Frequent Urination: When to Seek Medical Attention

It takes a moment to urinate?

I have been experiencing frequent urination for about 2 to 3 years, and I feel like my bladder is smaller than others.
Before my cystitis on June 9th of this year, I would sometimes drink a sip of water and then have a large amount of urine just 10 minutes later.
Additionally, I have to wait a few seconds for the urine to come out when I go to the bathroom.
Should I go to a major hospital for an examination? What could be causing this? Is it possible that I have a medical condition? Thank you for your response, doctor.

p, 10~19 year old female. Ask Date: 2013/07/18

Dr. Li Yilun reply Urology

Frequent urination is defined as more than 8 times a day for women or more than once at night.
In young women, common causes include infections and inflammation.
If symptoms persist and become chronic, the underlying causes can be more complex.
If the infection is treated but frequent urination continues, conditions such as overactive bladder or interstitial cystitis may be considered, indicating bladder dysfunction.
Therefore, patients are often asked to maintain a voiding diary, which records daily urine volume, frequency, and fluid intake over a continuous period of 48 to 72 hours.
This helps the physician better understand your urination patterns.
It is important to note that a simple description of your symptoms is insufficient for diagnosis, especially since you are already exhibiting significant symptoms.
Therefore, if symptoms do not improve or worsen, it is recommended to consult a specialist for evaluation and examination to avoid delaying treatment.
Physicians typically require a thorough medical history, physical examination, and diagnostic tests to confirm the diagnosis and determine the appropriate treatment.

Reply Date: 2013/07/18

More Info

Frequent urination, especially when accompanied by other symptoms like pain or urgency, can be a sign of underlying medical conditions that warrant further investigation. Given your history of frequent urination over the past 2-3 years, and the recent episode of cystitis (bladder inflammation), it is advisable to seek medical attention, particularly from a urologist or a healthcare provider specializing in urinary tract disorders.

There are several potential causes for your symptoms. One common cause of frequent urination is a urinary tract infection (UTI), which can lead to inflammation of the bladder (cystitis) and increased urgency and frequency of urination. Other possible causes include:
1. Overactive Bladder (OAB): This condition is characterized by a sudden urge to urinate that may be difficult to control. It can occur even if the bladder is not full, leading to frequent trips to the bathroom.

2. Interstitial Cystitis (IC): This is a chronic condition that causes bladder pressure, bladder pain, and sometimes pelvic pain. It can lead to increased urinary frequency and urgency.

3. Diabetes: Uncontrolled diabetes can lead to increased urination due to high blood sugar levels, which cause the kidneys to excrete more glucose and, consequently, more water.

4. Prostate Issues: In men, an enlarged prostate can obstruct the flow of urine and lead to increased frequency and urgency.

5. Bladder Stones or Tumors: These can irritate the bladder and lead to increased urinary frequency.

6. Neurological Conditions: Conditions that affect nerve signals to the bladder can also lead to urinary frequency and urgency.

Given your symptoms, it is important to undergo a thorough evaluation. This may include:
- Urinalysis: To check for signs of infection, blood, or other abnormalities.

- Urine Culture: To identify any bacterial infections.

- Ultrasound or CT Scan: To visualize the bladder and kidneys for any structural abnormalities.

- Urodynamic Studies: To assess how well the bladder and urethra are functioning.

If you are experiencing significant discomfort, pain, or if your symptoms are worsening, it is even more critical to seek medical attention promptly. Early diagnosis and treatment can help manage symptoms effectively and prevent potential complications.

In summary, your symptoms of frequent urination, especially in the context of a recent bladder infection, suggest that you should consult a healthcare provider for a comprehensive evaluation. They can help determine the underlying cause of your symptoms and recommend appropriate treatment options. Remember, it is always better to err on the side of caution when it comes to health concerns.

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