TREATMENT FOR FREQUENT URINATION OR CONSTANT URINATION
FREQUENT URINATION OR CONSTANT URINATION
Frequent urination or constant urination means having an urge to pass urine more often than usual. It can disrupt one’s normal routine, interrupt the sleep cycle, and it can be a sign of an underlying medical condition.When one urinates more than 3 liters a day of urine, this is known as polyuria.
Urination is the way the body gets rid of waste fluids. Urine contains water, uric acid, urea, and toxins and waste filtered from within the body. The kidneys play a key role in this process.Urine stays in the urinary bladder until it reaches a point of fullness and an urge to urinate. At this point, the urine is expelled from the body.
Urinary frequency or constant urination can occur alongside urinary incontinence, but it is not the same.
Most people urinate between 6 and 7 times over a 24-hour period.Urinary frequency can be defined as needing to urinate more than 7 times in a period of 24 hours while drinking about 2 liters of fluid.
However, individuals differ, and most people only see a doctor when urination becomes so frequent that they feel uncomfortable. Children, too, have smaller urinary bladders, so it is normal for them to urinate more frequently.
CAUSES
- anxiety
- diuretics, such as chlorothiazide, that make you urinate fluid from your body
- food and drinks that act as diuretics
- stroke and other brain or nervous system conditions
- urinary tract infection
- tumor or mass in the pelvic area
- diabetes mellitus
- diabetes insipidus
- drinking a lot of fluids
- Pregnancy
- Prostate gland problems
- interstitial cystitis, a type of inflammation of the bladder wall
- overactive bladder (OAB) syndrome, which causes involuntary bladder contractions that lead one to feel a sudden urge to have to urinate
- bladder cancer
- bladder or kidney stones
- urinary incontinence
- urethral stricture
- radiation of the pelvis, such as during cancer treatment
- colon diverticulitis, where small, bulging outpouching sacs develop in the wall of the large intestine
- a sexually transmitted infection (STI), such as chlamydia
SYMPTOMS
Symptoms that may need further attention include:
- pain or discomfort while urinating
- urine that is bloody, cloudy, or of an unusual color
- gradual loss of bladder control, or urinary incontinence
- difficulty urinating despite the urge
- discharge from the vagina or penis
- an increase in appetite or thirst
- fever or chills
- nausea or vomiting
- low back or side pain
DIAGNOSIS
A doctor will carry out a thorough history and physical examination, asking the patient about frequency of urination and other symptoms.
They may ask about:
- the pattern of frequent urination, for example when it started, how things have changed, and what time of day it occurs
- current medications
- how much fluid is being consumed
- any changes in the color, smell, or consistency of the urine
- how much caffeine and alcohol the person consumes, and whether this has recently changed
Tests may include:
- urine analysis to identify any abnormality in the urine
- ultrasound, for a visual image of the kidneys
- a plain film X-ray or CT scan of the abdomen and pelvis
- neurological tests to detect any nerve disorder
- testing for STIs
- Urodynamic tests-Urodynamic tests assess the effectiveness of the urinary bladder in storing and releasing urine, and they examine the function of the urethra.
PREVENTION
Eating a balanced diet and maintaining an active lifestyle can help moderate the output of urine.
This may mean limiting alcohol and caffeine intake and cutting out foods that can irritate the bladder or act as a diuretic, such as chocolate, spicy foods, and artificial sweeteners.
Eating high-fiber foods can also help reduce constipation. This may indirectly improve urine flow through the urethra, as a constipated rectum can put pressure on the urinary bladder, the urethra, or both.
COMPLICATIONS
Frequent urination can lead to serious complications including:
- Diabetic coma
- Infertility
- Ketoacidosis
- Permanent kidney damage, kidney disease, and kidney failure (renal failure)
- Shock
- Spread of cancer (metastasis)
- Urosepsis and septicemia (blood infection)
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TREATMENT FOR FREQUENT URINATION OR CONSTANT URINATION
Treatment for frequent or constant urination will address the underlying problem that is causing it. For example, if diabetes is the cause, treatment will involve keeping blood sugar levels under control.
The treatment for overactive bladder should begin with behavioral therapies, such as:
- Bladder retraining. This involves increasing the intervals between using the bathroom over the course of about 12 weeks. This helps retrain your bladder to hold urine longer and to urinate less frequently.
- Diet modification. You should avoid any food that appears to irritate your bladder or acts as a diuretic. These may include caffeine, alcohol, carbonated drinks, tomato-based products, chocolate, artificial sweeteners, and spicy foods. It's also important to eat high-fiber foods, because constipation may worsen the symptoms of overactive bladder syndrome.
- Monitoring fluid food intake. You should drink enough to prevent constipation and over-concentration of urine. Avoid drinking just before bedtime, which can lead to nighttime urination.
- Kegel exercises. These exercises help strengthen the muscles around the bladder and urethra to improve bladder control and reduce urinary urgency and frequency. Exercising pelvic muscles for five minutes three times a day can make a difference in bladder control.
- Biofeedback. This technique can help you learn how your pelvic muscles work to help you better control them.
- Treatment may also include drugs such as darifenacin, desmopressin acetate, imipramine, mirabegron, oxybutynin , oxybutynin skin patch , solifenacin. tolterodine extended-release and trospium extended-release, Oxytrol for women is the only drug available over the counter. Darifenacin is specifically for people who wake up more than twice a night to urinate.
- The drug Botox can be injected into the bladder muscle causing the bladder to relax, increasing its storage capacity, and reducing episodes of leakage.
- Several types of surgery are also available. The least invasive involve implanting small nerve stimulators just beneath the skin. The nerves they stimulate control the pelvic floor and the devices can manipulate contractions in the organs and muscles within the pelvic floor.
EFFECTIVENESS OF ACUPUNCTURE TREATMENT
Acupuncture is known to have analgesic, neuromodulation or hormonal effects via peripheral and central mechanisms and gives the best remedy for frequent urination or constant urination. Among the possible mechanisms, acupuncture may act as a method of neuromodulation in controlling frequent urination or constant urination. Mechanical stimulation seems to produce signaling via the sensory ganglia and interneurons to the spinal cord which modulates the activity of the motor neurons in the brainstem that control autonomic function, including urogenital activity, such as the detrusor and sphincter muscles. Several studies support acupuncture as an effective treatment option for frequent urination or constant urination.Several reviews for polyuria have focused on acupuncture or included acupuncture as one of the best treatment modalities.
MECHANISM OF ACUPUNCTURE
Acupuncture was described as a successful treatment for polyuria in the 1980s and since then, a number of clinical trials on incontinence and frequent urination have been carried out. The acupoints used in the studies were selected based on Korean Medicine theory, and their mechanism may be understood with reference to the autonomic and somatic nerve innervations to the bladder. Certain studies have indicated that acupuncture may influence the autonomic nerve system and it is the best remedy for frequent urination or constant urination.
The detrusor muscle is relaxed by sympathetic stimulation that originates from the lumbar spinal cord T11-L2 region, and contracted by parasympathetic stimulation from the sacral spinal cord S2-4 region. The external urethral sphincter is under somatic control. Therefore, the coordination of the autonomic and somatic nerves to the bladder and urethra is important not only in micturition, but also in frequent urination.
Acupoints included a front treatment of CV 3, CV 4, and KI 12 with pole moxa, and LR 5, SP 6. Back treatment was GV 4, GV 3, GV 2, UB 23, UB 32, and UB 33 with pole moxa, as well as UB 57. These points are frequently used, due to the fact that they correspond with the segmental innervation of the parasympathetic nerve supply to the bladder.
BEST CURE FOR FREQUENT OR CONSTANT URINATION
Looking for the best relief for frequent urination or constant urination in Chennai, here’s why you should reach out to the expert Acupuncturist. A. Shaji Bharath from the best rated clinic Dr.Bharath’s Acu Heal. He is currently treating patients for a wide range of urological conditions. As a best acupuncture practitioner with 15 years of experience, and having worked with several urologists, Acupuncturist. A. Shaji Bharath can create the treatment plan for the best cure for frequent urination or constant urination to manage the condition that's tailored to your needs, which can break a cycle of frequent urination. As the top acupuncture doctor for urological conditions in Chennai he has witnessed acupuncture doing wonders for people suffering from polyuria. The effectiveness rate increases several times just with one course of Acupuncture. So, take some time to find the right pain management and best remedy for acupuncture approach that suits you. Most of the people swear by acupuncture, citing it as a best cure and a ‘miracle’ to improving their quality of life. To contact the top acupuncture doctor in Chennai, Dial: +91 9884746916 or Visit: drbharathsacuheal.com for more details.
BEST ACUPUNCTURE DOCTOR NEAR ME
To choose the Best doctor for Acupuncture, it's important that the Acupuncturist should have a decade of experience and treated at least 1000 to 2000 patients.
You can also search for the Best Acupuncture Doctor near me or ask your primary care physician to refer an experienced Acupuncturist nearby. Once you find the Best Acupuncture Doctor in Chennai, you may go through their google reviews first and then fix an appointment with the doctor only when you are satisfied with the reviews.
The Best Acupuncture Doctor should address your concerns and help you feel more comfortable before your first session. Acupuncture usually takes numerous sessions or several weeks to get a complete cure in any ailment but within 3 or 4 sessions the patients will experience positive differences.
BEST ACUPUNCTURE CLINIC NEAR ME
There are numerous clinics popping up and it is sometimes skeptical to choose the best or even the safe one. To address such concerns, you can look into the following points to choose the best acupuncture clinic for treating frequent urination or constant urination. Acupuncture is also offered in hospital pain clinics and by healthcare organizations but it is ideal to visit the best Acupuncture Clinic. If you are not sure, it would be a good idea to contact your local doctor to see if they would be prepared to refer to the best rated acupuncture clinics. Acupuncture is offered in top rated acupuncture clinics near me because conventional treatment has failed or produces unacceptable side effects. Most of the best acupuncture clinics for urological disorders will spell out very clearly what type of acupuncture they practice and how professional they are - at present anyone can set themselves up as an acupuncturist but reputable practitioners will belong to an organization. So while you are filtering the best clinics for acupuncture that treats frequent urination or constant urination, you can look out for these factors.
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THE BOTTOM LINE
If you develop symptoms of frequent urination or constant urination, it’s important to know the cause. See your doctor for proper diagnosis and treatment by Dialing +91 9884746916 or Visit: drbharathsacuheal.com for more details.
SCIENTIFIC REFERENCES:
- E.A. Gormley, D.J. Lightner, K.L. Burgio, T.C. Chai, J.Q. Clemens, D.J. Culkin, A.K. Das, H.E. Foster Jr., H.M. Scarpero, C.D. Tessier, S.P. Vasavada
Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline
J. Urol., 188 (6 Suppl) (2012), pp. 2455-2463 - B.T. Haylen, D. de Ridder, R.M. Freeman, S.E. Swift, B. Berghmans, J. Lee, A. Monga, E. Petri, D.E. Rizk, P.K. Sand, G.N. Schaer
An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction
Neurourol. Urodyn., 29 (1) (2010), pp. 4-20 - P. Abrams, L. Cardozo, M. Fall, D. Griffiths, P. Rosier, U. Ulmsten, P. Van Kerrebroeck, A. Victor, A. Wein
The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society
Urology, 61 (1) (2003), pp. 37-49
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FAQ:
What are the services provided for frequent urination by Dr. Bharath’s Acu Heal?
The Acupuncturist can understand the condition of the disease only after a thorough investigation by pulse and tongue diagnosis. Acupuncture treatment will be given based on the disease’s chronicity and acuteness. The causes for frequent urination occur due to UTI, anxiety, diabetes, prostate gland problems, overactive Bladder or some nervous system conditions, etc. Acupuncture treatment will be addressed based on some of the above-mentioned causes. After few sessions, the frequency of urination will reduce drastically. Simultaneously the patient will be advised on a diet and exercise regime which includes an induced sound sleep that plays a vital role in reversing the disease.
What are the benefits of acupuncture for frequent urination?
This is a drugless therapy and there are no side effects. After completing the course of treatment any form of medication can be stopped.
How many sessions do you need for frequent urination?
It takes around 30 sessions in a period of 3 to 4 months.