Frequent Urination: When to Seek Medical Advice - Urology

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The issue of frequent urination?


Hello Doctor: For the past three days, I have been experiencing frequent urination at night, with a persistent urge to urinate.
The amount of urine seems normal, and I do not have difficulty urinating or pain during urination, which feels different from a urinary tract infection.
This morning, after drinking just a few sips of water, I have been feeling the urge to urinate approximately every half hour.
I would like to ask what this issue might be.
I am currently seeing a traditional Chinese medicine practitioner for menstrual pain.
Can I wait until my follow-up appointment in three days to address this, or should I see a Western medicine doctor immediately? Thank you, Doctor.

Amber, 20~29 year old female. Ask Date: 2022/08/16

Dr. Du Shixi reply Urology


Hello: The symptoms have persisted for 3 days; you should seek medical examination.
Wishing you good health.

Reply Date: 2022/08/16

More Info


Frequent urination, especially at night, can be a concerning symptom that warrants medical attention. In your case, experiencing a strong urge to urinate every half hour, even after consuming only a small amount of water, suggests that there may be an underlying issue that needs to be addressed. While you mentioned that you do not have pain during urination and that the urine output seems normal, it is still important to consider several factors that could contribute to your symptoms.

First, frequent urination can be caused by a variety of conditions, including urinary tract infections (UTIs), bladder irritability, prostate issues (in males), diabetes, or even certain medications. Given that you are currently seeing a traditional Chinese medicine practitioner for menstrual pain, it is possible that the treatments you are receiving could also influence your urinary symptoms. However, it is crucial to differentiate between benign causes and those that may require immediate medical intervention.

Since your symptoms have persisted for three days, it would be prudent to seek medical advice sooner rather than later. While waiting for your scheduled appointment in three days may seem reasonable, the frequency and urgency of your urination could indicate a developing issue that might worsen without timely evaluation. A healthcare provider can perform a thorough assessment, which may include a urinalysis, urine culture, and possibly imaging studies to rule out any significant underlying conditions.

In particular, if you experience any additional symptoms such as fever, chills, back pain, or blood in your urine, you should seek medical attention immediately, as these could indicate a more serious infection or other complications. Additionally, if you notice any changes in your overall health, such as increased thirst, unexplained weight loss, or fatigue, these could also be signs of diabetes or other metabolic disorders.

In summary, while it is possible that your symptoms may resolve on their own, it is advisable to consult with a healthcare professional sooner rather than later to ensure that any potential issues are identified and treated appropriately. Early intervention can help prevent complications and provide peace of mind. If you have any concerns about your current treatment or the interactions between your traditional and Western medicine approaches, discussing these with both practitioners can provide a more comprehensive understanding of your health situation.

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