I don’t want to urinate and my stomach is full. Constant feeling that you want to pee, that your bladder is full

A concerned patient asks the therapist a question: “Why do I often go to the toilet “small”? Tell me what’s wrong with me.” If everything were so simple and it was possible to make diagnoses without tests, then the profession of a doctor could become the most unnecessary in the world. However, everything is much more complicated, and a patient who constantly wants to go to the toilet “in a small way” may end up with the most unexpected doctor’s conclusion: from kidney inflammation to diabetes mellitus. In this article, we will find out what diseases cause frequent urination.

What to do if you often go to the toilet “smallly”?

In principle, the answer to this question is completely obvious. In case of any deviations from the norm, you should contact your doctor, take tests and undergo an examination if necessary. Below we provide a list of possible causes of frequent urination.

Do I often go to the toilet "smallly" because I'm pregnant? Carrying a fetus changes the structure of the female pelvis and puts pressure on the bladder. The result is frequent urge to go to the toilet. Therefore, the reason may be pregnancy, but the doctor should still be warned about this.
Frequent urination accompanied by a burning sensation. This is a sign of pelvic infection or inflammation. Any sexually transmitted infection is accompanied by similar symptoms, so you should contact both a gynecologist and a urologist. Prevention of such troubles still includes personal hygiene, condoms and keeping the lower body warm.
Do I often go to the toilet "smallly" because I have diabetes? Elevated blood sugar levels can indeed have this effect, and this category of patients often complains of frequent urination. The patient must find a solution together with his doctor.
Urolithiasis and urological inflammation. A sign of frequent visits to the restroom is a violation of the kidneys and genitourinary system. Associated symptoms: fever, which cannot be brought down with medications, pain in the urinary canals, pain in the kidneys, drowsiness, lethargy, lack of appetite, vomiting, “sand” in the eyes. These manifestations appear much earlier than obvious problems such as frequent urination.
Do I often go to the toilet "smallly" because I drink a lot? Do not forget about the simple physiological feature of the body to remove everything unnecessary. If it's summer and you consume a lot of fluids, fruits and vegetables, then at least once an hour you will have the urge to visit the restroom.
Normal urination . It is difficult to determine the norm that will be true for each individual, however, there is still a general figure in medicine: urination is considered frequent if it occurs more than 5 times a day. In such cases, you should undergo a preventive examination of the whole body (for your peace of mind and longevity).

Treating Frequent Urination

A doctor would never recommend on the pages of a magazine any medications for a particular disease - this does not entirely correspond to medical ethics, and it is simply impossible to prescribe the correct treatment without seeing the patient’s tests. Do not engage in amateur activities, but leave your health in the hands of professionals. Let's be honest, people in our country are not in a hurry to go to the clinic when they feel unwell, but doctors advise treating yourself more carefully and undergoing a general examination in a timely manner.

What are the most common causes of difficulty urinating in men? Most often, urinary dysfunction occurs when the genitourinary system is damaged: kidneys, bladder, urethra. A doctor can make an accurate diagnosis based on the patient’s symptoms and examination results.

Diseases that lead to difficulty urinating

Usually a man who feels the urge to urinate goes to the toilet and gets rid of the liquid in a few seconds. A normal stream is tight, hitting the surface of the toilet elastically, with a clearly pronounced sound. The pressure is maintained until the very end of the act of urination.

It is natural to have some hesitation before urinating in the morning, when a man experiences an involuntary erection. Also, sometimes there is a short gap when it is necessary to strain the peritoneum in order to urinate if a man goes to the toilet immediately after intercourse. The waiting time is no more than a couple of seconds.

How can you determine that a person has difficulty urinating?

Urine is released in drops rather than in a stream.
The stream is sluggish, may be tight at the beginning and weaken towards the end of urination, or be constantly weak during urination.
Urine output takes a longer period of time instead of 1-2 minutes.
The stream is interrupted and urination must be resumed constantly.
The jet bifurcates, the liquid sprays heavily or is directed not directly, but to the side.

If, in order to pee, a man regularly has to strain very hard, straining his peritoneum, this also indicates difficulty urinating.

Stones that provoke the development of inflammatory processes, disrupt the functioning of the genitourinary organs and complicate urination, can form in the kidneys, bladder and even the prostate gland (secondary stones). They are formed from uric acid salts and can be small pebbles up to several millimeters in diameter or sand with a grain diameter of less than 1 mm. Heavy urination in men is one of the symptoms of urolithiasis.

Possible reasons for the development of pathology:

Genetic predisposition.
Lack of fluid intake.
Sedentary lifestyle.
Drinking liquids with large amounts of mineral salts.
Anatomical features of a person.

The main symptom of the disease is a feeling of pain, cutting, burning when urinating. Slight displacement of stones can cause blockage of the urethra and acute urinary retention. If a man feels his bladder is full, but cannot urinate without straining, he should immediately consult a doctor.

Urethritis

Most often, urethritis (inflammation of the urinary tube) occurs with frequent urination. But, despite frequent visits to the toilet, the man is unable to completely empty his bladder. Moreover, the process of urination becomes extremely painful; you have to constantly strain the abdominal wall to maintain the force of the stream. Due to inflammation, the urethra narrows and fluid may be difficult to excrete.

Experts distinguish several types of urethritis:

Bacterial.
Viral.
Gonorrheal.
Trichomonas.
Candida.

Difficulty urinating can develop after improper treatment of acute urethritis, mechanical irritation of the urinary opening, or poor hygiene.

Prostatitis

Any type of prostatitis (bacterial, chronic, acute) causes urination problems. Frequent urge to urinate may result in nothing. Urine flows out of the urethra almost drop by drop, even if you manage to pee normally, the feeling of fullness of the bladder remains and the desire to go to the toilet “in a small way” persists.

Acute prostatitis causes a man the maximum amount of discomfort. Symptoms of the disease:

Increase in body temperature to 40 degrees.
There is pain in the groin and perineum.
Not only is it painful to write, but the act of defecation causes pain.
The prostate swells so much that the man cannot urinate at all. Tension of the peritoneum leads to the fact that a person simply feels severe pain above the pubis.

Acute urinary retention, which develops with swelling of the prostate, can lead to painful shock and rupture of the bladder. Therefore, at the first sign of a disturbance in the outflow of urine, you should seek medical help.

Diseases affecting the genital organs

There are difficulties with urination in men who have suffered from inflammatory diseases of the genital organs. Urinary retention is possible with:

Orchitis - inflammation of the testicles.
Balanitis - inflammation of the foreskin, head of the penis.
Epididymitis - inflammation of the appendages.

A person’s urination process may slow down, the urge to urinate becomes more frequent, and the frequency of visiting the toilet increases at night.

Trauma to the genital organs, surgery on the penis or bladder can lead to a narrowing of the lumen of the urethra. After any intervention, adhesions and scars remain in the tissues. It is also possible to develop an inflammatory process, which provokes a violation of the outflow of urine. The following manipulations lead to difficulty in releasing fluid:

Inaccurate masturbation with excessive exposure of the head, tension of the frenulum.
Sexual intercourse associated with injury to the penis.
Lifting weights.
Doing heavy physical work.
Constant suppression of ejaculation at its peak, leading to the fact that sperm is “driven” into the testes.

Sluggish urination in men can be a sign of the development of cancer in the urethra, bladder, and kidneys.

Sexually transmitted infections

Syphilis, candidiasis, gonorrhea, trichomoniasis lead to inflammation of the urethra. In this case, not only does it become difficult to pass urine, but other symptoms also appear: rash, whitish discharge, purulent odor from the urethra.

Damage to nerve centers in the brain and impaired circulation of cerebrospinal fluid in the spinal column can also lead to difficulty urinating. Malfunction of the urinary system is caused by:

Injuries to the head, neck, back.
Ischemic or hemorrhagic stroke.
Epilepsy.
Hydrocephalus.

It has been noted that even children have difficulties with urination due to neuroses, depressive states, and psychological imbalance.

Sometimes psychological reasons prevent a man from peeing calmly. For example, he considers this process too intimate and cannot urinate in a public toilet or in the presence of strangers. Some men have a very high degree of inhibition, when they cannot squeeze out even a drop if they know that there is a woman in the corridor, behind the toilet door.

How is pathology diagnosed?

Do you have difficulty urinating? Do you want to find out the cause of the pathology and eliminate it? If unpleasant symptoms appear, you should contact a urologist or sexologist. After examining the patient and listening to complaints, the doctor will suggest an in-depth examination:

Ultrasound of the prostate, kidneys, bladder.
Examination of the prostate gland through the anus.
Computed tomography of the genital organs, soft tissues of the pelvis.
X-ray of the kidneys, genitourinary system.
Urofluometry to determine the rate of fluid secretion from the urethra.
Cytoscopy of biomaterial from the urethra.
For inflammatory and infectious diseases - bacterial culture of the urethral mucosa to determine the pathogen.

If there is a suspicion that the growth of a cancerous tumor is interfering with urination, you may need to undergo a biopsy - tissue collection for examination. This procedure helps to determine whether there are cancer cells in the genitourinary system, how quickly they divide, and whether there are metastases to other organs and tissues.

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Features of treatment

Treatment for a man with difficulty urinating is prescribed by a doctor, based on examination data, the general condition of the patient, and the characteristics of his chronic diseases.

For urethritis, patients are prescribed lavage of the urethra with Potassium permanganate, Miramistin solution, and Protorgol. Antibacterial drugs must be prescribed to eliminate the inflammatory process. The choice of tablets is made after identifying the pathogen and clarifying its sensitivity to certain drugs.

Acute or chronic prostatitis is also treated with antibiotics. You may need to take antiseptic medications and non-steroidal anti-inflammatory drugs for pain relief.

When a man has trouble writing, traditional therapy can be supplemented with traditional medicine methods.

To relieve muscle spasms, you can drink tea from the fruits of the tea rose (hibiscus) throughout the day. These fruits speed up urine processing and help remove excess salts from the kidneys.
A decoction of juniper berries helps normalize the urination process.
An infusion of nettle leaves, flowers and fruits is taken as a general tonic. You can drink it every day for more than a month instead of tea.

Please note that the problem of urination often occurs in people who prefer a sedentary lifestyle. Stagnation in the pelvic organs and obesity lead to poor circulation and deterioration of metabolism. This, in turn, provokes the development of inflammatory diseases. Don’t “hatch” illnesses, play sports and don’t forget about a healthy lifestyle.

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The number of urinations per day depends on many indicators - age, condition of internal organs, volume of fluid consumed, dietary habits, psycho-emotional state. Therefore, the feeling that you want to go to the toilet in a small way can have natural or pathological reasons.

Reasons why you often want to go to the toilet

From time to time, a frequent desire to visit the restroom occurs in people of different ages; getting rid of the problem is not difficult, you just need to find out the cause of frequent urination.

Important! One of the main reasons for rapid bladder overflow is taking diuretics or antihypertensive drugs, eating large quantities of berries, fruits and vegetables. The danger comes from false urges, when you want to write, but in reality there is nothing with which to write.

In men

Frequent urination is a common symptom of infectious pathologies in the urethra, bladder, and kidneys. In this case, during bowel movements, pain and burning and heaviness occur in the groin area. With inflammatory diseases, a person constantly has the feeling that he wants to, but cannot, little or no urine is excreted.

Frequent urges to go to the toilet are the result of age-related changes in the body. The older a man is, the more often he has the desire to empty his bladder. The problem bothers me day and night, but usually I urinate without pain or other unpleasant symptoms. If the desire to go to the restroom is accompanied by pain, urine is released in small portions - this may be a manifestation of prostate adenoma.

Important! Even in old age, the number of nightly visits to the toilet should be no more than 2, otherwise you need to consult a doctor.

In women, due to the peculiarities of their anatomical structure, various infections affect the organs of the urinary system more often than in men. Inflammation is manifested by nonspecific discharge, pulling sensations in the groin area, and the process of urination causes discomfort.

Frequent urges to go to the toilet bother women during ovulation, during menopause - against the background of changes in the hormonal background, the tone of smooth muscles decreases, the feeling that you really want to go to the toilet occurs even with minimal accumulation of urine in the bladder. Copious urine output is observed with endometriosis, uterine fibroids, and after cesarean section. Often pathologies are accompanied by a violation of the monthly cycle, expressed by PMS.

Important! In women, increased urine output occurs after stress, with strong arousal, anxiety, and while taking weight loss medications.

During pregnancy

In the later stages of pregnancy, the uterus begins to put pressure on all internal organs, so the woman constantly wants to go to the toilet in small and large ways. In the early stages of pregnancy and before the birth itself, many chronic diseases become aggravated against the background of a weakened immune system, therefore, if going to the toilet hurts, you need to inform your gynecologist about it.

Important! Frequent urination is one of the first signs of pregnancy, which may appear even before your period is missed. After fertilization of the egg, hormonal changes begin in the body, which provokes a frequent urge to defecate.

In children

Children pee more often than adults. Babies up to one year old empty their bladder up to 20 times a day, but by the age of 6 this number decreases to 6–8. In 20% of children these indicators are higher, which also falls within the normal range. In a child, frequent urination is a consequence of hypothermia, stress, and severe fear. But sometimes such symptoms are a manifestation of serious illnesses.

Main reasons:

diabetes mellitus and diabetes insipidus;
inflammatory pathologies of the urinary system;
neurological diseases;
viral and bacterial diseases that are accompanied by fever;
kidney dysfunction;
congenital pathologies of internal organs that prevent the normal outflow of urine;
foreign object in the urinary ducts;
vulvovaginitis and balanoposthitis.

Signs of disease are sleep disturbances, weight loss, extreme thirst, hyperthermia, swelling in the face and calves, changes in the color and odor of urine.

Important! In preschool children, a frequent desire to go to the toilet may indicate infection with worms.

Frequent urination is a sign of various diseases. Unpleasant sensations occur due to infections, tumors of the urinary system, endocrine pathologies and hormonal disorders. Almost all diseases have a similar clinical picture - severe discomfort, burning, cramping, pain in the lower abdomen, lower back, and sometimes an increase in temperature.

Why do you often want to go to the toilet - list of diseases:

diabetes mellitus - a person experiences extreme thirst, the number of night visits to the restroom increases;
a tumor in the bladder or ducts - neoplasms put pressure on the walls of the organ, you get the feeling that you constantly want to go to the toilet in a small way;
chronic renal failure - the disease is accompanied by swelling of the face and limbs, you often want to go to the toilet, but little urine is produced;
pyelonephritis - pain of varying degrees of intensity occurs in the lumbar region, with exacerbation the temperature rises, nausea, and impurities of pus and blood are present in the urine;
urolithiasis - the desire to visit the toilet occurs sharply and suddenly, especially after physical exertion, during urination there is pain in the lower abdomen, the stream of urine is intermittent;
cystitis - a feeling as if you want to pee, in girls it does not disappear even after using the toilet, as the disease develops, the urine becomes cloudy;
urethritis - the inflammatory process is localized in the urethra, the disease often develops against the background of hypothermia, constant wearing of tight or synthetic underwear;
prolapse of the bladder due to a weak muscle corset - the pathology can only be overcome with the help of exercises aimed at strengthening the abdominal muscles;
reactive arthritis;
cardiovascular pathologies;
Iron-deficiency anemia;
increased activity of the bladder - occurs against the background of damage to the nervous system;
it hurts to write, frequent urination, itching of the genitals, change in the color of discharge, rashes on the mucous membranes - a sign of sexually transmitted diseases.

Frequent urges to go to the toilet may occur after eating spicy, salty, fatty foods, alcoholic beverages, or coffee. Moreover, they are temporary, the process occurs without burning or other unpleasant symptoms.

Important! Pathologically frequent urination in adults is indicated by the number of daily urges more than 9 times, while the volume of urine released is less than 200 ml.

The reasons for frequent urge to go to the toilet can be different; an accurate diagnosis can only be made after a thorough diagnosis. Even if you often want to pee, but there is no burning sensation, pain, or other unpleasant symptoms, consulting a specialist will not hurt.

Research methods:

general blood analysis;
blood to determine glucose levels;
general urine test, Nechiporenko test;
bacterial culture of urine;
coprogram;
antibiotic sensitivity test;
smear from the urethra or vagina;
rectal examination of the prostate;

If you suspect the presence malignant tumors carry out tests for tumor markers, prescribe CT or MRI, cystoscopy and biopsy.

Which doctor treats

If you often have the feeling that your bladder is full, but in fact you don’t want to go to the toilet, the process of urination is accompanied by various unpleasant symptoms, you should first visit a therapist or pediatrician. After the initial diagnosis, the doctor will tell you which doctor to go to. Problems with frequent, painful urination are dealt with by a gynecologist, urologist, nephrologist or infectious disease specialist.

After the examination, collection of anamnesis, based on the test results, the doctor will tell you what to do, select the necessary medications and physical procedures, and talk about prevention methods.

Treatment

To get rid of inflammatory processes and normalize the number of urinations per day, medications and traditional methods are used. I often want to go to the toilet - how to treat:

antibiotics – Azithromycin, Monural, Doxycycline, prescribed for acute infectious pathologies, rheumatoid arthritis, STDs;
antifungal drugs – Fluconazole;
uroantiseptics – Cyston, Canephron;
antispasmodics – Drotaverine, No-shpa;
iron supplements – Maltofer;
drugs for correcting glucose levels in diabetes mellitus - they are selected individually depending on the type and severity of the disease;
hormonal drugs to reduce the frequency of urination during menopause.

In case of inflammation in the bladder, it is necessary to pour 2 tbsp. l. crushed roots or rose hips 250 ml of water, simmer the mixture over low heat for a quarter of an hour. Drink 100 ml of medication before each meal.

For infections of the genitourinary system, pour 2 tbsp. l. a series of 1 liter of boiling water, simmer over low heat for 3-5 minutes, leave for half an hour in a sealed container. Use the decoction for sitz baths, continue the procedure until the liquid cools down, conduct sessions before bed for 7-10 days. This method of therapy will help cope with unpleasant sensations in the child.

Important! One of the best folk remedies for the treatment and prevention of urolithiasis is watermelon. The diuretic product should be consumed in large quantities during the season.

A frequent desire to visit the toilet disrupts the usual rhythm of life and causes a lot of inconvenience to a person. To avoid the appearance of unpleasant symptoms, it is necessary to avoid hypothermia, adhere to monogamous sexual relationships, move more, give up bad habits and junk food, and drink at least 2 liters of clean water per day.

Imagine your urethra, try to slightly tense the muscles that surround the urethra. Relax, try not to put pressure on your bladder. Don't strain your muscles unnecessarily, because doing so will only waste your efforts.

Change your position. Sit differently or stand up. You may have to change positions more than once because you need to find a position that puts minimal pressure on your bladder. Here are some suitable body positions:

Don't put pressure on your stomach. This puts pressure on your bladder.
Cross your legs while standing. When you stand in this position, the urethra contracts.
Sit down and cross your legs - this position will reduce the pressure on the bladder.
Sit up straight, relax. Raise your upper body slightly and lean back against the back of a chair or armchair. The stomach should be relaxed.
Don't lean forward. Move your pelvis forward a little and try to tighten your abdominal muscles.

If necessary, release gas. The accumulation of gases in the intestines also puts pressure on the bladder, so if you release the gases in time, it will be easier for you to control the urge to urinate.

Remember that in such a situation it is important to stay warm. So if you have the opportunity, wear something warm, turn on the heater, or try to keep warm in other ways. When we are cold, the urge to urinate automatically appears. This phenomenon is called “cold diuresis”.

Do not make sudden movements; unnecessary movements put pressure on the bladder, causing you to feel discomfort.

If you are sitting, stay seated. If you suddenly stand up, your bladder will also move (albeit very slightly), but because of this you will feel discomfort and the urge to urinate. So if you feel comfortable, stay in that position.
Don't change your position, make sudden movements, or twist around.
When you are walking somewhere, imagine that you are carrying a vessel with water, try to walk smoothly.

Don't think about waterfall, water, rain and other liquids.

Your friends may start making fun of you and deliberately talking about rivers, waterfalls and toilets. If so, try not to show that this somehow bothers or annoys you, just step aside or remain silent. Try your best to focus on something else. Close your eyes or plug your ears and don't listen to any conversations.

Don't drink. If you are extremely thirsty, take a couple of sips, but no more.

Think of something that can distract you for a while.

Don’t try to persuade yourself to “hold out” a little longer; try not to think about urinating at all.
Try not to think about the toilet until you actually get there.
When you reach the toilet, don't think about urinating, otherwise you may not be able to hold it in and the “process” will begin before you have time to take off your underwear.

Try to get out of this awkward situation as quickly as possible. Find a toilet or some deserted place where you can relieve yourself.

Sometimes in practice, both adults and children experience a situation when they want to go to the toilet (but there is little urine). To understand this situation, it is necessary to determine what is considered a violation of the norm and what are the reasons for the frequent urge to go to the toilet, characterized by a small amount of urine excreted.

As you know, a healthy person, in a normal situation under standard drinking conditions, experiences the urge to urinate no more than 5-9 times during the day. Quite rarely there are cases when there is a frequent urge to urinate, which is accompanied by pain. This condition contributes to a feeling of discomfort of a physical and psychological nature. For example, if a person was forced to get up frequently throughout the night, then by the morning he feels a feeling of lack of sleep and weakness.

If a person experiences a constant need to urinate, a feeling of fullness of the bladder, and such a need occurs at least 15 times a day, then it is necessary to seek qualified medical help to identify the cause of this condition.

Possible reasons

Experts identify the following causes of such pathologies:

Drink more fluids throughout the day, including tea, coffee and alcoholic drinks. This is the simplest explanation for the situation when a person experiences a feeling that the bladder is full.
Taking medications that have diuretic properties. Such drugs are prescribed for the treatment of pathologies associated with the liver, kidneys and heart.
Urine with impaired acidity due to excessive consumption of meat and salty foods and hot spices.

Experts also highlight the reasons due to the development of various pathologies:

Urethritis or inflammation of the urinary tract. This disease develops either as a result of harmful bacteria entering the patient’s body, or due to mechanical effects caused by wearing tight or uncomfortable underwear. This disease is characterized by a situation where you may often want to go to the toilet to empty your bladder, and the process of urination is painful.
Cystitis or inflammation of the bladder also develops as a result of harmful microorganisms. Often, the development of such a disease can be observed after excessive hypothermia of the lower body. This disease is characterized by a small amount of urine released during urination and a feeling of pain when needing to go to the restroom.
Inflammation of the kidneys or pyelonephritis, along with the above symptoms, is characterized by the patient's feverish state, elevated temperature and pain in the lumbar region.
The appearance of sand in the bladder and urinary tract, which provokes frequent urge to go to the toilet, is characterized by pain in the lumbar area. In this case, blood may appear in the urine.
Excessive activity of the bladder, which is either a congenital or acquired property of the organ.
Urinary incontinence, which is accompanied by uncontrolled release of urine when pushing, coughing, sneezing, etc. The cause of this illness may be associated with weakness of the pelvic muscles or neuralgic diseases.
The development of diabetes mellitus, accompanied by constant thirst and. The patient may be bothered by a feeling of itching in the genital area.
Anemia caused by iron deficiency in the body, which contributes to the weakness of the bladder lining.

In addition to the reasons listed above, similar conditions, characterized by a constant feeling of fullness of the bladder, can occur in the weaker half of humanity due to the development of gynecological pathologies or due to bearing a child.

There are some diseases that are unique only to representatives of the stronger sex, in which there is a frequent urge to urinate:

Inflammation of the prostate gland or prostatitis provokes in men a frequent urge to go to the toilet, which is often false. In this case, the act of urination that occurs is accompanied by pain.
Narrowing of the lumen of the urination channel, as a result of which the process of absolute defecation of fluid secreted by the kidneys causes difficulty, which leads to a feeling of fullness of the bladder.
A prostate tumor or prostate adenoma is common in older men. In this case, the developed neoplasm interferes with the normal flow of urine or the liquid does not flow at all.

Treatment of pathology

Treatment for frequent urination depends on and is carried out only after the cause of the disease has been identified. If a stressful form of pathology is observed, then doctors resort to medication and physiotherapeutic treatment methods, as well as the feedback method. The first method is hormonal therapy, which is especially important for women who have been diagnosed with hormonal imbalance.

To treat this condition, specialists resort to stimulating the muscle fibers of the patient’s pelvic floor with high-frequency electric current. This procedure produces a positive effect in only half of the patients. This method is called biofeedback method.

Physiotherapeutic methods of therapy include electrical stimulation of the pelvic floor, the use of ultra-high frequency electromagnetic fields on the lower abdominal wall, and loads on certain muscle groups using special sensors. In order to maintain your health, it is necessary to respond in a timely manner to the signals given by the body, which will allow you to avoid the development of possible diseases.