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Wednesday, October 14, 2015
How to tell if you're peeing too often

Sprinting to the bathroom is normal when you've got a bladder that's about to burst. But if you're making mad dashes multiple times a day, it could spell a more serious health problem. Are you peeing too much? Here's how to tell.
If you're peeing more than seven times a day, something might be wrong, says Dr Rajeev Sood, director, Urology, Robotics and Kidney Transplant, Fortis Hospital, Delhi. Even if you aren't quite reaching that number, anything different from your normal routine can indicate a problem, too. But sometimes, Dr Sood says the change of frequency may just be a reflection of increased water intake. And some people tend to pass more urine in colder environments, he adds.
Answering nature's call two to three times a night can also be a red flag, since most people can get a regular night's rest without using the bathroom at all, he says.

UH-OH. I exceed the normal pee limit. What gives?
When your bladder fills up with urine, nerve signals tell your brain you need to take a leak. But if you have an overactive bladder, those signals fire even when you're low on urine. And while there's not really any medical downside to frequently dashing off to the toilet, it could impact your quality of life by contributing to depression or messing with your sleep. Docs aren't sure what exactly causes an overactive bladder, but as you get older, your risk increases. Other potential culprits include diabetes, urinary tract infections, and an enlarged prostate. The gland pushes on your urethra-the tube you pee through-and squishes it, making your bladder work harder to push the urine out. This extra activity inflames the nerves, sparking that panicked feeling.
What's more, the squishing of the urethra can cause a weak flow, which prevents you from emptying your bladder completely and makes frequent bathroom trips more likely.
Say you pee a lot, but your urine dribbles out especially slow. While that could point to an enlarged prostate, it can also signal something called a stricture, which is a build-up of scar tissue in your urethra. This could be due to previous surgery, an accident, or prior sexually transmitted infection (STI). The condition is painful, and can cause urinary retention-which, if left untreated, can damage your kidneys-so treatment with cystoscopy or surgery is often recommended.

All that stuff sounds serious. Could it be that I'm just drinking a lot during the day?
That could certainly be your answer, especially if you drink diuretics like caffeinated tea, coffee, or alcohol. Guzzling these beverages too late at night can have you waking to pee at night. So for a better night's sleep, try avoiding these drinks for about four hours before you hit the sack.
Feeling anxious or uneasy can also spark that gotta-go feeling, even if you just peed a little while ago. "Some people when they're stressed have a nervous stomach or nervous bladder," says Dr Sood.
Focusing on something else to distract your mind from that feeling can help the urge pass. Using calming breathing techniques can be effective, too. So when is it time to call my doctor? If your frequent trips are starting to seriously impact your day, make the call. You should also ring up your doc if you feel pain while peeing or if you see blood in your urine. Both of those symptoms can be signs of a bacterial infection of the urinary tract, or even something more serious, like bladder cancer.

What can I expect at my appointment?
Your primary care doctor will do a simple blood test to check for any underlying medical conditions-like diabetes-as well as a urine culture, which can rule out any infections. They may also perform a rectal exam to feel your prostate and see if it's enlarged.
Your doc might ask you to keep a log of your dietary and bathroom habits. This can help rule out anything lifestyle-related, like drinking too much caffeine. Before your doctor diagnoses an overactive bladder, he or she may need to rule out other causes first. For instance, your doc may order an ultrasound to check for something like kidney stones. Then you may be sent to a urologist for further testing.
Treatment depends on the cause of the problem: Your doc may prescribe antibiotics to fight any bacterial infection. For an overactive bladder, they may have you try pelvic exercises like Kegels. If that doesn't help, your doctor may prescribe meds that relax your bladder, like Vesicare, Detrol, or Ditropan. In some cases, Botox can be used to calm your bladder and reduce the urge to go.
With successful treatment, you can improve your quality of life and reduce your non-stop toilet trips. An overactive bladder doesn't ever really go away, but you can learn to manage it and, in some cases, eventually stop your meds.

The danger of holding it
Ever thought about what happens when you "break the seal" during a night of drinking? Of course you're going to get the urge to pee after you've thrown back a few beers. But all it takes is one whiz to open up the floodgates, and before you know it, you're returning to the bar bathroom every 20 minutes.
The reason you can't stop yourself after that first pee is because the relief of urinating sends feel-good signals to your brain. To curb the frequent trips, you might try to hold in your pee. Bad move: Ignoring a brimming bladder could do some serious damage, says Dr Sood.
Once a buddy in his 20s had gotten drunk and passed out. The doctors said his bladder was holding the equivalent of about three bottles of wine and it became over distended, like a floppy bag.
After that, the patient was never able to urinate normally again and had to stick a catheter in his penis four to six times a day. That's the worst-case scenario. Doing a fidgety dance for an hour or two on a road trip won't lead to any permanent damage like that, but fighting your body's urge to pee for long periods of time can indeed wreak havoc on your bladder. If you hold it in to avoid public restrooms, for example, you could be more likely to develop long-term urinary tract symptoms like frequent and painful urination.

Breaking the seal doesn't sound so bad now, does it?

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