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Female frequent urge to urinate

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By Jamie H. Chao, MD , May 16, Some people with this medical condition may have frequent or sudden urges to urinate. For other people, the disorder results in an inability to control the bladder.

SEE VIDEO BY TOPIC: Urgency To Urinate But Can't Go, What Causes This?

SEE VIDEO BY TOPIC: Urinary Urge Incontinence in Women (Q&A)

Frequent or Painful Urination

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NCBI Bookshelf. Boston: Butterworths; Dysuria is any discomfort associated with urination. Abnormally frequent urination e. Urgency is an abrupt, strong, often overwhelming, need to urinate. The term dysuria is used to describe painful urination, which often signifies an infection of the lower urinary tract.

The discomfort is usually described by the patient as burning, stinging, or itching. Pain occurring at the beginning of or during urination suggests a urethral site of disease, whereas pain after voiding implies pathology within the bladder or prostate area. Sometimes a patient will relate a history of pain in the suprapubic area.

In men, pain on urination is often referred most intensely to the glans penis regardless of whether the location of the disorder is in the urethra or in the bladder; the pain may persist between voiding. Specific questioning about a discharge from the penis should be undertaken, especially in younger men. Inquiries as to the character and volume of discharge are important. Gonococcal urethritis usually presents with a copious purulent discharge, whereas nongonococcal urethritis commonly is mucoid and of small quantity.

In older men, specific questions should be asked about associated hesitancy, intermittency, or straining. Ask the patient about standing closer to the toilet or taking longer to start than previously. These symptoms suggest obstruction, a common harbinger of infection, usually occurring either from prostatic enlargement or a urethral stricture. In women with dysuria, the first question should be whether the discomfort is internal or external; in addition to urinary tract inflammation or infection, vaginal inflammation can cause dysuria as urine passes by the inflamed labia.

If the sensation is internal or suprapubic, a urinary tract source is more likely; questions about associated fever, chills, back pain, nausea, vomiting, and prior urinary tract infections should be asked in an attempt to differentiate upper from lower urinary tract infection. If the sensation is "outside," then a vaginal etiology should be suspected. Questions about a vaginal discharge or itching should always be asked.

Vaginitis and a urinary tract infection often coexist, and vaginal infections in some populations are seen almost six times more frequently than urinary tract infections.

Remember that women often do not spontaneously volunteer information about a vaginal discharge or vaginal itching. To help delineate the etiology of dysuria in the individual patient, both a urinalysis and a pelvic examination will often be necessary.

Ascertain the acuteness of onset of symptoms as well as whether there is associated hematuria or suprapubic pain. Coliform or staphylococcal urinary tract infections are typically more acute in onset less than 4 days and more often associated with suprapubic pain and hematuria than are chlamydial infections. Women with chlamydial infections are more likely to use oral contraceptives and less likely to have a history of a urinary tract infection within the preceding 2 years.

One should also inquire about the sexual history because chlamydial infections are more likely in women with a new sex partner. In addition, a history of a sex partner with recent urethritis or discharge might direct attention toward chlamydia or gonorrhea, which tends to be less symptomatic in the early stages of infection in women. Historic information such as immunosuppression diabetes mellitus, sickle cell disease, steroids, etc.

This clinical entity of an upper tract infection without the usual accompanying symptoms or signs of fever, chills, back pain, nausea, and vomiting is less amenable to short courses of therapy and more likely to relapse. Urinary frequency should be differentiated from polyuria , which specifically relates to the passage of an abnormally large volume of urine in a relatively short period of time.

Frequency of normal urination may vary considerably from individual to individual depending on personality traits, bladder capacity, or drinking habits. Because of this fact, a history of frequency is sometimes difficult to obtain. Changes in the pattern of frequency or a history of voiding more than once at night after retiring, however, are clues to urinary pathology.

Ask about volume and voiding times, since a large bladder capacity may conceal an increase in urine production. Frequency commonly accompanies the dysuria associated with urinary tract infections but less commonly with vaginitis.

Ask also about periodicity of symptoms because day frequency without nocturia, or frequency lasting only a few hours at a time, suggests nervous tension or a psychiatric cause. Urgency may occur with or without voiding and frequently culminates in incontinence. With severe lower urinary tract inflammation, the desire to urinate may be constant with only a few milliliters of urine eliminated with each voiding.

Urge incontinence must be differentiated from the other types of incontinence, especially stress incontinence. Urgency also more commonly accompanies the dysuria associated with urinary tract infections than that associated with vaginitis.

Dysuria is related to inflammation of the lower urinary tract. Although an infection is usually the cause, other etiologies include crystalluria, calculi in the bladder and lower ureters, tumors both frank carcinoma and carcinoma in situ , interstitial cystitis, trauma related to intercourse, local irritation or allergy from foreign bodies, instrumentation, applied chemicals, and the desiccation and thinning of urethral mucosa that occurs after the menopause in women.

In certain subpopulations an increased prevalence of asymptomatic infections is seen. Risk factors include diabetes mellitus, pregnancy, and bladder pathology such as cystoceles, diverticula, and prostatic hypertrophy, or other conditions contributing to an increased residual volume.

In pregnancy, suprapubic discomfort and difficulty in urinating can occur in the absence of a urinary tract infection.

In the first trimester it can relate to a retroverted uterus; in late gestation, it can be due to compression of the bladder by the fetal head. The diagnosis of urinary tract infection by symptoms is more difficult in late pregnancy because urgency, frequency, and suprapubic pressure can occur normally. Because of the consequences of urinary tract infections in both mother and fetus, careful attention to symptoms and frequent urinalysis are imperative.

The average adult bladder holds between and ml of urine. Normal patterns of urination may vary considerably; adults generally void 5 to 6 times daily but no more than once after retiring. The average hour urinary output is to ml. Urinary frequency may occur because of either increased urine volume or decreased bladder capicity i.

Increased urine volume can result from diuretic use, diabetes mellitus with osmotic diuresis, diabetes insipidus, compulsive water drinking, or loss of renal concentrating ability. The latter occurs early in many types of renal parenchymal disease including infection. There is also a diuretic response after termination of supraventricular tachyarrhythmias and with bedrest in the setting of edema.

Decreased bladder capacity can result from anxiety, operative procedures, obstruction with resulting residual urine and decreased functional capacity, a thickened inelastic fibrotic wall from interstitial cystitis, irradiation, chronic infections such as tuberculosis and schistosomiasis or inflammatory conditions that increase bladder sensitivity e.

Spastic neurogenic bladders also cause a decreased bladder capacity, whereas hypotonic neurogenic bladders with chronic large residual volumes greater than 30 ml mimic bladder outlet obstruction with a decreased functional capacity.

Very low or high urinary pH can rarely cause frequency. Psychiatric disturbances are not infrequently reflected with symptoms of urinary frequency.

Frequency is a common response to emotional stress. Urinary urgency implies inflammation, often involving the trigone and posterior urethra. Stretch receptors in the bladder and posterior urethra subserve reflexes responsible for the urge to void.

The urge to urinate usually occurs when the bladder approaches maximum capacity. Either inflammatory or neuropathic processes can lead to increased sensitivity of these receptors.

Common clinical conditions resulting in urgency include urinary tract infections, trauma, calculi, bladder tumors especially carcinoma in situ , foreign bodies, and all the conditions that can lead to a decreased bladder capacity. Inflammatory edema of the mucosa, submucosa, and even the muscularis mucosa results in loss of bladder elasticity and subsequent pain from even mild stretching of the bladder.

Urge incontinence is common in the clinical settings previously mentioned including after a recent prostatectomy and must be distinguished from other forms of incontinence, such as overflow or stress incontinence. The symptoms of dysuria, frequency, and urgency tend to occur together. They share many etiologies. Although it may be impossible to determine from symptoms alone whether an individual patient will prove to have a urinary tract infection or to differentiate an upper from a lower tract infection , a careful history can provide important clues and enable clinicians to provide a rational and cost-effective plan.

Prominent examples include vaginitis or inflammatory bowel disease. While symptomatic or asymptomatic bacteriuria rarely leads to end-stage renal disease by itself, it is not an entirely benign condition. Early detection and treatment of urinary tract infections may relieve symptoms, prevent pyelonephritis, and decrease subsequent morbidity and mortality.

Especially in pregnancy, the risks and costs of urinary tract infections are high. In men, these symptoms often imply a structural lesion of the urinary tract, and radiographs and surgical procedures are often indicated.

Careful attention to this triad of symptoms is warranted, therefore, because subtle symptomatology can denote serious disease. Turn recording back on. National Center for Biotechnology Information , U. Boston: Butterworths ; Search term.

Definition Dysuria is any discomfort associated with urination. Technique The term dysuria is used to describe painful urination, which often signifies an infection of the lower urinary tract. Basic Science Dysuria is related to inflammation of the lower urinary tract. Clinical Significance The symptoms of dysuria, frequency, and urgency tend to occur together. References Brooks D, Maudar A.

Pathogenesis of the urethral syndrome in women and its diagnosis in general practice. Gynecologic and obstetric urology. Philadelphia: W. Saunders, ;— Initial evaluation, including history, physical examination and urinalysis.

Campbell's urology. Natural history of bacteriuria in schoolgirls. N Engl J Med. Management strategies for urinary and vaginal infections. Arch Intern Med. Komaroff AL. Acute dysuria in women.

The natural history of symptomatic recurrent bacteruremia in women.

Why you constantly need to pee

Wouldn't it be great if all problems could be solved with a one-off course of treatment? Life, unfortunately, isn't like that. Some conditions last for years, or even for life, and there is no 'one size fits all' solution. AkaMisery posted such a problem on one of our discussion forum boards - the constant urge to pee. AkaMisery explained that she felt a constant pressure like she had to pee.

Back to Urinary incontinence. Urinary incontinence is when the normal process of storing and passing urine is disrupted. This can happen for several reasons.

Jump to content. Top of the page Check Your Symptoms. Urinary problems and injuries are a concern in children. A young child may not be able to tell you about his or her symptoms, which can make it hard to decide what your child needs. An older child may be embarrassed about his or her symptoms.

Frequent Urination in Women

Frequent trips to the bathroom, not sleeping through the night, or refraining from going places for fear that they will leak urine, are often familiar to women who experience frequent urination. Each person may urinate a different number of times per day depending on how much they drink and how well their kidneys work. According to the Cleveland Clinic, the average person should urinate somewhere between between six and eight times in a hour period. While an individual is occasionally likely go more frequently than that, daily incidences of urinating more than eight times may signal a concern for too-frequent urination. Sometimes, frequent urination is due to drinking too many drinks that are known to increase urine production or irritate the bladder. Examples include excess caffeine intake through coffee , tea, and certain soft drinks. However, frequent urination may also be due to a number of medical conditions.

11 Possible Reasons You’re Peeing All the Time

How your bladder functions every day can tell you a lot about your overall health. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. These can include problems with the nervous or cardiovascular systems, he says.

Frequent urination is the need to urinate more than you normally would. The urge can strike suddenly and can cause you to lose control of your bladder.

There can be many reasons why women may find themselves needing to urinate more often than usual. By answering a short series of questions, you will gain a quick understanding of the likely causes of your urinary frequency. Please keep in mind that this guide is a learning tool and not a substitute for consultation with your own doctor.

What causes a constant urge to pee?

This happens to all women occasionally. Frequent urination can affect you for many reasons. Every woman goes on her own schedule, but generally, peeing 6—8 times every 24 hours is normal. More than that — including peeing a lot at night more than once — and you may have frequent urination.

Wasting your precious time peeing way too much can feel like an annoying bodily betrayal, but it can also raise some red flags about your health. What goes in must come out, right? Your water needs are pretty individual , so you might need more or less than others depending on factors like your size, body type, and activity level. With that said, the Mayo Clinic recommends women have around Drinks like coffee , soda, and tea can act as diuretics , meaning they may boost your peeing frequency. Diuretics work by increasing the amount of salt and water that comes out of your kidneys, making you pee more in the process.

Urinary Problems and Injuries, Age 12 and Older

Top of the page Check Your Symptoms. Most people will have some kind of urinary problem or injury in their lifetime. Urinary tract problems and injuries can range from minor to more serious. Sometimes, minor and serious problems can start with the same symptoms. Many urinary problems and injuries are minor, and home treatment is all that is needed to relieve your symptoms. See pictures of the female urinary system and male urinary system.

Mar 14, - Many women also have increased urinary frequency when pregnant. so that it can become fuller before a woman has the urge to urinate.

NCBI Bookshelf. Boston: Butterworths; Dysuria is any discomfort associated with urination.

What Your Bladder Is Trying to Tell You About Your Health

A range of conditions can affect the way a person urinates. If a person has a constant urge to pee but little comes out when they go, they may have an infection or other health condition. If a person frequently needs to pee but little comes out when they try to go, it can be due to a urinary tract infection UTI , pregnancy, an overactive bladder, or an enlarged prostate.

Frequent urination may be caused by diseases affecting the urinary tract at any level. The urinary tract includes the kidneys, the tubes connecting the kidneys to the bladder ureters , the bladder, and the duct through which urine flows from the bladder out of the body urethra. Depending on what's causing your frequent urination, you may experience other urinary problems, such as:. Causes shown here are commonly associated with this symptom.

UA Lone Tree. UA Englewood.

Frequent urination is often caused by drinking lots of liquids, especially caffeine. While it could be a simple reason such as the medication you're taking or a urinary tract infection UTI , it could also be a sign of chronic condition such as interstitial cystitis or diabetes. The obvious symptom of frequent urination is just that—needing to urinate more often than usual. It might happen during the day, or it might happen more at night, a condition called nocturia.



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