A woman, a beer parlour owner, who was
passing urine frequently, was accused by husband of taking too much of
what she sells. The argument got so heated that he forced her to go for a
test. Lo and behold, the result had no traces of alcohol, rather it was
a case of frequent urination due to an overactive bladder! Urination is the body’s way of getting
rid of excess water, as well as wastes. While this is an important
function for survival, its frequency can interfere with a woman’s
quality of life.
Symptoms
Frequent trips to the bathroom, not
sleeping through the night or refraining from going out for fear that
they will leak urine, are often familiar to women who experience
frequent urination.
A change in the colour of urine (red,
pink, or cola-coloured), a sudden and strong urge to urinate,
difficulty in emptying the bladder, urinary incontinence and painful
urination are all indications of bladder control problems in women.
Causes and risk factors
Diets: Caffeine intake through coffee, tea, alcohol intake and certain soft drinks
Lifestyle: Obesity
(excess weight) can place extra pressure on the bladder. The result can
be weaker pelvic floor muscles and a need to urinate more frequently.
Pregnancy: Frequent
urination is common with pregnancy. The growing uterus can place extra
pressure on the bladder during pregnancy. As a result, a woman may have
to go to the bathroom more frequently.
Menopause: It can also affect bladder control. When women no longer have their periods, their bodies stop making estrogen.
Medical: Bladder
stones, diabetes, cystitis (a chronic, inflammatory disorder of the
bladder), low estrogen levels, urinary tract infection and a weak
pelvic floor organ.
Childbirth: Childbirth
can weaken the pelvic floor muscles and damage the nerves in the
bladder. Sometimes a woman may not experience problems with bladder
control immediately after giving birth, but she may experience symptoms
years later.
Complications
Complications associated with urinary
frequency often depend on the condition’s underlying cause, which would
be urinary tract infection, pyelonephritis, renal failure or damaged
kidneys.
If urinary frequency occurs on its own
with no immediate treatable illness, it can affect a woman’s quality of
life. A woman may not be able to sleep well due to having to wake up to
go to the bathroom very often. She may also refrain from social events
for fear of having to go to the bathroom too frequently. These
complications can all influence a woman’s sense of well-being.
Diagnosis
A doctor may take a urine sample for
evaluation. A laboratory can identify the presence of white or red blood
cells, as well as other compounds that should not be present in the
urine that could indicate an underlying infection.
Tests for blood sugar are mandatory, the urine can also be tested for the presence of glucose.
Abdominal scans may be done, while taking blood samples for electrolytes to rule out complications is also necessary.
Other tests may include cystometry or
the measure of pressure in the bladder, or cystoscopy, which involves
using special instruments to look inside the urethra and bladder. Other
diagnostic methods may depend upon a woman’s specific symptoms.
Treatments and preventive techniques
There are lifestyle and medical means to treat frequent urination so that a woman does not have to suffer with the symptoms.
Lifestyle modifications: Avoiding
foods and drinks known to irritate the bladder can help a woman
experience fewer episodes of urination. Examples include avoiding
caffeine, alcohol, carbonated beverages, chocolate, artificial
sweeteners, spicy foods and alcoholic drinks.
Adjusting patterns of fluid intake: Avoiding drinking too much water before bedtime can reduce the likelihood of waking up at night to go to the bathroom.
Bladder retraining: Bladder
retraining is another method to reduce the amount of times a woman goes
to the bathroom per day. To accomplish this, she will work on a regular
schedule instead of always waiting until she feels the need to urinate.
Antibiotics: If a
urinary tract infection is causing a woman’s frequent urination, taking
antibiotics to cure the infection may help. Other treatments and
preventive techniques for frequent urination that is not due to
infection include:
In addition to these methods,
medications can be prescribed that reduce bladder spasms and encourage
relaxation of the bladder. Sometimes a doctor will recommend injections
which can reduce the incidence of bladder spasms.
In conclusion, painful urination or
pelvic pains along with frequent urination, are also causes for concern.
A woman should also see her doctor any time that she experiences
symptoms make her uncomfortable or interfere with her quality of life.
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