Why do I constantly feel the urge to urinate but only pass a small amount? What should I do?

Generally, the condition of constantly feeling the need to urinate but passing only small amounts of urine can be caused by aging, excessive water intake, emotional stress, urinary tract infections, or benign prostatic hyperplasia (prostate enlargement). If discomfort occurs, it is recommended to seek medical attention promptly. A detailed explanation is as follows:

1. Aging

As people age, the elasticity of the bladder muscles weakens and the bladder capacity decreases, resulting in reduced urine volume per void and a sensation of frequent urination. Strengthening pelvic floor muscle exercises, such as Kegel exercises, can improve bladder muscle control and increase bladder capacity.

2. Excessive Water Intake

After consuming large amounts of water, the body's fluid volume increases, requiring the kidneys to process more fluid, which leads to increased urine production and frequent urination. It is recommended to drink water in moderation and avoid consuming excessive amounts at one time.

3. Emotional Stress

Psychological factors such as stress and anxiety may stimulate the central nervous system, affecting normal bladder function and causing overactive bladder, resulting in frequent urges to urinate. Stress and anxiety can be alleviated through psychological adjustment and relaxation techniques.

4. Urinary Tract Infection

Urinary tract infections caused by pathogenic microorganisms can lead to congestion, swelling, and increased sensitivity of the urethral mucosa, resulting in frequent urination. Symptoms may also include urgency and pain during urination. It is recommended to follow medical advice and use medications such as cefuroxime axetil tablets, levofloxacin tablets, or azithromycin dispersible tablets for treatment.

5. Benign Prostatic Hyperplasia (Prostate Enlargement)

Factors that may contribute to prostate enlargement include age, medical history, and lifestyle. Enlargement of the prostate can compress the urethra, causing narrowing and increased resistance during urination. Patients may need to urinate more frequently to expel urine, but with reduced volume per void. Symptoms may also include incomplete bladder emptying and difficulty urinating. Patients should follow medical advice and use medications such as finasteride tablets, tamsulosin hydrochloride sustained-release capsules, or Qianlieshutong capsules for treatment.

A bland diet rich in fresh vegetables and fruits is recommended to help improve abnormal urination.