Frequent Urination: Causes, Concerns, and Solutions - Urology

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Is there something wrong with me?


What conditions are considered frequent urination? I've noticed that I urinate very frequently, especially after drinking water.
The urge to urinate comes quite quickly! I have tested it and found that I go to the bathroom at similar intervals, but others who drink more water than I do may only go once or twice, while I go 2-3 times, and I notice that my urine volume is not much each time.
What could be going on? Is there a specific issue? Additionally, I often feel like I can't completely empty my bladder.
What could this be? If I need to get checked, what tests should I undergo?

A-Hong, 20~29 year old female. Ask Date: 2007/06/29

Dr. Xu Weikai reply Urology


Ah Hong: Hello, frequent urination generally refers to a situation where the volume of urine each time is small, but the frequency is high.
If your urine volume is more than 1.5 cups (approximately 360 mL) each time, it is usually considered normal.
The time it takes for water intake to result in urination varies from person to person, and as one ages, the metabolism of water slows down.
In other words, many elderly individuals may not need to urinate during the day but will concentrate their urination at night.
Note: Personally, after drinking a cup of coffee, I feel the urge to urinate within 5 minutes, and I usually need to urinate within 15 minutes.
I do not feel that this is a problem.
Additionally, many factors can cause frequent urination: stress, nerve inflammation, stones, infections, etc.
To make an accurate diagnosis, you can start with the following points: 1.
Record your water intake times and amounts.
2.
Record urination times and volumes.
3.
Check your urine.
4.
If necessary, perform urine culture and ultrasound.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Dr.
Hsu Wei-Kai.

Reply Date: 2007/06/29

More Info


Frequent urination, or polyuria, is generally defined as the need to urinate more than eight times in a 24-hour period, or the need to wake up more than once during the night to urinate (nocturia). This condition can be caused by a variety of factors, including fluid intake, medications, and underlying medical conditions. In your case, it seems you are experiencing an increased frequency of urination, particularly after drinking fluids, and you have noted that your urine volume is relatively low each time.
There are several potential causes for your symptoms. First, increased fluid intake can naturally lead to more frequent urination. However, if you are drinking a normal amount of fluids and still experiencing frequent urination, it may indicate an underlying issue. Conditions such as urinary tract infections (UTIs), diabetes mellitus, diabetes insipidus, and bladder irritability can all lead to increased urination.
You mentioned that you are concerned about whether your symptoms could be related to masturbation. While masturbation itself does not directly cause frequent urination, it can lead to temporary changes in your body’s physiology, including increased pelvic floor muscle tension, which may affect urination. However, if you are experiencing persistent symptoms, it is essential to consider other medical explanations.

The sensation of not being able to fully empty your bladder, or feeling like you have residual urine, can also be concerning. This sensation can be caused by a variety of factors, including bladder dysfunction, prostate issues (in males), or even anxiety-related muscle tension.
To address your concerns, it is advisable to consult a healthcare professional, particularly a urologist, who can perform a thorough evaluation. The following tests may be recommended:
1. Urinalysis: This test can help identify any signs of infection, blood, or other abnormalities in your urine.

2. Urine Culture: If a UTI is suspected, a culture can help identify the specific bacteria causing the infection.

3. Bladder Diary: Keeping a record of your fluid intake, urination frequency, and volume can help your doctor understand your symptoms better.

4. Ultrasound: This imaging test can assess the bladder and kidneys for any structural abnormalities.

5. Urodynamic Testing: This series of tests evaluates how well your bladder and urethra are functioning.

In the meantime, consider monitoring your fluid intake and try to avoid diuretics such as caffeine and alcohol, which can increase urination. Additionally, practicing relaxation techniques may help if anxiety is contributing to your symptoms.

Ultimately, it is crucial to seek medical advice to determine the underlying cause of your frequent urination and to receive appropriate treatment. Early intervention can help manage symptoms effectively and improve your quality of life.

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