He had to wake up from sleep to urinate 2 or 3 times. Urine started leaking even when she coughed or sneezed. When he discussed it with some women sitting with him in the park, someone said that it was a symptom of kidney disease. He impressed upon Suman that her kidneys had failed. She got a little nervous.
After this fear, when BP was checked, it was high, pulse rate was also high. He immediately got his sugar level and kidney function tested. Taking all the reports she went to the kidney doctor. The doctor saw the report and listened to the whole thing. The doctor clarified that the problem is not kidney or sugar. He told that most of the times pelvic muscles become weak due to pregnancy. The urinary bladder hangs downwards. This also increases the frequency of urine.
The doctor said to do Kegel exercises. If you had done this exercise beforehand then it is possible that the problem would have been less. Also prohibited from drinking tea and coffee after evening. These are diuretic (make one urinate more). The doctor said that if there is a suspicion of illness, it is important to get tested and not increase the BP out of panic.
Why do you have to run again and again to urinate?
More frequent urination depends on many things. It can also be a sign of illness or worsening lifestyle. This is also possible due to cold weather. Still, if you have to urinate repeatedly after waking up at night, you should consult a doctor:
Nowadays health is discussed the most. Be it social media, YouTube or any other platform. People who give tips to stay healthy or give information about any symptoms are also found in the society, family and friends. There is nothing wrong in this, but if the information is not correct then fear definitely sets in the mind. Suppose if someone urinates excessively, it does not mean that he has diabetes or has any kidney related problem. Before trusting someone, it is important that we verify it from the right source. Get to the bottom of that topic. Sometimes all this also happens due to seasonal changes. The truth is that our diet and drinks should change according to the season. We also change. We don't usually drink soup in summer, but we do in winter. In summer, one feels more thirsty and sweats more. Therefore drink more water. Drink less water in winter because you feel less thirsty. This is normal.
Some physical problems become the reason
Prostate enlargement in men
Enlargement of the prostate gland can also be a major reason for frequent urination. Actually, due to its increase the path of urine becomes narrow. Due to this, urine is not emptied in one go. Therefore, you may have to go again and again and also frequently. This usually happens after the age of 45-50 years.
What to do: If there is no diabetes and no other problem. But if there is a problem of frequent urination, then one should consult a doctor regarding prostate enlargement.
when sugar is high
It is possible that if sugar is high then there may be more urine. This is called Diabetic Cystopathy. In this condition, the diabetic patient loses control over his urinary bladder (where urine is stored after being produced). This problem occurs due to nerve problems. In such a situation, the urinary bladder is not completely emptied in one go. Suppose there is 400ml of urine stored in someone's bladder, that is, the bladder is almost full. Also, that person is suffering from diabetic cystopathy due to high sugar level. In such a situation, he goes for urine and gets only 100ml of urine because he is not able to empty the bladder completely. Urine decreased but was not completely emptied. Now within a few minutes, if 50-100ml more urine also accumulates in the bladder, then the person will start feeling the pressure of urine again and he will urinate again. This sequence continues. This problem can happen to both men and women.
BP-kidney problem
Due to high blood pressure, one may have to urinate frequently. The body tries to control BP by removing excess water. At the same time, blood pressure medicines also put pressure on the kidneys to produce more urine. Prolonged high BP affects the kidneys and changes the frequency of urine.
Have a UTI
When there is infection or inflammation in our urinary tract, we may have problems with frequent urination. Actually, due to infection, the inner layer of the bladder gets irritated. This gives a wrong signal to the brain that the bladder is full. Urine is felt, but either it does not come or it comes very little. In such a situation, the person goes for urine again and again. Some people due to UTI experience frequent pressure along with burning sensation but the amount of urine is less.
Symptoms of infection
- Burning sensation with urine, frequent in small quantities. The frequency should increase at night.
- Even after urinating, one feels as if one has to go again. Urine also smells.
- When UTI is in the upper part i.e. near the kidney, fever also occurs. Fever is usually less in lower tract infections.
If in doubt, get this test done
- Urine Routine & Microscopy
- If necessary, urine culture also.
drinks and diet
There are many things in our diet that cause excessive urine output. These are called diuretics. Especially tea, black tea, green tea, coffee, cold drinks and alcohol. Therefore, people who have the problem of excessive urination, especially due to sleep disturbance, should ask the doctor to reduce the quantity of such things or not to take them. At least do not take it after evening. Anyway, there is no benefit from alcohol, yes it definitely causes harm. At the same time, there are some natural diuretic food products also. For example: celery, tomato, cabbage, onion etc. Fruits include watermelon, pineapple, grapes and blackberries etc.
Walk, exercise less
In winter, there is usually only one way for water to leave the body, in the form of urine. A small amount of water also comes out in the form of respiratory steam. On an average only 100 to 300ml comes out in the form of steam. In summer, we need more water because up to 500ml of water goes out of the body due to sweat. If a person does heavy exercise even in winter, he will need more water and the pressure on the kidneys will be less. Sugar and BP patients must keep these things in mind. Therefore, if we strengthen the body then all the organs inside and outside the body will also become strong.
If urine leaks when you cough, sneeze or laugh, then know this:
Such problems can happen to both men and women, but it is more common in women. The main reason for this is conceiving pregnancy more often. In these, pelvic floor muscles become weak due to which urine is not controlled. Urine can leak when you cough, sneeze, or even laugh loudly.
Pelvic floor muscles where: This is a group of muscles that extend towards our pelvis (inside the hips). These muscles support the lower limbs of our body. These are present from the spinal cord to the place where urine and stool come out. These muscles become weak with repeated pregnancies. Due to this, one cannot control urine, stool etc. These are the muscles that give the strength to hold for some time after the pressure of urine or stool etc. At the same time, weakness of these muscles is also a reason for the problem of early ejaculation during sexual activity in men.
Kegel exercises are done to strengthen these muscles. Since it is in the lower part. Therefore, it does not become stronger with normal exercise. First of all they have to realize where they are and which ones they are. For this, when someone feels pressure of urine or stool, stop for a few seconds only for the first time. Those with the help of which they are controlled are the pelvic floor muscles.
Do exercise like this
It's easy. This can be done lying down or sitting on a chair. Keep your stomach, thighs and buttocks loose in this. There is no need to stop breathing during this.
Step 1. Contract the pelvic floor muscles as if controlling urine. Do for 3-6 seconds.
Step 2: Leave the muscles completely loose. Give rest for about 3-5 seconds.
How often to do: Do this 8 to 10 times in one set for the first week. From the second week, do this 3 to 4 times a day and 10 to 15 times in a set.
Do not make these mistakes during Kegel exercise
- Do not pull the stomach inwards.
- Do not tighten the buttocks muscles.
- Do not do this type of exercise by holding your breath. At the same time, do not do Kegel Exercises every day while controlling urination. It is enough to do this once or twice only on the first day. The rest has to be done regularly when there is no pressure to urinate or stool.
What are the benefits?
- It is better to start this exercise after the age of 18 years.
- Do this exercise after the age of 40. At the same time, it becomes very important in women after menopause.
- This reduces sudden leakage or loss of control of urine in both men and women.
- This speeds up recovery in women after delivery. The risk of the uterus/bladder slipping down is reduced.
Are there any rules for drinking water?
To be honest, there is only one rule for this. That is, we should drink water as per our need. The body most often places the need for thirst at the top. Water is needed for all body functions. If food is needed, the body makes use of the fat present within it, but water is not stored in this way. Yes, water is present in all cells, but not in any particular organ. The condition of camels is different from us. That's why when we feel thirsty, it gradually increases. Suppose a person has neither eaten nor drunk anything for 2 days. In such a situation, when both food and water are placed in front of him, he will naturally drink water first. If we drink water unnecessarily, if we drink too much water, our kidneys also feel its pressure.
How much water do we need every day?
When we talk about the average requirement, it is 2 to 3 liters in summers, while 1.5 to 2.5 liters is sufficient in winters. However, how much water to drink depends on our state of thirst. At the same time, for kidney and liver patients, doctors often prescribe the amount of water to protect these organs, not according to thirst. It is advised to take only 1 or 1.5 liters of total liquid (water, tea, juice etc. together).
How long does it take to produce urine after drinking water?
On average, this may take 30 minutes to 90 minutes. Many times this work is done quickly when the stomach is empty. After drinking water, it takes 20 to 30 minutes to reach our blood. After this the kidney filters it. At the same time, if there is lack of water in the body i.e. dehydration, then the kidneys retain water and this reduces the amount of urine. At the same time, deficiency of ADH (anti-diuretic hormone) hormone in the body also makes a difference. Many people are given diuretic medicines to control BP, this can reduce the time taken to produce urine.
How much water should we drink every day? Don't worry if you wake up due to urine how many times a night?
It is not necessary that the problem of frequent urination is due to kidney problem, but it is also not right to ignore it every time.
average for a normal person
water as per thirst
- 1.5-2.5 liters of water in winter
- 2-3 liters of water in summer
- 1 to 1.5 liters of urine every day
Know the condition of the body from the color of urine
- Light yellow means the body is healthy and well hydrated. The yellow color is due to urochrome pigment which is normal.
- Very white or transparent body fluid
- Dark yellow is lack of water in the body. This may also be a sign of jaundice. Therefore there is a need to drink more water.
- Orange liver or bile duct problem, jaundice also possible or effect of medicines.
- Presence of pink/red blood, urinary infection, kidney stones or due to eating beetroot/blueberry, also possible due to medicines.
- Foamy infection (UTI) may occur. Apart from this, it is also a sign of kidney problem or protein in urine.
- Note: If the color of urine is abnormal (red, dark yellow) and does not return to normal even after drinking water, do not ignore it. If there is persistent foam or foul smell in the urine, it could be a sign of excess protein (kidney problem) or infection.
expert panel
- Dr. Sandeep Guleria Senior Consultant Surgeon, Indraprastha, Apollo Hospital
- Dr. Sandeep Mahajan, Professor Department of Nephrology, AIIMS
- Dr. Anupam Aggarwal, Associate Professor, Nephrology, Safdarjung Hospital
- Dr. Shriram Kabra, HOD Nephrology, Maringo Asia Hospitals
- Dr. Prashant Jain, Senior Consultant Urologist, PSRI Hospital
Disclaimer: This article is for general information only. NBT does not take responsibility for its truthfulness, accuracy and effectiveness. It cannot in any way be a substitute for any medicine or treatment. Always consult your doctor for more information.
