Is Holding Urine Overnight Causing My Frequent Urination? - Urology

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Holding urine for an entire night?


Last night I had the urge to urinate, but I fell asleep and didn't go.
Today, after I finally urinated, it seems like I'm experiencing frequent urination; I feel the need to go to the bathroom again shortly after, but I only pass a small amount of urine, and it comes out slowly.
There's no pain or any other unusual symptoms.
Could this be caused by holding in my urine? Will it resolve on its own?

Niming, 10~19 year old female. Ask Date: 2017/10/14

Dr. Lin Wenxu reply Urology


Please visit the urology outpatient clinic for further urine testing and a detailed examination to understand the exact situation.

Reply Date: 2017/10/14

More Info


Holding urine overnight can indeed lead to a variety of urinary symptoms, including frequent urination the following day. When you hold urine for an extended period, especially overnight, it can cause your bladder to become overdistended. This overdistension can lead to a temporary disruption in normal bladder function, resulting in sensations of urgency and frequency when you finally do urinate.
In your case, it sounds like you experienced a situation where you felt the urge to urinate but did not respond to it during the night. As a result, when you finally did urinate, you noticed that you had to go frequently, but the volume was small and the flow was slow. This is not uncommon and can happen for several reasons:
1. Bladder Sensitivity: After holding urine for a long time, your bladder may become more sensitive, leading to a heightened sense of urgency even when there is not a significant amount of urine present.

2. Bladder Overactivity: Holding urine can sometimes trigger a temporary state of bladder overactivity, where the bladder contracts more frequently than normal, leading to the sensation of needing to urinate more often.

3. Psychological Factors: Anxiety about needing to urinate can also exacerbate the feeling of urgency. If you are concerned about your urinary habits, this can create a cycle of increased urgency and frequency.

4. Hydration Levels: If you were well-hydrated before holding your urine, your body might be producing more urine than usual, contributing to the feeling of needing to urinate frequently.

5. Urinary Tract Health: While you mentioned that you do not have pain or other symptoms, it’s worth noting that any changes in urinary habits should be monitored. If you notice persistent changes, it may be wise to consult a healthcare provider to rule out any underlying issues.

In most cases, this situation should resolve on its own as your bladder returns to its normal function. However, here are some recommendations to help manage your urinary health:
- Respond to Urges: Try to respond to the urge to urinate as soon as you feel it, rather than holding it for extended periods. This can help maintain normal bladder function and reduce the risk of overdistension.

- Stay Hydrated: Ensure you are drinking enough fluids throughout the day, but try to limit fluid intake in the hours leading up to bedtime to reduce the need to urinate overnight.

- Pelvic Floor Exercises: Engaging in pelvic floor exercises (Kegel exercises) can strengthen the muscles that support bladder control, potentially improving your urinary function.

- Monitor Symptoms: Keep track of your urinary habits, including frequency, volume, and any associated symptoms. If you notice any persistent changes or discomfort, it would be advisable to consult a healthcare professional.

If your symptoms persist or worsen, or if you develop any new symptoms such as pain, burning during urination, or blood in your urine, it is essential to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include a urinalysis or other diagnostic tests, to determine the underlying cause of your urinary symptoms and recommend appropriate treatment.

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