Frequent urination issues?
I have been experiencing frequent urination for the past two to three days, and after urinating, I still feel the urge to go again, along with a feeling of fullness in my lower abdomen.
I visited a gynecologist, and they said there is no inflammation.
What could be wrong with my body?
Xiao Min, 10~19 year old female. Ask Date: 2017/07/24
Dr. Chen Jiansheng reply Urology
Frequent urination issues can be evaluated by a urologist.
Reply Date: 2017/07/24
More Info
Frequent urination, medically known as polyuria, can be a distressing symptom that significantly impacts daily life. It can stem from a variety of causes, ranging from benign to more serious medical conditions. Understanding the underlying reasons for your symptoms is crucial for effective management and treatment.
Firstly, frequent urination can be caused by increased fluid intake, particularly if you consume diuretic beverages such as caffeine or alcohol. However, since you mentioned that you have been experiencing this symptom even without significant changes in your fluid intake, it is essential to consider other potential causes.
One common cause of frequent urination is a urinary tract infection (UTI). UTIs can lead to inflammation and irritation of the bladder, resulting in an increased urge to urinate, often accompanied by discomfort or a burning sensation. However, since you have already consulted with a gynecologist who indicated there is no inflammation, a UTI may be less likely.
Another possibility is overactive bladder syndrome, which is characterized by an urgent need to urinate frequently, often with little warning. This condition can occur without any underlying infection or inflammation. It is often associated with bladder dysfunction, where the bladder muscles contract involuntarily, leading to the sensation of needing to urinate frequently.
Additionally, conditions such as diabetes mellitus can lead to increased urination. In diabetes, high blood sugar levels can cause the kidneys to excrete excess glucose into the urine, pulling water along with it and resulting in increased urine production. If you have not been screened for diabetes, it may be worth discussing this with your healthcare provider.
Another potential cause could be bladder irritants, which can include certain foods and beverages, such as spicy foods, artificial sweeteners, and acidic foods. These can irritate the bladder and lead to increased urgency and frequency of urination.
If you are experiencing a sensation of fullness or pressure in your lower abdomen, it could indicate that your bladder is not emptying completely, which can also lead to frequent urination. This could be due to bladder outlet obstruction or other issues related to pelvic floor dysfunction.
Given your symptoms and the fact that you have already consulted with a gynecologist, it may be beneficial to see a urologist for a more specialized evaluation. A urologist can perform tests such as a urinalysis, urine culture, and possibly imaging studies to assess the structure and function of your urinary tract. Additionally, they may recommend urodynamic studies to evaluate how well your bladder and urethra are functioning.
In the meantime, keeping a bladder diary can be helpful. Documenting your fluid intake, the frequency of urination, and any associated symptoms can provide valuable information for your healthcare provider.
In summary, frequent urination can result from various factors, including overactive bladder, urinary tract infections, diabetes, or bladder irritants. Since your symptoms have persisted, it is essential to seek further evaluation from a urologist to determine the underlying cause and develop an appropriate treatment plan. Remember, effective communication with your healthcare provider about your symptoms and concerns is key to finding relief and improving your quality of life.
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