What are the causes of frequent urination and urgency?

Our bodies excrete a lot of waste through urine every day, so two or three times a day is very beneficial. But for some patients, more than a dozen times a day is not enough. Not only is the frequency high, but each time is also fierce. Sometimes if they don't run in time, they may wet their pants. But the urine volume is not much. It's just that it keeps happening over and over again and it's really frustrating and I don't know what to do. So what are the reasons for repeated episodes of frequent and urgent urination?

1. Frequent urination in men

(1) Increased urine volume When urine volume increases, the frequency of urination will also increase accordingly. Under physiological conditions, such as drinking a lot of water, eating watermelon, and drinking beer, due to the increase in water intake, the amount of urine increases through the regulation of the kidneys, and the frequency of urination also increases, resulting in frequent urination. Under pathological conditions, such as some patients with diabetes and diabetes insipidus, they drink a lot of water, urinate a lot, and urinate frequently, but they do not feel any discomfort when urinating.

(2) Inflammatory stimulation: When the bladder is inflamed, the urinary center is in an excited state, resulting in frequent urination and reduced urine volume. Therefore, frequent urination is an important symptom of cystitis, especially in acute cystitis and tuberculous cystitis. Other conditions such as prostatitis, urethritis, pyelonephritis, chronic balanoposthitis in children, and vulvitis can also cause frequent urination. Under the stimulation of inflammation, frequent urination, urgency and pain often occur at the same time, which is called urinary tract irritation syndrome, commonly known as "triuria".

(3) Urinary dysfunction Certain factors, such as prostatitis, can cause excessive contraction of the urethral sphincter, leading to bladder outlet obstruction and residual urine formation, causing urine to flow back into the prostate, which can not only bring in pathogens but also directly stimulate the prostate, inducing sterile "chemical prostatitis", causing abnormal urination and pelvic pain. Many patients with prostatitis have a variety of urodynamic changes, such as decreased urine flow rate, functional urinary tract obstruction, detrusor-urethral sphincter dyssynergia, etc.

(4) Non-inflammatory stimuli, such as urinary stones and foreign bodies, usually present with frequent urination.

(5) Reduced bladder capacity, such as bladder space-occupying lesions, tuberculous bladder contracture, or large bladder stones.

(6) Psychoneural: Frequent urination only occurs during the day or before falling asleep at night. It is often caused by mental stress or occurs in patients with hysteria. This may also be accompanied by urinary urgency and pain.

2. Frequent urination in women

There are many reasons for frequent urination in women, mainly including reduced bladder capacity, such as bladder space-occupying lesions, compression from the enlarged uterus during pregnancy, tuberculous bladder contracture, or large bladder stones.

(1) Psychoneural factors Frequent urination caused by mental factors usually manifests as frequent urination at times and frequent urination at times, with obvious "signs" of mental effects. Frequent urination caused by mental stress will not cause serious consequences to your health. For those whose frequent urination affects their study, work, and rest, psychological therapy and nerve-regulating drug treatment can be performed. Especially for some long-term and severe frequent urination, relevant examinations should be carried out carefully, and the frequent urination should not be easily diagnosed as caused by psychoneurological reasons.

(2) Non-inflammatory stimuli such as urinary stones, foreign bodies, etc.

(3) Inflammatory stimulation: Acute cystitis, tuberculous cystitis, urethritis, pyelonephritis, prostatitis, vulvitis, etc. may also be the cause of frequent urination. Under the stimulation of inflammation, frequent urination, urgency and pain may occur at the same time, which is called urinary tract irritation syndrome.

(4) Decreased bladder capacity, such as space-occupying lesions in the bladder, compression from the enlarged uterus during pregnancy, tuberculous bladder contracture, or large bladder stones.

3. Frequent urination in children

(1) Bad habits: Some parents often hold their children to urinate when they are very young, which can easily lead to the habit of urinating before the bladder is full. Over time, this will result in the bladder feeling the urge to urinate even when there is only a small amount of urine.

(2) Phimosis and foreskin: Boys may have frequent urination due to urine residue in the foreskin sac irritating the urethra.

(3) Urinary tract infection In addition to frequent urination, there is pain during urination and sometimes fever.

(4) Psychological factors: Some children may wet the bed occasionally and be blamed for doing so. They may then worry about wetting the bed again, and thus urinate frequently.

(5) Pinworm infection: Pinworms crawl into the urethra, causing frequent urination, which is more common in girls.

After reading the above introduction to the causes of repeated frequent urination and urgency, I think everyone should have some understanding. There are many reasons for repeated episodes of frequent urination and urgency. We must identify the cause and prescribe the right medicine, and try to find appropriate methods to improve and treat it. We should pay more attention to our bodies, have regular physical examinations, and avoid the occurrence of other diseases and complications as early as possible.