What causes increased heart rate and palpitations when holding urine?

Sep 12, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
In general, palpitations and increased heart rate associated with holding urine may be related to prolonged urine retention, arrhythmia, cystitis, hyperthyroidism, or coronary atherosclerotic heart disease. Patients are advised to follow medical instructions for symptomatic treatment. In addition, such symptoms may also be associated with myocarditis or acute myocardial infarction. If patients experience any discomfort, they should seek timely medical attention at a hospital.

Generally, palpitations and increased heart rate caused by holding urine may be related to factors such as urinary retention, prolonged urine holding, arrhythmia, cystitis, hyperthyroidism, and coronary atherosclerotic heart disease. Patients are advised to receive symptomatic treatment under medical guidance. Specific analyses are as follows:

1. Prolonged Urine Holding

If urine is held for too long, the bladder may become overly distended, leading to symptoms such as rapid heartbeat and shortness of breath. It is recommended that patients urinate promptly to avoid prolonged urine retention. Symptoms may also be relieved through massage.

2. Arrhythmia

Frequent urine holding may keep the bladder in a constantly full state, causing excessive excitation of the sympathetic nervous system, which may trigger arrhythmia, resulting in symptoms such as palpitations, sweating, and fatigue. Patients may take medications such as metoprolol tartrate sustained-release tablets or bisoprolol fumarate sustained-release tablets as prescribed by a doctor, and should avoid holding urine.

3. Cystitis

Cystitis refers to bladder inflammation caused by bacterial infection and may be associated with factors such as medications, stones, or bacterial infections. Because urine remains in the bladder, when the bladder becomes sufficiently full, it may accelerate blood circulation around the heart area, leading to the aforementioned symptoms. Patients are advised to take medications such as ciprofloxacin hydrochloride tablets or cefuroxime axetil tablets under a doctor's supervision.

4. Hyperthyroidism

In patients with hyperthyroidism, thyroid hormone levels are typically elevated. Holding urine in this condition may induce symptoms such as palpitations and increased heart rate. Patients may take antithyroid medications orally under medical guidance, such as methylthiouracil tablets or propylthiouracil tablets.

5. Coronary Atherosclerotic Heart Disease

Frequent urine holding may contribute to coronary atherosclerosis, potentially triggering this condition, which causes discomfort such as chest tightness and chest pain—symptoms that may worsen when coughing or laughing. Patients may follow medical advice to take medications such as enteric-coated aspirin tablets or clopidogrel hydrogen sulfate tablets to improve their condition.

In addition, these symptoms may also be related to myocarditis, acute myocardial infarction, and other conditions. If patients experience any discomfort, they are advised to seek timely medical attention at a hospital to avoid delays in diagnosis and treatment.

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