Urination Frequency: Causes and Treatment Options

Q: Urination Frequency: Causes and Treatment Options

Hello： If multiple urine tests are normal, there should be no inflammation. <br>If urination is abnormal, a consultation with a urologist is necessary. <br>Currently, it is important to maintain normal fluid intake, hydrate evenly, engage in gentle exercise, and limit beverage co

Frequency of urination

Hello, I have been experiencing very low urine output and infrequent urination for over two months.
Initially, I thought it was due to kidney stones, as I have a history of them.
I went to a traditional Chinese medicine shop to get herbs to help pass the stones and also took urinary capsules.
My urination seemed normal for a while, so I stopped taking the medication.
After some time, my urine output decreased again.
I went to a clinic to check for hematuria, and the results were normal.
Then I visited a gynecologist, and during the pelvic exam, the doctor noted that my bladder was quite tender.
The doctor diagnosed me with urethritis.
On my third follow-up visit, I was told I had cystitis, and I was prescribed medication along with urinary capsules, but there was no improvement.
Eventually, I developed a mild fever and a sore throat, so I did a rapid test for COVID-19, which came back negative.
Recently, I visited a urology department at the hospital, where they conducted a urinalysis, and again, everything was normal.
The doctor prescribed urinary tablets, but I still experience low urine output in the morning.
I started drinking 1500cc of water every afternoon, which increased my bathroom visits to about two or three times, but the initial urine flow was still less than normal.
The final output is also small.

Could you please advise if I should continue taking the urinary tablets prescribed by the hospital? What could be the underlying issue, and what further tests should I undergo? Was it appropriate for me to see a urologist, or could this still be cystitis? I am really feeling overwhelmed by these urinary issues.

amy, 30~39 year old female. Ask Date: 2022/07/25

Dr. Du Shixi reply Urology

Hello: If multiple urine tests are normal, there should be no inflammation.
If urination is abnormal, a consultation with a urologist is necessary.
Currently, it is important to maintain normal fluid intake, hydrate evenly, engage in gentle exercise, and limit beverage consumption.
Wishing you good health.

Reply Date: 2022/07/25

More Info

Understanding urination frequency and its underlying causes can be quite complex, especially when symptoms persist despite various treatments. Based on your description, it seems you have been experiencing reduced urine output and frequency for over two months, which can be concerning. Let's break down the potential causes and treatment options.

Possible Causes
1. Urinary Tract Infection (UTI): Your symptoms, including discomfort during bladder examination and the diagnosis of urethritis and cystitis, suggest a possible UTI. UTIs can lead to inflammation and swelling, which may cause a decrease in urine flow and increased urgency or frequency.

2. Kidney Stones: Given your history of kidney stones, they could still be a contributing factor. Even if you have not experienced acute pain, small stones can obstruct the urinary tract, leading to reduced urine output.

3. Bladder Dysfunction: Conditions such as bladder overactivity or underactivity can affect how often you urinate and the volume of urine produced. This can be due to nerve issues, muscle problems, or other underlying conditions.

4. Dehydration: If you are not consuming enough fluids, this can lead to concentrated urine and a feeling of urgency without a significant volume of output. However, you mentioned increasing your fluid intake, which should help.

5. Medications: Some medications can affect urinary frequency and volume. If you are taking diuretics or other medications, they may influence your symptoms.

6. Prostate Issues: In men, prostate enlargement can lead to urinary symptoms, including reduced flow and frequency. This is less likely in women but still worth considering if applicable.

Treatment Options
1. Continue Medications: If your doctor prescribed medications to help with urination, it is essential to follow their advice. These medications may help relax the bladder or reduce inflammation.

2. Hydration: Increasing your fluid intake is crucial. Aim for at least 2-3 liters of water daily, unless otherwise advised by your healthcare provider. This can help dilute urine and promote better flow.

3. Follow-Up Testing: Since your symptoms have not improved, further testing may be warranted. This could include:
- Ultrasound: To check for kidney stones or bladder abnormalities.

- Urodynamic Studies: To assess bladder function and pressure.

- Cystoscopy: A procedure to look inside the bladder and urethra for any abnormalities.

4. Consult a Urologist: Since you have already seen a urologist, it may be beneficial to return for a follow-up. They can provide specialized care and may suggest additional diagnostic tests or treatments based on your symptoms.

5. Lifestyle Modifications: Consider dietary changes that may promote urinary health, such as reducing caffeine and alcohol intake, which can irritate the bladder.

Conclusion
Your ongoing issues with urination frequency and volume warrant further investigation and possibly a multidisciplinary approach involving urologists and primary care physicians. It is essential to communicate openly with your healthcare providers about your symptoms and any changes you notice. Keeping a symptom diary, including fluid intake and urination patterns, can also be helpful for your doctors to understand your condition better.

In summary, while your symptoms may stem from a variety of causes, continued evaluation and appropriate treatment are crucial. Do not hesitate to seek further medical advice if your symptoms persist or worsen.

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