All causes of frequent urination in women. Frequent urination without pain in women causes. Very frequent urination: physiological reasons

Frequent urination in women is common. It can be associated with any pathology or manifestation of a special physiological condition. Frequent urge to urinate is denoted by the term "pollakiuria".

Quite a lot of women are faced with such a delicate problem in the modern world. The reasons for frequent urination in women without pain can be very different, and therefore there is no need to compare your case with that of a friend. This condition does not cause any particular inconvenience, therefore, women are not always in a hurry to visit the doctor, which is a mistake.

Normally, a woman visits the toilet for small needs 10-13 times per day. If this figure is much higher, then this is the first signal for concern. You should especially be on your guard when urination is accompanied by pain in the lower abdomen.

In this article, we will look at why there are frequent urge to urinate in women, the causes of this condition, as well as modern methods of diagnosis and treatment.

Are there norms?

Each female body has its own norms, so it is impossible to say unequivocally how much each person should walk on the little one every day. There are many factors. How much fluid you consume during the day, as many hikes and increases or decreases the rate of urination.

As a rule, if frequent urination is pathological, it is accompanied by one or more symptoms:

• burning, pain, or itching in the urethra when you empty your bladder;
• an insignificant volume of urine secreted during urination (normally 200-300 ml);
• if the frequency of urination disrupts the normal rhythm of life (creates discomfort at work or at night).

If you use the toilet up to 10 times a day and 1-2 times at night, and also do not experience other unusual symptoms, then there is nothing to worry about.

Causes of frequent urination in women

Women have frequent urination without pain, often in situations that are associated with natural processes in the body. In particular, these are factors:

• drinking a lot of fluids;
• taking certain medications, such as diuretics
• the use of infusions or decoctions of herbs that have a pronounced diuretic effect;
• carrying a child;
• hypothermia;
• stressful situations or intense excitement;
• in older women.

Pathological disorders in a woman's body can also cause frequent urge to urinate, which may or may not be accompanied by pain:

1. ... Signs of frequent urination in women without pain may appear with diabetes mellitus, when blood sugar remains elevated for a long time. The thirst that occurs in this case, leads to the fact that the woman consumes a large amount of liquid, as a result of which abundantly and often goes to the toilet "in a small way."
2. ... Acute cystitis is characterized by frequent and painful urination, the appearance of blood in the urine, pain in the bladder and perineum. These symptoms are also observed in the chronic form of the disease during periods of exacerbation. The most common causative agent is Escherichia coli. The bacterium enters the bladder through the urethra, becomes attached to the walls of the bladder and begins to eat away at the mucous membrane.
3. ... Frequent urination and lingering aching pains are symptoms of pyelonephritis. With an exacerbation, weakness, chills, nausea, a sharp increase in temperature are observed. Pyelonephritis is treated for a long time. Pain relievers, antispasmodics, antibiotic therapy are prescribed.
4. Dysfunction of the pelvic muscles of a neurological nature... With neurological disorders, there are problems with the innervation of the muscles responsible for emptying the bladder, because of this, the regularity of urination changes.
5. ... As the conglomerates of salts increase, painless frequent urination is gradually complicated by increasing pain.
6. Diseases of the heart and blood vessels... Frequent urination causes vascular problems and heart failure. The process is aggravated at night. Vigorous activity during the day can lead to swelling. They disappear at night and are expressed in increased urination. Therapeutic measures are etiological in nature, they must compensate.
7. Gynecological diseases. One of the common pathologies that cause this symptom after 35 years is a neglected uterine myoma. It is a benign tumor that presses on the bladder. In younger girls, the cause of frequent urination may be STDs, as well as vaginitis of various etiologies, etc. Sometimes the problem becomes a consequence of the prolapse of the uterus.
8. Chronic renal failure. It can develop due to some chronic ailments of the excretory system. The most common cause is glomerulonephritis, urolithiasis, renal amyloidosis, polycystic and other developmental defects of this organ. One of the earliest manifestations of kidney failure is frequent nocturnal urination and increased urge during the day.
9. Spinal cord injury... The fact of any mechanical impact on the spine cannot be ignored.
10. Genital infections... They lead to inflammation of the urethra, and its irritation provokes the appearance of frequent urge to urinate. Even a banal thrush can lead to the need to visit the toilet more often than usual.

It is important to understand that without proper treatment of frequent urination in women, the symptoms of a possible disease can develop into a chronic form, and in the future, negatively affect the reproductive system, or lead to dire consequences for all health.

How to treat increased urination in women?

It is possible to talk about the treatment of frequent urination in women only after the disease that caused it is found. After all, the schemes for dealing with various pathologies are significantly, and sometimes even radically different from each other.

Therefore, when the frequent urge to urinate began, you first need to eliminate the physiological causes of this phenomenon:

• a diet that is enriched with foods or drinks with a diuretic effect, abuse of coffee, alcoholic beverages;
• stressful situations;
• pregnancy;
• hypothermia of the body;
• taking certain medications, such as diuretics.

The main indications for going to the doctor are as follows:

• general weakness in the body;
• retention or incontinence of urine;
• discharge (bloody) from the genitals;
• lack of appetite.

Depending on the identified cause, after passing the examination, a woman may be prescribed:

• antibacterial therapy;
• pre- and;
• antispasmodics;
• hormonal drugs;
• uroantiseptics;
• sedatives;
• physiotherapy, including UHF, iontophoresis, electrophoresis, inductothermy, etc.;
• Exercise therapy, including Kegel exercises;
• herbal medicine.

Nevertheless, even frequent urination without pain, which bothers for a long time, should not be ignored. There is no need to neglect your health, because only a timely visit to the doctor will help you find out the real causes of the problem and prescribe an effective therapy.

Which doctor to contact

With frequent urination, you need to contact a therapist and undergo an initial examination: take blood and urine tests, undergo an ultrasound of the urinary tract. In case of kidney disease, it should be treated by a nephrologist, in case of pathology of the bladder, by a urologist. Diabetes (sugar and sugarless) is treated by an endocrinologist.

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Frequent urination is a problem that both women and men face. They talk about such a problem when a person goes to the toilet more than 8-10 times per day. At the same time, emptying the bladder can be both painful and painless, depending on the disease that caused this symptomatology.

Clinical picture

It should be remembered that the frequency of emptying the bladder depends on the amount of fluid consumed by a person, and with an increase in the amount of water drunk, it can increase up to 15 times a day. This condition is not pathological and does not require treatment.

If the amount of fluid you drink does not exceed the norm (that is, the amount that a person consumes constantly), and the frequency has increased, you should think about the possibility of a pathological process in the body.

That is, the disorder can be both functional and pathological in nature.

An important criterion for a pathological disorder is the presence of other symptoms, namely:

• itching and burning in the urinary tract;
• cut;
• sensation of not completely emptying the bladder.
• itching and burning in the vagina;
• lower abdominal pain;
• discharge from the urethra;
• fever, weakness, etc.

Causes of the symptom in women

Usually, complaints of a symptom such as frequent urination in women are associated with inflammation in the bladder. (this is the name of this disease) is a common pathology that is rarely found in men, but which women often encounter due to the structural features of the female urinary canal.

With this pathology, there is a burning sensation, a desire to empty the bladder immediately after urination, there are sexual disorders, pain in the lower abdomen and not expressed.

Macmiror Complex, a combined antibacterial drug that has a wider spectrum of action than nitrofuran drugs, often used in the treatment of urinary tract infections, has proven itself well in the treatment of cystitis. The rapid elimination of the causative agent of the inflammatory process from the surface of the mucous membrane of the bladder makes it possible to alleviate unpleasant symptoms of cystitis in the shortest possible time.

Also, this symptom is often characteristic of women during pregnancy. In particular, frequent urination during pregnancy is caused by increased pressure on the bladder, due to which its volume decreases. This is a physiological condition, therefore, no treatment is required, the doctor can only advise a woman to drink liquid in small portions so as not to cause an overflow of the bladder.

If there is frequent urination in women, the reasons may lie in age-related changes and hormonal disorders in the body. If we talk about age-related changes, then there is a weakening of the elasticity of the muscles of the urinary system, due to which the tone of the bladder decreases and the woman feels the desire to urinate several times more often than before. In addition, a decrease in tone can occur for other reasons - due to childbirth, with diseases of the female organs (for example, with).

If we talk about hormonal disorders, then they also cause the appearance of such a symptom as frequent urination in women without pain. In particular, it may indicate a beginner. Therefore, if this symptom is present, as well as other symptoms inherent in this pathology, you should consult a doctor.

Diseases and infections can also cause this symptom to appear. In particular, when there is an increase in body temperature, a change in the color and smell of urine, and even the appearance of blood impurities in it, pain in the lower abdomen, burning and cramps during urine discharge. also causes an increase in the amount of urine excreted, but, in addition, symptoms such as:

• hyperthermia;
• painless increased urine flow;
• pulling back pain;
• colic (the most common symptom).

There are other reasons for frequent urination in women, and they consist in diseases of the internal organs. For example, such a symptom can be observed with, as well as with neurological disorders of the pelvic muscles.

Increased acidity of urine can also cause an increase in the number of urges, while urine output will be accompanied by a burning sensation in the urethra. Therefore, when such a symptom appears, a thorough examination of the patient is required - a general and detailed urine test is required, and other studies are carried out taking into account the symptoms.

Causes of the symptom in men

In men, the reasons for frequent urination are completely different and are associated with the structural features of their genitourinary system.

Frequent urination in men in most cases is a sign of a malfunction of the prostate gland. With (inflammation of the prostate gland) and (tumor of the gland), such a syndrome as frequent urination is always present, and the discharge of urine is painful, accompanied by cuts and burning sensation in the urethra.

Men over the age of 50 are more susceptible to this pathology, but sometimes the disease also affects young men, especially those who lead a promiscuous sex life.

Another common cause of a symptom such as frequent urination in men is that they have genital infections. These are infections such as:

It should be remembered that in the case of infections, the urinary tract is affected, and frequent urination is combined with other symptoms (the presence of discharge, an unpleasant odor, burning and itching, etc.).

Occasionally, men also develop cystitis, but usually it is bacterial in nature when this or that infection enters the bladder.

And urethritis also causes this symptom, and the process of emptying the bladder in these cases will be painful and with a small amount of urine.

There are also such pathological conditions in which there is frequent urination in men without pain. For example, this happens with, as well as with an overactive bladder.

Treatment

It is worth treating frequent urge to urinate when they are pathological. The treatment plan directly depends on the type of pathology. For example, with genital infections and other infectious processes in the urinary tract, bladder and kidneys, antibiotic therapy, anti-inflammatory drugs and symptomatic therapy (antispasmodics, pain relievers, antipyretic drugs) are prescribed.

If the frequent urge to urinate is associated with natural changes in the female body, special gymnastics and physiotherapy procedures are recommended. With prostate adenoma in men, both conservative and surgical treatment is prescribed, depending on the size of the tumor.

It is necessary to read the instructions for medical use of the drug.

The process of urination is quite intimate, the frequency and volume of which are strictly individual. But not always everything goes in a physiological rhythm, very often women notice their frequent urination, which may be accompanied by discomfort and even pain.

In most cases, when such problems arise, ladies are very reluctant to go to the doctor with this complaint even when the corresponding symptoms are already unbearable.

But the tactic of waiting, that everything will pass by itself, is wrong, because this problem, which many are ashamed to talk about out loud, has a specific reason, which the doctor must deal with. The causes of frequent urination in women, painful and painless, will be discussed in this article.

Frequent urination concept

In what cases do you have to talk about frequent urination? The fact is that there are no strict norms for the frequency of urination during the day, there are only certain conditional frames and averaged figures - 2-6 times a day. The frequency of physiological emptying of the bladder varies depending on a number of factors (physiological characteristics of the body, metabolic rate, diet, drinking regimen, etc.), on different days the frequency of urination is also different.

Frequent urination is exceeding the threshold of a woman's personal comfort, when she herself notices that the body signals the need to relieve physiological need much more often, or rather, it is necessary to empty the bladder more often than usual.

In fairness, it should be noted that a short-term (day or two) symptomatology of such a plan should not cause much concern, but if the situation drags on and worsens, the only right solution would be to consult a doctor as soon as possible.

Causes of frequent urge to urinate in women

With such an unpleasant symptom as frequent urination in women, the reasons can be very different, sometimes not related to health and disease (physiological). The main reasons for this phenomenon are divided into four large groups, the first place among which is occupied by pathological processes in the organs and structures of the urinary system.

Pathology of the urinary system

A common cause of frequent urination is an inflammatory urinary tract infection. Females have a natural, anatomical predisposition to these diseases, and they suffer from these problems 3 times more often than men.

• Cystitis

• Urethritis

Frequent urination, painful at the beginning of the emptying of the bladder, is characteristic of urethritis. The pain is burning in nature and is accompanied by itching. The general condition of women rarely suffers, which leads to a delay in the process and late visits to doctors. Treatment of urethritis includes antibiotics and probiotics to restore the vaginal biocenosis (see).

• Pyelonephritis

Increased urination may indicate the presence of chronic pyelonephritis. The disease is manifested by dull aching pains, localized in the lumbar region, which intensify in cold weather. With an exacerbation of the pathological process, it is noted:

- a sharp rise in body temperature, up to chills
- as well as weakness
- nausea
- impurities of blood and pus appear in the urine
- the progression of the disease leads to the development of arterial hypertension

Treatment of pyelonephritis is long-term and includes antibacterial therapy, antispasmodics, pain relievers and phytopreparations.

• Urolithiasis disease

Frequent urination may indicate an existing urolithiasis with localization of calculi in the bladder. The urge to urinate appears unexpectedly, abruptly and is provoked by intense physical activity, occur when running or shaking in transport. When the bladder has not yet completely emptied during urination, an interruption of the urine stream can also occur. There is soreness in the lower abdomen and the area above the pubis, both at rest and during urination. Treatment of pathology, depending on the severity of the disease and the nature of the stones, can be medication, physiotherapy or surgical, but always includes adherence to a diet.

• Weakness of the muscle wall of the bladder

It is manifested by frequent urination with a small volume of urine discharge. The urge to urinate is always harsh and requires an immediate visit to the toilet. Since this pathology is congenital in nature, therapy is aimed at strengthening the muscle tissue of the bladder with special exercises and drugs.

• With an overactive bladder

In this case, the increase in nerve signals causes frequent urge to empty the bladder. The disease is of central origin, therefore, treatment is aimed at interrupting the pathological excitability of the nervous system, which regulates the process of urination (sedatives, muscle relaxants, etc.).

Frequent urination, as a secondary sign of various pathologies of the body

• Gynecological diseases

Increased urination may be a sign of a neglected uterine fibroid, a benign tumor that compresses the bladder with its size. Since the disease develops gradually, dysuric disorders are preceded for a long time, and. Treatment is hormonal and surgical (see).

With the prolapse of the uterus, associated with the weakness of the ligamentous apparatus, the organs and tissues of the small pelvis, including the bladder, are displaced. Frequent urination with incontinence indicates a significant prolapse of the uterus. A woman has long been troubled by painful manifestations in the lower abdomen, heavy menstruation and bloody discharge from the vagina. Treatment is conservative (hormones, exercise therapy) or surgical.

• Endocrine diseases

Frequent urge to urinate at night is often one of them. In addition, a woman is tormented by constant thirst, itching of the skin, weakness and fatigue. Treatment includes diet, drugs that lower sugar levels (if diet therapy is ineffective), insulin therapy (with an insulin-dependent form of the disease).

When associated with dysfunction of the hypothalamic-pituitary system, frequent urination occurs, the daily volume of excreted urine increases to 5 liters. Women are tormented by constant thirst, weight is lost, dry skin and mucous membranes occur. Hormonal treatment, lifelong.

• Diseases of the heart and blood vessels

Frequent urination at night in women can be a sign of cardiovascular insufficiency. In case of cardiac insufficiency during active daytime life, latent edema occurs, which disappear at night and are expressed in frequent urination. Treatment is etiological, aimed at compensating for revealed cardiac insufficiency.

Physiological causes

In the presence of certain physiological reasons, a woman is worried about frequent urination during the day, the most frequent of which are:

• dietary features associated with abundant intake of fluids (coffee, soda, alcohol) and products with diuretic properties (watermelon, cranberry, melon, lingonberry, cucumber, etc.)
• stress and anxiety, in which oxygen starvation of cells leads to frequent urination
• the first and third trimester of pregnancy, when increased urinary frequency is associated with uterine growth and bladder compression
• hypothermia of the body, in which there is a compensatory increase in urination;

When the underlying cause is physiological factors that cause frequent urination in women, treatment is not required. Self-elimination of a provoking situation leads to the normalization of urination.

Taking medicines

An increase in urinary excretion, leading to frequent visits to the toilet, is also provoked by drugs from the group of diuretics, which have a therapeutic diuretic effect. These drugs are prescribed for edema, hypertension, for the treatment of gestosis in pregnant women.

Causes of frequent and painful urination

If a duo of symptoms is found - frequent urination in women and pain during urination, there is a high probability of an inflammatory process of the urinary organs or genitals against the background of infection. Some sexually transmitted infections also have painful and frequent urination (more in our articles):

• gonorrhea in women - symptoms, treatment
• trichomoniasis in women - symptoms, treatment

Abundant frequent painless urination in women most often indicates a running course of a certain disease from the above groups. The fact is that the female genitourinary system is, in fact, a single whole, and an infection that has arisen in the urinary organs easily switches to the genitals.

Very often, for example, urethritis and vaginitis are diagnosed. The structure of the female genitourinary organs explains the ease of spreading infection, a particularly dangerous variant of which is an ascending infection - from the vagina to the uterus and appendages, from the urethra to the bladder and kidneys. Pathologies such as cystitis, urolithiasis, vaginitis and vulvovaginitis of various etiologies are manifested by painful urination.

Painful and frequent urination may be due to irritation of the vaginal tissues:

• if the tampon is used incorrectly
• after intercourse

In this case, the symptoms are passing - discomfort and frequent urge to urinate pass within a day. But this day is a dangerous period, since the damaged mucous membrane is an excellent entry gate for various infectious agents.

Frequent urination, which bothers a woman for two or more days, should not remain without diagnosis and treatment. Any pathology of the genitourinary system is a threat to the normal realization of reproductive function. Therefore, women's health should be not only the main concern of the nation, but also the priority of each individual woman, and the symptoms for this are the symptoms to be presented to the doctor.

Watch your body and listen to its signals!

With frequent urination (pollakiuria), a good half of the weaker sex in the world is familiar. The process can be accompanied by a painful syndrome and without it. But here's the paradox - for help from a doctor, mainly those patients who have this unpleasant condition accompanied by pain turn to, while the rest take a wait-and-see attitude. Such an approach to the problem is completely unacceptable, since in the future it can be reflected in the development of completely undesirable consequences.

Consider the causes of frequent urination without pain in women - when pollakiuria is a physiological manifestation, and when it is a consequence of pathological processes.

Frequent urination - how often?

How many times is considered the norm?

Since each person is individual, it is difficult to say how many trips to the toilet for small needs, for a particular person, is considered the norm. There are only average rates, which vary from 6 to 10 urinations per day.

On different days, their frequency may be different, since the process itself depends on many factors - the individual physiological characteristics of the body, personal eating habits, the amount of liquid drunk and other factors.

In the beginning, women do not attach much importance to such changes, since they do not experience much discomfort, but when the "physiological need" raises them out of bed several times a night, the search for the cause begins. It should be noted that if the "inconveniences" of such a plan are short-term, appear within 1, 2 days - such symptoms should not be particularly disturbing. But with the aggravation and protraction of the pathological process, you should think about why urination so often bothers you?

Possible causes of frequent urination without pain

The manifestation of frequent painless urination in women is due to the processes taking place in the body - physiological, not causing concern, and pathological, requiring urgent examination and treatment.

• Physiology

Physiological problems that cause frequent urination include:

1) A large amount of provocative food in the diet (sour, spicy, or salty) and the use of alcoholic beverages, which in themselves have diuretic properties. A single-use volume of excreted urine may exceed 200 ml. In this case, pain does not appear and the color of urine does not change, slight discomfort in the urethra in the form of tickling may be felt.

2) Stress, excitement and tension - the number of urinations per day increases significantly, but a one-time discharge does not exceed the usual amount. In this case, there is a feeling of incomplete emptying of the bladder and a desire to go again.

3) The effect of hypothermia. The effect of cold on the body is the most common cause of going to the toilet for several hours in a row, which is caused by a spasm of the detrusor, the muscle layers that cover the walls of the bladder.

4) Taking some medications prescribed for edema and hypertension also causes painless pollakiuria, which is considered a normal manifestation in this situation. Many medicinal herbs can also provoke an unpleasant condition. Especially when in women the desire to lose weight quickly prevails over common sense, and the desire to get "everything at once" pushes for treatment with diuretic herbs in an arbitrary course.

It is possible to normalize urination completely independently if the influence of provoking factors on the body is eliminated. But there are situations when violations are caused by the development of internal pathologies. At the same time, the frequent desire to "urinate" exhaust women not only during the day, but also at night, even if they are not accompanied by pain.

Women wake up not rested, nervous and even more tired. The development of depressive states, depression is possible, their memory and working capacity decrease. Only early identification of the root cause of such disorders will give hope for fast and effective treatment.

• Pathology

What pathologies can provoke frequent nocturnal urination without pain in women?

1) Diseases of the vascular and cardiac system. The most common causes include acute and chronic processes in cardiac and vascular functions. Their functional insufficiency provokes the development of pathological processes in the kidneys due to a lack of blood supply, which is manifested by disturbances in the processes of urination, the formation of swelling in the limbs and lower abdomen, shortness of breath, heart pain and cardiac arrhythmias.

2) Endocrine disorders, manifested by diabetes mellitus and diabetes insipidus. In the first case, symptoms are added by xerostomia (dry mouth), dry skin, itching, and poor healing of wounds and cracks. With diabetes insipidus, there are no such symptoms, but in both cases the woman is tormented by constant thirst. To drown it, you can drink a huge amount of liquid, which is manifested by pallakiuria during the day, and by nocturia (nocturnal diuresis) at night.

3) Descent of the bladder. Nocturnal diuresis is common in women who have given birth frequently. It is a consequence of the constant stretching of the ligamentous apparatus that holds the bladder in an anatomical position, as well as its excessive overstrain caused by childbirth. The prolapse of the bladder leads to a shortening of its neck and the formation of a saccular cavity in which the remains of urine are collected, which provokes in women frequent urge to urinate without painful symptoms.

4) Weakening of the muscle tissue of the bladder leads to a weakening of its walls. Pathology can develop even during puberty and even earlier, as a result of injuries, or the development of tumor processes. Changes in urination are manifested by the release of a small amount of urine and strong false desires "in a small way".

Why does pollakiuria bother women over 50?

1. Physiological old age of the bladder is a deterioration in tissue regeneration (restorative functions), a decrease in its elasticity and muscle activity, functional changes as a result of thinning of mucous tissues, atrophy, degenerative processes of nerve fibers and roots, deterioration of blood flow.
2. All these processes, against the background of the general aging of the female body, lead to an increase in the activity of the urinary organ - this is manifested by increased deurination, false (imperative) urges and even urinary incontinence.
3. The normal functions of the urinary system can disrupt many pathological processes, which often manifest themselves precisely in old age. Signs of frequent urination appear in "mature ladies" with strokes and heart attacks, in patients suffering from dementia syndrome and having diseases (Alzheimer's, Parkinson's) in their arsenal that affect the brain functions that control the processes of urination.
4. Diabetes mellitus, which is widespread among women of age, is no exception. An uncontrolled increase in blood glucose causes the formation of a large amount of urine (polyuria and diuresis) and forced frequent "trips to the toilet".

In women over 50 years of age, urinary disturbances are often caused by:

• Changes in the anatomical position of the vaginal walls, uterus or bladder as a result of prolapse (prolapse, prolapse).
• Prolonged estrogen deficiency during menopause, provoking disorders in the muscular contractility of the cystic membrane.
• "Rich baggage" accumulated over the years of diseases affecting the functions of the central nervous system and blood vessels - pathology of cerebrovascular disorders or atherosclerosing processes in large vascular branches.
• Various medications, which with age, women have to take just as needed. Certain groups of medications (diuretic drugs, sedatives, sleeping pills, drugs containing drugs and many others) affect the contractile function of the bladder, causing women to urinate frequently without pain or manifesting themselves as a complication in the form of increased urge.

Among other pathologies that provoke disturbances in the work of the urinary organs in old age, the influence of an infectious lesion should also be noted, regardless of where the infection was localized in the urinary system. In any case, the processes of urination will be disrupted. Immunity weakened over the years is not able to properly resist a harmful infection, so it easily settles in the female body, causing urological pathologies.

Many of them can proceed secretly, without pain and special discomfort, but with the aggravation of the process, additional symptoms may appear in the form of cramps, burning, pulling and sharp pains in the pubic and lumbar zones, disruptions in menstrual cycles and hemorrhages.

It is these signs that you should pay attention to in order not to miss the development of more serious diseases and prevent their transition to a chronic clinic.

Physiological and anatomical causes

For a woman, pregnancy is a special condition, which is accompanied by additional stress on the body. After all, he is now responsible for the life support of not only the woman herself, but also her fetus. During the period of carrying a child, many expectant mothers may experience special, uncharacteristic signs that cause concern. One of them is increased urination.

There may be several reasons for this. Some refer to a physiological factor associated with metabolic processes, others are due to anatomical changes in the configuration of organs and their relative position.

Changes in the frequency of urination are observed in pregnant women in the first period (trimester) and in the last.

Physiology. As for the physiological factor, the main reason lies in the increase in general metabolic processes. Indeed, for the development of the fetus, the body needs more costs, both energy and substances, to ensure the life of the future man.

At this time, there is an increased load on the female kidneys. Despite the fact that the fetus is still completely tiny, its biological activity is at a high level. This requires a quick purification of the environment in which it is located, from the waste products it secretes, and the renewal of the amniotic fluid (amniotic fluid).

In addition, pregnancy is accompanied by an increase in blood volume in the female body, which affects the functioning of the kidneys, which are forced to increase the filtration rate. As a result - an increase in the amount of urine, to maintain the level of concentration of excreted harmful substances (slags) and prevent them from damaging the walls of the urethral system.

The physiological factor also includes changes in hormonal synthesis. With the onset of pregnancy, the women's body synthesizes a very important hormone (chorionic), the level of which in the body of pregnant women is a very important indicator of the successful development of the fetus. But it greatly affects the increase in the frequency of urination.

Anatomy. The anatomical factor includes an increase in the size of the uterus and the nature of its location. In the first period of pregnancy, the uterus increases slightly, since the size of the fetus is not yet large. In this case, its pressure falls on the neck of the bladder (its back part), triggering reflex mechanisms - this is reflected by frequent urination or tenesmus (false urge).

With an increase in the fetus - in the second trimester, the body of the uterus moves into the peritoneal cavity, reducing the pressure on the tissues of the bladder. In the last period (third trimester), a child who has grown strongly in the womb already squeezes the top of the bladder, again provoking frequent urination. If his movements are also added to this, the urge to urinate may be sudden.

Such changes in the condition of pregnant women are not accompanied by pain, causing only some discomfort, as they are a natural process. Concern should be caused - the addition of other pathological symptoms, the elimination of which and the solution of all problems is only in the competence of the doctor.

What situations require urgent medical attention?

Frequent day or night painless urination is a signal of a change in the usual rhythm of life. And the addition of a different pathological symptomatology is a good reason for emergency examination and treatment. The indications for visiting a urologist are very clear:

• sensations of burning and cramps when urinating;
• soreness in the pubic region;
• loss of strength or inability to fully empty the bladder;
• detection of hemorrhagic discharge from the vagina;
• sharp indifference to food.

The combination of any of these symptoms with multiple visits to the toilet may indicate the development of a serious pathological process. Delay in treatment can have serious consequences for women's health and negatively affect reproductive functions, depriving a woman of the opportunity to become a mother.

Treatment is structured in accordance with the identified root cause.

1. Inflammatory processes require an individual selection of antibiotic therapy, taking into account the detected pathogen.
2. With endocrine disorders, hormonal and sugar-reducing drugs are prescribed.
3. You may need drugs that activate blood flow, improve the adaptive and contractile muscle activity of the bladder.
4. The diet is being corrected.
5. Exercises are prescribed to help strengthen the muscles of the pelvic organs and train the urine of the cystic organ by setting a schedule of urinary processes, which helps to control urination.
6. Physiotherapy treatment in the form of UHF procedures, electrophoresis and therapeutic mud.

If urination is not painful, patients receive a number of recommendations from the doctor:

• for urination to be complete, during the act of urination, it is necessary to slightly tilt the body forward;
• limit drinking regime in the afternoon;
• remove urine at the first physiological need;
• exclude from consumption dishes that cause a strong need to quench thirst;
• limit the intake of foods and liquids that have a diuretic effect.

Frequent urination processes should not be ignored, even if they are not accompanied by a painful syndrome. Any problem causing imbalance in health should be carefully considered. Only timely detection of pathologies will help to find an effective solution.

Many parents are faced with a situation where a child often starts running to write without other complaints and deterioration of health. This usually occurs during the day, the intervals between urination can be 10-15 minutes. There are no symptoms at night. This problem begins to manifest itself at the age of 4-6 years, boys are more prone to pathology.

Do not rush to panic and stuff the child with drugs. First, you should think about why the child often wants to write, and what other symptoms are observed. If there are no signs of urinary tract infections and kidney pathologies, then this condition is called pollakiuria, or "children's daytime increase syndrome."

The volume and frequency of urination are directly related to age. Indicators can increase or decrease with the use of diuretic products (melon, watermelon, berries), as well as a large amount of liquid. The approximate urination rates are as follows:

• 0-6 months: up to 25 times a day, but not less than 20 times;
• 6 months - 1 year: 15 times +/- 1 time;
• 1-3 years: 11 times on average;
• 3-9 years old: 8 times a day;
• 9-13 years old: 6-7 times a day.

As you can see, a small child needs to satisfy the urge to go to the toilet much more often, but by the year their number decreases by half, and at 2 and 4 years this indicator becomes close to an adult.

The daily volume of urine, on the contrary, increases with age, as does the portion. The older the baby is, the less frequent the urge is, but if this does not happen, parents naturally have anxious questions. With what it can be connected?

Pollakiuria: information for parents

Frequent urge to urinate in children sometimes appears when they start attending kindergarten. This is emotional stress, and not all babies quickly adapt to new living conditions. Also, manifestations of the disease can be associated with problems in the family, quarrels between parents, an unfavorable atmosphere in the house.

Let's look at it from a medical point of view. Pollakiuria in children: what is it? This is a disease in which the child often runs to the toilet (every 10-30 minutes, 30-40 micrations a day), while not drinking a lot of fluids and sleeping peacefully at night.

Urination is painless, the panties do not get wet from urinary incontinence, the baby is trained in using the toilet. Another important sign is a small amount of urine in one urination, and the daily indicator for the total volume does not exceed the norm.

If at two years old a child often goes to write, this can be associated with the physiological characteristics of the body or psychological, when kids, especially girls 2 years old, are just getting used to the potty, and they want to more often perform a new action.

But the frequent urination of a 3-year-old child can no longer be ignored by the parents. Less commonly, symptoms appear at 5 years of age and are usually the result of some kind of shock or emotional stress.

Psychological reasons for frequent urination in children require correct parenting behavior. It is unacceptable for ridicule, reproaches, irritability or punishment to appear on this occasion.

Boys and girls cannot control the frequent urge to urinate, it happens involuntarily, unintentionally. Parents should show patience, try to focus less on the problem, but be sure to take the child to a pediatrician for examination and pass urine for examination.

Physiological pollakiuria

Very often, the child pees without pain or other symptoms, which usually indicate a serious illness. Here it is appropriate to consider the physiological pollakiuria associated with the consumption of large amounts of fluids.

If the baby drinks a lot, then the body's natural reaction is the urge to urinate. But this situation cannot be ignored either.

The question is: why does the baby have such an increased need for fluid? Sometimes the intense thirst is simply caused by physical activity or habit. But it may also indicate the presence of diabetes mellitus, therefore, requires medical advice.

The physiological manifestation of the disease is harmless. Everything will go away by itself in 1-2 months, if the parents behave correctly, without emotionally aggravating the problem, especially if it is caused by a strong shock. Physiological pollakiuria can be provoked by such factors:

• Excessive fluid intake. In this case, the child asks to urinate on the pot, never does it in panties.
• Stress, negative emotional arousal can cause similar phenomena.
• Hypothermia of the body, not only in a child of 5 years old, but also in an adult, often causes frequent urination. It is enough to get warm and the problem will pass.
• Taking certain medications (diuretics, sometimes anti-allergic and antiemetic).
• Features of nutrition. Some foods contain a lot of water. For example, in cucumbers and watermelon, cranberries and green tea, etc.

In such cases, the disease goes away on its own, if the provoking factor is excluded. In the case when the child often runs to the toilet due to stress, it is necessary to provide a calm emotional atmosphere around the baby, and over time everything will return to normal.

Pathological causes of frequent urination

A false urge to urinate in a baby or adolescent may be the first sign of pathological pollakiuria. But at the same time, other symptoms are present:

• increased urination of the child is accompanied by pain;
• there is nausea and vomiting;
• tearfulness, lethargy, aggressiveness;
• enuresis;
• temperature increase.

Often, a child can urinate due to the occurrence of diseases of the endocrine, genitourinary, central nervous system.

Problems with the bladder can cause inflammatory pathologies. They are accompanied by pain symptoms, urinary disorders. In girls, frequent urination and pain may not be a symptom of the disease, but a manifestation of early pregnancy. The occurrence of neoplasms of the pelvic organs is not excluded.

The causes of incontinence or frequent urination in a 4-year-old boy may be associated with a malfunction in the transmission of nerve impulses from the brain. These processes can be caused by vegetative disorders, trauma, neoplasms in the spinal cord or brain.

Large amounts of urine are usually associated with kidney or endocrine dysfunction. In any case, if you notice an increase in the frequency of urination of a teenager or a young child, do not waste time, immediately consult a doctor in order to establish an accurate diagnosis and start treatment in a timely manner.

Diagnostics of the pollakiuria

If the child often goes to the toilet "small", you need to find out the root cause of this condition. To do this, contact a pediatrician or urologist so that specialists, based on symptoms, can make an initial diagnosis and refer for additional examinations.

In the analysis of urine, the presence or absence of pathogenic microorganisms will be seen. A general and clinical blood test will exclude diabetes mellitus. Uroflowmetry will determine the pathology of urinary tract urodynamics.

Sometimes an ultrasound of the kidneys and bladder is prescribed or referred for consultation to a nephrologist. In case of physiological disorders, a visit to a psychologist is required.

In any case, the child's frequent urge to use the toilet cannot be ignored. But do not panic, analyze the frequency of urine flow and the amount of fluid. Perhaps this is just a temporary period that will pass without medication and medical intervention.

Treatment of frequent urination in children

What if the child starts to write often? Is it worth it to be alarmed or can you wait? First of all, you need to ask these questions to the doctor in order to exclude urinary tract infections and any pathology.

Frequent urination in babies, accompanied by painful symptoms, requires immediate treatment. But first of all, the doctor analyzes the factors that could cause this. If this is a disorder of the central nervous system, sedatives are prescribed. If there is a tumor, surgery is required.

When inflammatory processes occur, uroseptics are prescribed, in extreme cases - antibiotics. Frequent urination in adolescents often requires hormone therapy and the appointment of cytostatic drugs.

Prevention of disorders

There is no special prevention of this problem. But since the problems of frequent urination are often associated with the emotional state of the child, it is necessary to ensure the psychological health of the family, to exclude quarrels, scandals, and stress.

Regularly show your baby to the pediatrician in the first year of life, do not allow hypothermia. Remember, in many respects it is the correct attitude of parents to the health of the family that will help to exclude a number of diseases.