Principal reasons for frequent urination Continued
(12) Frequent urination in enlarged prostate:
Nearly 80% senior citizens after the age of 60 years suffer from enlarged prostate.The urethra is a tube through which urine leaves the body. It empties urine from the bladder.Urine flows out of the bladder and leaves the body through the urethra. The part of the urethra that is closest to the bladder is called the proximal urethra. The part that is closest to where the urine leaves the body is called the distal urethra.
Benign prostrate enlargement (BPH) or
Benign prostate hypertrophy(BPH):
The cause of prostate enlargement is unknown, but it's believed to be linked to hormonal changes as a man gets older. The balance of hormones in your body changes as you get older and this may cause your prostate gland to grow.
When enlarged, the prostate may obstruct urine flow from the bladder and out the urethra. The prostate gland is located beneath your bladder. The tube that transports urine from the bladder out of your penis (urethra) passes through the center of the prostate. When the prostate enlarges, it begins to block urine flow.
TURP is generally considered an option for men who have moderate to severe urinary problems that haven't responded to medication. While TURP has been considered the most effective treatment for an enlarged prostate, a number of other, minimally invasive procedures are becoming more effective.
Best medication for enlarged prostate:
Alpha blockers which include alfuzosin (Uroxatral), doxazosin (Cardura), tamsulosin (Flomax) and silodosin (Rapaflo) usually work quickly in men with relatively small prostates.
(13) Frequent urination and constipation:
Sometimes constipation causes urinary frequency. If you have fewer than three bowel movements in a week, you may have constipation. This can cause the rectum to swell with stool and push on the bladder. The enlarged rectum leaves less room for the bladder to fill and creates an urge to pee more often.
Constipation can lead to OAB and urinary urgency. This is due to the buildup of stool in the colon during constipation. According to a 2021 study , the accumulation of stool puts pressure on the bladder. The bladder, which stores urine, is located near the rectum.
(14) Frequent urination in anxiety and stress:
Anxiety and stress can cause muscle tension, which can affect the muscles of the bladder and increase the urge to urinate. Anxiety and depression are also associated with nocturia, which is the term for frequently waking during sleep to go to the bathroom.
Anxiety and depression are also associated with nocturia, which is the term for frequently waking during sleep to go to the bathroom.
Stress and anxiety affect your urinary bladder:
Research has shown there is a strong correlation between stress, anxiety, and the bladder. When you're nervous, do you find yourself going to the bathroom more often? A clinical studying discovered that those adults with anxiety had more frequent urinary patterns.
Frequent urination is a common anxiety disorder symptom. It occurs because of how chronic anxiety affects the body. Many anxiety disorder sufferers experience frequent urination, or episodes of frequent urination, due to chronic anxiety.
Stress causes excessive urination:
The stress response can trigger other reactions in the body too. For example, stress can cause the muscles to tighten. This will help protect the body against any injury the potential threat may cause. However, the abdomen muscles can also tighten in this process, leading to an increased urge to urinate or defecate.
Stress and anxiety can cause frequent urination:
When you're anxious, the muscles tense up and your body puts pressure on areas like your bladder and your abdomen. This pressure may also cause you to need to urinate more often. Those with anxiety may also feel more physically tired from all of their anxiety symptoms, and this too may lead to more frequent urination.
The medicines to stop frequent urination:
These drugs include:
Tolterodine (Detrol)
Oxybutynin, which can be taken as a pill (Ditropan XL) or used as a skin patch (Oxytrol) or gel (Gelnique)
Trospium.
Solifenacin (Vesicare)
Fesoterodine (Toviaz)
Mirabegron (Myrbetriq)
(15) Frequent urination and Diuretics:
Diuretics are the type of drugs that cause the kidneys to make more urine. Diuretics help the body get rid of extra fluid and salt. They are used to treat high blood pressure, edema (extra fluid in the tissues), and other conditions. There are many different types of diuretics.
Diuretics are used to induce urine output in acute tubular necrosis (ATN) and to treat edema and hypertension. They increase urine excretion by inhibiting sodium and chloride reabsorption at different sites in the nephron.
The following Blood pressure medications are diuretics:
Aldactone (spironolactone)
Bumex (bumetanide)
Demadex (torsemide)
Esidrix (hydrochlorothiazide)
Lasix (furosemide)
Zaroxolyn (metolazone)
Three thiazide diuretics are approved for the treatment of high blood pressure and may be packaged under a specific name-brand:
Hydrochlorothiazide.
Chlorthalidone.
Indapamide.
Diuretics for heart failure:
Chronic heart failure is a major cause of morbidity and mortality worldwide. Diuretics are regarded as the first‐line treatment for patients with congestive heart failure since they provide symptomatic relief. The effects of diuretics on disease progression and survival remain unclear.
Diuretics used for heart disease:
Diuretics are used extensively in hospitals and in community medical practice for the management of cardiovascular diseases. They are used frequently as the first line treatment for mild to moderate hypertension and are an integral part of the management of symptomatic heart failure.
The 3 types of diuretics commonly used in the management of cardiovascular conditions:
There are three main types of diuretic: loop diuretics, thiazide diuretics and potassium-sparing diuretics.
The best diuretic for heart failure:
Loop diuretics remain the diuretic of choice for treating patients with heart failure. Furosemide, torsemide and bumetanide are the agents widely available for clinical use, with furosemide the predominant agent of the three.
Some of the diuretics used are furosemide, bumetanide and chlorothiazide. The available data from several small controlled trials show that in patients with CHF, conventional diuretics appear to reduce the risk of death and worsening heart failure when compared to an inactive sugar pill (placebo).
(16) Frequent urination and constipation:
Sometimes constipation causes urinary frequency. If you have fewer than three bowel movements in a week, you may have constipation. This can cause the rectum to swell with stool and push on the bladder. The enlarged rectum leaves less room for the bladder to fill and creates an urge to pee more often.
Constipation can lead to OAB and urinary urgency. This is due to the buildup of stool in the colon during constipation. According to a 2021 study , the accumulation of stool puts pressure on the bladder. The bladder, which stores urine, is located near the rectum.
Information compiled by:
Dr. Bhairavsinh Raol
