Upon waking up in the morning, there is a decrease in urine output and weak urinary stream?
Hello, doctor.
Recently, I've noticed that my first urine in the morning is very little and lacks urgency.
Sometimes I also experience dry mouth (I usually drink 2-3 sips of water before bed).
I've been busy with work lately, so I've been going to bed later and drinking less water.
Could this be related? Sometimes I only feel the urge to urinate when I press on my bladder.
Is there something wrong with me?
Xiao Lin, 20~29 year old female. Ask Date: 2016/01/11
Dr. Xu Weikai reply Urology
Xiao Lin: If you drink less water, of course you'll urinate less.
I recommend drinking more water if you stay up late.
If there are any unclear points, feel free to ask again so we can discuss and research further.
Answers found online should only be used as a reference; if necessary, you should visit a medical institution for treatment.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare, who cares about your health.
Reply Date: 2016/01/11
More Info
Morning urination issues, particularly low volume and weak stream, can be concerning and may indicate a variety of underlying conditions. In your case, several factors could be contributing to these symptoms, including hydration status, lifestyle changes, and potential medical conditions.
Firstly, the amount of fluid you consume before bedtime plays a significant role in your morning urination. If you are drinking less water due to a busy schedule, this could lead to lower urine production overnight. The kidneys filter blood and produce urine, and if there is less fluid intake, the volume of urine will naturally decrease. Additionally, if you are waking up with a dry mouth, it may indicate that you are not adequately hydrated, which can further contribute to low urine volume.
The weak stream you are experiencing could be related to several factors. One possibility is bladder function. If the bladder is not contracting effectively, it may result in a weak urinary stream. This can happen due to various reasons, including bladder muscle weakness or nerve issues that affect bladder control. Another consideration is the possibility of urinary tract obstruction, which can occur due to conditions such as benign prostatic hyperplasia (BPH) in men, or pelvic floor dysfunction in women.
The sensation of needing to press on your abdomen to feel the urge to urinate may suggest that your bladder is not sending strong signals to your brain, which could be due to nerve issues or bladder muscle weakness. It is also important to consider whether you have experienced any other symptoms, such as pain during urination, changes in urinary frequency, or any other systemic symptoms that could indicate an underlying condition.
Given your recent lifestyle changes, such as increased work stress and altered hydration habits, it is possible that these factors are contributing to your symptoms. Stress can affect various bodily functions, including those related to the urinary system. Additionally, if you have been sleeping less, this could impact your overall health and hydration status.
However, it is crucial to rule out any underlying medical conditions. If your symptoms persist or worsen, I recommend consulting a healthcare professional for a thorough evaluation. They may perform a physical examination, review your medical history, and possibly conduct tests such as urinalysis, bladder function tests, or imaging studies to assess your urinary system's health.
In summary, your morning urination issues could be related to decreased fluid intake, lifestyle changes, or potential underlying medical conditions affecting bladder function. Staying hydrated, managing stress, and monitoring your symptoms are essential steps. If concerns continue, seeking medical advice is the best course of action to ensure proper diagnosis and treatment.
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