Bloating and frequent urination..Frequent urination is the need to urinate more often than usual. Urgent urination is the urge to urinate suddenly and loudly. This causes discomfort in the bladder. Urgent urination makes it difficult to delay the use of the toilet.
bloating and frequent urination
The frequent need to urinate during the night is called nocturia . Most people can sleep for 6 to 8 hours without having to urinate.
The common causes of these symptoms are:
Urinary tract infection (UTI)
Prostatic enlargement in middle-aged and older men
Inflammation and infection of the urethra
Vaginitis (inflammation or discharge from the vulva and vagina)
Problems related to nerves
Less common causes include:
Use of alcohol
Bladder cancer (not common)
Problems with the spine
Diabetes that is not well controlled
Medications such as water pills (diuretics)
Overactive bladder syndrome
Radiation therapy to the pelvis, which is used to treat certain cancers
Stroke and other diseases of the brain or nervous system
Tumor or growth in the pelvis
The bladder is a hollow organ in the lower part of the abdomen where urine is stored. There are many conditions that can affect the function of the bladder. Among the most common are:
Cystitis: an inflammation of the bladder, usually caused by an infection
Urinary incontinence : loss of bladder control
Overactive bladder- a condition that causes the bladder to expel urine when it does not have to
Interstitial cystitis : a chronic problem that causes pain in the bladder and urge to urinate
Doctors diagnose bladder diseases through various tests. These include urinalysis , x-rays, and examinations of the bladder wall with an instrument called a cystoscope. The treatment depends on the cause of the problem. It can include medicines and, in severe cases, surgery.
Most people urinate about 4 or 6 times a day, mainly during the day. Normally, adults urinate between 700 mL and 3 L per day. Excessive urination can refer to:
Frequent urination may be accompanied by a feeling of urgent need to urinate (urinary urgency or bladder urgency). Many patients find that they have polyuria because they have to get up to urinate at night (nocturia). Nocturia can also occur if you drink too much liquid near bedtime, even if you do not drink more than usual.
Some causes of increased urine volume (polyuria) are different from the causes of increased urinary frequency (frequency). However, since many people who produce excessive amounts of urine also need to urinate frequently, these two symptoms often appear together.
The most common causes of increased urinary frequency are:
Bladder infection (cystitis, the most frequent cause in women and children)
Non-cancerous enlargement of the prostate (benign prostatic hyperplasia, the most frequent cause in men over 50 years of age)
Calculations in the urinary tract
The most frequent causes of polyuria in both adults and children are:
Uncontrolled diabetes mellitus (the most common)
Abundant fluid intake (polydipsia)
Treatment with diuretic drugs (that increase the excretion of urine) or intake of substances with a diuretic effect, such as alcohol or caffeine
Diabetes insipidus causes polyuria due to problems with a hormone called antidiuretic hormone (or vasopressin ). The antidiuretic hormone helps the kidney to reabsorb fluid. If an insufficient amount of antidiuretic hormone is produced (a condition called central diabetes insipidus) or if the kidney is not able to respond adequately to the hormone (nephrogenic diabetes insipidus), the patient urinates excessively.
Patients with certain kidney disorders (for example interstitial nephritis or kidney injury caused by sickle cell anemia) may also urinate excessively because these diseases decrease the amount of fluid reabsorbed by the kidneys.
Many patients feel ashamed to discuss problems related to urination with their doctor. Even so, these patients should be evaluated because some disorders that cause an excess of urine are very serious. The following information can help you decide if a doctor’s evaluation is necessary and what to expect during this evaluation.
Certain symptoms and characteristics are a concern in people who urinate excessively. These factors include the following:
Weakness in the legs
Abrupt appearance or during the first years of life
A mental health disorder
When to go to the doctor
If the patient has weakness in the legs should go immediately to the hospital, as it may have a disorder of the spinal cord. Patients with fever and low back pain should see a doctor the same day, as they may have an infection in the kidneys.
Patients with other warning signs should see a doctor in one or two days. People without warning signs should make an appointment in the consultation as soon as convenient, usually within a week, although delaying the consultation is generally safe if the symptoms have been developing for weeks or months and are mild.
First, the doctor asks about the patient’s symptoms and medical history and then performs a physical examination. Clinical history and physical examination often suggest the cause of excessive urine volume and tests that may be necessary (see Some causes and characteristics of excessive urination ).
The doctor asks about:
The amount of fluid ingested and urinated to determine if the problem is related to urinary frequency or to polyuria
The time that symptoms have been present
If there is any other urination problem
If the person is taking diuretics, including drinks that contain caffeine
Some findings may provide clues about the cause of the increased frequency of urination. Pain or burning during urination, fever, and low back or flank pain may indicate an infection. The diuretic substance is the most likely cause in patients who drink a large volume of beverages that contain caffeine or who have just begun treatment with diuretics. A prostate lesion may be suffered when there are associated urinary problems, such as difficulty in starting urination, a weak urine stream, and dribbling at the end of urination.
Some obvious findings can also provide clues about the cause of polyuria. For example, if the polyuria begins in the first years of life it is probably caused by a hereditary disorder, such as central or nephrogenic diabetes insipidus or type 1 diabetes mellitus.
In women, screening usually requires a gynecological examination and cervical and vaginal fluid sampling to detect sexually transmitted diseases. In males, the penis is examined for the presence of secretion and a digital rectal examination is performed to assess the prostate.