Diagnosis for increased urge to urinate
Since an excessively strong urge to urinate can also be based on a serious illness, it is important to introduce yourself to the doctor with these symptoms. This places then in the anamnesis questions to the symptomatology like for example whether the urge to urinate occurs also at night or whether an increased thirst feeling is present and can then usually already limit the disease cause due to the anamnesis. It may also be necessary to keep a so-called micturition diary, in which the person concerned documents when the urge to urinate occurs and how large the drinking volume is, which in turn allows conclusions to be drawn about the cause of the urge to urinate.
In the subsequent physical examination, the doctor will look for findings that could explain the urge to urinate, for example, he will check the man’s prostate for enlargement. In addition, a sonography (ultrasound) of the kidneys is often performed to see whether there are any changes that could explain the urge to urinate. Urine and blood tests are also usually performed, in which the salt concentrations (electrolytes), the respective sugar level and also the creatinine concentration, which is a parameter for the performance of the kidneys, are examined. In the case of these urological symptoms, specific imaging examinations can be performed in which the bladder and the urinary tract can be imaged after the administration of contrast medium and can even be assessed directly during urination (micturition cysturethrography).
Therapy
The treatment of the urge to urinate depends on the triggering cause. If, for example, there is a chronic disease such as heart or kidney failure, the diseases must be well treated and adjusted so that, in the best case, the symptom of the urge to urinate also disappears again. The same principle applies to the treatment of diabetes, which must be optimally adjusted in order to avoid secondary diseases and reduce any symptoms that may already exist.If a benign enlargement of the prostate gland in men is the cause of the urge to urinate, it can be treated with medication to make urination easier.
If the medication is not sufficient, the patient can also benefit from surgical removal of the prostate. If the urge to urinate is caused by an inflammation of the bladder, this is usually treated with antibiotics. In addition, with this type of infection, the patient should drink a lot every day and should take it easy on his body.
If no underlying physical illness can be made responsible for the urge to urinate, a so-called bladder training is used, in which the goal is to get the overactive bladder used to larger filling quantities again. In addition, there are also drugs such as anticholinergics and spasmolytics that are specifically used to relieve the symptom urge to urinate, which can considerably improve the quality of life of the person affected. The urge to urinate can be treated with various medications. Typical are drugs from the group of anticholinergics or also spasmolytics, whose aim is to relax the bladder to such an extent that it can hold larger filling quantities and only later triggers the urge to urinate. Men with an enlarged prostate can benefit from drugs from the group of alpha-blockers, which can relax the muscles of the prostate and bladder so that urination is easier again.
