What Causes Urinary Urgency In Females

Evaluation And Treatment Or Urgent Urination

Urinary Frequency, Causes, Signs and Symptoms, Diagnosis and Treatment.

When visiting a urologist, patients will be asked to provide a thorough medical history. They will also undergo a physical examination and most often a urinalysis. By obtaining a urine sample, the urologist will be able to screen for possible infection. The provider will also want to review current symptoms, discuss the number of times that urgent urination occurs, and identify any wetting accidents. The patients medical history will also help the provider associate urgent urination with any other existing health conditions.

With information from the patients evaluation, the urologist will be able to make treatment recommendations. Depending on the underlying cause, treatment options can include:

Dietary modifications eliminating known bladder irritants from the diet.
Behavior modifications smoking cessation weight loss.
Fluid restriction particularly before bedtime.
Medications often prescribed when conservative measures fail. Medications can be effective in decreasing urgency and urge incontinence episodes.
Medical procedures- may be indicated in cases where urgent urination is caused by a blockage such as an enlarged prostate.

If you are experiencing urgency symptoms, contact Urology Austin for a thorough evaluation.

Consuming Alcohol Caffeine Or Other Diuretics

A diuretic is something that makes you urinate more frequently than normal. Youre probably familiar with common diuretics like alcohol and caffeine . Artificial sweeteners can also act as diuretics. So can acidic foods and drinks, like those that contain citrus fruits or tomatoes.

If you consume any of these regularly, youll likely make more trips to the bathroom. In addition, frequent urination can be a side effect of taking certain medications to treat other conditions like those to control high blood pressure.

What Medications Can I Use For Overactive Bladder

Your doctor may suggest trying behavioral techniques before having you use a medication to treat overactive bladder. However, medications can work very well to return normal function to the bladder. Ask your doctor about the risks and benefits of using the following commonly prescribed medications:

Anticholinergic medications

These medications control muscle spasms in the bladder:

Oxybutynin , oxybutynin XL , oxybutynin TDDS .

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What Causes Urinary Frequency In Females

Other treatments address frequent urination rather than an underlying cause. These include the below.

Kegel exercises: These regular daily exercises, which people often perform during pregnancy, can strengthen the muscles of the pelvis and urethra and support the bladder. For best results, perform Kegel exercises 1020 times per set, three times a day, for at least 48 weeks.
Biofeedback therapy: A person combines this treatment with Kegel exercises to enable them to become more aware of how their body functions. This increased awareness can help them improve the control of their pelvic muscles.
Bladder training: This involves training the bladder to hold urine longer.
Monitoring fluid intake: This may reveal that drinking a lot at certain times is the main cause of frequent urination.

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When Should You Seek Help

You should seek medical help when you first notice a weak urine stream. In addition, if you seem to fit the symptoms when you research slow urine flow in females, you should seek help.

Even though most cases of a weak urinary stream can become less severe in time, seeking treatment can prevent other related issues.

Slow, inconsistent, and low-pressure urine are all examples of a weak urine stream. Therefore, if this applies to you, consider seeking a urinary incontinence treatment in Fort Lauderdale to help treat your problem.

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Should I Be Worried If I Have These Conditions And Frequent Urination

If you ever have a symptom that is outside of whats normal for your body, reach out to your healthcare provider. In some cases, pregnancy, for example, frequent urination is completely normal and nothing to worry about. However, in some conditions, your caregiver may want to know if you are urinating much more than you typically do. Theres a very wide range of conditionswith varying levels of seriousnessthat could cause frequent urination. It is always safe to discuss your symptoms with your healthcare provider.

What Tests Should Be Ordered For This Patient

When overactive bladder is suspected, guidelines recommend limited investigations to rule out other causes of symptoms. These include urinalysis for urinary tract infection and hematuria. Urinalysis should be done to rule out urinary tract infection and hematuria. Urine culture may be considered if the urinalysis result is positive for one of the following: leukocytes, erythrocytes and nitrites.

Guidelines recommend a postvoid residual urine test if the history indicates incomplete emptying. The test can be done in the office by means of an ultrasound or bladder scanner, or by catheterization to measure residual volume if noninvasive means are unavailable.

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Urinary Urgency In Men

The condition of urinary urgency in men could be caused due to a wide range of reasons. The following article provides information on the causes, associated symptoms, and treatment of this condition.

Urinary urgency, as the name suggests, is the sudden or compelling need to pass urine. In severe cases, it might be accompanied by urinary incontinence. It is more likely to affect the elderly. Frequent urination is an associated problem, which is characterized by the need to pass urine more than usual.

Treatments For Urgency Incontinence

5 Tips to Treat Urinary Urgency|Best Treatment Overactive Bladder-Dr.Girish Nelivigi|Doctors’ Circle

Urgency incontinence is when you get the urge to go, and if you dont make it to a bathroom, your bladder will empty. It can have serious effects on your life and your work.

Experts dont know what causes urgency incontinence, but there are different ways to approach it. First we start with behavioral changes, which vary based on your situation. Steps could include:

Weight loss again, losing even a small amount of weight can help.
Avoiding excess fluids. If youre having trouble sleeping, we talk about limiting fluids before bedtime so sleep is less interrupted.
Time voiding, which is retraining the bladder. If the patient is in the bathroom every hour, well slowly lengthen that interval so theyre in the bathroom less often.
Pelvic floor exercises, with help from a physical therapist.
Changing your diet. I review a list of bladder irritants: coffee, chocolate, alcohol, spicy foods, and other things. We have patients skip those foods and drinks for a week or two and see what their urgency or frequency is like.

If behavioral changes dont help, there are other options to explore. We can try certain medications that relax your bladder muscles and prevent leakage. Botox, injected into the muscles of the bladder, can help some patients temporarily. And there are several medications we can try, including anticholinergics, which block the impulse to urinate. This can help you get more sleep at night.

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How Is Urinary Urgency And Frequency Treated

Treatment will depend on the type and cause of your urination problems. You may need any of the following:

Medicines may be given to relax your bladder and decrease urination. You may also need antibiotics if your symptoms are caused by a bacterial infection.
Sacral nerve stimulation sends electrical signals to your sacral nerve through a small device implanted under your skin. Your sacral nerve controls your bladder, sphincter, and pelvic floor muscles.
Botox injections into your bladder may help relax your bladder muscle to decrease urgency and frequency.
Surgery may be done if all other treatments cannot help you control your bladder.

What Increases Your Risk

Sometimes several things combine to cause urinary incontinence. For example, a woman may have had multiple childbirths, be older, and have a severe cough because of chronic bronchitis or smoking. All of these might contribute to her incontinence problem.

Physical conditions that make urinary incontinence more likely include:

Pregnancy and vaginal delivery.

Medicines and foods that may make urinary incontinence worse include:

Caffeinated and carbonated drinks, such as coffee, tea, and soda pop.
Alcohol drinks.
Prescription medicines that increase urine production or relax the bladder .

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Evaluation Of Women With Constant Urge To Urinate

In addition to a history and physical examination, the urologist makes a diagnosis based on the volume of fluids consumed, intake of alcohol and caffeinated beverages, the frequency of urination , medications being taken, and other symptoms experienced. A urinalysis may be ordered to identify the cause of frequent urination. Other diagnostic investigations may include a bladder ultrasound, cystoscopy, and uroflowmetry.

How Is Urge Incontinence Diagnosed

Youll get a physical exam, which may include a pelvic exam or a rectal prostate exam. To help your healthcare provider make an accurate diagnosis, you might keep a bladder diary for two to three days, where you write down your fluid intake, bathroom use and urine leakage, including what you were doing when the leaks occurred.

Tests for urge incontinence include:

Urinalysis to rule out infections, blood in your urine and other problems.
Abdominal ultrasound to view your bladder, kidneys and other organs.
Cystoscopy to examine your urinary tract.
Urodynamic testing, including a postvoid residual urine test, to show how well your urinary system holds and releases urine.

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What Causes Frequent Urination Pressure And Fullness

Frequent urge to urinate, Frequent urination and Pressure or fullness. WebMD Symptom Checker helps you find the most common medical conditions indicated by the symptoms frequent urge to urinate, frequent urination and pressure or fullness including Urinary tract infection , Diabetes, type 2, and Vesicoureteral reflux.

Why Have I Suddenly Become Incontinent

Its possible youve had mild symptoms for a while. Over time, symptoms from an overactive bladder can get worse and become more noticeable. If your incontinence came on after a recent medical procedure, injury or the start of a new medication, contact your healthcare provider. A nerve injury or another problem may be causing the incontinence.

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The Causes Of Urinary Incontinence

Different causes contribute to the various forms of incontinence.

Stress incontinence is a result of damage to the urethra or the bladder neck. A condition called intrinsic sphincter deficiency can result from damage to the urethra and the urethral sphincters. This condition usually results in severe stress incontinence. If these structures fail, then the urethra moves too much, leading to incontinence.
Urge incontinence is usually the result of problems with the bladder muscle. The bladder muscle tightens or contracts involuntarily when it should be relaxed.
Mixed incontinence is a combination of stress and urge incontinence.

Myth #: Pelvic Health Issues Like Bladder Leakage And Painful Sex Are To Be Expected As A Woman Especially If Youve Been Through Childbirth

Frequent Urination in Women: What can be done?

Fact:Pelvic health problems arent something that you just have to accept because youre a woman, youve had children or youve reached a certain age.Its important to know that at any stage of life:

Its not normal for sex, a pelvic exam or putting in a tampon to be painful.
Its not normal to have vaginal dryness.
Its not normal to have to go to the bathroom every 30 minutes. And on the flip side, its not normal to hold it through an entire 8-hour shift. What is normal is using the bathroom every 2 to 3 hours when youre awake and using it no more than once in the middle of the night.
Its not normal to feel like you have to pee all the time, or to lose control of your bladder when youre coughing, laughing, sneezing or walking.
Its not normal to be unable to empty your bladder fully.

These issues have lots of different underlying causes. In fact, there are often multiple factors. And these causes are rarely just age or gender related. Some vaginal deliveries can cause pelvic floor problems. Some cesarean sections can lead to postpartum urinary incontinence. But its key to know that if a woman does have a weaker pelvic floor muscle or a decrease in sex drive after having a baby, it doesnt mean it will never come back. Its also important to know that vaginal deliveries are not the only potential cause of pelvic floor issues. Women who have never had a baby can be affected, too.

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How Can Nerve Stimulation Help Overactive Bladder

There are several treatments that involve stimulating your nerves to help improve overactive bladder. Your nerves help communicate the message that your bladder needs to be emptied to your brain. By treating the nerves, your healthcare provider can improve your bladder control. Nerve stimulation is a reversible treatment that is considered when conservative treatments have not worked or have not been tolerated. Conservative treatments include behavioral therapies and medications.

There are several types of nerve stimulation treatments. These can include:

Bladder Leakage 3 Things Women Should Know About Urinary Incontinence

To dispel misconceptions, a urogynecologist discusses the surprisingly common, lingering issue many women experience.

Bladder leakage. For some women, the condition runs their life from the inside, preventing them from playing outside with their kids, going to a workout class or staying the night with family or friends.

And theyre not alone. Living with some degree of urinary incontinence, defined as an uncontrolled leakage of urine, is actually common, according to Pamela Fairchild, M.D., a urogynecologist at Von Voigtlander Womans Hospital at Michigan Medicine.

She says that approximately half of all women over the age of 20 experience some degree of incontinence. This means urinary incontinence isnt just an issue that affects elderly or postpartum women, although aging and childbirth are risk factors.

But if so many women experience it, then why does the topic still seem embarrassing?

Women get the sense that this is inevitable, that its a natural part of aging and they have to live with it, says Fairchild. This false perception leaves women feeling powerless, even though there are ways to greatly improve their quality of life.

To help overcome the stigma, Fairchild shared three facts about urinary incontinence that all women should know.

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Causes Of Urge Incontinence

The urgent and frequent need to pass urine can be caused by a problem with the detrusor muscles in the walls of your bladder.

The detrusor muscles relax to allow the bladder to fill with urine, then contract when you go to the toilet to let the urine out.

Sometimes the detrusor muscles contract too often, creating an urgent need to go to the toilet. This is known as having an overactive bladder.

The reason your detrusor muscles contract too often may not be clear, but possible causes include:

drinking too much alcohol or caffeine
not drinking enough fluids this can cause strong, concentrated urine to collect in your bladder, which can irritate the bladder and cause symptoms of overactivity

Overflow incontinence may also be caused by your detrusor muscles not fully contracting, which means your bladder does not completely empty when you urinate. As a result, the bladder becomes stretched.

Your detrusor muscles may not fully contract if:

theres damage to your nerves for example, as a result of surgery to part of your bowel or a spinal cord injury
youre taking certain medicines

When Should I See A Health Care Professional

Urinary Incontinence affects 160 Million women (2017)

See a health care professional if you have symptoms of a bladder problem, such as trouble urinating, a loss of bladder control, waking to use the bathroom, pelvic pain, or leaking urine.

Bladder problems can affect your quality of life and cause other health problems. Your health care professional may be able to treat your UI by recommending lifestyle changes or a change in medicine.

Enhancing Healthcare Team Outcomes

Diagnosis and treatment of urinary retention require an interprofessional team effort. Primary care physicians, emergency department physicians, and hospitalists should be able to recognize the early signs and symptoms of urinary retention. Nurses should monitor the urine output in hospitalized patients and report to physicians if they notice a decrease or complete absence of urine output. Consultation with a urologist being obtained in advanced cases. Pharmacists also have a role in recognizing the medications, which can cause urinary retention and coordinating efforts with the prescribing clinician. Unfortunately, despite optimal treatment, the recurrence of urinary retention is frequent.

Why You Might Need To Urinate More

Here are eight reasons, according to Dr. Jaeger, that you may be running to the bathroom more often than youd like:

Overactive bladder. This is the most common culprit. Its marked by the need to urinate more than eight times during the day, waking up more than once a night to pee and frequently losing bladder control before reaching the toilet.

Enlarged prostate. This may occur in men as early as age 40 and may be accompanied by a slow urinary stream and the inability to empty the bladder completely.

Diabetes. Elevated blood sugar can increase thirst, causing you to drink often and, consequently, void frequently.

Stroke.The bladder is controlled by the brain, so its very common to see a strokes side effects manifest through bladder frequency, Dr. Jaeger says.

Interstitial cystitis. This condition, which affects women, is marked by a frequent need to urinate that is accompanied by bladder pain and a distended bladder. Relief often occurs following urination.

High fluid intake or dietary triggers. It stands to reason that if you drink a lot, youre going to pee a lot. But your bladder alsocan become overstimulated by caffeine, citrus fruits and other acids, chocolate, artificial sweeteners, alcohol and spicy foods.

Urinary tract infection. Symptoms may include blood in the urine, passing small amounts of urine despite a feeling of urgency, burning or pelvic pain.