Incontinence in Men: Treatment and Management

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REFERENCES:

FamilyDoctor.org: “Urinary Incontinence: Bladder Training.”
UrologyHealth.org: “Managing Bladder Dysfunction with Products and Devices,” “Incontinence.”
Tomas L. Griebling, MD, John P. Wolf 33° Masonic Distinguished Professor of Urology, associate professor and vice-chair , department of urology, University of Kansas.
National Association for Continence: “Biofeeback.”
National Institute on Aging: “Challenging Issues: Special Issues for Family Care.”
Newman, D. Urology Nursing, 2004.
Newman, D. and Dzurinko, M. The Urinary Incontinence Sourcebook, 1999.
National Institute of Diabetes and Digestive and Kidney Diseases: “Urinary Incontinence in Men.”
National Kidney and Urologic Diseases Information Clearinghouse: “Urinary Incontinence in Men,” “Urodynamic Testing.”
Nygaard, I. The Cochrane Library, 2009.
Anthony R. Stone, MB, ChB, professor of medicine, vice chair of urology, University of California-Davis Medical School, Sacramento.
Stothers, L. Journal of Urology, April 2005.
Edward James Wright, MD, assistant professor of urology, Johns Hopkins Medical School; director of neurourology and chief of urology, Johns Hopkins Bayview Medical Center, Baltimore.

4 tips on how to treat frequent urination: incontinence expert iD

Have you noticed that you keep needing a wee or have frequent urination at night? If this sounds familiar, then you may have an overactive bladder or be experiencing some bladder weakness.   

An overactive bladder or frequent urination may seem like an embarrassing topic, but it’s actually more common than you might think; according to the NHS around 12% of the adult population have an overactive bladder.¹ 

What is frequent urination/an overactive bladder? 

Frequent urination is considered to be when you have a constant need to pee – you may need to go to the toilet more than eight times a day or wake up in the night to pee.² However, this does depend on what is normal for you – some people may need to wee more than others, due to lifestyle factors, such as how much caffeine and alcohol they drink, as well as general fluid intake and bladder size.³ 

Causes of frequent urination 

As said above, if you feel that frequent urination is normal for you and is not affecting your daily life, then there’s nothing to worry about. In fact, urinating overnight may just be a sign that you’re drinking too much near bedtime. ⁴ However, if you’re experiencing increased urination with other symptoms, such as abdominal pain, pain while urinating, discoloured urine, vomiting or fever, it could be a sign of another health condition. If you have any concerns about your health, bladder or otherwise, iD recommends you talk to a healthcare professional.  

Some common causes of frequent urination in men and women are: 

• Infection, injury or irritation of the bladder (including Urinary Tract Infections or UTIs) 
• Diuretics (things that increase production of urine) in drinks (such as coffee) 
• Some cancer treatments and other medications 
• Pregnancy 
• Anxiety 
• Bladder and kidney stones 
• Prostate issues  
• Diabetes 
• Kidney infections 
• Urinary incontinence.⁵ 

Urinary incontinence differs from frequent urination, as it is considered the unintentional passing of urine (leaks)⁶.  If you would like to learn more about the types of urinary incontinence, you can read our article on that here.  

Now we understand what frequent urination is and how it is caused, let’s look at some tips for managing your symptoms.  

Consider changes to your diet  

Certain foods and drinks, such as acidic foods and drinks, caffeine, and alcohol, can worsen symptoms of an overactive bladder, while others actually improve your overall bladder health, such as berries, milk and yoghurt. For more information and some recipe ideas, check out our blog on bladder-friendly food and drinks for summer. 

Dress for success  

While it might seem strange at first to adapt your wardrobe, some clothes can actually put more pressure on your bladder, including tight-fitting jeans and low-rise trousers. On the other hand, high-waisted leggings and trousers can actually help to support your pelvic floor muscles. You might also consider wearing dark loose-fitting clothing to help conceal any leaks. For more tips on how to look and feel your best with bladder weakness, check out our blog here. 

Find the right products 

At iD, our goal is to enable everyone to live life in full view. So, if you are experiencing some leaking as a result of an overactive bladder, consider shopping for some discreet, hygienic and practical products, such as those sold by iD. You can find our full range here. If you’re not sure which product is best for your symptoms, you can find an informative article to help you choose here. 

However, please note that using incontinence products is the not the first solution. We recommend you speak to your doctor to see if your condition can be managed without an absorbent solution.  

Exercise, exercise, exercise!  

While it can be harder to get out and about to exercise when you’re experiencing bladder weakness symptoms or urinary frequency, there are many activities such as yoga and swimming that can help you keep active without putting a strain on your bladder. ⁷ Take advantage of the free YouTube yoga tutorials, such as Yoga with Adriene, that have popped up during lockdown or take your daily exercise outside in the form of a gentle walk. There are even some exercises that can help strengthen your bladder – like pelvic floor exercises⁸.  

So those are our top four tips for reducing symptoms of urinary frequency. If this article has whet your appetite, you can find some dos and don’ts to help you live your best life with bladder weakness here. 

*We would like to remind you that if your symptoms are causing you distress or concern, please speak to your doctor.  

¹ “Overactive Bladder Syndrome”, NHS, January 2017, Source: https://www.ruh.nhs.uk/patients/Urology/documents/patient_leaflets/UR0043_Overactive_Bladder_Syndrome.pdf

² “Frequent Urination: Causes and Treatments”, WebMD, 15 May 2019, Source: https://www. webmd.com/urinary-incontinence-oab/frequent-urination-causes-and-treatments

³ “Why am I urinating so often?”, Catharine Paddock, 16 November 2018, Source: https://www.medicalnewstoday.com/articles/70782

⁴ “Frequent Urination: Causes and Treatments”, WebMD, 15 May 2019, Source: https://www.webmd.com/urinary-incontinence-oab/frequent-urination-causes-and-treatments

⁵ “Symptoms: Frequent urination”, Mayo Clinic Staff, 4 July 2018, Source: https://www.mayoclinic.org/symptoms/frequent-urination/basics/causes/sym-20050712

⁶ “Urinary incontinence”, NHS, 7 November 2019, Source: https://www.nhs.uk/conditions/urinary-incontinence/

⁷ “9 Tips for Exercising with Incontinence.” C. S. McCauley, ed., n.d., Source: https://www.mcleodhealth.org/blog/9-tips-exercising-incontinence/

⁸ “Pelvic Floor Exercises for Women”, NHS, n. d., Source: https://www.nhs.uk/planners/pregnancycareplanner/documents/bandbf_pelvic_floor_women.pdf

Frequent Urination: Causes and Treatment Options

Why do I pee so much… in the morning, in the middle of the night, in the middle of dinner, in the middle of a movie, when I’m driving or working out? It’s a very common question and concern. Sometimes it can feel like you spend half your day running to the bathroom. So, what is considered frequent urination, what causes the constant urge to pee, and how do you treat it? Let’s get those questions answered!

What is Frequent Urination?

A normal bladder capacity ranges between 400 to 600 mL. A person with a healthy bladder urinates between six to eight times a day. If you find yourself urinating more than this, you may be scratching your head wondering why. Let’s walk through some potential reasons you need to urinate often.

What Causes Frequent Urination?

There are lots of potential reasons why you are urinating so often. If you find that you are going to the restroom more than you used to, here are some likely causes:

1. You are drinking more liquids than usual

Drinking more fluids produces more urine, which makes your bladder fill up, thus sending you to the bathroom more often. You may or may not realize that you are drinking more liquids. Perhaps it’s particularly hot outside, or perhaps you started a new exercise regimen. If this is the cause of your frequent urination, there is not much need for concern.

2. You are drinking too much caffeine, which is a diuretic

Beverages such as coffee and tea are diuretics, which means they make your body rid itself of excess water. If you’re worried about excessive urination, then you may want to limit your diuretics.

3. You are pregnant

Hormones in early pregnancy can increase the urge to urinate. Later in pregnancy, the pressure of the growing fetus presses on the bladder, increasing the need to urinate. Check out this article for more information on pregnancy and urinary incontinence.

4. You are taking certain medications

Certain medications increase the production of urine, making you have to pee a lot more than normal. This effect typically goes away when you stop taking the medication. Be sure to stay hydrated in the meantime.

5. Your frequent urination may be a sign of a more serious condition like:

Bladder infection or bladder inflammation
Bladder infections irritate and inflame the muscles and tissues surrounding the bladder, causing them to spasm involuntarily. This will go away as soon as the bladder infection is resolved. See your doctor for a diagnosis and antibiotics in order to clear up the infection. Leaving a bladder infection or urinary tract infection (UTI) untreated can cause more serious health conditions.

Diabetes
Frequent urination can be one of the first signs of high blood sugar and diabetes. This is because excess sugar causes more fluids to pass through the kidneys. Sugar buildup in your tissues can lead to bladder function issues, which can cause frequent urination.

Interstitial cystitis
Interstitial cystitis is a condition associated with chronic pelvic pain, pain when the bladder fills and empties, and frequent urination even when the bladder isn’t full. It can be managed with medication, so consult your doctor on the best treatment plan.

Overactive bladder
An overactive bladder (OAB), also known as urinary incontinence, can result in sudden, frequent urges to urinate and may come on strongly, even when there is no urine in the bladder. You may or may not be able to make it to the restroom in time. An overactive bladder is caused by muscle or nerve damage in the bladder tissue as a result of previous pelvic surgery or neurological disease.

OAB is best managed on a day-to-day basis by adopting a bladder-friendly diet. This means avoiding foods that aggravate the urinary system, such as alcohol, caffeine, carbonated beverages and citrus.

Treatment Options for Frequent Urination

Here are some things you can do to alleviate the causes of frequent urination:

Exercising your pelvic floor will help strengthen the muscles that control your body’s ability to hold in urine. By training these muscles, you may be able to retrain your bladder and extend the time between bathroom visits.

Stay hydrated.

Though it may sound counterintuitive, drinking enough water will be a real boon for your overactive bladder. Restricting fluids makes your urine more concentrated, and more of an irritant to your bladder. So, fill that water bottle and drink up on a schedule!

Drink on a schedule.

By watching how much you drink and at what time of day, you can gain control over how often you have to urinate. For instance, drinking 6 to 8 oz of water at one time versus sipping throughout the day can decrease urinary frequency. You may also find it helpful to stop drinking liquids a few hours before you go to bed to reduce nighttime bathroom visits.

Eat a bladder-healthy diet.

Studies have shown that certain foods – like caffeine, alcohol and citrus – irritate the bladder and increase urinary frequency and urgency, not something you want if you already have a sensitive bladder.

Retrain your bladder.

Bladder training can be an important component of your treatment plan. Start visiting the ladies’ room at regular intervals, whether or not you have to go. Over time, try increasing the amount of time between your visits so that you train your bladder to hold it longer and stop being so reactive. Be sure to up the amount by small increments each time in order to set yourself up for success.

Medications.

Talk to your doctor about whether taking a prescription drug to treat frequent urination is right for you.

Wear protection.

Always Discreet are thin, feminine and comfortable urinary pads designed specifically to remedy frequent urination causes in women. No one will know you are wearing them, and they are super absorbent – so you can live your life without giving a second thought to the little leaks that happen throughout the day. Toss some in your purse and you’re good to go!

Wearing liners, pads or underwear by Always Discreet can go a long way in giving you the confidence to go about your life without making an unwanted trade-off between where you go, what you do, and how close you’ll be to a bathroom.

Frequent Urination in Men: Causes, Diagnosis & More

Do you find yourself rushing to the bathroom every 20 minutes? If yes, then this article is for you. Frequent urination in men is a commonly shared woe. Most men, especially in the age group of over 50 years, experience distressing symptoms associated with urination. In this article, we will explore the various reasons for frequent urination and ways to manage it.  

In the piece below, Dr Shalabh Agrawal, a leading urologist at the CK Birla Hospital, explains the reasons for frequent urination in males. 

What is meant by frequent urination in men?

Urination is our body’s natural mechanism of getting rid of waste fluids. Your urinary tract includes your kidneys, bladder, ureters and urethra. 

Urine is produced in the kidneys where the waste and toxins are filtered from the blood. Then the urine flows through the ureters and gets stored in the bladder. Through the urethra, the urine is passed from the bladder and out of our bodies. On average, a person urinates nearly 4-8 times during the day. 

Frequent urination in men is exactly what the name entails. It is majorly a symptom of an underlying condition that causes a person to pass urinate several times (more than 4-8 times) throughout a day. In this condition, a man experiences a reduced ability to hold urine in the bladder and an increased urge to pass urine.  

Frequent urination is often associated with an underlying health condition. It can even compel you to wake up several times in the night to urinate. The condition in which your bladder forces you to wake up in the middle of the night is known as nocturia. 

Who experiences frequent urination? 

Everyone, irrespective of age and gender, can be affected by frequent urination. However, some men have an increased risk of suffering from this problem than others. 

Older men, above the age of 50 and men with an enlarged prostate are at a higher risk of being affected by frequent urination. 

What are the causes of frequent urination?

As mentioned above, frequent urination is a sign and symptom of another health condition. Experiencing an increased need to urinate implies that there may be something wrong with a part of your urinary tract. 

There are several different causes of frequent urination. Various health issues can affect the organs of your urinary tract.  

Here are some common reasons for frequent urination in men:

Urinary tract infections (UTIs): Urinary tract infection in men is a highly common bladder infection. UTI is classified into two types – the upper tract UTI (the one that affects the ureters or kidneys) and the lower tract UTI (the one that affects the bladder or urethra). UTI is more commonly found in women, as compared to men. However, the prevalence of this infection in men is also rising. 

Along with frequent urination, the symptoms of UTI include painful urination, burning sensation while urinating, pain in the lower abdomen and blood in the urine. 

Benign prostate hyperplasia (BPH): Benign prostate hyperplasia or prostate enlargement is among the top causes of frequent urination in men. It is an age-related health condition that leads to abnormal growth of the prostate. The enlarged prostate, then, begins to press against the urethra and causes the bladder to weaken.  

Common symptoms of BPH, besides frequent urination, are a feeling that the bladder is full, even right after urinating, a weak flow or stream of urine, disrupted urine flow and more. 

Bladder stones: If you are wondering why frequent urination occurs, bladder stones may be the answer. Bladder stones are small hard deposits of minerals that form inside the bladder. This condition happens when minerals found in the urine crystalise and clump together. 

Changes in the urine colour, blood in urine, a disrupted flow and increased urge to urinate are common causes of bladder stones. 

Prostatitis:  The prostate gland sits right below your bladder. It is responsible for the production of seminal fluid. Prostatitis is a condition that causes the prostate gland to swell and become inflamed. It is a common condition that mostly affects the health of men over the age of 50 years. 

Frequent urination symptoms can indicate the presence of this ailment. Other common signs include pain in the groin, genitals or pelvic area and flu-like symptoms. 

Urinary incontinence: Urinary incontinence is the inability to hold urine often leading to involuntary leakage. Simply put, urinary incontinence is the loss of bladder control. Incontinence is widely different from frequent urination. Urinary incontinence is associated with urine leaking while frequent urination is related to an increased frequency. 

There are different types and symptoms of urinary incontinence such as stress incontinence, urge incontinence, functional incontinence and overflow incontinence.  

Diabetes: Diabetes is a chronic condition that leads to increased levels of sugar in the blood. The kidneys of a diabetic person have to work extra to filter excessive blood sugar. Sometimes, the kidneys cannot function properly due to which the extra glucose is excreted from your body through urine. Excretion of sugar can also lead to dehydration.  

Frequent urination symptoms are common in a person suffering from type 1 and type 2 diabetes. 

Interstitial cystitis: Interstitial cystitis or painful bladder syndrome is a chronic condition that leads to pain and pressure in the bladder. Interstitial cystitis is more commonly found in women as compared to men. 

Common symptoms include chronic or intermittent pain, pressure or discomfort in the bladder, frequent urination day and night. 

If you are wondering what is the reason for frequent urination, one of the above conditions may be your answer. However, only an experienced urologist can diagnose the problem correctly. 

How to control frequent urination? | Diagnosis

The management or treatment of frequent urination depends upon its underlying cause. If the symptoms begin to disrupt the quality of your life, you should instantly seek medical intervention. 

Your urologist will perform a variety of tests and analysis to diagnose the correct cause of frequent urination. Here is what you can expect during the diagnosis:

• Detailed consultation: Your healthcare provider will ask you a variety of questions. They will aim to get a better understanding of your symptoms and your medical history of the illness.  
• Physical exam: Your doctor will analyse your general wellbeing. At the physical exam, you will be checked for your weight, blood pressure, heart rate and overall health. 
• Urine analysis: Urine analysis is a series of tests for visual and microscopic examination of the components of urine such as the presence of blood, bacteria, red blood cells, white blood cells, crystals, proteins, pH and more. 
• Ultrasound: Ultrasound scans of the kidney or bladders can help your doctor to visualise abnormalities. 
• Urodynamic test: Through urodynamic tests, your doctor assesses the strength and effectiveness of your bladder. 

Your healthcare provider may order additional tests to confirm the diagnosis if they suspect the need for it.  

How to stop frequent urination in men? | Treatment 

The treatment of frequent urination depends upon the reason behind it. Your healthcare provider will aim to manage or treat the underlying cause leading to urinary symptoms. 

If you are passing urine frequently due to diabetes, your doctor will offer effective management of your blood sugar levels. If the same is caused due to an infection such as UTI, then you will be offered certain medications to treat the bacterial infection. 

Along with medication, your healthcare provider will help you regain bladder control through training and exercises. There are different forms of bladder training techniques used by doctors to control the constant urge to urinate male.

• Kegel exercises: Kegel exercises are helpful in strengthening the muscles below the bladder and control urination. 
• Bladder training: Your healthcare provider will assist you to train your bladder and control urination for longer than usual.  

How to stop frequent urination naturally?

Frequent urination can easily translate into a habit. It is, however, possible to effectively control the urgency through some natural measures, such as:

• Monitoring fluid intake: You can prevent increased frequent urination by carefully monitoring the intake of fluids throughout the day. You should make sure to not drink excessive fluids while maintaining a state of hydration. 
• Limit alcohol & caffeine: Caffeinated beverages can irritate your bladder and lead to an increased urge to urinate. 
• Eat high-fibre foods: Foods rich in fibre content are known to help prevent constipation and improve the passing of urine. 

The concluding note

Frequent urination in men is a leading cause of distress in older men. This condition can also equally impact younger men. 

If you are experiencing increased frequency to urinate along with symptoms such as fever, nausea, vomiting, pain in the lower back or side, changes in urine or abnormal discharge, you should immediately seek medical intervention.  

For more information or personalised guidance on men’s urinary health, book an appointment with Dr Shalabh Agarwal, a leading urologist at the CK Birla Hospital, Gurgaon. 

FAQs

Ques: What is the cause of frequent urination in males?

Ans: There are several reasons for frequent urination in men including prostate problems, urinary tract infection, sexually transmitted infection, diabetes and more. 

Ques: How many times a day should a man urinate?

Ans: Normally, a man should urinate four to eight times a day. 

Ques: When should you see a doctor about frequent urination?

Ans: You should see a doctor if you experience fever, chills, nausea, vomiting, cloudy or smelly urine, abnormal discharge and loss of appetite along with frequent urination. 

Ques: Is frequent urination at night a sign of diabetes?

Ans: Yes, diabetes can cause frequent urination in the day and even at night.  

Ques: Is frequent urination bad for the kidneys?

Ans: Yes, frequent urination can cause damage to kidney function. 

How to Stop Frequent Urination at Night

How many times is too many times?

Have you ever wondered how many times is normal to urinate at night? You may be surprised to learn that more than one night time urination trip to the bathroom isn’t normal. If you’re getting up more than once each night, you may have nocturia. Frequent urination at night might be negatively affecting your sleep. And the causes of this night time urination could be affecting your bladder health too!

You can control night time urination

Urinating at night is a frustrating problem that roughly 1 in 3 adults over the age of 30 experience. And this number only increases as we get older. The good news about urinating a lot at night is that it can be VERY easy to treat. You may have heard about ways to prevent these night time trips to the bathroom like to stop drinking water around bedtime. But did you know that the culprit could be something else, like the foods you are eating?!

Check out my amazing YouTube video, Simple Solutions to Stop Urinating At Night , to discover causes for these trips to the bathroom and tips for how you can fix your nocturia.

Learn more
The urinary system can be complex. Another common concern around bladder health can be urinary incontinence. Many of the tips discussed in the video above also can help with identifying the type of bladder incontinence and your primary signs and symptoms .

Extra References

9 Cancers That Can Affect Your Pelvic Floor

Silences Women Keep: Urinary Incontinence

Your Go-To Pelvic Yoga Playlist (With Modifications)

Recommended Products

Luna Smart Bead Kegel Trainer

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8 Reasons You’re Peeing So Much | “Healthy@UH” Health Articles | MyUHCare | University Hospitals | Cleveland, OH

December 05, 2017

By
UHBlog

The urgent need to urinate frequently can really hamper your quality of life.

“It makes it difficult to take trips, make it through dinner, be part of a social event, attend a play or get through the grocery store,” urologist Irina Jaeger MD, says.

Urinary frequency affects about 33 million American adults. Approximately 30 percent of men and 40 percent of women experience it at some point in their lives.

The chances of developing urinary frequency increase with age, especially when men develop enlarged prostates and women pass menopause.

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 you’d like:

1. Overactive bladder. This is the most common culprit. It’s 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.
2. Enlarged prostate. This may occur in men as early as age 30 and may be accompanied by a slow urinary stream and the inability to empty the bladder completely.
3. Diabetes. Elevated blood sugar can increase thirst, causing you to drink often and, consequently, void frequently.
4. Stroke. “The bladder is controlled by the brain, so it’s very common to see a stroke’s side effects manifest through bladder frequency,” Dr. Jaeger says.
5. 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.
6. High fluid intake or dietary triggers. It stands to reason that if you drink a lot, you’re 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.
7. Urinary tract infection. Symptoms may include blood in the urine, passing small amounts of urine despite a feeling of urgency, burning or pelvic pain.
8. Bladder cancer. This is rare, so don’t panic if you find your trips to the bathroom are increasing, Dr. Jaeger says.

What You Can Do About Frequent Urination

Fortunately, most instances of urinary frequency or incontinence don’t pose a health risk and, depending on the cause and severity, may be treated by:

• Lifestyle changes that include decreasing fluid intake, limiting bothersome foods and beverages and giving up cigarettes
• Urge-suppression and kegel exercises
• Medications
• TURP surgery, which opens the prostate to unblock the urethra
• Botox for the bladder, which lasts up to six months
• Spinal cord stimulators, in which implanted electrodes stimulate the spinal cord to control the squeezing of the bladder
• Diabetes medications

“Everybody has a different threshold of what’s bothersome, so you should see a urologist when the symptoms are getting in the way,” Dr. Jaeger says, adding it’s important to call a doctor immediately if you have blood in your urine, experience burning while voiding or can’t empty your bladder completely.

Irina Jaeger, MD, is a urologist at University Hospitals Urological Institute at UH Suburban Health Center, UH Brainard Medical Building and University Urology at the Geauga Medical Building.

Urinary Frequency | Bladder & Bowel Community

Frequency refers to the number of times you go to the toilet to pass urine in a day. If you need to go to the toilet very often, more than seven times a day on drinking approximately 2 litres of fluid, you may have a frequency problem.

This can be caused by an overactive bladder. The bladder might contract even when it doesn’t need to; for example, if your bladder only has a small amount of urine in it, or may be oversensitive. This means that you feel the need to go to the toilet more often.

Frequency is often associated with urgency and urge incontinence. You can find information about treatment options available if you find yourself going to the toilet too often.

What Is Normal Urination Frequency?

As with many things in life, everyone is different. This also applies to normal urinary frequency. For most people, the normal number of times to urinate per day is between 6 – 7 in a 24 hour period. Between 4 and 10 times a day can also be normal if that person is healthy and happy with the number of times they visit the toilet.

Normal urinary frequency also depends on how much fluid you drink in a day and the types of fluid that you drink. If you are taking medication for high blood pressure for instance, it may increase because of the way some medication works; for example medicines called “Diuretics”. How healthy and active you are can have an influence, and to some extend your age e.g the normal frequency of urination in children can be different to that of an adult.

Identifying A Frequency Problem

If you are concerned about how often you urinate and it is starting to affect your day to day life make an appointment to see your doctor, continence nurse or specialist physiotherapist. A continence nurse and specialist physiotherapist are healthcare professionals who specialise in bladder and bowel problems.

You can use our find a healthcare professional service to locate the nearest specialist to you.

Once you have made an appointment, your doctor or healthcare professional will assess you. They may ask you some of the following questions:

• How often do you go to the toilet to pass urine?
• How much urine do you pass?
• How often do you leak urine?
• When do you leak urine?
• What medication do you take?
• What do you normally eat or drink?
• Is it painful / uncomfortable when you pass urine?
• How many times do you get up at night to pass urine?
• Do you ever wet the bed?

It would be a good idea to keep a record of your bladder activity for a few days before your appointment with your doctor or healthcare professional. Keep a record for at least 3 days.

Use our Frequency Volume Chart to record how often and the amount that you urinate each day.

Frequency Volume Chart

[BBC:019]   Frequency Volume Chart

A Frequency Volume Chart records the volumes voided as well as the time of each visit to the toilet, both during the day and night.

Frequent urination or the urge to urinate often can interfere with day to day life enormously, and can also be the cause of embarrassment and worry, especially if you tend to lose urine if you fail to reach the toilet in time.

Don’t forget to get your Just Can’t Wait Toilet Card which can help you gain access to a toilet when you are out and about.

The RADAR key also provides you with access to over 9,000 accessible public facilities around the UK. They can be found in many shopping centres, pubs, cafes, cinemas, bus and rail stations.

You can find yourself living your whole life around your problem! It is not just the number of times you go to the toilet that is a problem, but also experiencing an uncomfortable feeling of needing to urinate, which prevents you from relaxing and enjoying life.

Please explore our frequency treatment section to find information that could assist. We also have a selection of downloadable resources which you may find useful.

For further information speak to your GP or doctor in detail to discuss the appropriate treatment for your particular situation.

90,000 The doctor listed the body’s signals about an excess of vitamin D: People: From life: Lenta.ru

Vitamin D is a substance useful for the body that helps to absorb calcium, support the immune and nervous systems. But an excess of it can cause muscle pain, weakening of cognitive functions, and a deterioration in mood. Signals about manifestations of intoxication were listed by the Daily Express portal.

During the summer months, the skin produces enough vitamin D to maintain adequate levels of vitamin D.To do this, it is enough to spend at least 20 minutes outside a day between 10 am and 2 pm without sunscreen. If you take a vitamin supplement at the same time, you may experience an excess of it.

Related materials:

Intoxication occurs when the level of a substance in the blood rises above 150 nanograms per milliliter (375 nanomoles per liter). Because vitamin D accumulates in body fat and is slowly released into the bloodstream, the effects of an excess can last for months, explained Dr. Hilary Jones, general practitioner, host and writer.

Vitamin D intoxication can manifest itself in hypercalcemia – an increased level of calcium in the blood. When a lot of calcium circulates freely in the blood, the body may not have enough hormones to bind it to bone tissue, writes Medical News Today. Also symptoms may include back pain, constant fatigue and forgetfulness. Additional signs include loss of appetite, constipation, dehydration, disorientation, dizziness, high blood pressure, irritability, nausea, vomiting, frequent urination, muscle weakness, tinnitus, and thirst.If you suspect an excess of vitamin D, you should stop taking it and see your doctor.

Earlier, MD, nutritionist Mikhail Ginzburg said that a lack of vitamin D leads to serious changes in the body. He warned Russians about the consequences of a deficiency in this vitamin. Ginzburg explained that vitamin deficiency causes neuropsychiatric disorders and also provokes disorders of the musculoskeletal system.

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90,000 Mental Health Research Center.Home. News.

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June 24, 2002

Added books

June 18, 2002

Added books

June 13, 2002

Added books

22 May, 2002

Anniversary

The Scientific Center for Mental Health is 20 years old! We invite you to take part in the work of a scientific conference dedicated to the anniversary of the NCPZ RAMS.

20 May, 2002

Added books

15 May, 2002

Added books

14 May, 2002

Added books

14 May, 2002

Added books

13 May, 2002

Added books

uploaded the abstracts of dissertations for the 1997th year.In the near future, a serious replenishment is expected in our library: Kretschmer, Leonhard and many others. another – for the first time in runet!

23 April, 2002

Emergency Drug Safety Information (Scientific Information Division, Eli Lilly Japan K.K.)

Diabetic ketoacidosis and diabetic coma associated with increased blood glucose levels during treatment with the antipsychotic drug ZyprexaT (olanzapine)

Since the launch of Zyprexa in Japan in June 2001, 9 cases (including 2 fatal) side effects in the form of diabetes mellitus symptoms have been reported: hyperglycemia, diabetic ketoacidosis and diabetic coma.(the number of patients receiving this drug by the end of December 2001 was 137,000) The warning about the possibility of developing hyperglycemia has already been described in the “Warnings” section of the previous package insert. Following the identification of these serious side effects, the package leaflet was revised to include the Warnings and Contraindications sections. When prescribing Zyprexa, please carefully consider all of the points listed below. Should the patient show any signs of diabetes, please contact our sales representatives.1. Do not prescribe Zyprex to patients with diabetes mellitus or with a history of diabetes mellitus.

Do not prescribe Zyprexa to people with diabetes mellitus or those with a history of diabetes mellitus, because Zyprexa can cause an increase in blood glucose levels and impair metabolism.

2. During treatment with Zyprexa, it is necessary to carefully monitor the blood glucose level and other laboratory parameters.

Zyprexa can cause a rapid rise in blood glucose, which in turn can lead to severe side effects such as diabetic ketoacidosis and diabetic coma, which can lead to patient death.During treatment with Zyprexa, it is necessary to carefully monitor blood glucose and other laboratory parameters.

3. Inform the patient and / or family members in detail about the possible side effects of the drug.

Inform the patient and / or family in detail about the possible side effects of Zyprexa, including diabetic ketoacidosis, diabetic coma, etc. Instruct the patient to be alert to any symptoms that occur, such as dry mouth, polyposia, polyuria, or frequent urination, if these symptoms occur, stop taking Zyprexa immediately and consult a doctor.Changes to Warnings, Contraindications, and Precautions are listed below.

Description of the clinical case
Male 20 years old, Schizophrenia (hyperlipidemia, hepatopathy).
Diabetic coma
Schizophrenia was diagnosed about 10 years ago. Mild obesity – with a height of 170 cm, weighed 90 kg.
2 years ago passed examination. There was a tendency to weight gain and overeating. Hyperlipidemia was noted, and a diet was prescribed.
3 months before prescribing the drug: fenofibrate was used, triglyceride levels temporarily decreased.2 months before the appointment of the drug: transferred to quetiapine fumarate, the level of triglycerides again increased.
The day of prescribing the drug: Zyprexa was prescribed at a dose of 10 mg / day. Body weight over 100 kg. Blood sugar is normal.
Day 15: An accidental increase in blood sugar up to 230 mg / dL. Triglyceride levels increased to 555 mg / dL. A hypothesis has been made about diabetes mellitus. The dose of Zyprexa was increased to 15 mg.
Day 29: Appetite increased. Instructions were given to the patient and his family to follow a diet and a regimen of taking special drugs.Day 43: Body weight decreased by 6 kg in 2 weeks. The patient emphasized that he was following the diet. He did not present any complaints, except for constant dry mouth and intake of a large amount of liquid. In blood tests: blood sugar = 723 mg / dl, glycated hemoglobin = 10%, triglycerides = 960 mg / dl, total cholesterol = 362 mg / dl. Sugar in urine = 1 g / dl, ketone bodies in urine (+++).
Day 45: Admitted to the emergency department of another hospital with pulmonary heart disease. Independent heart rate recovered after two cardiopulmonary resuscitation measures.The blood sugar level is 854 mg / dl. Resuscitation measures aimed at eliminating cerebropathy and hyperglycemia continued, but the CT scan showed signs of cerebral edema.
Day 48: The patient died.

Changes to the “Warnings”, “Contraindications” and “Precautions” sections. The reasons for the changes were cases of hyperglycemia developing while taking Zyprexa.

Warnings
1. Zyprexa can dramatically increase blood sugar levels, which in turn can cause severe side effects such as diabetic ketoacidosis, diabetic coma and patient death.When prescribing Zyprexa in a patient, it is necessary to carefully monitor the blood glucose level and other indicators.

2. When prescribing Zyprexa, it is necessary to adequately explain to the patient and his family members the possibility of developing severe side effects, such as diabetic ketoacidosis, diabetic coma. If a patient develops symptoms such as dry mouth, polyposia, polyuria, or increased urination, the patient should immediately stop taking Zyprexa and consult a doctor.See the Precautions section

Contraindications (do not prescribe Zyprex to the following categories of patients)
5. Patients with diabetes mellitus or patients with indications of diabetes symptoms in history.

Precautionary measures
1. Zyprex should be administered with caution to the following categories of patients
(6) Patients with a family history of diabetes mellitus and risk factors for diabetes such as hyperglycemia or obesity. See General Precautions

one.General Precautions
(1) Since the use of Zyprexa can cause life-threatening side effects due to the rapid rise in blood sugar levels, which can be accompanied by diabetic ketoacidosis or diabetic coma, blood glucose levels and the following symptoms must be carefully monitored and the following symptoms: dry mouth, polyposia, polyuria, and increased urination. In particular, in patients at risk of developing diabetes mellitus in the form of hyperglycemia or obesity, Zyprexa can cause a rapid increase in blood glucose associated with metabolic disorders.(2) When prescribing Zyprexa, it is necessary to adequately inform patients and / or their family members about possible severe side effects, such as diabetic ketoacidosis and diabetic coma. If dry mouth, polyposia, polyuria and frequent urination appear, the patient should immediately stop taking Zyprexa and consult with his doctor.
(3) Zyprexa therapy can cause weight gain; therefore, body weight and obesity symptoms must be carefully monitored. If symptoms of obesity are present, appropriate therapeutic measures should be taken, including diet and exercise.4. Side effects
(1) Serious side effects
1) Hyperglycemia, diabetic ketoacidosis, diabetic coma:
Since hyperglycemia, diabetic ketoacidosis or diabetic coma can be fatal during treatment with Zyprexa, blood glucose levels should be carefully monitored and dry mouth, polyposia, polyuria, and increased urination should be considered. If the described symptoms occur, Zyprexa should be discontinued and appropriate insulin therapy should be prescribed.

90,000 All About Post-Prostate Incontinence

Radical prostatectomy (RP) is an operation indicated for cancer. After surgery, there are serious consequences, up to and including disability. One of the complications is associated with urinary incontinence in men after surgery. The problem disrupts the rhythm of work and rest, makes a person avoid contact with society. It is impossible to predict the consequences of RP, therefore, the doctor discusses with the patient in advance the possible complications, the means of treatment and rehabilitation.

Why do men experience urinary incontinence immediately after surgery?

Removal of the prostate is carried out using different techniques, the most common is transurethral resection. Reduced to manipulation through the urethra. The intervention injures the urethral sphincter, the main muscle responsible for keeping fluid in the bladder. The injury prevents the muscle from contracting strongly enough, which causes involuntary urine flow.

Another reason for urinary incontinence after removal of the prostate in patients is impaired relative position of organs.With an overflowing bladder, incorrect anatomical position leads to uncontrolled secretion of fluid.

The next reason is related to the peculiarities of the surgical intervention. With a large tumor, minimally invasive methods are not used. Abdominal surgery is performed. To access the adenoma, the surgeon has to cut the wall of the bladder. As a result, the sensitivity of the organ decreases, and sometimes completely disappears. The patient does not feel the urge to urinate when the bladder is full and fluid is released voluntarily.

Other factors that provoke urinary incontinence in a man after prostate removal: overweight, too large a gland, old age, the presence of abnormalities in the urethra (fistulas, strictures).

Competently restoring natural functions

Rehabilitation aimed at preventing urinary incontinence in men after surgery lasts from a couple of months to a year or longer. During the first week, the bladder is emptied through the catheter.After removing the tube, the patient feels discomfort (burning, cramps) when urinating. After a few days, the unpleasant symptoms will subside, but spontaneous urination may remain.

To eliminate the problem, a complex I line therapy is prescribed. It is shown within 9-12 months from the date of surgery. The basis is special Kegel gymnastics. Exercise will tone the urinary muscles and improve blood circulation. In addition, electrostimulation is prescribed.Electrodes are placed in the perineum and impulses force the pubococcygeal muscle to contract. In parallel, anticholinergic antagonists (“Oxybutynin”, “Solifenacin”) are prescribed to reduce the excitability of the bladder and increase the time intervals between visits to the bathroom.

Nutrition is necessarily corrected. Canned food and spices, spicy and smoked, too salty dishes are excluded from the menu. Alcohol is prohibited, especially beer – it makes the bladder work hard.It is advisable to reduce the consumption of any diuretic drinks (coffee, tea, compotes, etc.).

While rehabilitation is underway, the patient uses special urological inserts (rectangular or V-shaped). Inserts or panty liners are securely fixed to underwear, quickly absorb liquid and eliminate odor. The skin remains dry and clean, protected from inflammation and irritation. Urological pads are used for mild to moderate pathology. Severe urinary incontinence in men after prostate removal requires the use of diapers.

If the listed methods do not help, doctors resort to surgical intervention. The choice of the type of operation depends on the patient’s condition and indications. To improve urine retention, loop systems, artificial sphincters, and rubber rings are sewn in.

Exercises to increase muscle tone

In the process of rehabilitation after removal of the prostate, the main emphasis is on exercises that eliminate congestion in the small pelvis and improve metabolism.The main goal is to learn how to control the muscles responsible for urination.

The following exercises may help if urinary incontinence has been identified after prostate removal in men:

1. Lie flat on your back with your legs crossed. Inhale deeply, exhale through the mouth and at the same time tighten the sphincter muscles. Squeeze your legs strongly. You need to feel the tension in the muscles of the pelvis and lower abdomen. Freeze for 1-2 minutes, relax. Repeat 10 times.
2. Lie on your back, bend your legs at the knees, feet on the floor parallel to one another.As you exhale, draw in the stomach and sphincter, raise the pelvis. Do not lift the shoulder blades off the floor. Hold the position for 10 seconds, lower yourself to the floor and relax. Repeat 10 times.
3. “Bicycle”: lying on your back, raise your bent legs and simulate cycling. Make 100 clockwise movements, the same amount in the opposite direction.

In addition to the listed exercises, urinary incontinence in men after surgery is treated with Kegel exercises. Daily exercise will strengthen your bladder walls and pelvic floor muscles.A detailed description of the set of exercises can be found in another article.

Postoperative rehabilitation is an important part of the healing process. The further quality of life depends on it. Diet correction, gymnastics and consultations with a doctor will improve the state of health, restore the functions of the organs of the genitourinary system, and restore mental balance.

90,000 Hematuria – identification and elimination of causes

Introduction

Hematuria (erythrocyturia)

The presence of red blood cells or, more simply, blood in the urine.

Hematuria is not a disease or a syndrome; this is a single symptom. However, he deserves to devote a separate article to him. The fact is that of all the symptoms known to medicine, blood in urine is one of the most alarming, alarming, and often threatening clinical phenomena.

Normally, standard visual microscopy of a urine sample shows one, maximum two red blood cells in the field of view. If, however, in two consecutive (repeated) general clinical urine tests, three or more erythrocytes are detected, this is already hematuria.Microhematuria is a blood concentration that does not change the color of urine and can only be detected under a microscope. Accordingly, gross hematuria is the presence of blood visible to the naked eye in the form of streaks or clots, or a general change in the color of urine (the shade can be pink, bright red, dark brown and others, up to black).

Healthy people do not have hematuria. However, for the sake of objectivity, let us clarify: “practically healthy” and “almost never”. There are rare cases known.n. marching microhematuria, when erythrocytes in the analysis appear after a long run or walking (for example, in soldiers after a march of many kilometers, hence the name of this type of hematuria). Isolated, not accompanied by any other disorders, microhematuria is sporadically rarely observed with relatively benign abnormalities of membranes in the renal glomeruli.

Only these two cases of hematuria do not increase the overall risk of the presence or development of nephropathology.In all other cases (99.99%), hematuria is a symptom.

Causes

Distinguish between non-renal and renal hematuria; in the latter case, glomerular and non-glomerular hematuria is isolated.

The main pathogenetic factors of nonrenal hematuria include calculi (stones) in the ureters or bladder, oncological processes in the urinary tract, acute bacterial or protozoal infections of the urogenital system, trauma and foreign bodies in the urinary tract, as well as taking certain medications (anticoagulants).

Glomerular hematuria can be caused by glomerulonephritis (in its various variants), glomerulosclerosis, nephropathies, hereditary syndromes with kidney damage, systemic vasculitis, autoimmune diseases.

Non-glomerular hematuria is caused by factors such as kidney cancer, benign tumors in the renal structures, kidney infarction, renal vein thrombosis and other types of severe pathology in the renal blood supply system, a number of metabolic disorders, renal tuberculosis, sickle cell anemia, hydronephrosis, urinary tract obstruction , cystic kidney disease, nephrotrauma, large doses of alcohol, medication (medicinal nephritis).

Symptoms

Given the large number of possible causes of hematuria (see above), it is impossible to list all the options for the accompanying clinical picture. Symptoms may include various types of pain syndrome (from mild discomfort in the lower back to unbearable renal colic), a clinic of the inflammatory process and infectious intoxication, oliguria or anuria (absence of urination) with urinary tract obstruction, and many others.

However, hematuria may be asymptomatic, and then, especially if it is gross hematuria, all the more it requires an immediate thorough examination by a nephrologist.

Diagnostics

Identification of the causes of hematuria includes a number of diagnostic studies: general clinical and special urine tests (according to Nechiporenko, according to Zimnitsky, three-glass test, etc.), a number of blood tests, instrumental methods (plain radiography, MRI, ultrasound of the kidneys, radioisotope renography, endoscopic studies, etc.) etc.). Consultation of related specialists may be required – oncologist, hematologist, etc.

Treatment

It is, of course, inappropriate to talk about the treatment of hematuria: its cause must be identified and eliminated.It is critical to enable doctors to do this. If at least microhematuria is revealed during the prophylactic examination, regular check-up or examination for another reason not related to the urinary system, a repeated clinical analysis of urine is strictly required, and if the presence of blood in the urine is confirmed, an urgent examination is necessary.

Transurethral resection of the prostate gland (TUR)

Transurethral resection of the prostate (TUR of the prostate) is carried out in the clinic “Health 365” st.Blacksmith, 83, Yekaterinburg. Transurethral resection of the prostate gland for prostate adenoma is a minimally invasive operation in which the overgrown tissues of the prostate gland blocking free urination are excised. TUR does not require an incision of the skin; the intervention is performed, like cystoscopy through the urethra.

Indications for transurethral resection of the prostate

TUR of the prostate is performed in case of ineffectiveness of drug therapy for benign prostatic hyperplasia (BPH, prostate adenoma) in order to eliminate or alleviate symptoms caused by enlargement of the prostate gland.

When the prostate gland is enlarged, it compresses the urethra and interferes or interferes with urination, which leads to residual urine “stagnating” in the bladder, thereby contributing to the development of infection or the formation of stones in the bladder.

TUR is sometimes done for palliative purposes, that is, to relieve symptoms. For example, if a patient is unable to urinate due to prostate cancer and radical prostatectomy is contraindicated for one reason or another, the doctor may recommend a transurethral resection of the prostate to restore urination.

How is the transurethral resection of the prostate performed

Before setting the date of the TUR, your doctor will explain to you the essence of the intervention and give you the opportunity to ask any questions.

Tell your doctor if you have nosebleeds, if you are taking anticoagulant (blood thinning) medications, aspirin, or any other medications that affect blood clotting. You may need to stop taking these medications a few days before your surgery.

Transurethral resection of the prostate gland is performed in a hospital under general or spinal anesthesia. During the operation, the anesthesiologist will continuously monitor your heart rate, blood pressure, respiration, and blood oxygen levels during the operation.

The operation begins with the surgeon checking the urethra and bladder for tumors or stones using an endoscope. This is done by inserting an endoscope into the urethra and then into the bladder.

Next, a surgeon-urologist, under visual control, passes a medical instrument called a resectoscope through the urethra to the prostate gland. The resectoscope is a thin tube about 12 cm in length equipped with a light source, a video camera, valves for supplying irrigation fluid and a “loop” through which, under the influence of an electric current, prostate tissue is removed and blood vessels coagulated.

After assessing the condition of the prostate tissue, the urologist begins to dissect “layer by layer” of the prostate tissue.Excision (resection) and coagulation of bleeding vessels is performed using a metal loop, to which an alternating current of high frequency and power is supplied. The removed pieces are washed out with a liquid that is fed into the resectoscope. At the conclusion of the operation, a Foley urinary catheter is inserted into the bladder.

A urinary catheter usually remains in the bladder for one to three days. This is necessary to drain urine and possibly flush out potential blood clots from the bladder.You will most likely see blood in your urine after surgery, which is normal after surgery. The bleeding will gradually decrease and the catheter will then be removed.

After the operation, if necessary, you will be taken to the recovery room. After your blood pressure, pulse, and breathing have stabilized and sedatives are completely metabolized in the body, you will be transferred to a regular ward.

You can get pain relievers as needed.

After you leave the hospital, tell your doctor if any of the following symptoms occur:

• Fever and / or chills
• Increased pain intensity
• problems with urination

Risks associated with TUR of the prostate

As with any surgical procedure, certain complications can arise. Some of these may include:

• Blood in urine after surgery
• Painful or difficult urination
• Infectious complications
• Retrograde ejaculation (when ejaculation occurs into the bladder)
• Bleeding

There may be other risks, depending on your health condition.Please provide your doctor with full information about the past illnesses, injuries, operations and allergies, as well as the medications taken.

What is the prostate gland?

The prostate gland is a partly muscular and partly glandular organ, with canals extending into the prostatic part of the urethra. The prostate has three lobes and surrounds the bladder neck and urethra. The size of the gland is about the size of a walnut.

Although scientists do not know all the functions of the prostate gland, it is known that the prostate plays an important role in the male reproductive system. The main function of the prostate gland is to produce a slightly alkaline fluid, which is part of the semen (sperm). During male orgasm, prostate muscle glands expel prostate fluid, in addition to sperm that has been produced in the testicles, into the urethra and then outward during ejaculation.

With age, the prostate gland increases in size, causing a man to have certain problems with urination.In addition, several disorders of the prostate gland can occur at any age and include:

• Benign prostatic hyperplasia (BPH, prostate adenoma). BPH is the most common prostate problem in men over the age of 60, associated with age-related benign enlargement of the prostate gland. BPH symptoms progress slowly and include: difficulty urinating; frequent urination, especially at night; intermittent or weak flow (stream) of urine, etc.Although BPH is not a malignant neoplasm, its symptoms are often similar to those of prostate cancer.
• Prostatitis. Prostatitis is a disease of the prostate gland of an inflammatory or infectious nature characterized by discomfort, pain, frequent or rare urination, and sometimes fever.
• Prostatalgia. The main symptom is pain in the prostate gland, also called prostatodynia. It is often a symptom of prostatitis.
• Prostate cancer is a common and serious public health problem.According to the researchers, prostate cancer is the most common cancer in men over 50 and the third leading cause of cancer death.

Related articles:

Pain when urinating

Symptoms of renal colic

Laser crushing of stones in renal colic

Laparoscopic radical prostatectomy

Prostate biopsy

Cystoscopy

Causes of Varicocele

Symptoms and diagnosis of varicocele

Treatment of varicocele

Varicocele in adolescents

Prostatitis.