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    Frequent or urgent urination

    Urgent urination; Urinary frequency or urgency

    Frequent urination means needing to urinate more often than usual. Urgent urination is a sudden, compelling urge to urinate, along with discomfort in your bladder.

    A frequent need to urinate at night is called nocturia. Most people can sleep for 6 to 8 hours without having to urinate. Middle aged and older men often wake to urinate once in the early morning hours.

    Causes

    Together, frequent and urgent urination are classic signs of a urinary tract infection.

    Diabetes, pregnancy, and prostate problems are other common causes of these symptoms.

    Other causes include:

    • Alcohol use
    • Anxiety
    • Bladder cancer (not a common cause)
    • Caffeine
    • Enlarged prostate or infection of the prostate
    • Interstitial cystitis
    • Medicines such as water pills (diuretics)
    • Overactive bladder syndrome
    • Radiation therapy to the pelvis, used to treat certain cancers
    • Stroke and other brain or nervous system diseases
    • Tumor orgrowth in the pelvis
    • Vaginitis

    Drinking too much before bedtime, especially caffeine or alcohol, can cause frequent urination at nighttime. Frequent urination may also just be a habit.

    Home Care

    Follow the therapy recommended by yourhealth care providerto treat thecause of your urinary frequency or urgency. It may help to keep a diary of the times and amounts of urineyou voidto bring with you toyour health care provider.

    In some cases, you may experience urinary incontinence for a period of time. You may need to take steps to protect your clothing and bedding.

    For nighttime urination, avoid drinking too much fluid before going to bed. Reduce the amount of coffee, other caffeinated beverages, and alcohol you drink.

    When to Contact a Medical Professional

    Call yourhealth care providerright away if:

    • You have fever, back or side pain, vomiting, or shaking chills
    • You have increased thirst or appetite, fatigue, or sudden weight loss

    Also call your health care provider if:

    • You have urinary frequency or urgency, but you are not pregnant and you are not drinking excessive amounts of fluid
    • You have incontinence or havechanged your lifestyle because of your symptoms
    • You have bloody or cloudy urine
    • There is a discharge from the penis or vagina

    What to Expect at Your Office Visit

    Your health care provider will take a medical history and perform a physical examination. Medical history questions may include:

    • When did the increased urinary frequency start?
    • How many times each day are you urinating?
    • Are you urinating more often during the day or at night?
    • Do you have an increased amount of urine?
    • Has there been a change in the color of your urine? Does it appear lighter, darker, or more cloudy than usual? Have you noticed any blood?
    • Do you have pain when urinating, or a burning sensation?
    • Do you have other symptoms? Increased thirst? Pain in your abdomen? Pain in your back? Fever?
    • Do you havetrouble starting the flow of urine?
    • Are you drinking more fluids than usual?
    • Have you had a recent bladder infection?
    • Are you pregnant?
    • What medications are you taking?
    • Have you had any past urinary problems?
    • Have you recently changed your diet?
    • Do you drink beverages containing alcohol or caffeine?

    Tests that may be done include:

    • Cystometry (a measurement of the pressure within the bladder)
    • Cystoscopy
    • Nervous system (neurological) tests (for some urgency problems)
    • Ultrasound (such as an abdominal ultrasound or a pelvic ultrasound)
    • Urinalysis
    • Urine culture and sensitivity tests

    Treatmentdepends onthe cause of the urgency and frequency. Antibiotics and medicine may be prescribed to reduce your discomfort, if needed.

    References

    Drake M, Abrams P. Overactive bladder. In: Wein AJ, eds. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 66.

    Zeidel ML. Obstructive uropathy. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 125.

    Lentz GM. Urogynecology. Physiology of micturition, voiding dysfunction, urinary incontinence, urinary tract infections, and painful bladder syndrome. In: Lentz GM, Lobo RA, Gershenson DM, Katz VL, eds. Comprehensive Gynecology. 6th ed. Philadelphia, Pa: Saunders Elsevier; 2012: chap 21.

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    • Female urinary tract

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    • Male urinary tract

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      • Female urinary tract

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      • Male urinary tract

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      A Closer Look

        Self Care

          Tests for Frequent or urgent urination

            Review Date: 6/18/2012

            Reviewed By: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington; and Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

            The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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