

Question:Hello, I'm 17 years old. At the age of 6 I had kidney surgery. Now I'm worried about frequent urination, I go to the toilet and after 10 minutes I want to urinate again, I go about 10 times a day, provided that I tolerate it, there is no pain when urinating. She shouldn't be pregnant because her period has arrived. What could be the reason?

Answer: Hello. There can be many reasons, as frequent urination is a common symptom. You need a face-to-face consultation with a therapist.

Question:I am 54 years old. Exhausted by frequent urination. I know all the toilets in the city and region. I was checked by many doctors: no cystitis; Ultrasound - within normal limits; strokes, etc. fine. I do fitness 2 times a week. I regularly do pelvic floor exercises. Weight - not fat, but excess weight appeared (after 50 years and there is no way to remove it). I read on the Internet about “senile urinary incontinence.” Indeed, if I go to the toilet, I can’t hold back the stream of urine. Really not? drug treatment? But the operation always helps and after the operation I will be able to play sports and lead a normal lifestyle. Thank you in advance.

Answer: After the operation, you will be able to lead a normal life (play sports, swim in the pool, be sexually active). The only thing that will be prohibited is lifting heavy things. But before you undergo surgery, I advise you to take a blood test for female sex hormones, since a decrease in the level of esterogens is one of the causes of urinary incontinence. The gynecologist will adjust the level of your sex hormones and thereby reduce the symptoms of urinary incontinence, it will be easier to lose excess weight, and your overall well-being will improve. And then, if you wish, you can undergo surgery.

Question:Hello! The problem is that I suffer from frequent urination (without pain). Discomfort in the scrotum area. It doesn’t hurt much, but if you apply a little pressure with your hand it’s a little painful. I passed all the tests. They found strong growth of staphylococcus and the ultrasound showed microcalcifications. All other indicators are normal. There are no infections whatsoever. The doctor said that it was all about microcalcifications and staphylococcus and diagnosed prostatitis. After treatment with antibiotics, my staphylococcus disappeared. The symptoms remained. After treatment, analysis of prostate secretion showed an increased number of leukocytes 18-16-20. In your opinion, is it possible to remove these microcalcifications? And what do you think I should do? Thanks for the answer!

Answer: In most men after 30-40 years, echo-dense areas (microcalcifications) are detected in the prostate. There is no need to remove microcalcifications. If frequent urination has been bothering you for a long time, then to find out the reasons, you should do a urodynamic study.

Question:Hello, I have this problem: I went to the toilet, peed, and then I want to do it again, and again, and again, and so on... I feel like I have bloating, constipation, I can’t really go to the toilet.. The tests were excellent, I saw a gynecologist, everything is fine, what should I do?

Answer: Hello, dear Zhanna! Frequent urination may be a symptom of cystitis (inflammation of the bladder). It may also be associated with other causes, particularly a functional disorder such as irritable bladder syndrome. In order to understand the problem, you need to consult a general practitioner.

Question:Lately I have been worried about frequent urination and from time to time slight pain in the kidney area.

Answer: Hello, dear Olga! Frequent urination may be a sign of cystitis. I recommend making an appointment with a general practitioner.

Question:About 2 weeks ago I noticed that I began to go to the toilet more often (before I never went at night, now every day). But that’s not all, my stomach began to hurt above my navel, my back started hurting, in general it was an incomprehensible pain, before I even thought it was from hunger. I had this kind of pain before several years ago, but it didn’t last long and I didn’t pay attention to it. What happened with me?

Answer: Sergey, you need to check the condition of your prostate gland. Unfortunately, you did not indicate your age, so I cannot give more detailed recommendations. Make an appointment with a urologist.

Question:Good afternoon Potency has dropped to almost zero over the past 1.5 years. There was frequent urination. What needs to be done and what tests to take to understand what’s wrong? I was checked for sexually transmitted diseases, everything is normal. Sedentary work.

Answer: Dear Nikolay! First of all, you need to make an appointment with a urologist (andrologist), where, after an examination and conversation, the scope of the necessary examination will be determined. Based on your letter, it is most likely that we are dealing with inflammatory changes in the prostate gland; I can answer more accurately only after examination.

Question:I have a problem with my bladder. Very frequent urination for 5 years. Endless thrush that goes away temporarily, sand in the kidneys, no pain. No matter how much you sit on the toilet, it will continue to flow. What is this, please tell me.

Answer: Hello, Elena Alexandrovna. You gave a very general description of the problem. To make a diagnosis, you need to undergo a serious examination. Make an appointment with a urologist.

Question:Please advise me if possible. There was a slight itching in the vaginal area, frequent urination, and after urinating a minute later you seemed to want it again. And during the process of urination itself there are strange sensations.

Answer: Your complaints may be associated with the presence of an infectious-inflammatory process of the genitourinary system. In this situation, to solve the problem, I recommend consulting a gynecologist or urologist to perform an examination, and then carry out adequate, complete, pathogenetically based treatment.

According to Benjamin Brucker (USA), assistant professor of urology at New York University Langone Medical Center, urinating more than seven times a day is a dangerous symptom. (As well as a sudden change in your toilet schedule.) Another sign of danger is waking up more than twice at night with the urge to pee - most healthy people are able to sleep through the night without going to the toilet at all.

Okay, this is about me. What is the problem?

When the bladder is full, a signal is sent to the brain that it is time to take a leak. But if you have an overactive bladder (and in the US, for example, every sixth man has this), this signal comes even when the bladder is not full. Although there is no medical contraindication to frequent urination, it can affect your overall quality of life. The causes of overactive bladder are still unknown, but the likelihood of developing it increases with age. Other possible causes include diabetes, urinary tract infections and prostate enlargement. The enlarged gland puts pressure on the urethra (the tube through which urine flows), which means your bladder has to try harder, which causes inflammation of the nerves and that same feeling that you have to run to the toilet. Squeezing also prevents you from emptying your bladder completely, which means you'll have to go to the toilet more often. Frequent but light urination may also indicate scarring in the urethra after surgery, injury, or a sexually transmitted infection. If left untreated, this painful condition can lead to kidney problems.

Sounds scary. Or maybe I just drink a lot during the day?

In general, yes. This could be the reason. Especially if you drink diuretics such as tea, coffee or alcohol. Eating them at night can make you go to the toilet in the middle of the night. If you want to fall into a restful sleep, it is better to stop drinking these drinks four hours before bedtime. For some people, the urge to urinate more frequently during times of anxiety or stress. These may be advised to think about something else or use calming breathing techniques.

So when should I see a doctor?

As soon as the problem begins to interfere with your life. (Say, if you can't sit through a single meeting.) You should also visit an aesculapian if you experience pain when urinating or see blood in your urine. This could be a sign of a bacterial infection in the genitourinary tract or something more serious like bladder cancer.

What can I expect from visiting a doctor?

Blood test for diabetes, smear for infection. Possibly a rectal examination of the prostate. Nothing particularly pleasant, but you'll get through it. Your doctor may order an ultrasound to check for kidney stones. And then he will refer you to a urologist for further tests. Treatment depends on the diagnosis: antibiotics in case of bacterial infection, Kegel exercises in case of overactive bladder. Although overactive bladder cannot be completely cured, it can be managed to improve quality of life and reduce the number of trips to the toilet during the day.

Regular urge to go to the toilet has a negative impact not only on general well-being, but also leaves an imprint on the psycho-emotional state.

Frequent urination in women at night

Nocturia or frequent urination in women at night is a common cause of sleep disturbances and a signal of problems in the functioning of any organs and systems. Every day, the kidneys excrete about 2.5 liters of fluid, with nighttime diuresis accounting for about 1/3 of this volume. If the functioning of the urinary system changes, then night diuresis accounts for about 2/3 of the daily amount of water. The causes of this condition can be either physiological or associated with pathological processes in the body.

Physiological factors of nictruria:

• Pregnancy - in the last stages of bearing a child, the enlarged uterus begins to put pressure on the bladder, which causes a decrease in the volume of urine that fits in it.
• The premenstrual period is characterized by fluid retention in the body due to hormonal changes. After menstruation, the condition returns to normal.
• Menopause - this process is accompanied by a decrease in the elasticity of tissues, including the muscular frame of the bladder. This causes destabilization of its work. The organ cannot retain a large volume of fluid, causing the urge to go to the toilet at night.

In addition to the above factors, nocturnal pollakiuria is inevitable when drinking heavily before bed or consuming diuretic drinks.

Pathological causes of nocturia in women:

• Infectious lesions of the urinary tract. Pathological processes in the urethra, ureters and bladder cause irritation of the mucous membrane of these organs, which leads to the urge to urinate.
• Diabetes mellitus - this endocrine disease is caused by poor functioning of the pancreas, which synthesizes insulin. Because of this, the patient drinks a lot of fluid, causing dysuria. Urine is released in large volumes both during the day and at night. Against this background, there is increased dryness of the mucous membranes and, of course, severe thirst.
• Diseases of the genitourinary system - this can be cystitis, urethritis, pyelonephritis, nephrosclerosis, cystopyelitis and other pathologies.
• Chronic heart failure - in this case, nocturia in women is associated with blood stagnation and a malfunction of the genitourinary system.

When determining the causes of the disorder, a comprehensive individual approach is required. This is due to the fact that there is no clearly established norm for urination at night. Particular attention is paid to the presence of concomitant symptoms and the general condition of the patient.

Frequent urination in women during the day

The problem of pollakiuria is familiar to many people firsthand. Frequent urination in women during the day can be associated both with natural processes in the body and with various disorders. An increased desire to relieve oneself is considered quite normal during pregnancy and old age, before menstruation or during hormonal changes.

An unpleasant condition may indicate the development of diabetes mellitus or diabetes insipidus. In the first case, the disease is associated with a disorder of carbohydrate metabolism in the body, which is manifested by a complex of various symptoms. In the second case, the patient suffers from severe thirst, so trips to the toilet are explained by drinking too much. The problem occurs with kidney disease and heart failure, as well as with uterine prolapse and many gynecological diseases.

Dysuric syndrome may occur with additional symptoms, which indicate problems such as:

• Pyelonephritis - urine contains impurities of pus and blood, lower back pain, chills, elevated body temperature, general weakness.
• Urolithiasis - painful sensations above the pubis, interruption of the urination process until the organ is emptied, incontinence during physical exertion, coughing, laughter.
• Cystitis is a burning sensation and pain in the urethra, a feeling of an incompletely emptied bladder.
• Genital infections - vaginal discharge of various types, swelling and redness of the external genitalia, enlarged inguinal lymph nodes.
• Urethritis - burning, pain and itching in the urethra, mucous discharge from the urethra.
• Uterine fibroids – menstrual irregularities, lower abdominal pain, uterine bleeding.

If the endless urge to go to the toilet causes anxiety and painful symptoms, then you should immediately seek medical help. The doctor will diagnose the pathological condition and prescribe its treatment.

Frequent urination in the morning in women

Important indicators of health are the frequency and nature of bladder emptying. Their changes allow us to draw conclusions about the state of the urinary system and identify various diseases. Normally, a person urinates about 7-10 times during the day. Exceeding this amount should cause concern.

Frequent urination in the morning in women can be associated with completely harmless factors. For example, if you drank a lot of liquid before going to bed, or ate watermelon or other diuretic foods. This is observed in pregnant women, with various hormonal changes in the body and when using dysuric medications before bedtime.

If dysfunction occurs with additional symptoms, then this may indicate diseases such as cystitis, urethritis, overactive bladder, adnexitis, pathologies of the cardiovascular system and much more. Treatment for a painful condition depends entirely on its cause. Thus, infectious and inflammatory pathologies are treated with antibiotics, and for hormonal disorders, replacement therapy is indicated.

Itching and frequent urination in women

Itching and frequent urination in women occur with many inflammatory and infectious pathologies. Let's consider the possible causes of the disorder.

• Fungal infections - most often women encounter candidiasis. Infection occurs when the vaginal microflora is disrupted due to antibiotics, tight synthetic underwear, irritating sanitary pads, or regular changes of sexual partners.
• Sexually transmitted diseases - this can be a herpes infection or gardnerellosis. Both pathologies cause vaginal dysbiosis, itching and a regular urge to urinate.
• Vulvovaginitis is an inflammatory lesion of the genital organs by gonococci or Trichomonas.

If itching occurs immediately after emptying the bladder, this may indicate the following pathologies:

• Cystitis is diagnosed in more than 25% of women; in 10% of cases it occurs in a chronic form.
• Urolithiasis - stones and sand irritate the mucous membrane of the urinary canal. This causes burning, pain, and bleeding.
• Urethritis is an inflammatory lesion of the urinary canal, causing itching, burning, and pain.

The painful condition can be triggered by pathologies of internal organs, hypothermia and various injuries. There are also non-infectious causes of the disorder: psycho-emotional experiences, failure to comply with intimate hygiene rules or allergies to cosmetics, pinworm infection, diabetes mellitus. The final diagnosis is made by the doctor after a gynecological examination, smears and tests.

Frequent urination in women after sex

For many people, sex is a source of emotional release and pleasure, but in some cases it can lead to unpleasant and even painful consequences. Many people ignore discomfort after sexual intercourse, considering this condition not dangerous. Moreover, one of the symptoms of a pathological process in the body is frequent urination in women after sex. Its appearance indicates disruption of the normal functioning of the urinary system.

Let's look at the main causes of the disorder:

• Postcoital cystitis is an inflammatory process that is quite common among women who are sexually active. Symptoms appear a short time after sex. The painful condition is associated with the introduction of harmful microorganisms from the male urethra into the female urethra and bladder.
• Aggressive sexual intercourse, in which the mucous membranes of the external genitalia and urethra are injured. In this case, microtraumas open the way for the penetration of pathogenic agents and the development of inflammatory reactions.
• Failure to comply with intimate hygiene is a high risk of developing various infectious pathologies of both the bladder and vagina, and the adnexal apparatus of the uterus.
• Disturbance of the normal microflora of the vagina - bacterial vaginosis is accompanied by dysuric disorders and other painful symptoms.
• Weakened immune system - a violation of the protective properties allows bacteria and viruses to enter the body, causing various diseases and inflammatory reactions.
• Metabolic disorders – diabetes mellitus, diseases thyroid gland, obesity and more.
• Hormonal disorders - when the secretion of female sex hormones is disrupted, problems with the reproductive system and many inflammatory pathologies arise.

Pollakiuria can occur not only after vaginal, but also after oral or anal sex. During oral sex there is a risk of transmitting the pathogen from the mucous membranes of the oral cavity to the genitourinary organs and vice versa. Against this background, inflammation of the gums and tonsils may develop. As a rule, patients with immunodeficiency conditions face this problem. Anal intercourse can cause the development of not only cystitis, but also pyelonephritis.

To prevent a painful condition, preventive methods should be followed: maintain intimate hygiene, increase the protective properties of the immune system, use barrier contraceptives (condoms) when having sex with an unfamiliar partner or developing inflammation of the genital organs in a regular person, and also undergo regular preventive examinations with a gynecologist.

Itching, burning and frequent urination in women

The anatomical structure of the female reproductive system contributes to the appearance of inflammatory reactions in the urethra and bladder. Such a symptom complex as itching, burning and frequent urination in women occurs for the following reasons:

1. Infectious factors (inflammation of the bladder, urethra, external and internal genital organs).

• Cystitis.
• Urethritis.
• Urolithiasis disease.
• Urogenital chlamydia.
• Gonorrhea.
• Candidiasis.
• Ureoplasmosis.
• Trichomoniasis.
• Herpetic infections.
• Bacterial vaginosis.
• Atrophic vulvovaginitis.

1. Non-infectious factors (mechanical, chemical irritation).

• Failure to comply with intimate hygiene or its improper implementation.
• The use of cosmetics that change the normal level of acidity and inhibit the healthy microflora of the vagina.
• Hypersensitivity to chemical contraceptives.
• Using tampons or pads with poor hygiene.
• Injuries to the urethra (urolithiasis, improper insertion of a catheter, rough sexual intercourse).
• Helminthic infestations.
• Abuse of foods or medications that irritate the bladder.

In addition to the above reasons, itching and burning in combination with pollakiuria may indicate a condition during pregnancy, before/after menstruation, or endocrine disorders.

To determine the cause of the painful condition, it is necessary to undergo a gynecological examination and undergo a series of laboratory tests. Based on the diagnostic results, the doctor draws up the most optimal treatment plan.

Diarrhea and frequent urination in women

As a rule, diarrhea and frequent urination in women are not signs of any pathologies, provided, of course, that there are no additional symptoms. This may be a normal reaction of the body to certain disturbances in its functioning.

If a combination of diarrhea and polyuria makes itself felt over a long period of time, then this may indicate pathologies such as:

• Diseases of the cardiovascular system (heart failure, heart attack).
• Endocrine diseases (diabetes mellitus, diabetes).
• Stones in the urinary tract or kidneys.
• Liver or kidney failure.
• Cystitis.
• Viral or bacterial infections.
• Weakened pelvic floor muscles.
• Overactive Bladder
• Various injuries.

As for the physiological causes of diarrhea and diuresis, this may be:

• Pregnancy.
• Condition before or after menstruation.
• Food or drug poisoning.

Particular attention should be paid to urinary tract infections (UTIs), as they are a typical cause of bladder dysfunction and diarrhea. The mechanism of development of the painful condition is associated with the entry of bacteria into the organ through the urethra. According to medical statistics, about 50-60% of women have experienced a UTI at least once in their lives.

There are certain risk factors for this pathology: irritation and inflammation of the vagina, changes in the structure of the urinary system during pregnancy, various chronic diseases, improper wiping after using the toilet, sexual trauma, hydration and urinary retention for a long time.

To diagnose the cause of the unpleasant condition and eliminate it, you should seek medical help. After a set of various examinations, the doctor will prescribe the correct and effective treatment.

Constipation and frequent urination in women

There are many causes for problems such as constipation and frequent urination. Women are most often diagnosed with the following disorders:

• Diabetes mellitus (type 1 and 2).
• Urinary tract infections.
• Stones in the bladder.
• Overactive bladder.
• Infectious kidney lesions.
• Interstitial cystitis
• Thyroid diseases.
• Use of laxatives and diuretics.
• Stress and emotional distress.
• Lack of fiber in the diet.
• Diseases of the gastrointestinal tract.
• Eating disorders.
• Haemorrhoids.
• Some medications.

Similar symptoms occur during pregnancy. Hormonal changes in the body cause dysuria and difficulties with bowel movements. Another possible cause of the disorder is urinary dysfunction. Most often it is diagnosed in childhood. The problem occurs due to damage to the muscles that control the bladder and bowel movements. Various neurological diseases can cause damage to the nerve fibers that supply the bladder and are responsible for bowel function.

If regular urge to go to the toilet and constipation persist for an extended period of time, then this is a reason to immediately seek medical help. Without timely treatment, there is a risk of developing an acute inflammatory reaction and intoxication of the body with feces.

Nausea and frequent urination in women

According to medical statistics, every day a woman visits the toilet from 3 to 6 times, while the number of small visits completely depends on the volume of fluid drunk, metabolic rate and a number of other physiological factors. Symptoms such as nausea and frequent urination in women are most often associated with the following reasons:

• Pregnancy.
• Condition before menstruation.
• Menopause.
• Intoxication of the body.
• Abuse of caffeine or alcoholic beverages.
• Overeating foods with diuretic properties (cucumbers, cranberries, lingonberries, watermelon).
• Nervous feelings.
• Hypothermia of the body.
• Diseases of the cardiovascular system.
• Pathologies from the gastrointestinal tract.
• Disorders of the genitourinary system.
• Endocrine disorders.

All of the above factors require careful diagnosis and differentiation. If this condition is left without medical attention, it can lead to its progression and worsening of painful symptoms.

Bloating and frequent urination in women

Many people face problems such as flatulence and pollakiuria. Several factors are believed to be the cause of this condition. Abdominal bloating and frequent urination in women are in most cases associated with pathological changes in the genitourinary system.

Causes of the disorder:

• Drinking large amounts of fluids, especially carbonated drinks, coffee or alcohol.
• Pregnancy - during growth, the fetus begins to put pressure on the genitourinary organs, causing unpleasant symptoms.
• If flatulence and the urge to go to the toilet are accompanied by pain, stinging or burning, then this indicates a progressive inflammatory process.
• Hemorrhoids - symptoms arise due to increased pressure on the cavernous vessels.
• Oncological diseases.

To establish the root cause of the painful condition, a comprehensive diagnosis is indicated. It consists of an ultrasound examination, various laboratory tests and smears, sigmoidoscopy and colonoscopy. Based on the results of the examinations, the patient is prescribed a treatment regimen.

Frequent urination due to nervousness in women

A periodically diagnosed pathology in both children and adults is bladder neurosis or frequent urination due to nervousness. In women, this condition is associated with disturbances in the functioning of the sympathetic and parasympathetic parts of the nervous system. The first section holds urine by contracting the sphincter, and the second is responsible for relaxing the walls of the bladder and sphincter to remove fluid. Various stresses and nervous experiences lead to excitability of each of the departments, which is why dysuric syndrome occurs.

The disorder is associated with the following factors:

• Increased muscle tension. When stressed, the muscles are in an overstrained state, putting pressure on the bladder. This causes the urge to go to the toilet.
• Obsessive thoughts and ideas. Neurological disorders force you to concentrate on your physical sensations. Most often this is the desire to urinate.

The painful condition may be associated with damage to the nerves in the urinary tract, that is, neurogenic bladder. In this case, in addition to stress, pollakiuria is provoked by Parkinson's disease, systemic atrophy, multiple sclerosis, brain tumors, stroke or herpes zoster, which affects the nerve endings in the sacral region.

The following symptoms are characteristic of neurosis:

• Paruresis (psychogenic factor) is the difficulty or inability to go to the toilet in front of strangers, even with a strong desire.
• Patients do not feel their bladder. Because of this, trips to the toilet become regular. This symptom may be accompanied by pain in the lumbar and perineal area.

Neurotic disorders are difficult to diagnose, but they are easy to treat. As a rule, to eliminate them, various anti-stress drugs or tranquilizers, physiotherapy and a therapeutic diet are prescribed.

Frequent false urge to urinate in women

As a rule, frequent false urge to urinate in women indicates the development of an inflammatory process. But do not forget that the urinary system is multi-level, that is, it is not only the bladder and neurons, it is also many other organs. Based on this, pollakiuria can occur at any level due to the influence of certain pathological factors.

Let's consider the main causes of false pollakiuria:

• Inflammatory diseases.
• Hypothermia of the body.
• Gynecological pathologies.
• Immune system disorders.
• Menopause.
• Pregnancy
• Premenstrual syndrome.
• Unbalanced diet.
• Urolithiasis disease.
• Venereal infectious diseases.

In addition to the above factors, the disorder can occur due to disturbances in the functioning of the nervous system, diseases of the central nervous system, constipation, uterine fibroids, and iron deficiency anemia.

There are also more harmless reasons: abuse of coffee, tea, carbonated drinks, alcohol, spicy foods, sweets. In any case, if discomfort persists for several days and interferes with normal life, you should seek medical help.