Painful urination- this symptom of animal disease is called STRANGURIA by veterinarians. The cause of pain is an acute inflammatory process in the lower urinary tract - cystitis and urethritis (inflammation of the bladder and urinary tract, respectively).

Diseases accompanied by stranguria

Primary cystitis is distinguished - acute inflammation as a result of, for example, hypothermia, and secondary cystitis, which develops due to the presence of salts or stones in the bladder.

Domestic cats living in the "four walls" of our apartments do not move much - this is a fact. All the entertainment for them is to walk a few steps to a bowl of food, and sit on the windowsill and see what is happening on the street? A familiar picture. In our climatic zone, there are quite often different temperature jumps, the heat is replaced by cold. Here such a cat sat on a cold windowsill or lay in a draft, and then cannot go to the toilet, crying. This is primary cystitis.

A similar situation occurs with secondary cystitis, as a result, urolithiasis develops. The cat eats delicacies well, moves a little, sometimes it is even too lazy to go to the tray and salts crystallize in the bladder, urinary stones form (urokonkrymenty). This situation can mature for months or even years, and the owner does not even suspect that his animal needs help. Crystals and stones constantly irritate the wall of the bladder, cause it to thicken, and now, at some point, as if on command, these calculi try to come out, injure the urethra, cause severe pain, spasms, and bleeding.

Diagnostics and treatment

First of all, the doctor will prescribe antispasmodics and antibiotics for your cat to relieve pain and "extinguish the fire" of inflammation, then you need to find out if this is primary cystitis or a consequence of urolithiasis. To do this, you need to do a general urine test,. The veterinarian may prescribe your cat, it will not be superfluous to conduct a biochemical blood test to determine kidney function. It should be noted that in all cases, the treatment of cystitis should be long enough, it should not be interrupted so that the process does not turn into a chronic form.

If your cat has urolithiasis, then after eliminating the inflammatory process, it is important, together with the doctor, to treat those metabolic disorders that lead to the crystallization of urine. These are special diets and drugs that stimulate diuresis (urine formation). Specialists can suggest homeopathic remedies.

A few words about helping a sick cat. First of all, you need to remove the pain syndrome, to ensure the outflow of urine. This can be done by intramuscular injection or

An unpleasant condition such as pain during urination in women (also called dysuria) occurs at a time when favorable conditions appear for the development of pathogens in the urinary system. Girls and women are much more likely to suffer from diseases of the genitourinary system.

This is due to the different anatomical structure - their urethra is much shorter - only about 5 cm, compared to 20 cm in men. This contributes to an easier and faster penetration of pathogenic bacteria into the urinary tract.

Causes of painful urination in women

There are a number of main reasons that can cause various disorders in the functioning of the female body and cause a woman to have frequent and painful urination. The main ones are:

• Cystitis... The disease is inflammation of the bladder. Among the main symptoms are strong and frequent urge to urinate, unpleasant cramps and discomfort during emptying. In women, painful sensations in the lower abdomen may appear, urine becomes cloudy and an unpleasant odor appears, often incontinence. In some cases, complications of the disease are observed in the form of the appearance of a certain amount of blood in the urine, fever, and a general deterioration in well-being;
• Urethritis... This disease is more typical for men, but women can also have pathology. With urethritis, the appearance of pain in the perineum is observed, redness of the external genital organs and pain in their area are possible. In cases where inflammation has developed in the urethra, pain will accompany the onset of the urinary process;
• Pyelonephritis... It is an acute kidney disease with an ascending path of spread. This means that the infection initially enters the internal genital organs, then goes to the bladder, and subsequently enters the kidneys. The disease is characterized by the presence of soreness in the lumbar region, fever, painful urination with an unpleasant odor;
• Urolithiasis disease... It is a common condition that contributes to the formation of calculi. When excreted, they cause a blockage of the urinary tract. Concrements are able to move around the body and, while causing acute pain and a sudden desire to urinate.

Each of these diseases requires prompt treatment in order to prevent the spread of infection throughout the body and damage to other organs.

Video: Pain in the lower abdomen when urinating

The main factors that can contribute to the appearance of problems with the urinary system in a woman are the following:

1. Constant and regular hypothermia of the body;
2. Lack of the required level of physical activity;
3. The presence of a weakened immune system;
4. Wrong diet, which is dominated by salty, spicy and fried foods.

An important role is played by neglect of one's own health.

When the first signs of the disease appear, women are often in no hurry to seek help from a specialist, but prefer to self-medicate.

This can lead to an aggravation of the general condition of the body and the accelerated development of infection.

In order to determine as accurately as possible the type of treatment for pathologies of the genitourinary system, it is necessary to undergo a thorough diagnosis. In addition, factors that can cause unpleasant and painful sensations when urinating in women are the following:

1. Diseases belonging to the group of sexually transmitted diseases:
   • Chlamydia... One of the most common diseases of an infectious nature, which affects not only the genitals, but also the urinary tract with the bladder. Signs of the disease include fever, a feeling of pain when urinating and in the lower back, burning sensation, the appearance of discharge with a pungent unpleasant odor. In the absence of timely treatment, pathology can be the cause of the development of diseases such as colpitis, cervicitis, endometritis;
   • Gonorrhea... The disease can occur in both acute and chronic forms. It is characterized by painful urination, discharge and severe burning sensation in the genital area. In some cases, it can proceed without the manifestation of negative symptoms, because many women are not aware of the presence of this pathology;
   • Trichomoniasis... This disease provokes the development of colpitis, urethritis and other diseases of the genitourinary system. The most visible and palpable symptom is a frothy discharge.
2. The presence of allergic reactions that may occur as a result of the use of linen made from unnatural fabrics and personal hygiene products with a high content of chemical components;
3. Disruption in the work of the nerves of the lower pelvic region and the abdominal wall, which is often observed after the period of pregnancy and childbirth, as well as various types of surgical interventions.

Excessive urination can be caused by a medical condition such as diabetes. This is due to the fact that with diabetes, a person is very thirsty and consumes large amounts of fluids.

With the progression of the disease in humans, irreversible damage to the nerve endings occurs, and the loss of the ability to control the tone of the bladder.

Pathology treatment

One of the principles of successful treatment of painful urination in women is timely diagnosis and treatment of the disease.

Therapy is primarily aimed at eliminating the cause of the disease:

• With cystitis, urethritis, pyelonephritis, it is often required. In addition to them, you can use tablets and other herbal medicines, the main function of which is a more active excretion of urine;
• With urolithiasis, the type of drugs used directly depends on the composition of the calculi. Products based on various mixtures can be used, due to which the dissolution of stones is possible. In some cases, stone crushing therapy is used, and in difficult cases, surgical intervention;

For the treatment of genital infections, antibiotics, antihelminthics, vitamins are prescribed;

To get rid of pain, in some cases, it is recommended to use dry heat, but this can be done only after consulting a specialist, since sometimes the use of a heating pad contributes to an even greater spread of the infection.

Treatment with folk remedies

To get rid of pain during urination, many women use folk remedies.

It is important that the patient is not allergic to any of the components used.

The following recipes are considered the most effective:

1. Pour a spoonful of dill seeds into a thermos and add 250 ml of boiling water. It is necessary to infuse for about 15 minutes under the lid, then take 100 ml several times a day. The course of treatment is from a week to 10 days;
2. A tablespoon of bear ears is poured into a glass of boiling water and languishes in a water bath for about half an hour. After straining, add boiled water to the original volume. Use half a glass three times a day for a week.

Prophylaxis

To prevent the appearance of cramps and pain during urination, you must adhere to some rules that will reduce the risk of unpleasant symptoms:

1. Drink at least one and a half liters of water during the day;
2. Underwear should be made from high quality natural fabrics;
3. Do not tolerate the urge to urinate when there is a desire;
4. Constantly observe the rules of personal hygiene;
5. Take vitamins in courses throughout the year.

If a woman has any symptoms and signs of illness or problems with urination, she should urgently start treatment. In the event of an untimely visit to a doctor, the disease will progress and will only worsen the woman's condition.

Video: Burning sensation when urinating, painful urination: causes and what to do

The medical term dysuria refers to any urinary disorder. If we consider the pathology deeper, then frequent painful urination is called pollakiuria, difficulty urinating - stranguria, and acute urinary retention - ischuria. But there are also incontinence and urinary incontinence. The severity of these ailments can vary, but any dysuria is dangerous and requires immediate attention. What are the causes of these pathologies, what are the symptoms and treatment of dysuria, you can find out from this article.

In fact, there are quite a few causes of urinary disorders. This is often influenced. In addition, damage to the spinal cord or brain, as well as diseases of the small pelvis, can provoke the development of the disease. So, acute urinary retention is manifested in prostate adenoma, cancer, urethral tumor, or urolithiasis. The appearance of stranguria is influenced by various obstacles that arise in the path of urine, for example, sphincter spasms, adenoma, urethral stricture or a disease such as urolithiasis. Pathologies such as prostatitis, as well as inflammation in the bladder and kidneys, most often cause pollakiuria.

It is especially worth saying about urinary incontinence, that is, about involuntary urination without urge. This disease is typical for women after childbirth, for people with spinal cord injuries, with functional disorders in the genitourinary system, as well as with malformations of the urinary tract. But urinary incontinence is a disease that is also characterized by involuntary urination that occurs immediately after the first urge. This ailment manifests itself in cancer of the bladder and prostate, with prostate adenoma or with cystitis.

Dysuria itself is a symptom of many serious diseases, and it manifests itself in various urinary disorders. For example, a spinal injury may be accompanied by uncontrolled and frequent urination. But with prostate adenoma, the patient can be tormented by both frequent urination with a small volume of urine and difficulty urinating. A disease such as stenosis of the urethra is characterized by difficulty urinating with inflammation that occurs in the bladder, which creates a favorable environment for the development of various infections.

The most dangerous manifestation of dysuria is acute urinary retention. This condition is typical for prostate cancer, adenoma, neuralgic disorders or a tumor of the bladder. With this deviation, the patient needs urgent help, because it is characterized by a lack of urine, and the urge to urinate causes acute cramps and pains. It is important to immediately call an ambulance because the disease is characterized by a sharp deterioration in the pathological process. The treatment will be handled by such doctors as a nephrologist or urologist, and if necessary, related specialists may be involved.

To conduct an examination of dysuria, the patient is prescribed a full range of instrumental and laboratory research methods to identify the cause of the urinary disorder. Often, the doctor focuses on ultrasound of the kidneys, bladder, prostate, urinalysis, as well as urine culture for flora or antibiotic sensitivity. In some cases, X-rays of the kidneys are prescribed. If there are neuralgic disorders, specialists prescribe other tests: computed tomography (CT), as well as magnetic resonance imaging (MRI) of the spinal cord or lumbar puncture.

In order to cure dysuria, it is necessary to eliminate the source of the disease. With an existing inflammatory process in the prostate gland, bladder or kidneys, the patient is prescribed antibiotic therapy. With prostate adenoma, the question of surgical intervention is often raised. Cancer of the prostate or bladder is also removed with surgery. As soon as the underlying cause of the disease is eliminated, the symptoms of dysuria will gradually disappear. Take care of yourself and consult a doctor in a timely manner!

Frequent urination is the urge to go to the toilet in a small way, which is observed in an adult more than 10 times a day, provided that he drinks no more than 2 liters of liquid per day. In children under 12-14 years of age, the normal frequency of urination exceeds that in adults and depends on age.

The frequency of emptying the bladder per day is not a certain constant. The amount of urination depends on many factors, both physiological and external. The main criterion for the subjective determination of the presence of such an abnormal condition as frequent urination is the degree of personal comfort.

The amount and / or volume of excreted daily urine can increase in various diseases. So, similar symptoms can be caused by diseases of the prostate in men and the uterus in women, inflammation of the kidneys and even a brain tumor. Doctors of narrow specialties should deal with the reasons and prescribe appropriate treatment: urologist, nephrologist, gynecologist, endocrinologist and neurologist. The purpose of our publication is to guide you which specialist you need to visit first.

How does frequent urination manifest?

The formation of urine in the human body is due to the functioning of the kidneys. In a normal state, the urine is transparent, it is excreted daily from 1 to 1.8 liters. The process of urination in the body is controlled by both the central and peripheral nervous systems. Young children learn to control this process gradually, from the age of 2 to 5 years.

Frequent urination without pain is expressed by the need to empty the bladder many times a day. Sometimes a person urinates several times during the night. This phenomenon is defined in medicine as nocturia. This phenomenon is characterized by a small amount of excreted urine: sometimes, with frequent urination, it is excreted only in a few drops. In some cases, with frequent urination, a person may feel pain. With increased urine flow, a person can visit the toilet up to 20 times a day.

Very frequent urination can be considered completely normal if a person drinks a lot of fluids. In this case, the frequent urge to urinate is accompanied by the release of an amount of urine adequate to the volume of fluid drunk. At the same time, frequent urination in girls and men, in which more than 3 liters of urine are released per day, is defined as polyuria.

This phenomenon can sometimes be the result of taking a large amount of coffee, alcoholic beverages. But still, frequent painful urination indicates that a serious illness is developing in the body. In some cases, this symptom is a warning sign, even if the frequent urination occurs without pain.

Polyuria often presents as painful frequent urination in women and men. At the same time, profuse urination can also be accompanied by discomfort, which manifests itself in the area of ​​the bladder. Often there is a strong burning sensation in women, an unpleasant sensation in men. Signs of frequent urination should not be confused with urinary incontinence when it comes to the consequences of an involuntary bladder. However, polyuria sometimes occurs in parallel with urinary incontinence.

A similar phenomenon can be observed even at night in women and men, mainly the elderly. Therefore, if the patient complains of very frequent urination, the doctor should initially find out if this is painful or painless, and also determine if there is frequent nighttime urination (no-one). Depending on the characteristics of this symptom, as well as on why it manifests itself, the doctor determines how to treat this condition.

To determine the severity of urinary disorders, which initially a person considers insignificant, he must first of all understand whether they affect his overall quality of life. It is very important to see a doctor right away and start treating frequent urination if the symptom is accompanied by back pain, chills, weakness, or nausea. Discharge from the genitals, as well as clouding or discoloration of urine, should also be alerted.

Frequent and painful urination

The appearance of this symptom indicates problems of the genitourinary sphere in both women and men. The localization of pain indirectly indicates the cause, so we will consider.

Soreness in the lumbar region

If the kidneys hurt and frequent urination is noted, this usually indicates such pathologies:

1. Pyelonephritis - an acute process is difficult to miss: there is an increase in temperature and severe pain in the lower back, which can be given to the abdomen. With an exacerbation of chronic sluggish pyelonephritis, frequent urination and pain in the kidneys and lower abdomen come to the fore. In addition, the volume of daily urine will also be increased, and single portions, on the contrary, will be reduced. The color of the urine is usually unchanged.
2. Urolithiasis - single portions of urine are reduced, the color is either normal, or an admixture of blood is visible. People urinate more often during the day, but you can walk in a small way several times at night. Also, the temperature often rises, and the urine becomes cloudy.

Soreness in the lower abdomen

Pain in the lower abdomen that accompanies frequent urination indicates problems with the bladder neck and urethra. If the bladder hurts and frequent urination, this indicates the pathology of the lower parts of the urinary system:

1. Inflammation of the urethra (urethritis). At the same time, the daily volume of urine increases, it itself becomes cloudy, in it "with the naked eye" you can see mucus, pus or blood. A characteristic symptom - for all the painfulness of the urination process, there is an insistent desire to urinate at the very end (when the entire volume of urine has been released).
2. Cyst. This condition is the most common cause of frequent urge to urinate. In this case: the urine is reddish, sometimes pus is visible in it, it is excreted with soreness in the pubic area, in small portions, with imperative urges. The body temperature is elevated, symptoms of intoxication are observed: weakness, nausea, decreased appetite.
3. Tumors in the bladder neck area can have manifestations similar to cystitis, but there will be no symptoms of intoxication, pus in the urine and fever.
4. Bladder stones can have similar symptoms if the calculus blocks the urine outlet. An increase in temperature is possible, but there will be no symptoms of intoxication. The pain can go away when taking antispasmodics and changing body position.
5. Adenoma of the prostate. In this case, the urge to urinate is not painful, but the process itself is felt as pain in the suprapubic region, a feeling of incomplete emptying of the bladder. Nighttime urination is also noted.
6. Neurogenic (overactive) bladder. In this case, the person's condition is not disturbed, the urine does not change color, but frequent urination occurs after a strong urge, painful.
7. Narrowing of the urethra due to acquired or congenital causes. In addition to difficult and painful urination, there are no other symptoms.

Frequent and painless urination

Frequent urination without pain is a symptom of a huge number of diseases. Let's try to consider some of them.

Physiological causes in adults and children

Urination can become more frequent when:

• intake of large amounts of spicy, sour and salty foods, alcohol. There will be no pain, an increased volume of light urine is released, more than 200 ml at a time. Other symptoms include only slight tickling in the urethra during urination;
• stress, tension, excitement: a large daily amount of urine of the usual color is released, while the one-time urination volume is not increased. There is a feeling that you need to urinate again, although the person has just gone to the toilet;
• pregnancy: in this case, there will be other signs indicating this condition;
• along with menstruation;
• after freezing - within a few hours.

Pathological causes

They can be roughly divided into those that cause predominantly nocturnal and increased urination around the clock.

Frequent urination at night can cause:

1. Cardiovascular insufficiency. In this case, there will be swelling in the legs, sometimes even higher (on the abdomen), interruptions in the work of the heart or pain in it, shortness of breath.
2. Diabetes. Increased thirst, dry mouth are also noted; the skin becomes dry, wounds and cracks easily appear on it, which do not heal well.
3. Adenoma and carcinoma of the prostate. Symptoms other than nighttime urination may not be noticed. During the day, a man can feel quite good, only to urinate in small portions.

Equally often to urinate both during the day and at night, a person will be with:

• diabetes insipidus. At the same time, he is constantly tormented by thirst and drinks a lot, but, unlike the sugar "brother", there is no dry mouth, dryness and itching of the skin;
• cystocele (prolapse of the bladder): more common in women who have given birth. In addition to painless frequent urination, urinary incontinence will also be noted: when coughing, lifting weights, laughing, and later during sexual intercourse;
• spinal cord injuries and tumors;
• weakness of the muscles that make up the bladder wall. The disease begins in childhood, is characterized by the absence of changes in the general condition, but only by frequent urination in small portions of urine, as well as strong urge to urinate;
• uterine myoma. In this case, painful periods, intermenstrual bleeding, a large volume of monthly blood loss will also be noted;
• taking diuretics.

How to get rid of frequent urination?

Frequent urination in women Initially, it is necessary to establish the reason why a person manifests this symptom. In the process of establishing a diagnosis, the doctor must establish all the features of this phenomenon in the patient. This is the presence of concomitant symptoms, the amount of fluid you drink, taking medications, etc. Further analyzes and studies are carried out, which are prescribed by a specialist.

Further therapy is carried out depending on the detected causes of frequent urination. With diabetes mellitus, it is important to constantly monitor and normalize the level of sugar in a person's blood. The presence of infectious diseases presupposes a course of antibiotic treatment.

In case of diseases of the prostate gland in men, the administration of drugs that have a general strengthening effect, as well as agents that contribute to the resorption of stagnant zones, is prescribed. Prostate massage sessions are scheduled. It is important to always remember about the methods of preventing prostatitis - physical activity, the absence of hypothermia.

In the presence of kidney stones, it is important to correctly diagnose and determine the nature of the resulting stones. Based on the individual characteristics of the disease, the doctor decides on how to treat urolithiasis.

In addition, if necessary, your doctor may advise you to radically revise your diet in order to reduce the amount of foods and drinks that provoke more frequent urination. Do not drink large amounts of fluids before going to bed.

In some cases, Kegel exercises are a good preventive measure, with the help of which you can significantly strengthen the muscles of the urethra, pelvis, and bladder. Such exercises need to be done several dozen times daily.

healthsovet.ru

Causes and features of frequent urination

According to experts, normally a person should urinate up to ten times a day (some people even more often). Therefore, a competent doctor is obliged to approach this problem purely individually. There is a list of questions that will help determine and find out the causes of frequent urination.

First of all, you should find out whether frequent emptying of the bladder is accompanied by constant urge, and whether each urge ends with deurination (urination). Next, you need to determine how much urine is released at a time and how the amount of fluid consumed affects this. And finally, whether frequent deurination interferes with normal life, and whether there are unpleasant symptoms when emptying the bladder. Only by comparing all the answers, the doctor will be able to find out if this is the norm, or pathology.

Frequent urge to urinate can be triggered by the following pathological conditions:

1. Urinary tract infections. Pathogenic microorganisms, penetrating into the urethra, ureters and bladder, irritate the mucous membrane and provoke frequent urge.
2. Excessive and frequent urination may be due to chronic kidney failure (a disease that causes the death of kidney cells).
3. Tumor neoplasms of the prostate.
4. Heart failure.
5. Sugar and diabetes insipidus.
6. Urolithiasis (nephrolithiasis).
7. Cystitis (this pathology is characterized by pain in the bladder that occurs against the background of frequent urination)

In the event that problems with deurination arise for these reasons, the patient needs compulsory treatment. However, in clinical practice, there are situations when frequent urination is the norm. This is observed during pregnancy, menopause in women and in people of advanced age. Also, this condition can be the result of drinking coffee or alcoholic beverages, or some medications.

Varieties of frequent urination

1. Increased deurination in the daytime, in the process of active movement. This condition may signal the presence of stones in the urinary tract.
2. A very frequent flow of urine during the day and its complete absence at night is a symptom of neurosis. Most often, this condition is observed in women.
3. Frequent urination, which bothers the patient at night, may be the result of taking diuretics, and may also be associated with a neoplasm (or enlargement) of the prostatic gland in men.
4. Frequent urination without pain can signal the development of pathologies associated with hormonal levels, diseases of the nervous system, therapeutic and surgical diseases, as well as oncopathologies.


5. With the development of a diffuse inflammatory process in the mucous membrane of the bladder, with an increase in its size, unpleasant sensations increase due to the pressure of the accumulating urine. This is a consequence of cystitis, which is characterized by frequent deurination, accompanied by pain.
6. Frequent urination and kidney pain can signal the development of acute glomerulonephritis (inflammation of the kidney glomeruli).
7. Sometimes an increased outflow of urine can be a consequence of the anatomical features of the structure of the human urinary system.

Treatment

Treatment of frequent urination is prescribed only after the true cause of this condition has been clarified. For this, a person may need a comprehensive comprehensive examination. As a rule, in this case, the patient is prescribed symptomatic therapy aimed at eliminating the pathology that provoked this problem. At the same time, for all types of deviation, experts recommend performing exercises that strengthen the genitourinary system. In 1952, Arnold Kegl developed a system of exercises for women who had complaints of urinary control, which made it possible to strengthen the sphincter system. Despite the fact that today the opinions of experts about the effectiveness of such gymnastics are sometimes ambiguous and contradictory, many women note significant improvements after a course of classes.

At the same time, people suffering from frequent deurination should constantly monitor the ratio of drunk and excreted fluid, and also try to remove from their diet foods that have a diuretic effect and irritate mucous membranes (spicy, spicy, salty and peppery foods).

lechim-pochki.ru

Urination: we distinguish pathology from the norm

The daily norm of excreted urine for an adult is 1.5-2 liters. The release of this amount of urine is usually obtained in 3-7 trips to the toilet.
There is a norm for children:

• age up to a year - 12-16 times per day;
• one to three years - 10 times;
• three to nine years - 6-8 times.

There are many reasons for the need to empty the bladder. Urination may increase as a result of a large amount of fluid drunk, after consuming foods that have a diuretic effect (for example, watermelon, cucumber, melon, beer, coffee, alcohol).

If fluid intake remains uniform, and the diet is stable, and frequent urination still begins to manifest itself, then this phenomenon should be regarded as an alarming sign. More than 10 urination per day is considered a pathology in an adult. An important fact in this case is whether a person experiences discomfort while coping with a small need. With frequent urination, immediate consultation with a urologist is necessary if the following symptoms are noted:

• the urge to urinate is incessant;
• the amount of urine released during urination is very small (the norm is 200-300 ml at a time);
• urination is accompanied by burning and pain;
• there is a violation of the normal rhythm of life (obstacles during work, travel, sleep).

Varieties of frequent urination

Depending on when frequent urination manifests itself - day or night - there are several types of pathology:

Pollakiuria is frequent urination, which manifests itself during the daytime.
Nocturia is a frequent urination at night. Cases of deurination, which have become more frequent at night, require special attention. At night, a person's bladder should be emptied no more than once. Finding out the reasons for frequent urination at night is a prerequisite, since it is with this phenomenon that many diseases begin to develop.

Causes provoking increased urination

Frequent urination can result from several factors. They can be conditionally divided into 2 groups - physiological reasons and pathological reasons. Among the physiological reasons are the following:

• food factor (drinking plenty of fluids, eating foods with a predominance of a diuretic effect, a specific diet);
• hypothermia;
• stress, neuroses. In this case, frequent urination occurs at night, and may be completely absent during the day. The main risk group is women;
• first and third trimesters of pregnancy; / span>
• taking certain medications.

The increase in deurination against the background of physiological reasons is temporary, manifests itself in the daytime and becomes normal after the factors that caused this phenomenon complete their action.

Pathological factors include various diseases:

• diseases of the genitourinary system: urethritis, cystitis, urolithiasis, renal failure, prostatitis, prostate adenoma, weakened muscles of the walls of the bladder;
• diabetes. Increased urination is caused by the fact that the disease increases the feeling of thirst and the patient consumes more fluids.
• cardiovascular failure.

The pathology arising as a result of diseases of the urinary tract is usually accompanied by accompanying symptoms: pain and burning sensation in the process, a feeling of heaviness in the lower abdomen, an imperative urge to urinate. Frequent urination without pain can be a signal of hormonal disruption, diseases of the nervous system, therapeutic and surgical pathologies, and sometimes cancer.

Treatment of frequent deurination

The treatment of this ailment is usually started by finding out the causes of the disease. Frequent visits to the toilet at night are the first bell for contacting a urologist. After a comprehensive examination, symptomatic therapy is prescribed in order to eliminate the pathology. Patients who have been diagnosed with frequent deurination are required to carefully monitor the ratio of the fluid they drink and the fluid released. They are also advised to balance their menu by eliminating diuretic products and foods that irritate mucous membranes (spicy, spicy, salty) from the diet.

my-pochki.ru

The body of a healthy person normally secretes 1.5-2 liters of urine per day (no more than 300-400 ml at a time). The amount of water received per day should be equal to the amount of water released. In terms of frequency, the number of urinations should not exceed 4-5 times a day. A person should not urinate at night.

There are a number of situations and conditions in which frequent or increased urination is not a symptom of the disease and does not require a consultation with a urologist:

1) Frequent urination after sex(reaction of the urinary tract to trauma and overflow of the mucous membrane of the genital tract with blood).
2) Increased urination at a temperature difference(when leaving a warm room to the cold, prolonged stay in cold conditions) - vasodilation causes increased blood flow to the urinary tract.
3) Increased urination after or while swimming in a pond or pool- (temperature difference causes increased blood flow to the urinary tract).
4) Increased urination with strong excitement.
5) Increased urination after drinking coffee, herbal teas and weight loss drugs(have a diuretic effect).
6) Increased urination after consuming watermelon and other berries and fruits.
7) Increased urination during pregnancy(especially the third trimester) is associated with the pressure of the enlarged uterus on the bladder.
8) Increased urination when taking diuretics or other medicines that may have a diuretic side effect.
9) Increased urination when drinking beer.
10) One of the recommendations for a healthy lifestyle is consumption of at least 2-3 liters of water per day... The resulting increased frequency of urination is not the same pathology.

I want to emphasize once again that in all of the above cases, the increase in urination is limited only to a specific situation (does not go beyond its scope) and is not combined with other urinary disorders - pain (cuts), blood, etc.

There are nine reasons why frequent or frequent urination is a symptom of a disease (pollakiuria) and requires consultation with a urologist:

It is important to know: the stronger the pathological process, the more often you urinate. Conditionally allocate easy degree - 5-10 times, average degree - 10-15 times, heavy degree - more than 15 times a day.

Long-term urinary frequency can lead to development of urinary incontinence, due to the weakening of the closure function of the sphincter of the bladder. Therefore, the moderate and severe degrees of frequent urination require the implementation of rapid therapeutic action.

1) Inflammation in the bladder wall(cystitis) - most common in women; or in the prostate gland (prostatitis) - most common in men.
Frequent urination in these diseases has two features: small portions of excreted urine (sometimes just a few drops) and occurs day and night.
With a combination of frequent painful urination, urge to urinate, pain in the lower abdomen and an unpleasant odor of urine, inflammation in the lower urinary tract can be suspected with a high probability.
With a combination of frequent urination with fever and lower back pain, it is necessary to suspect kidney inflammation - pyelonephritis. This is a serious illness that requires immediate specialist advice.

2) Sexually transmitted infections(chlamydia, mycoplasma / ureaplasma, trichomoniasis, gonorrhea, etc.). Frequent urination is usually accompanied by a discharge (urethritis).

3) Overactive bladder... This is a condition in which the bladder wall does not work properly. Frequent urination occurs with imperative urge in the absence of inflammation. Therefore, a distinctive feature of this disease (from cystitis or prostatitis) is the absence of cuts during urination, i.e. there is frequent urination without pain.

4) Passage along the lower urinary tract stone... With its sharp edges, the stone injures the wall of the urinary tract, irritates the nerve receptors - the body reacts by increasing the frequency of urination in order to expel the foreign body as quickly as possible.
In addition to frequent urination, when a stone passes through the urinary tract, symptoms such as severe cramps during urination and blood in the urine are often present.

5) BPH... Characterized by an increase in urination at night - nocturia (in a horizontal position, blood flow to the prostate increases - edema occurs - the prostate enlarged due to edema and adenoma presses on the bladder). Often combined with symptoms such as difficulty urinating, weakening of the urine stream, intermittent urination, a feeling of incomplete emptying of the bladder.

6) Bladder tumor... It is very often combined with such a formidable symptom as painless excretion of blood in the urine (hematuria).

7) Gynecological pathology... Increased urination before menstruation (hormonal imbalance), prolapse of the uterus, uterine fibroids, etc. Often accompanied by secretions from the genital tract.

8) Diabetes... With this disease, the patient excretes up to 5 liters of urine per day - each urination is abundant (a high concentration of glucose in the urine pulls on itself, due to osmotic pressure, water). The amount of urination increases in direct proportion to the amount of urine excreted.

9) Chronic heart or kidney failure... These are serious diseases in which excess water in the body (edema) is excreted in the urine.

In order to cure frequent urination, you need to consult a urologist. I am conducting a survey to determine the causes of this symptom. First, the cause of the disease is determined and a diagnosis is made, and only then treatment is prescribed. The disease is treated as a whole, and not each symptom in isolation (the so-called pathogenetic treatment). It is this path that gives the maximum efficiency.

Treatment cost

In 80% of cases, the cost of treatment looks like this.
Initial appointment (collection of complaints, anamnesis, clinical examination, making a preliminary diagnosis, prescribing an examination program) - 1,500 rubles.
Examination (OAC, OAM, blood count, ultrasound of the kidneys, bladder, TRUS, uroflowmetry, PCR for STDs) - 3000 rubles.
Reappointment (analysis of examination results, final diagnosis, appointment of a treatment regimen) - 1000 rubles.

When to see a doctor

A 35-year-old female patient complained of frequent urination. This situation worries her for 1 year with periods of exacerbation and self-attenuation. The examination revealed chronic cystitis. As a result of the treatment, the patient notes the normalization of the quality of life, the laboratory parameters of inflammation are normal.

Violation of urination, which is accompanied by irritation and discomfort, is called dysuria in medical practice. It almost always occurs due to the presence of an infection. Painful urination is common in sexually active women and during pregnancy. Men suffer from this ailment less often. If they nevertheless experience discomfort during urination, the reason for this is considered to be prostate disease. When the first signs appear, the patient needs to make an appointment for an examination with a therapist, and then with a urologist.

Symptoms

If the pain syndrome is most pronounced at the beginning of urination, this directly indicates an infection of the urethra. In the case where discomfort is observed after emptying, the problem is more serious. Most often it is caused by abnormalities in the functioning of the bladder or prostate gland. At the same time, many women complain of internal discomfort caused by painful urination. It is often accompanied by redness and irritation of the outer skin. Possible symptoms also include fever, discharge of an uncharacteristic color, discoloration of urine and the presence of blood or purulent impurities in it.

Causes

As a rule, pain during urination is accompanied by other disorders. In men and women, they can differ significantly. In order to investigate the symptoms and causes, it is recommended to undergo a simple self-diagnosis. Such tests are usually freely available. The main causes of painful urination are:

Diagnostics

To find out what caused the painful urination, the specialist carefully examines the patient's complaints, asks him questions about the frequency and nature of urination, as well as the presence of additional symptoms. In addition, an examination of the abdomen and external genitalia will be required. Women are referred for gynecological examinations. Diagnostics can be as follows:

Which doctor can help?

If you experience pain when urinating, then you should see a doctor of the following specialty:

After the examination, the doctor will prescribe the necessary diagnostics in your case. Some diseases are difficult to diagnose as they say "by eye". Therefore, you need to trust your doctor when prescribing research. After all the tests, the doctor will be able to draw up the correct course of treatment. Remember: accurate diagnosis and correct diagnosis - already 50% of treatment success!

Factors that increase the risk of infection in the urethra

There are several prerequisites that also cause pain when urinating. Among them:

• diabetes;
• elderly age;
• stones in the kidneys;
• pregnancy;
• the presence of a urinary catheter;
• prolonged febrile condition;
• non-observance of the rules of intimate hygiene;
• frequent urination;
• the presence of genital herpes, gonorrhea, or chlamydial infections.

Treating frequent painful urination

If you experience a burning sensation and itching in the urethra, it is necessary to make an appointment with a doctor as soon as possible. After conducting diagnostic tests, he will prescribe the most effective treatment for painful urination. Typically, the patient is prescribed antibiotics. If the pain is caused by genital infections, the treatment is carried out by a venereologist. In severe cases, he can refer the patient to surgery.

What can you do at home?

During this period, you must drink as much liquid as possible. This helps to flush bacteria out of the urethra. It is useful to drink decoctions of medicinal plants, including:

• plantain;
• corn silk;
• birch buds.

Perineal discomfort at home can be relieved with a warm compress or heating pad. However, it should be remembered that any measures for self-treatment of painful urination must first be discussed with your doctor. Also during this period, spicy, salty and spicy dishes are excluded from the diet. It is undesirable to drink alcohol. Hypothermia and prolonged exposure to a draft should be avoided.