Urgent micturition and frequent micturition are two different concepts in western medical diagnostics in Chinese. Urgency refers to the fact that patients can't wait to urinate as soon as they have a sense of urination, which is difficult to control.
Basic overview of urgency
Urinary urgency refers to the inability to control urination or the urgency of urinating. As soon as you urinate, you need to urinate without a little laxity; or after urination, you have to urinate and urgently need to urinate. Mainly due to urethra, bladder, prostate due to inflammation or foreign body stimulation, often accompanied by dysuria.
This symptom is roughly described as the lower limit of tolerance of a person during urination, while frequent urination describes the greater number of urination times per unit time. Urgency is seen in inflammation, stones, foreign bodies, tumors, urine concentration due to high temperature environments, neurogenic bladder or mental factors.
Normal adults urinate 4 to 6 times during the day and 0 to 2 times at night. Frequent urination is a symptom, not a disease. Due to various reasons, the frequency of urination can be increased, but there is no pain, also known as the frequency of urination. There are many reasons for frequent urination, including neuropsychiatric factors, physical weakness after the illness, and parasitic diseases. Urinary tract infections, local inflammation of the vulva or penis should be excluded for children with frequent urination. Chinese medicine believes that the frequency of urination is mainly due to the weak constitution of the children, insufficiency of kidney qi, bladder restraint and inability, and the lack of declaration. In addition, fatigue, spleen and lungs are all deficient, upper deficiency can not control, soil deficiency can not make water, bladder Qi is weak, and urination frequency occurs. Therefore, urinary frequency is mostly deficiency, need to recuperate, eat more foods rich in plant organic active alkali, eat less meat, eat more vegetables.
Causes of Urinary Urgency
Urinary urinary bladder irritation
The most common are inflammatory stimuli such as pyelonephritis, kidney stones with infection, renal tuberculosis, cystitis, urethritis, prostatitis, and vaginitis. It is most pronounced in acute inflammation and active urinary tuberculosis. Furthermore, non-inflammatory stimuli such as bladder stones, urethral stones, lower third ureteral stones, etc., as well as bladder tumors, urethral tumors, prostate tumors, foreign bodies in the bladder or urethra, repeated bladder and pregnancy compression.
Urinary bladder volume decreases
Such as bladder mass lesions, or bladder volume reduction due to bladder wall inflammation infiltration, sclerosis, contracture.
Urinary bladder neuromodulation
Some women have a feeling of urgency during sexual impulses. This may be a urinary tract infection or a problem with the reproductive system. This is because women's bladder, uterus and urethra are extremely close to the vagina, especially the urethra, which is likely to be during sexual intercourse. Trauma is caused by friction, and women's urethra is short, which can easily cause bacterial infection. The use of a contraceptive ring can also cause urgency, especially if the contraceptive ring is inappropriate. This can also occur in some women who have an allergic reaction to spermicide.
Urinary urgency in women
1. Holding urine This is a common bad habit for women. It has two undesirable consequences. First, the urine stays in the bladder for a long time. If a small amount of bacteria invades, it will have more time to reproduce and more time to invade the tissue. Second, the bladder is full, the pressure will increase, and the urine will flow upward. To the ureter, if bacteria have invaded, they will be sent to a more upstream position, causing pyelonephritis.
2. Menstruation and sexual activity. Menstrual blood is the best medium for bacteria. Menstrual hygiene, especially the cleaning and disinfection of menstrual supplies, is an important part to reduce bacterial invasion. Sexual intercourse can push the bacteria in the anterior urethra to the posterior urethra and bladder by mechanical pushing. There are some clinical cases, all of which occurred after the intercourse, which illustrates this point. Sexual activity is an important part of husband and wife's life. Of course, it is impossible to "eat food because of crickets", but in the case of recurrent disease and the cause and sexual activity, proper abstinence should also be appropriate.
3. The structure of women's urogenital system is special. Women's urethra is shorter and more relaxed than men, and bacteria can easily enter. Therefore, women should increase their awareness of self-protection. Because the female reproductive system is humid and hot, it provides a favorable place for bacteria. In addition, some women do not pay attention to vulvar hygiene, which makes them suffer from frequent urination and urgency.
4. During pregnancy, the enlarged uterus will be pressed against the bladder and ureter. Endocrine changes will also slow down ureter relaxation and peristalsis, make the urine flow slow or form a mild effusion. This condition is also conducive to bacterial invasion and reproduction and causing disease. Antibiotics have been used for prevention before, but this method is not advisable. Because the abuse of antibacterial drugs may have some negative effects on the mother and fetus, not to mention the long October pregnancy, it is impossible to prevent. The safe way is to observe closely, check your urine regularly, and treat it as soon as you find it.
5. Women's urethral openings are adjacent to the vagina and anus. Men's urethral openings are far from the perineum, and there is a "spatial distance", which makes them less susceptible to urinary tract infections. The female's urethral opening is close to the vagina and anus. There are a large number of bacteria in the vagina and around the anus. The vaginal secretion is also a better medium, and it is easier to use bacteria. Therefore, the method for women to prevent urinary tract infections is to wash frequently to reduce the number of bacteria to reduce the chance of disease. [1]
Clinical manifestations of urgency
Female patients have frequent urination, urgency, and even dysuria, and the medication according to urinary tract infection is not effective, and repeated episodes can not be cured for a long time, but the urine test is normal. These patients are not urinary tract infections. Medically it is called "urethral syndrome". There are many causes of urethral syndrome. The most common are the following: frequent washing of the lower body with soap or disinfecting solution; wearing chemical underwear causing allergies; insufficient drinking, concentrated urine irritating the urethral opening; suffering from vaginitis, cervicitis, Leucorrhea stimulates the urethral opening; due to hypogonadism and decreased estrogen secretion during the postmenopausal period, the urethral mucosa shrinks and becomes thinner; viruses, mycoplasma, and mold can invade the urethra.
Urgency treatment
According to clinical observation, women with frequent urinary urgency and urgency symptoms are mostly urethral conjunctivitis. It is not appropriate for such patients to take antibacterial drugs. Treatment of urethral syndrome first removes various causes. In terms of drug treatment, a series of traditional Chinese medicines for oral frequent urination are often used, which can achieve good results.
1, bladder training therapy, enhance the nervous system's ability to control urination, reduce the sensitivity of the bladder, and reverse the abnormal urination habits.
2, with drug treatment, such as: anti-inflammatory antispasmodic, analgesic, sedative, alkaline urine and diuretics.
3. For local application, smear the urethra and bladder neck with 2% silver nitrate.
4, closed therapy, closed urethra or bladder triangle for closed treatment.
5. Appropriate use of low-dose estrogen treatment also shows good results.
Traditional Chinese Medicine Treatment Recipes:
30 grams of dried watermelon peel and 60 grams of fresh white grass root can be used to reduce symptoms such as frequent urination, urgency, dysuria and diuretic swelling. Do not take medicine or find prescriptions. Generally speaking, it causes frequent urination, There are many causes of urgency, and there are probably the following:
Increased urine output: Under physiological conditions, such as drinking a lot of water, the urine output will increase due to the increase in water intake, and the frequency of urination will increase, resulting in frequent urination. In pathological conditions, such as some patients with diabetes and diabetes insipidus drink more water, have more urine and urinate more often.
Inflammatory stimuli: Frequent urination may occur in acute cystitis, tuberculous cystitis, urethritis, pyelonephritis, and vulvitis. Under the stimulus of inflammation, frequent urination, urgency, and dysuria may occur at the same time, which is called urinary tract irritation.
Non-inflammatory stimuli: such as urinary tract stones, foreign bodies, etc.
Whether sexually transmitted diseases require examination can be determined based on the results of the examination. The old man's urinary frequency and urgency first wash the collected old man's grass (unlimited amount), put it in a white iron pot, add an appropriate amount of cold water to boil, and break into a red-skinned egg. After the eggs are cooked, remove the old man's grass Out. Eat the eggs first and drink the soup. Drink three times a day, usually within a week to cure urinary urgency.
Urgency diagnosis
Urinary cystitis
Cystitis is the most common clinical condition that causes bladder irritation. According to the census of 188,697 people in the six regions of North China, Northeast China, Northwest China, South Central China, Southwest China, and East China, the prevalence rate is 0.91%, which ranks first among urinary system diseases. Its clinical characteristics are: urinary frequency, urgency, dysuria, and pain; Light; because the bladder itself has no absorption function, inflammation of the bladder triangle area is prone to gross hematuria. Laboratory tests are characterized by pyuria, urine, and normal renal function tests.
Urinary pyelonephritis
Symptoms of pyelonephritis are milder than cystitis and may not have bladder irritation symptoms; systemic infection symptoms are severe, high fever, nausea, vomiting, lack of appetite, physical pain, renal area pain, and other physical examinations may show tenderness in the renal area, tenderness in the ribs in the season. Intersection of quarter ribs and clavicle midline) Upper ureteral tenderness (outer rectus abdominis and umbilical level) Middle ureteral tenderness (the intersection of the interosseous line and the vertical line of the pubic nodules) Laboratory tests have been performed in addition to pyuria Increased leukocytes in peripheral blood and increased granulocytes Acute pyelonephritis can recover from transient renal tubular dysfunction, which usually recovers within 1 to 3 months; chronic pyelonephritis can cause permanent tubule dysfunction and even impaired glomerular function
Urgent urinary tuberculosis
Renal tuberculosis only affects the kidneys in the early stage. The renal ureter, urinary bladder, and urinary tract are all affected. Therefore, urinary system tuberculosis and urinary system tuberculosis are secondary to the urinary system. Tuberculosis lesions can be found outside of the urinary system, especially active disease changes. Antibiotic treatment is not effective Physical examination Abdomen can be touched Swelling kidneys Urine examination is rice soup-like mixed with a large number of pus cells under the blood microscope Red blood cells can have varying degrees of proteinuria Urine acidic urine can be found acid acid bacteria can be confirmed (stay The positive rate of urine sediment in 24 hours was 70%. The X-ray examination of the affected kidney showed a normal loss of lobulated late fibrosis epilepsy and the formation of a reduced kidney shape. The plain calcification was found on the healthy side of the renal pelvis.
Urinary urinary system stones
Urinary system stones, kidney stones, sudden renal colic in the kidney area, followed by gross hematuria or microscopic hematuria abdominal plain film or intravenous pyelography. The ureteral stones in the stone area can be found clinically. The colic is radiated along the direction of the ureter to the perineal area of the lower abdomen. Gross hematuria or microscopic hematuria abdominal plain film or intravenous pyelography or retrograde angiography after radial colic in the direction of the thigh can be found in the area of the stone. When the stone is active, the colic is easy to break and the membrane of the urinary system is easily destroyed. Concurrent infection
Urinary urethral syndrome
Urethral syndrome generally refers to repeated lower urinary tract infections caused by abnormal physiological anatomy in women. Urethral hymen umbrella refers to the broken hymen in women's outer urethral opening after marriage; paraurethral gland cyst abscess; flesh outside the urethra Due to the above reasons, the repeated occurrence of lower urinary tract infections is not easy to cure. Surgical correction is required to cure the lower urinary tract infections.
Urinary benign prostatic hyperplasia
Prostatic hyperplasia in elderly men due to reduced female hormone secretion and unbalanced sex hormones in the body causes prostatic hypertrophy to oppress the posterior urethra and cause bladder irritation symptoms. On the basis of hypertrophy, prostatitis is easy to be combined with prostatitis at the same time. Disappearing prostate hypertrophy combined with infection, may have tenderness, B ultrasound and CT examination can also find enlarged prostate
Urgency prevention
Frequent urination, urgency, dysuria, a symptom is not a disease. It can cause increased urination frequency for many reasons, but it is not painful. It is also called frequent urination frequency. There are many reasons for urinary frequency, including neuropsychiatric factors, physical deficiency parasitosis, etc. Urinary tract infection
Please note the following points to prevent the occurrence of frequent urination and urgency.
The first is to control the diet structure to avoid excessive intake of acidic substances and exacerbate the acid-base balance of the acidic diet. It is very important to prevent frequent urination. In terms of diet, eat more foods rich in plant organic active alkalis, eat less meat, and eat more vegetables. Chamagu is rich in plant organic active bases, which can quickly eliminate acid toxicity in the body, achieve acid-base balance, maintain a healthy body, and reduce the pressure on the kidneys. Chamagu is also rich in flavonoids, which can effectively repair the kidney's detoxification function.
Second, you must often exercise outdoors. Doing more exercise in the sun and sweating can help eliminate excess acid in the body. Breathe fresh air. Reduce the risk of illness.
Third, keep a good mood. Don't have too much psychological pressure. Excessive stress can cause the deposition of acidic substances and affect the normal metabolism. Proper adjustment of mood and self-stress can maintain weak alkaline constitution and keep urination frequency away from everyone.
The fourth life should be regular. People with irregular habits, such as singing karaoke all night, playing mahjong, not returning to the night, and other irregularities in life will aggravate the constitution. Acidification of the virus is easy to invade. You should develop good habits to maintain a weak alkaline constitution and keep the virus away from yourself.
Fifth, stay away from tobacco, alcohol and tobacco are typical acidic foods. Uncontrolled smoking and drinking can easily cause acidification of the human body.
Sixth, do not eat contaminated food, such as contaminated aquatic crops, poultry, fish eggs, etc., eat some green organic food, and prevent illness from entering the mouth.
Urgency precautions
Female patients have frequent urination, urgency, and even dysuria, and the medication according to urinary tract infection is not effective, and repeated episodes can not be cured for a long time, but the urine test is normal. These patients are not urinary tract infections.
Medically it is called "urethral syndrome". There are many causes of urethral syndrome. The most common are the following: frequent washing of the lower body with soap or disinfecting solution; wearing chemical underwear causing allergies; insufficient drinking, concentrated urine irritating the urethral opening; suffering from vaginitis, cervicitis, Leucorrhea stimulates the urethral opening; due to hypogonadism and decreased estrogen secretion during the postmenopausal period, the urethral mucosa shrinks and becomes thinner; viruses, mycoplasma, and mold can invade the urethra.
According to clinical observation, women with frequent urinary urgency and urgency symptoms are mostly urethral conjunctivitis. It is not appropriate for such patients to take antibacterial drugs. Treatment of urethral syndrome first removes various causes. In terms of drug treatment, oral urinary frequent stop series of traditional Chinese medicine and dilated cysteine tablets are used together with external lotion for frequent urination. Can achieve very good results.
Attention should be paid to eating and drinking:
1. Keep the local dry and sanitary, and take a bath frequently. Avoid inflammation and eczema caused by frequent urination, urgency, and incontinence.
2. Eat less spicy food on your diet.
3. Drink a lot of water, at least about 2,000 ml per day. After drinking more water, the frequency of urination increases, and the excretion of a large amount of urine can flush the bacteria in the urinary tract out of the body. It is inappropriate to drink water because of fear of frequent urination and urgency of.
4. Apply hot compresses on the lower abdomen and bladder area, or take a hot bath or hot water bath, to accelerate blood circulation in the lower urinary tract, control inflammation and relieve symptoms.
5. Prohibit intercourse and stop intercourse during illness to avoid further aggravating the illness.
6. Drug treatment: Using urinary frequency stopping series of traditional Chinese medicine with Kangle Shule, it can achieve very good results in the short term. Lift your troubles.
Urinary urethritis Urgency cannot be ignored
The main manifestations of urethritis are frequent urination, urgency, and dysuria, but also with yellow urine, urethral swelling, pus, or mucus-like secretions (imprinted on underwear), and some with perineal swelling and pain, Some are particularly painful after urination or after intercourse.
Urethritis is inflammation of the mucous membrane of the urethra. The causes of the urethritis are various. First, the urethra is the human sewer, and urine has a large irritating and corrosive effect. This is one of the basic reasons. Second, such as masturbation habits, intercourse Excessive, smoking, drinking, wearing tight underwear, riding a bicycle for a long time, riding a horse, indwelling a urinary catheter, urinary tract foreign body, etc. for a long time, compressing and damaging the urethra, causing local congestion, ischemia, and hypoxia, causing urethral mucosa Resistance decreases, and infection is easy to occur. Third, the most fundamental reason is that pathogenic microorganisms invade the urethra. These microorganisms are mainly Neisseria gonorrhoeae, Neisseria gonorrhoeae, Mycoplasma, Chlamydia, Candida albicans, Trichomonas, and some resident bacteria in the human body.
Urinary urgency related to prostate
In addition to psychological factors, urinary urgency should consider inflammation of the prostate. Urinary urgency is mainly due to excessive contraction of the sphincter, insufficient relaxation or untimely treatment, and at the same time the coordination with the bladder detrusor. Of course, it can also be caused by the squeeze effect of enlarged prostate.
