What Causes Frequent Urination?

Posted on Wed, 9 Sep 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 9 Sep 2015 Answered on

Sat, 26 Sep 2015 Last reviewed on

Question : I have to urinate several times some mornings, I get the urge and I can go, it's only about 100ml each time and I feel empty after. Quickly it builds again. This morning I've been about six times in two hours. No pain, but needing a wee. My wee is very clear, no blood. I've been tested for diabetes and scored a 6.4 as well as uti and was negative for all infections. I've also had bloods inching psa (I think it's called) for prostate issues.

Should I just learn to live with it?

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Overactive Bladder

Detailed Answer:
Hello and Welcome

I appreciate your concern

The workup you have described is what is usually done to rule out common causes of frequent urination. These include urinary tract stones, strictures, infections, obstruction. Based on your description its likely to be related to an Overactive bladder. Kegel exercises, voiding diary, diet adjustment including reduction of caffeine intake and anticholinergic medication like tolterodine can be options for treatment. Anxiety and stress can be related to a central component for an increased urge to urinate. Benzodiazepines or SSRIs can be advised accordingly if such an aspect is suspected. Cystometric studies can be advised to look for abnormal detrusor muscle spikes. Please consult a urologist in this regard.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (8 hours later)

Worked with my doctor today and the last test is a diabetes test just to be sure as I urinate more in the morning.

My last question to you my doctor said hesitation alone (very mild) isn't something to worry about, I have excellent kidney, prostate etc results, no pain and no blood.

She said flow is something to be aware of but I'm wondering how do you know if a flow is weak? Are we talking dribbling or just less pressure?

Is there a way at home to define if it is weak?

Answered by Dr. Dr. Muhammad Sareer Khalil (23 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello

A weak flow can be deduced in the following way. An abnormally slow flow of urine during voiding is determined when the XXXXXXX urine flow rate is less than 15 ml per second. It includes a sensation of incomplete emptying of the bladder, with residual urine volume over 30 ml, within one minute of voiding.

Let me know if you have any query

Thanks.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar