'Maybe it's frequent urination... ' What are the criteria for getting an examination in a urology department?

 

If I urinate frequently, do I need treatment? Also, apart from the frequency of peeing, if the time until it becomes unbearable is getting shorter. Indeed, at what level is "frequent urination requiring treatment"?

When I was worried, it was the consultation timing

Is there a definition for so-called 'frequent urination'? Also, are there any examination criteria?

In the Urology Association, "more than 8 times a day" while awake is defined as frequent urination. However, it does not seem that there is a significant difference between the 7th and 8th times. So, if I put this answer first, would it be something like, 'If you feel that you are concerned, please consult a medical institution at any time, regardless of the number of times.'

There are cases where it is unavoidable because of a sudden urge to urinate rather than 'number of times'.

It is one of the symptoms of 'urgency to urinate'. If you can't afford to go to the bathroom, you won't be asked how many times. As a countermeasure, medications are used to ease the urge to urinate. Perhaps the term “wa-active bladder” means that the bladder hardens and does not inflate. So, suddenly, a sense of urgency came over and I thought it was unbearable.

In other words, are you talking about a 'tank problem' called the bladder?

In addition to the tank problem, for men, a 'hose problem' can also be considered. It may be that the urethra is compressed due to an enlarged prostate, etc. Also, if stones form in the bladder, stone stimulation may be mistaken for 'a sign of accumulated urine'.

Recently, due to the prevention of infectious diseases, if I spend a lot of time in the house, I want to go to the bathroom without realizing it.

If you feel that life is difficult even with frequent urination from the heart, see a doctor. It is also conceivable that investigations reveal that other diseases, rather than the heart, were lurking. In general, if there seems to be a problem with Toshiko, let's try to solve it.

How to diagnose various causes of frequent urination

Next, I would like to ask you about the flow from diagnosis to diagnosis.

One of the most used tests in the test is the echo test. If it is a 'hard tissue' such as a stone, it is taken, and it is also determined whether urine is stagnant or not in the shape of the entire bladder. Many of the causes of frequency of urination in terms of frequency are also 'it is impossible to gather' or 'is it impossible to pay everything'.

If there is no problem in the echo test, does it mean that we are looking for another cause?

That will happen. If a gland infection is suspected through a questionnaire or appearance, pus from the affected area is also examined from the beginning. Conversely, it may be possible to arrive at the final answer by repeating several exclusion tests.

Should nocturia be distinguished from daytime frequency?

Nocturia is a more common cause. Drinking before bed is also involved, and if you don't move very much from the evening to the night, the effect of gravity will cause water to build up in your legs. When you sleep in this state, water returns from your legs to your body. Or the quality of your sleep. In fact, it may not happen because of urination, but after waking up first, you may just feel 'a little urination'.

As we proceed with the exclusion diagnosis, it seems that a dreadful disease may be revealed.

Of course, this is a possible story. In particular, bladder cancer is one of the diseases that cannot be overlooked. Also, people with high blood pressure produce the same urine as they do during the day while they are sleeping. Other than that, if you have a heart disease, there seems to be a tendency to urinate more at night or in the morning. So, the entrance called 'frequent urine' is the same, but there are various exits. So let's start with the most probable risks.

Right and wrong of marketed drugs and treatment in medical institutions

We find commercially available drugs or products related to frequency of urination.

Most of the drugs on the market are herbal medicines. There are many cases of prescribing herbal medicines in our hospital, and we do not deny it if we try it and see if it works. But after all, I want to get a medical examination and do an examination to find out the cause.

What is the big difference between over-the-counter and prescription drugs?

I think it is 'whether or not a doctor is involved' rather than an ingredient. Prescription drugs are based on a doctor's accurate diagnosis, and if necessary, they may be able to suggest other treatment options, such as botulism. On the other hand, I think that commercial herbal medicines have natural constitutions, etc., depending on the person.

Because frequent urination affects not only the person but also the person, it would be better to treat it.

Yes. A partner's nighttime problem of waking up in the city is a possible story. Also, considering future dementia, the burden on the caregiver will also have to do with it. Including such worries, “when you have questions is the best time for a consultation.” What's more, in fact, if you have an enlarged prostate, your bladder hardens, much like high blood pressure causes arteriosclerosis. These problems are also included, so if you can solve them, let's solve them as soon as possible.

This concern is related to QOL, or 'quality of life'. You may think that 'it is not a life-related disease, so there is no need to treat it', but please be sure to use a medical institution in terms of 'quality of life'.

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It was said that the examination criteria for frequency of urination include not only quantitative vocal cord imitation such as the number and amount of diapers, but also qualitative factors such as 'you or your family are in trouble'. Then, if it is not difficult, it cannot be said that there is no need for treatment. Because there is a possibility of such a dreadful disease as bladder cancer. That's why we recommend that you take the test at least once.