Frequent urination ... May be offered for advanced disease

السبت، 29 ديسمبر 2012

Frequent urination ... May be offered for advanced disease

Occur in both sexes, but more women are numerous causes between organic and psychological diseases

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Frequent urination at night accompanied by fatigue and depression

* Abu Nasser references 55 years old and suffering from chronic illness, came to the clinic with a complaint: I suffer from frequent urination, I notice that associated with cooler air, winter woke up at night to urinate every hour or every hour and a half, with a large amount all at once, and not control it at times, but without feeling any pain during urination. This situation bothers me in my sleep and makes me make thirsty and drink water, while in the summer does not wake up from my sleep.

-Abu Naser a common complaint of gender but may occur more in women and may affect young people, the elderly, and the complaint in particular with winter and cooler weather. Before addressing the causes and therapies may be appropriate to provide a brief explanation of the urination in adults.

Since adult bladder capacity ranging between 400 and 500 milli liter and where the average person unpacks some litres or litrin of urine a day that pushes him to urinate several times during the day by bladder muscle contractions and internal valve relaxant on her neck and the outer valve on the urethra and inside it. Because compliant bladder muscles can accommodate approximately 25% to 50% of the urinary capacity without high pressure inside that only 5 to 15 cm. If the urine exceeded 50% of bladder capacity, he urged some sensory nerves of Alpha Delta class that arises from the pelvic nerves to alert the person on silting urine when that amount to about 75% of their capacity, causing appetite and urgency to urinate can suppressed for some time. It should be noted that there are several neurological receptors on the wall of the bladder for several articles, most notably steel Cullen and the third ATP adenosine phosphate can continue with alasabonat sensual waladrinalet walkolinet already and that may play an important role in bladder disease hyper activity. Newly discovered that bladder muscle relaxant and curb the involuntary contraction during the silting of urine back to the nerves that control nerve activity friendly alcollinet and sensory nerves of Alpha Delta class alerting friendly nerves do not prevent contractions but reduced the internal valve to prevent incontinence.

Causes of frequent urination:

Know the frequent urination that they need to urinate at a rate of more than 8 times a day during the day or waking up several times at night to urinate, it is important to differentiate between frequent urination accompanied by small amounts of urine and frequent urination which is output of large amounts of urine. And there are reasons for frequent urination among organic and psychological diseases, including:

1. urinary tract infections especially of the bladder or urethra and usually not be or become a companion of her burning urine, urinary urgency, lower abdominal pain, as well as feeling weak urine flow and not feeling full dump capacity of the bladder.

2. diabetes because high blood sugar is one of the reasons for diuresis and could be the first symptoms of the disease.

3. pregnant women get frequent urination in pregnancy due to the increased size of the uterus, which in turn presses on the bladder.

4. prostate disorders including an enlarged prostate which are infected by a lot of men after the age of 40 and the congestion of the prostate or chronic irritation that affects younger age groups one of the reasons for the high frequency of urination.

5. chronic cystitis is discussed in previous issues of this clinic and which have frequent urination accompanied by urinary urgency and lower abdomen if the bladder is full and that soon after disappear immediately after the discharge of urine.

6. use of certain medications may be one of the causes of frequent urination and best known diuretics such as walthiazaid and alfrosamayd for example, as well as some medications.

7. bladder urgency and bladder size is more contracted it and be accompanied by the feeling of the insistent spam urinary and desire that has accompanied by smooth poly, where the patient was unable to arrive on time to empty the urine.

8. in rare instances may be frequent urination a symptom of bladder tumors or infection of urinary stones.

9. neurological disorders such as cerebral strokes or spinal cord disease, from which the nerve branches feeding the bladder and are her depressions and control contractions of the control valve.

10. mental disorders such as anxiety.

Diagnosis:

Access to proper treatment starts from a correct diagnosis, which requires an interview the patient and medical information and carry out clinical examination, as the case may be. One of the most important basic diagnostic tests check urine microscopic examination of blood sugar level and sometimes requires a diagnostic urological examination with x-ray or endoscope, examine the dynamics of urinating.

Treatment:

Treatment depends on identifying the direct cause of frequent urination and gain control over it. In the case of extreme urgency or bladder bladder activity in case of the absence of other causes of frequent urination, the patient may respond to give medicine types of contractions of the bladder from the ante kolinergk like alditrositol walviziker walditroban and others.

This is in addition to behavioral and dietary habits change and that increase problem such as too much caffeine drinks including tea and coffee, soft drinks, beverages containing cocoa, eating tomatoes containing dialogue such as pepper. It must focus on eat more foods rich in fiber, which reduce the likelihood of constipation.

It is also recommended to frequent urination with moderation in drinking, reduce fluid in the evenings especially winter time which accompanied by spasms in the muscles of the pelvis and the urinary bladder wall and then reduce the size of silting and its accompanying quickly and her depressions urgency to get rid of urine.