Are you one of those people who feel the need to urinate again after urinating?
Do you want to go to the toilet to urinate many times a day, despite urinating?
If you have frequent urination.
If you frequently feel the need to urinate.
Why do people have frequent urination during the day?
Do people with frequent urination have dangerous underlying conditions?
Could the cause of frequent urination be dangerous?
In this article, you will read everything you need to know about the feeling of urination after urinating.
We have gathered all the information you need about urinary frequency and will present it in simple language and all together.
What is frequent urination?
Doctors define urinary frequency as follows:
The Need to urinate more than normal.
Frequent urination is annoying and can interfere with your sleep and interfere with your daily activities.
A medium-sized adult with no alcoholism or diabetes will pass a maximum of three liters of urine per day.
More than this volume is called frequent urination.
An average weight and height adult urinates about seven times a day, 24 hours a day.
Certainly, people who drank more than two liters of water would urinate more than seven times.
Babies urinate more often because they have smaller bladders.
We Recall that frequent urination is completely different from urinary incontinence.
Read more if you feel the need to urinate during the day, even after urination.
Water, toxins and wastes produced in the body’s metabolic processes, urea, uric acid and…, make up the urine content.
Urine is made up of the kidneys and travels from the ureters to the bladder. The bladder has a muscular wall that contracts only when the bladder fills and expands to a certain extent. In fact, it is the contraction of these muscles that creates the need to urinate.
What are the reasons for frequent urination?
- Anxiety and psychological stress
- Urinary tract infections
- Malignant tumors of the pelvis
- Benign pelvic masses
- Inflammation of the bladder wall or cystitis
- Interstitial cystitis
- Consumption of diuretic foods
- Drink plenty of fluids
- Nervous system injury problems that interfere with bladder function control, such as strokes, spinal cord tumors, and…
- Hyperactive bladder syndrome in which there are premature, frequent, and abnormal contractions of the muscles of the bladder wall.
- Urethral stricture
- Have a history of abdominal and pelvic radiotherapy
- History of radiation to the abdomen and pelvis
- STDs such as gonorrhea and chlamydia
- Consumption of diuretics
Which increase the volume of urine.
One of the reasons that people experience frequent urination will be the excretion of large volumes of urine. If a person constantly feels urination and has other signs and symptoms, there may be a more serious underlying condition.
It is not normal for people to wake up frequently during the night to urinate. People with diabetes mellitus or binge drinking or diabetes insipidus will have these conditions.
Other symptoms that may be found in people with frequent urination include the following:
- Pain when urinating
- Burning sensation and discomfort when urinating
- Difficulty urinating despite having a strong feeling of urination
- Fever or chills
- Side pain
- Back pain
- Appetite changes
- Urinary tract secretions
- Discoloration of urine, such as dark or bloody urine
- weight loss
- Appetite changes
If you still need to urinate after urinating, or if you have frequent urination with one or more of the above symptoms, you should see a doctor.
Your condition can negatively affect your sleep quality and quality of life.
Urinary tract infections are a common cause of frequent urination and frequent feeling of need to urinate.
If urinary tract and bladder infections are not treated, the risk of infection and involvement of kidney tissue is increased. Kidney tissue infections or pyelonephritis can enter the bloodstream and be life threatening.
Necessary measures to determine the cause
Obtaining a history and reviewing individual and familial medical records and medications is required.
The answer to the following questions should be done by the patient.
Amount of fluids consumed
History of alcohol consumption
Explain about the pattern of frequent urination by the patient, ie when it started, What time of day is it, and what changes have occurred since the time of onset.
The following paraclinical tests are requested:
Urine sample analysis
Urine sample culture
Examination to evaluate sexually transmitted diseases
Perform abdominal and pelvic ultrasound
Simple photo of the abdomen with X-rays
Perform complete tests to evaluate and diagnose neurological disorders
If you are one of those people who still feel the need to urinate after urinating, one of the best diagnostic tests for you would probably be the urodynamic test.
We have said that the presence of problems and lack of normal function of the muscles of the bladder wall, which is called detrusor, can lead to you often feeling the need to urinate despite urinating.
In this test, it is sometimes necessary to use more modalities:
- Sensors to assess neuromuscular activity of the bladder
- Intravesical pressure measurement
- Evaluation of bladder function for storage and emptying of urine
During this test, the following items will be evaluated and recorded:
- Time required to produce urine flow
- Assessing a person’s ability to stop the flow of urine during urination
- The volume of urine produced
Your doctor will give you the necessary instructions before you go for the test. You may need to go to the clinic with a full bladder. Your doctor may want you to change certain medications or have changes in the fluids you take.
One of the reasons for the frequent need to urinate is cystitis.
Interstitial cystitis is sometimes called a painful bladder.
Symptoms of overactive bladder
Symptoms of an overactive bladder are as follows:
- Frequent urination:
Excretion of more than eight times a day in an adult with normal fluid intake.
- Urgency to urinate:
This means that the person suddenly needs to urinate.
The sufferer must wake up at least twice during the night.
- People with an overactive bladder feel that they are unable to empty their bladder completely. Even when they have just urinated, they feel the need to urinate again.
- Urinary incontinence:
Read more about the most common cause of feeling of urination after urination.
There is a syndrome in which people feel that they need to urinate again, even though they have just urinated.
overactive bladder syndrome is called OAB for short.
What happens in OAB?
The bladder wall is covered with a muscle. The natural physiology of the human body is such that the bladder wall muscle will not contract until a certain volume of the bladder is full.
In fact, the contraction of the wall muscle here creates a sense of excretion.
In this syndrome, which is also common, the affected person’s bladder contracts quite suddenly when it is not yet full.
So far, no definite cause has been found for recurrent and untimely contractions of the bladder.
Infections or an enlarged prostate will not cause OAB syndrome.
The bladder wall muscle is called the detrusor, it is the Frequent and untimely contractions of the detrusor that cause symptoms in OAB syndrome. This syndrome is sometimes called irritable bladder or detrusor instability.
What causes OAB syndrome?
The exact cause of untimely and frequent detrusor contraction remains unknown.
In a normal bladder, the bladder gradually fills with urine, and when half the volume of the bladder is full of urine, a stretch is created in the bladder wall, which sends a message to specific nerve centers, and the nervous system responds to this stretch by ordering the detrusor to contract.
Normal people can overcome this urge to urinate for a while, without leakage or urinary incontinence, but apparently in OAB syndrome, the bladder sends the wrong message to the nerve centers, in other words, the bladder may mistakenly feel too stretched and full.
An unfilled bladder contracts quickly, and this is where you suddenly need to go to the toilet, and the sick bladder will have little power to prevent urinary incontinence, and you may have a urine leak and incontinence on the way to the toilet.
- Urgency to urinate:
The sufferer suddenly needs to urinate profusely.
- Frequent urination:
urination more than seven to eight times a day
Waking up at night to urinate at least twice
- Urgent incontinence:
That is, on the way a person with urgency urinates to the toilet, urine leaks and urination is involuntary.
Some people experience overactive bladder syndrome following a neurological or cerebral complication.
- People after stroke
- People with basal ganglia disorders such as Parkinson’s disease
- People after spinal cord injury
- People with multiple sclerosis
It is true that all symptoms of overactive bladder can occur in
Urinary tract infections
but these cases will not cause OAB syndrome.
As mentioned, the following are required to diagnose an Overactive or irritated bladder
Examination of symptoms:
Obtaining a personal, medical and familial history and asking if you are an alcoholic or a smoker
Perform clinical examinations
Complete blood cell count test sometimes blood culture
Perform necessary neurological examinations
Medications are prescribed to achieve the following three goals:
- Reduce the urgancy of urination and the frequency of urination
- Increase bladder capacity
- Reduce urine leakage
- Non-pharmacological treatments
- Behavior therapy
Teaching conscious suppression of the need to repel in affected people
Learning to use pelvic floor muscle contraction to control the urgency of urination
Training to increase the time interval between urination times
Explain urine drainage training tables
With electrical stimulation of the pelvic floor with weak electrical passes, the contraction of the pelvic floor muscles is stimulated.
You should do these exercises at least two months and thirty to eighty times a day. Regular pelvic floor muscle exercises can be very helpful in preventing urinary incontinence.
The improvement of this disorder is remarkable. With a combination of medication, behavioral therapy and pelvic floor muscle exercises, you can achieve good results.