Frequent Urination: Medicines for Urinary Urgency and Incontinence
Urination occurs when the bladder is full. But what if there is no quiet place nearby? The urge is getting bigger and you feel the bubble bursts the same. Do not do it, say the experts. At some point, the urine makes its way out, whether you want or not. Is it harmful to hold back the urine for so long? What causes frequent urination? What can you do about it? What is normal and what is morbid when the urine smells?
What happens in the healthy bladder?
The bladder stores the urine. It is formed by a complicated filtration process in the kidneys from the blood. In the filtered fluid are also toxins and degradation products of the body. The urine is released from the kidneys into the bladder via the two ureters. If its capacity is exhausted, it is registered by the sensors in the bladder wall by the increasing pressure. They report it to spinal cord and brain. Urination is then triggered. A healthy person can control and restrain the urge. However, only up to a certain point. Then a reflex is made against the conscious will. The bladder also empties unintentionally.
Women have a smaller bladder (200-400 ml) than men (350-550 ml). You have to go to the toilet more often. Simple reason: there is also room for the uterus in her pelvis.
If the fluid intake is sufficient, the bladder is often emptied frequently enough. As a result, pathogens have fewer chances of being able to accumulate and multiply on the bladder mucosa.
Is suppression of urine stress harmful?
If the way to the next toilet only from time to time very far, there is certainly no damage. A bubble can also burst only in a violent fall or traffic accident. This is rare because it is well protected in the basin. What happens, however, in the behaviour of the watering is a backwater of the urine into the kidneys. The pressure on the tissue can lead to long-term damage. When the bladder is over, one feels the pressure of light, dull back pain. The healthiest is, therefore, a good flow of 1.5 to 2 litres of fluid per day and, if possible, the immediate reaction of the urine. In this way, the kidneys and bladder are thoroughly rinsed through. The excreting products of the body are excreted quickly. Bacteria, which can easily penetrate into the bladder just above the short urethra in women,
When does one talk of frequent urination and what causes?
Normally, about 1.5 litres of urine is excreted daily, depending on the type and amount of the fluid absorbed. Coffee, alcohol, tea and dehydrating drugs (diuretics) increase the amount of urine. Up to 10 toilets per day are normal. On the other hand, a constant, particularly severe or uncontrollable urge to urinate is a disorder.
More urination with an increased amount of urine of more than 2 litres daily is called polyuria. If severe thirst occurs, the cause is usually diabetes. In cases of increased or permanent urge to urinate without an increase in the excretion rate, one speaks of a pollakisuria. In the case of a man, a prostate disease can be behind it; from an older age, usually a benign prostate enlargement (medically benign prostatic hyperplasia), prostatitis or, in the worst case, a prostate cancer. In women, the reasons are a stimulus bubble, pregnancy, cervical erosion or a weak pelvic floor musculature. Sudden urge to urinate, which requires immediate toilets, and in which usually some urine already passes, is called Drang incontinence. Frequent causes are stress and mental stress.
If you have to go out two times or more at night, you suffer from a nocturia. Especially in older men, a prostate enlargement can also be the cause. Other causes include cystitis, a narrowing of the lower urinary tract, or heart failure. If the cultivation rate is reduced, water accumulates in the tissue during the day. Edema is formed, which is washed out at night over the kidneys and urinary bladder.
What can be done against frequent urination?
If it is not the pot of coffee or the water-borne drugs, the cause must be clarified by a doctor. Basic diseases such as heart failure and diabetes belong in a professional hand. Urge to urinate with pain during urination is a sign of bladder inflammation. It is treated with antibiotics and with preparations of goldenrod (Solidago), bear and birch leaves, horsetail, nettles and cranberry.
Benign prostate enlargements can be treated with alpha blockers and naturopathy with products of the saw palmetto and the African plum tree. Pumpkin seeds for nibbling, as an oil or ready-to-use product with their phytosterols, unsaturated fatty acids, vitamin E as well as zinc and magnesium prevent and soothe bubbles such as a stimulant and prostate enlargement. In addition to herbal medicines, drugs used for the relaxation of the bladder muscles (anticholinergics, spasmolytics) are also used in cases of increased urge to urinate.
Acute prostatitis (inflammation of the prostate), which is associated with frequent urination with fever, pain in the perineum and anal area, and with watering, is treated with antibiotics. More frequent is the chronic abacterial prostatitis, in which no bacteria are found in the urine and ejaculate and therefore antibiotics show no effect.
Here preparations with Quercetin and Pollen extract have proven themselves. Quercetin is a yellow dye in fruits, vegetables and medicinal plants, which is anti-inflammatory and antioxidant. It comes more strongly in onions and the shells of apples and grapes and belongs to the Flavonoiden. He is known for his anti-allergic effects. Grass pollutant extract as in the specimen pollstimol alleviates the symptoms such as pain during urination and nocturnal urination when prostatitis and prostate enlargement are applied for at least 2 months.
If no organic cause is found in the increased urge to urinate, a blow training helps: First step is the recording of all toilets. It is then practised not to give every urine with its small amounts of urine. Instead, it is suppressed in the case and the watering is shifted more and more backwards. The goal is to get the bladder back into larger quantities so that it cannot be reported until later.
In case of frequent urge to urinate due to a nervous bladder during stress, relaxing exercises such as autogenous training or Progressive Muscle Relaxation according to Jacobson. A strengthening for the bladder and as a side effect for an enjoyable sexuality brings a regular basin body training. A good time for this is daily in the morning after waking up or in the evening before falling asleep.
What are the reasons when urine smells?
Normally urine is clear, yellowish and odorless. Temporary changes can be attributed to a high concentration due to insufficient liquid intake or the consumption of food such as asparagus or garlic. Asparagus consists of 90% water and has a strong diuretic effect. The unmistakable urine pouch is produced by the decomposition of aspartic acid, a sulfur compound which itself does not smell. It is interesting that not everyone inherits the gene to form the enzyme necessary for this degradation process. That is, not every urine needs to smell strongly after eating asparagus.
Permanent changes of the odor are usually the result of a bacterial inflammation of the bladder, ureter or kidney. Fruity acetone odor refers to diabetes, a foul odor can be a sign of a tumor disease or dying tissue in the urinary tract.
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