and Managing Frequent Urination: Tips for Relief - Urology

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Frequent urination issues?


Hello, doctor: Since I started high school, I've often felt the urge to urinate after each class (about 50 minutes), and I frequently run to the restroom at the end of class.
I drink very little water and beverages (about two cups a day), yet this issue has persisted for over five years.
Knowing that I have frequent urination, I've been afraid to drink water, fearing the urge to go, but even when I don't drink, I still feel the need to urinate.
This makes it really difficult during exams, as I often have to hold it in.
What can I do to improve this situation? Additionally, after each bowel movement, I feel the urge to urinate again within a few minutes.
After going, I still feel the need to urinate shortly after.
I initially thought it was because I wasn't emptying my bladder completely while having a bowel movement, so I would squat for a few minutes to let any remaining urine out, but it hasn't helped.
It usually takes about an hour of frequent trips to the restroom before I feel normal again.
While I can manage this at school and home, it becomes very troublesome when I'm out.
My family often finds it hard to cope with this situation.
Is there any way to improve this? Thank you.

nao, 20~29 year old female. Ask Date: 2016/03/12

Dr. Lin Wenxu reply Urology


It is recommended to visit a urology clinic for further consultation and examination in order to identify the exact cause.

Reply Date: 2016/03/12

More Info


Frequent urination, or the need to urinate more often than normal, can be a frustrating and uncomfortable condition, especially for someone like you who has been experiencing it for several years. Understanding the underlying causes and exploring management strategies can significantly improve your quality of life.


Understanding Frequent Urination
Frequent urination can be caused by a variety of factors, including:
1. Overactive Bladder: This condition is characterized by an urgent need to urinate frequently, often with little warning. It can occur even when the bladder is not full.


2. Urinary Tract Infections (UTIs): Infections can irritate the bladder, leading to increased urgency and frequency of urination.

3. Diabetes: High blood sugar levels can lead to increased urination as the body attempts to eliminate excess glucose through urine.

4. Bladder or Prostate Issues: In men, prostate enlargement can cause frequent urination. In women, bladder conditions can lead to similar symptoms.

5. Medications: Some medications, particularly diuretics, can increase urination.

6. Fluid Intake: While you mentioned that you drink very little, sometimes even small amounts of certain beverages, especially those containing caffeine or alcohol, can irritate the bladder.


Tips for Relief and Management
Here are some strategies that may help you manage your symptoms:
1. Bladder Training: This involves gradually increasing the time between urinations. Start by noting how often you go and then try to extend the intervals by 15-30 minutes. This can help your bladder hold more urine over time.

2. Pelvic Floor Exercises: Strengthening the pelvic floor muscles can help control urination. Kegel exercises, which involve tightening and relaxing the pelvic muscles, can be beneficial.

3. Dietary Adjustments: Pay attention to your diet. Avoid bladder irritants such as caffeine, alcohol, spicy foods, and artificial sweeteners. Keeping a food diary may help identify specific triggers.

4. Hydration Management: While it’s important to stay hydrated, try to spread your fluid intake throughout the day rather than consuming large amounts at once. This can help reduce the urgency.

5. Scheduled Bathroom Visits: If possible, try to schedule bathroom breaks every couple of hours, even if you don’t feel the urge. This can help train your bladder.

6. Consult a Healthcare Provider: Since you have been experiencing these symptoms for a long time, it’s crucial to consult a healthcare provider. They can perform tests to rule out any underlying conditions such as infections, diabetes, or bladder issues. They may also refer you to a urologist for further evaluation.

7. Medications: Depending on the diagnosis, medications may be prescribed to help manage symptoms. For example, anticholinergic medications can help reduce bladder contractions.

8. Mindfulness and Stress Management: Anxiety about needing to urinate can exacerbate the problem. Techniques such as mindfulness, meditation, or cognitive behavioral therapy can help manage anxiety and improve your overall well-being.


Conclusion
Frequent urination can be a complex issue with various underlying causes. It’s essential to approach this problem holistically, considering both physical and psychological factors. By implementing some of the strategies mentioned above and seeking professional medical advice, you can work towards finding relief and improving your quality of life. Remember, you are not alone in this, and there are effective treatments available to help you manage your symptoms.

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