KOMPAS.com – Although everyone is different, most adults urinate five to seven times in 24 hours, mostly during the day,” says Ali Dabaja, MD, a urologist at Henry Ford Hospital in Detroit.
If we urinate more often than that, does that mean something is wrong?
According to Melissa A. Laudano, MD, a urologist at the Montefiore Health System, this is potentially wrong, but not always.
The following are possible causes of frequent urination.
1. Drink too much fluid
“What goes in must come out,” says Kristy M. Borawski, MD, professor of urology at the University of North Carolina-Chapel Hill School of Medicine.
“This means that if we drink a lot, we will urinate a lot. Too much fluid can cause an increase in the frequency of urination,” she says.
Caffeinated and alcoholic beverages can also increase the frequency of urination because they are diuretics, which means they increase urine production.
Citric acid, which is found in citrus foods and drinks, could also be a culprit.
“Even spicy food can provoke our desire to urinate,” added Dr. Dajaba.
Vitamin C in our diet or from supplements can even cause us to urinate frequently.
2. Urinary tract infection
Urinary tract infections or UTIs affect men and women, but not the same. Women are much more vulnerable, especially before menopause.
This is an infection that affects the urinary tract, the tube that consists of the kidneys, bladder, ureters (carrying urine from the kidneys to the bladder), and urethra (transporting urine from the bladder to the outside).
“Whenever a person experiences a sudden increase in urination, we need to determine what the cause is to cure the urinary tract infection,” says Dr. Borawski.
85 percent of UTIs are caused by bacteria and can be treated with antibiotics.
3. wait for the interstitial
Interstitial cystitis, also known as painful bladder syndrome, is a chronic condition that is more common in women between the ages of 20 and 40.
“This is very often confused with a UTI, the difference is that there is no bacteria growing,” says Dr. Laudano.
“We suspect it’s a disorder that originates in the lining of the bladder feeling the bladder full, and associating it with pain.”
People with this condition often also have other conditions such as endometriosis, fibromyalgia, chronic pain, irritable bowel syndrome, anxiety, or depression.
In the early stages of pregnancy, frequent urination is caused by an increase in the hormone human chorionic gonadotropin (HCG).
As pregnancy progresses, the growing fetus puts pressure on our bladder, again this can cause us to need to empty the bladder more often.
However, if accompanied by pain and soreness, it should be suspected that it has something to do with a urinary tract infection.
Then we can consult this to the doctor and treat it, so as not to spread to the kidneys.
5. Enlargement of the prostate
The medical term for an enlarged prostate is Benign Prostatic Hyperplasia (BPH).
The prostate gland, which produces some of the fluid in semen, is located below the bladder and encloses the urethra.
The prostate usually enlarges as a man ages. This is normal. However, because the position of the gland can put pressure on the urethra, so it can block the flow of urine.
As a result, we cannot empty our bladder completely, and that makes us feel like urinating more often, especially at night.
This is quite a common problem, because about half of men aged 51 to 60 have an enlarged prostate, and about 90 percent of men aged 80 and over have it.
Drugs to relax the prostate and bladder can be the solution.
6. Decreased estrogen levels
The decline in estrogen levels as women age, especially after menopause can also cause us to urinate more frequently.
“Because there are receptors for estrogen in the urethra itself, hormonal changes can affect the urinary elimination function,” explains Dr. Laudano.
Childbirth can also weaken some of the supporting tissues of the pelvis, and this is another cause of frequent urination.
Unsurprisingly, the main culprit here is diuretics like Lasix (furosemide) or Bumex (bumetanide) which doctors often prescribe to treat heart conditions.
The whole goal of this treatment is to reduce the pressure on the heart by removing the extra fluid.
Then, muscle relaxants such as Valium (diazepam) and Ativan (lorazepam) sometimes have the same effect.
Frequent urination is one of the typical signs of diabetes mellitus, both type 1 and type 2, especially in the early stages and if the disease is not treated properly.
That’s because our kidneys need to excrete extra water to dilute and excrete excess blood sugar. However, constant urination causes us to feel very thirsty.
“Obesity, which can coexist with type 2 diabetes, is also associated with frequent urination,” says Dr. Borawski.
Frequent urination is also a sign of a rare form of diabetes, diabetes insipidus. Symptoms are caused by limited production of the antidiuretic hormone vasopressin, not an increase in blood sugar levels.
According to the Urology Care Foundation, overactive bladder or OAB is not a disease, but rather a collection of symptoms that arise when our brain mistakenly instructs our bladder to urinate even when it’s not necessary.
Sometimes this happens because the bladder muscle contracts too often, causing us to urinate before we really need to.
If you’ve ever felt the urge to urinate uncomfortably before giving a public presentation, then anxiety could be linked to frequent urination.
“Anxiety is “100 percent” related to frequent urination,” says Dr. Borawski.
A 2016 study in the journal Urology found that people with overactive bladders were more likely to have anxiety symptoms than other people.
According to research, the worse the anxiety, the more pronounced these bladder symptoms will be.
11. Bladder cancer
There’s no need to worry too much, because bladder cancer is rare, and usually has other symptoms as well.
“It’s not uncommon for bladder cancer to cause bladder irritation, but it’s not the most common,” says Dr. Dabaja.
Frequent urination can be a symptom of this cancer, but there are usually other signs as well, especially the presence of blood in our urine.
Again, don’t worry. Blood in the urine can also indicate other, less dangerous conditions, including infections, kidney or bladder stones, and benign tumors.
However, we need to call our doctor if we see blood in our urine.