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If the patient has been diagnosed with kidney disease, then her further treatment will be carried out by a nephrologist; if pathologies of the bladder have been identified, then the woman will be treated

The urinary system performs the function of removing excess fluid and harmful substances. The frequency of bladder emptying is 3-10 times a day. This norm is individual for each person and may vary depending on various factors. A healthy person is able to withstand a period of 6-8 hours of sleep at night without going to the toilet. However, 1-2 visits are also normal.

The condition when more urine is produced at night than during the day is called nocturia. Frequent urination in women without pain or reason at night is a problem that may be associated with a disease or with a special physiological state of the body.

The appearance of nocturia is caused by the following groups of health problems:

1. Gynecological disorders (fibroids and uterine prolapse).
2. Endocrine disorders. There are two types of diabetes: diabetes mellitus and non-sugar diabetes insipidus. In the first case, insulin synthesis stops in the body and carbohydrate metabolism is disrupted. In the second, an insufficient amount of antidiuretic hormone is released or the sensitivity of the renal tissue to its action decreases. As a result, the amount of fluid secreted by the kidneys increases, and the patient experiences a feeling of thirst.
3. Diseases of the cardiovascular system (when a person lies down, the load on the heart decreases, venous blood flow increases, which causes an increase in the amount of urine). Frequent urination at night is compensatory.
4. Diseases of the urinary organs (cystitis, urethritis and pyelonephritis in the incubation period, chronic renal failure). In case of chronic renal failure at night, blood circulation in the vessels of the kidneys improves, which causes frequent urination during sleep. Almost all pathologies of the kidneys and pelvic organs are accompanied by frequent urges.

In most cases, nocturia is a symptom of the above diseases. To determine the causes of the disorder, an individual and comprehensive approach is used, since there is no clearly established standard for the number of urges.

Physiological

In some cases, frequent urination at night may be due to natural causes that are not associated with illness:

• a large amount of liquid drunk during the day (nutritionists recommend to speed up metabolism);
• abuse of drinks that tend to increase urination, these include tea and coffee due to their caffeine content, some types of alcohol (especially beer);
• taking diuretics;
• errors in nutrition (salty, hot, spicy foods) lead to disruption of the water-salt balance;
• a diet that includes an excessive amount of vegetables and fruits that have a diuretic effect (cucumbers, watermelon, cranberries, lingonberries);
• hypothermia of the lower extremities: frequent urge to urinate is a normal reaction of the bladder to hypothermia;
• psycho-emotional shocks (possible development of psychosomatic disorders affecting the functioning of internal organs);
• menstruation (before critical days, fluid is retained, and after their onset is actively excreted);
• the menopause is accompanied by hormonal changes, the elasticity of the bladder muscles decreases, its function is disrupted, and the ability to hold a large volume of urine is lost;
• pregnancy: in the early stages, hormonal changes occur and metabolism changes; in the later stages, the uterus increases in size and puts pressure on the bladder.

If a woman's nocturia persists for several days, she should seek medical help and find out why this is happening.

To determine the reasons for frequent night urination, the doctor will perform a survey, examination, order the necessary tests, and, if necessary, prescribe additional tests. When collecting an anamnesis, it is necessary to clarify how much urine is excreted per day and at night, whether the patient takes diuretics, how much fluid she drinks, whether the timing of taking medications is chosen correctly, whether the diet is followed, and what are the habits of drinking fluids.

A general blood test will help identify signs of inflammation (leukocytosis, increased ESR). The presence of an inflammatory process is indicated by deviations from the norm in urine parameters (presence of protein, mucus, leukocytes). The most informative way to assess the functional state of the kidneys is a urine sample according to Zimnitsky. This method allows you to determine the amount and density of urine excreted.

Elevated levels of glucose in the blood and its presence in the urine are detected with the development of diabetes. It is recommended that older women with urinary incontinence have their antidiuretic hormone (vasopressin) levels checked.

It is necessary to exclude pathology of the lower urinary tract and related diseases, and examine the cardiovascular system. Instrumental diagnostic methods allow you to assess the condition of internal organs:

• Ultrasound of the abdominal cavity and pelvis (will exclude neoplasms, changes in organ tissue);
• X-ray examination;
• excretory urography (will help assess the functional state of the kidneys, the shape and contours of the ureters and bladder);
• CT and MRI of internal organs.

After receiving the results of tests and studies, the doctor will be able to draw a conclusion about the cause of nocturia and prescribe treatment.

Prevention

The following recommendations will help you avoid frequent visits to the toilet at night:

• adjust the time of taking diuretics;
• 4 hours before bedtime, limit intake of liquids that have a diuretic effect;
• Avoid excessive consumption of any other liquids, vegetables and fruits before bedtime;
• exclude thirst-causing foods from the menu;
• do not overcool, especially if there are already problems with the genitourinary system;
• avoid stress, take sedatives if necessary;
• control blood glucose levels;
• visit a gynecologist regularly (at least 2 times a year);
• Empty your bladder completely and on time.

If frequent urination occurs in elderly women, treatment is prescribed by an endocrinologist. Since the problem is caused by hormonal imbalance, hormone replacement therapy is recommended.

The normal frequency of the urge to urinate in women per day is a purely individual characteristic, different for each individual person. Depending on external factors (temperature, amount and type of liquid drunk, and so on) and at different periods of life, this indicator can vary greatly. However, if suddenly the number of mictions increases sharply without any apparent reason, it is better not to postpone a visit to the doctor - this may be a consequence of serious and dangerous diseases.

Normal urge to urinate per day

Miction, or urination, is the process of emptying the bladder. Healthy people begin to experience the first urge to urinate when a urine volume of about 150 ml accumulates. As the amount of contents in the bladder increases, the urge begins to be felt more acutely and becomes more pronounced.

As a rule, in an adult woman without pathologies of the genitourinary system, the number of micturitions ranges from 4 to 10 times a day (of course, average indicators are taken into account without taking into account the psychological state, temperature fluctuations and characteristics of the activity of the urinary system of each individual patient).

Causes of painful and non-painful micturition in women

The normal physiological act of urination occurs as a result of activation of the center of the same name in the spinal cord in response to overstretching of the bladder wall. It is important that miction in an adult, mentally adequate person is of a controlled nature - the brain is capable of both suppressing the act of emptying the bladder and enhancing it.

Factors for frequent urination without pain

In women, frequent painless urge to urinate may be due to physiological reasons - while the cases listed below are usually painless, go away on their own after a certain period of time and do not require additional measures from the woman to eliminate them. Most often this occurs when:

• excessive consumption of alcohol, sweet carbonated drinks, coffee and energy drinks;
• eating watermelons, melons and other foods with high water content in large quantities;
• prolonged exposure to the cold;
• taking tea for weight loss (in most cases it is a diuretic);
• taking certain (and so on) herbal infusions;
• pregnancy;
• intense physical activity;
• age-related changes (decreased tissue elasticity, hormonal changes);
• anatomical features of the structure of the urethra (narrowing);
• menopause and other age-related changes;
• endocrine diseases (diabetes mellitus, diabetes insipidus).

Factors of painful and frequent urination

The most extensive group is occupied by diseases of the genitourinary and excretory systems, united by one common similarity - severe pain that occurs during bowel movements. Among them, it is customary to distinguish between pathologies of infectious and non-infectious etiology. The manifestation of painful and unpleasant sensations occurs for reasons such as:

1. Infectious diseases:
   • cystitis;
   • vaginitis;
   • STD;
   • urogenital chlamydia;
   • gonorrhea;
   • candidiasis;
   • ureoplasmosis;
   • trichomoniasis;
   • herpetic infections;
   • bacterial vaginosis;
   • atrophic vulvovaginitis.
2. Non-communicable diseases:
   • neglect of intimate hygiene or its improper implementation;
   • use of cosmetics with inappropriate pH for intimate hygiene;
   • hypersensitivity to chemical contraceptives;
   • use of tampons or pads in poor hygiene;
   • hormonal disbalance;
   • structural features of the genitourinary system;
   • cardiovascular disease;
   • urethral injuries (urolithiasis, improper insertion of a catheter, rough sexual intercourse).
   • helminthic infestations;
   • abuse of foods or medications that irritate the bladder.

Symptoms of diseases of the genitourinary system in women

The reasons for frequent urination have already been indicated, but there are also symptoms that can give a clearer clinical picture and signal diseases:

1. Gohormonal failure. It is characterized by frequent urges that occur with both types of diabetes mellitus, adrenal dysfunction, and pathologies in the thyroid gland (for example, autoimmune thyroiditis). Urination in these cases is not accompanied by pain, burning and irritation of the mucous membranes.
2. Vaginitis. Vaginitis is characterized by vaginal discharge, which is accompanied by pain, burning and irritation of the external genitalia when urinating.
3. Cardiovascular failure. It is accompanied by frequent urges at night due to the appearance of hidden swelling during the day and active removal of excess fluid at night. Micrations are abundant, painless, light in color, without a strong odor.
4. Congenital anomaly. The amount of urine excreted increases due to the weakness of the wall of the genitourinary organ, and with a diagnosis of “” it is observed. Both of these conditions do not bring the patient any discomfort in the form of pain, causing only purely practical inconvenience.
5. Cystitis. Inflammation of the bladder occurs, usually caused by Escherichia coli - an opportunistic microorganism - characterized by sharp acute pain in the lower abdomen and in the urethra, a burning sensation and the release of urine in small portions up to a few drops. In this case, women may experience a feeling of bladder fullness. A formidable complication of cystitis is its transition to (with an admixture of blood in the urine), and an untreated disease risks passing from the acute stage to the chronic stage with frequent and painful relapses (from 2 exacerbations in six months to once a month).
6. Urethritis. There is a slight rise in temperature, the appearance of mucous discharge in the urine, which becomes very concentrated and gradually corrodes the walls of the urethra.
7. Pyelonephritis. It causes a condition in which a woman’s well-being sharply deteriorates - the temperature rises, the pain affects not only the abdominal area, but also spreads to the lower back, purulent and bloody discharge is found in the urine.
8. Glomerulonephritis. A specific sign is considered (rich burgundy-red color) due to the abundance of pus, blood and protein in it, girdle pain and a persistent increase in blood pressure.
9. STD. Causes a strong burning sensation, itching, pain, purulent discharge with blood. These symptoms, individually or collectively, may appear 2-3 days after infection.

Tells in detail about those who come with complaints of pain when urinating.

What tests need to be taken and how to properly prepare for them

If changes occur in a woman’s habitual urination pattern that are not associated with any extraneous external factors, she should consult a specialist, a urologist, as soon as possible.

Typically, for an accurate diagnosis, in addition to collecting an anamnesis and a general examination, the following tests are prescribed:

• blood test for biochemistry.

At least 24 hours before urine tests, you must avoid consuming alcoholic beverages, diuretics, and foods that can change its color. It is recommended to exclude it while visiting the gym and saunas. It is not advisable to take tests during menstruation and immediately after it - this may negatively affect the results. Blood, in addition to the above instructions, is donated strictly in the morning and on an empty stomach.

Possible consequences of frequent pollakiuria

With insufficiently effective therapy, untimely consultation with a doctor and attempts at self-treatment, diseases that are the main cause of frequent urination can develop into chronic incurable forms, burdened by multiple complications. Therefore, it is so important not to delay visiting a urologist when the first signs of urinary dysfunction occur.

The choice of therapy depends entirely on the main source of the disease. If an infection is present, antibacterial drugs are prescribed along with analgesics and herbal anti-inflammatory drugs, hormonal disorders are corrected with supportive agents by an endocrinologist, and if operable, they are removed. Physiotherapeutic procedures are required and the patient’s diet is adjusted. Spa treatment is recommended.

Frequent urination in women brings a lot of inconvenience, disrupting the normal rhythm of life. However, the development of any disease can be prevented in time - you just need not delay visiting a doctor. Only a competent specialist will be able to determine an accurate diagnosis and prescribe suitable treatment that will return the patient to the opportunity to lead her previous lifestyle without discomfort and restrictions.

Urination is a normal process of life for every person. It is the removal of excess fluid from the body through the bladder. It is difficult to say how often a healthy person should visit the toilet. This may depend on the characteristics of the body, the amount of fluid consumed, and also on age. But there are average statistics according to which an adult empties the bladder 10-12 times a day. If this indicator is exceeded, you should think about your health.

When should you see a doctor?

Many are accustomed to seeking medical help when the disease is already advanced. Meanwhile, frequent urination in women, the causes of which can be very
varied, can lead to serious consequences. Therefore, even if there is no pain, you should immediately contact a specialist.

Sensations such as burning and pain in the lower abdomen should also alert you. Diseases of the genitourinary system should be treated with particular seriousness. After all, the possibility of procreation often depends on this.

Is frequent urination in itself dangerous?

A healthy person should drink about 2 liters of fluid per day. If this indicator is exceeded, then frequent urination in women has corresponding reasons. The more often a representative of the fair sex drinks water, the more often she will visit the toilet. There is nothing dangerous about this.

We cannot know for sure what is the reason for the changes in the body. Therefore, in any case, it is worth visiting a doctor. Let him confirm that everything is fine with his health, and frequent visits to the toilet are a consequence of excessive fluid intake.

There are also liquids that enhance the diuretic effect. These include coffee, various herbal teas, and alcoholic drinks. You should not consume these foods before a long trip or an important meeting.

Pregnancy and frequent urination

Many expectant mothers may ask their doctor why women experience frequent urination. The reasons (cases without pain) lie in the fact that with each month of gestation the fetus with
The size of the uterus is increasing at an incredible rate. In addition, the fetus grows and the internal organs change their position slightly. This puts enormous pressure on the bladder. Even a small amount of liquid drunk provokes the urge to urinate.

Often, urination in women also occurs in the early stages of pregnancy, when even the expectant mother does not know about her situation. This is caused by changes in hormonal levels. Often, frequent visits to the toilet can arouse suspicion in a girl. In most cases, guesses are confirmed by a pregnancy test.

There is no need to treat frequent urination during pregnancy. Everything will get better after the baby is born. You just need to try to drink less liquid and, if possible, stay in places where there is a toilet nearby.

Age-related changes in the body

More than 30% of women over 40 years old have problems with frequent urination. The reason may lie in both hormonal changes in the body associated with menopause, and a decrease in tissue elasticity.

Frequent urination in women, the causes (without pain) of which are usually not dangerous, may be due to weakness of the pelvic floor muscles. The problem is most often encountered by representatives of the fairer sex who were injured during childbirth. The problem is solved surgically or with the help of special physical exercises.

Urinary tract infection

Almost any disease of the genitourinary system provokes repeated visits to the toilet. At the same time, frequent urination in women can have quite serious causes. This can be not only a disease of the bladder, but also the uterus, as well as the appendages. You should immediately undergo an examination and begin appropriate treatment. Neglecting your own health is fraught with serious consequences.

Frequent urination in women (with pain) can be caused by the irritating effect of bacteria on the urinary canal, kidneys, and bladder. The pain can be both sharp and aching. During the treatment process, it is important not only to choose the right pain reliever, but also antibiotics. Self-medication is strictly forbidden!

Cystitis

Inflammation of the bladder wall is one of the most common causes of frequent urination. Most often, pregnant women and older people suffer from the disease. This is due to decreased immunity. According to statistics, every seventh woman has a chronic form of the disease. And there are practically no people who would not have to suffer from this unpleasant illness at least once in their lives.

Cystitis can primarily cause frequent urination in women. The causes and treatment of the disease should be clarified by a specialist. As soon as the first symptoms of the disease appear, you should consult a doctor to avoid acquiring a chronic form.

Urolithiasis disease

Problems with urination can also be a consequence of kidney stones. In this case, frequent urination is most often observed in women. The causes and treatment of the disease in this case should also be described by the doctor.

Urolithiasis may also be accompanied by other symptoms. These include: change in the color of urine, nagging pain in the lower back, increased body temperature, as well as blood pressure. If the body temperature is elevated and the woman feels unwell, it means that the inflammatory process has already begun. In this case, it is advisable to treat the disease in a hospital under the round-the-clock supervision of specialists.

Frequent urination in women. Other reasons

Quite often, an increase in the number of urges to go to the toilet can be associated with the manifestation of diabetes mellitus. This is due to the fact that the body, through the urinary
the system tries to remove excess glucose. In addition, during the development of the disease, the nerve endings that are responsible for the urge to urinate are damaged. A person may want to go to the toilet even when the bladder is not yet full. The problem cannot be solved by eliminating diuretic products from the diet. Only medications prescribed by a doctor will come to the rescue.

Frequent urination in women (causes with pain), treatment of which should begin immediately, may depend on the structural features of the body. The urge especially often increases after operations. Deformation of the urinary canal or bladder can cause an increase in the number of urges.

The cause of the problem can also be a change in a woman’s hormonal levels. Most often this is associated with menopause. In this case, the urge to go to the toilet will be accompanied by excessive sweating, weakness, dry mouth, etc. In this case, pain is most often absent.

Increased urge to urinate at night

Certain changes in the body can cause women to urinate more at night. In medicine, there is a disease known as nocturia. Its main symptom is the predominance of nighttime urination over daytime urination. At the same time, the patient does not get enough sleep and feels tired. Pain is not a symptom of the disease.

Frequent urination in women (at night) may also have other causes. As in the daytime, this can be due to excessive fluid intake. It is not recommended to drink caffeinated drinks or alcohol an hour before bedtime. Coffee can not only disrupt your sleep at night, but also increase the number of times you need to go to the toilet.

A healthy person, if he visits the toilet at night, does so no more than once. If this happens more often, you should seek advice from a specialist. There may be a kidney disease that is virtually asymptomatic.

Treatment of the bladder with traditional methods

Today, frequent urination in women is considered a fairly common problem. Of course, only an experienced doctor should tell you the reasons and how to treat the disease. But there are also many folk remedies that help relieve inflammation of the genitourinary system and normalize the amount of urination.

Chamomile has excellent anti-inflammatory properties. This plant is used for almost all diseases. Douching with chamomile solution has a beneficial effect. In addition, tea from this plant will be useful.

Rose hips also have an excellent effect. The root of this plant is often used in folk medicine. Make a special decoction or alcohol tincture. When consumed daily, rose hips reduce inflammation in a matter of days. The effect will be even better if folk remedies are combined with medications prescribed by a doctor.

Some advise treating inflammatory diseases of the genitourinary system by heating. This absolutely cannot be done without consulting a specialist. An infectious disease may be accompanied by the formation of pus. Thermal procedures will only worsen the patient's condition. Self-medication in this case is life-threatening.