Frequent urination, characterized by urinating more than ten times daily, indicates an abnormal increase in frequency. This condition can be diagnosed as frequent urination. However, it is essential to exclude subjective influencing factors such as excessive water intake, consumption of watermelon, and alcohol consumption.
Increased water intake stimulates the kidneys to regulate urine output, increasing urine production and urination frequency. This physiological response leads to normal urinary frequency.
Adults typically urinate around eight times daily, with a normal range of 0-1 urination episode during the night. Frequent urination can be attributed to various factors, including infections, stones, tumors, psychological disorders, and overactive bladder contractions. A thorough examination and analysis are required to determine the specific cause of frequent urination.
For men, frequent urination may be caused by
prostatitis:
The frequency of urination caused by prostatitis is often caused by prostate inflammation, leading to edema and urethral mucosa erosion. It can also cause inflammatory enlargement of the prostate gland, leading to inflammation of the prostate gland duct.
Due to the opening of the prostate glandular duct at the posterior urethra, there is a reflux phenomenon with urine, which leads to inflammation in the glandular duct and the posterior urethra, causing redness, erosion, and mucosal edema in the bladder neck. Patients may experience frequent bladder contractions, leading to frequent urination symptoms.
When symptoms of frequent urination, urgency, and incomplete urination occur, some patients may experience discomfort in the vas deferens running area, with most accompanied by groin pain or bloating discomfort. In contrast, a few patients may experience migratory testicular pain, low back pain, or lumbosacral pain.
Besides prostatitis, many pathological factors can cause increased urination frequency:
1. Some patients with diabetes and diabetes insipidus will drink more water, thus resulting in more urine and increased urination frequency. However, they do not feel uncomfortable during urinating.
2. Inflammation stimulation. When the bladder is stimulated by inflammation, it will cause the urinary center to be excited, resulting in frequent urination and a decrease in urine output. Therefore, frequent urination is an essential symptom of cystitis, especially acute cystitis and tuberculous cystitis. Urinary frequency can occur in other types of urethritis, pyelonephritis, chronic balanoposthitis in children, and vulvitis.
Under the stimulation of inflammation, frequent urination, urgency, and pain often co-occur, called urinary tract irritation syndrome, commonly known as "triple urinary syndrome."
3. Non-inflammatory stimulation caused by such as urinary tract stones and foreign objects is usually characterized by frequent urination.
4. Decreased bladder capacity, such as bladder-occupying lesions, tuberculous bladder contractures, or larger bladder stones.
5. Psychoneurotic urination frequency is only seen during the day or before bed at night, often belonging to mental tension or seen in patients with hysteria.
6. Prostate hypertrophy generally refers to benign prostatic hyperplasia, the most common benign disease causing urinary disorders in middle-aged and older adults. After prostate hyperplasia, the urethra narrows, and the enlarged prostate stimulates the bladder, causing frequent urination.
Prostate hyperplasia can lead to poor urination and an increase in residual urine, so whenever patients urinate, they cannot urinate thoroughly, and the frequency of urination will become increasingly severe.
Currently, the main treatments for urinary frequency include active treatment of the primary disease and medication and surgical treatment.
Patients need to treat the underlying diseases actively. Search for the primary causes and carry out corresponding diagnoses and treatments for different reasons, such as patients with urinary tract stones requiring extracorporeal shock wave lithotripsy.
Patients can take medication treatment. Due to significant individual differences, there is no absolute best, fastest, or most effective medication. In addition to commonly used over-the-counter drugs, the most suitable medicines should be selected under the guidance of a doctor, taking into account personal circumstances.
For example, if the urinary frequency is caused by bladder inflammation or prostatitis, herbal medicine
Diuretic and Anti-inflammatory Pill can be taken orally under the guidance of a doctor. It can promote blood and qi circulation and have anti-inflammatory effects. It can kill bacteria and viruses in the male urinary and reproductive system, helping patients recover.
If necessary, surgical treatment is required. Targeted surgical treatments are carried out for primary diseases, such as frequent urination in patients with enlarged prostatic arches. Doctors will choose the surgical method of prostatectomy based on the patient's conditions to remove the pressure of the prostate on the bladder.