What should I do about frequent urination, urgency, and painful urination?

Nov 28, 2024 Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
Drinking excessive amounts of water increases the filtration burden on the kidneys, producing more urine and thus leading to frequent urination. When mentally stressed, the body releases stress hormones that affect the normal function of the bladder, causing sensations of urgency and pain during urination. It is important to regulate water intake and avoid excessive hydration. Learning to relax through techniques such as deep breathing, yoga, or listening to music can help alleviate tension.

  In general, urgency, frequency, and pain during urination may be caused by excessive water intake, mental stress, cold climate, bacterial urethritis, cystitis, prostatitis, or other reasons. Treatment can involve relaxation, attention to hygiene, and medication. It is important to seek medical attention promptly and follow medical advice. Details are as follows:

  1. Excessive water intake or mental stress: Drinking excessive amounts of water increases the filtration burden on the kidneys, resulting in increased urine production and thus causing frequent urination. When mentally stressed, the body releases stress hormones that affect the normal function of the bladder, leading to sensations of urgency and pain. Adjust water intake to avoid excessive consumption. Learn to relax through methods such as deep breathing, yoga, or listening to music to relieve tension.

  2. Cold climate: In cold weather, the body reduces sweat excretion and increases urine production to maintain body temperature. Additionally, the cold may stimulate the bladder, making it contract more frequently, leading to urgency. Keep warm, wear appropriate clothing, and reduce bladder stimulation caused by cold. Maintain personal hygiene to avoid urinary tract infections.

  3. Bacterial urethritis: Bacteria enter the urethra through the external urethral opening and multiply within the urethra, causing inflammation. The inflammation irritates the urethral mucosa, causing congestion, swelling, increased sensitivity, and symptoms such as urgency, frequency, and pain during urination, often accompanied by redness and swelling at the urethral opening. Under a doctor's guidance, medications such as doxycycline hyclate tablets, azithromycin tablets, or levofloxacin tablets may be used for anti-infective treatment.

  4. Cystitis: Cystitis is usually caused by bacterial infection. Bacteria enter the bladder through the urethra and multiply within the bladder. The inflammation irritates the bladder mucosa, causing congestion and swelling, which results in symptoms such as urgency, frequency, and pain during urination, often accompanied by lower abdominal pain. Follow medical advice to use medications such as azithromycin capsules, cefixime capsules, or racemic scopolamine tablets for antibacterial and pain relief treatment.

  5. Prostatitis: This condition is a common urological disease in men, caused by bacterial infection, prolonged sitting, and other factors. Inflammation stimulates the prostate, causing swelling and compressing the urethra, thus leading to symptoms such as urgency, frequency, and pain during urination, often accompanied by difficulty urinating. Follow medical advice to use medications such as Sanjin tablets, Qianlieshu capsules, or terazosin hydrochloride tablets to promote diuresis and relieve smooth muscle tension.

  Maintain good living and dietary habits in daily life to enhance physical immunity, which helps prevent diseases.

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