I want to pee, but I don’t have enough urine and it hurts. Constant feeling that you want to pee, that your bladder is full

What are the most common causes of difficulty urinating in men? Most often, urinary disturbances occur with damage to the genitourinary system: 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 that disrupt the functioning of genitourinary organs and making it difficult to urinate, can form in the kidneys, bladder and even the prostate gland (secondary stones). They are formed from salts uric acid, can be small pebbles with a diameter of up to several millimeters or sand with a grain of sand less than 1 mm in diameter. 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 movement of stones can cause overlap 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 may develop after improper treatment acute urethritis, mechanical irritation of the urinary opening, violation of the hygienic regime.

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, bladder rupture. 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 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 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 may be a sign of development cancer diseases in the urethra, bladder, 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 smell from the urethra.

Damage to nerve centers in the brain, impaired circulation of cerebrospinal fluid in spinal column can also cause 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 public toilet or in the presence strangers. Some men experience very high degree complex, 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? When unpleasant symptoms 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 growth is interfering with urination cancerous tumor, you may need to undergo a biopsy - tissue collection for examination. This procedure helps determine whether there is genitourinary system cancer cells how quickly they divide, 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, general state the patient, the characteristics of the course of his chronic diseases.

For urethritis, patients are prescribed lavage of the urethra with Potassium permanganate, Miramistin solution, and Protorgol. An appointment is required antibacterial drugs 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.
How tonic An infusion of nettle leaves, flowers and fruits is taken. 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 healthy way life.

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Increased irritability
Erection problems
Impaired urination

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Attention! Only today!

It is considered normal to visit the toilet once every 2-2.5 hours. The frequency of urination depends on several factors: the amount of fluid you drink, physical activity, chronic diseases. Filtration of urine in the body is constant, and as it accumulates in the bladder, as it reaches its walls, spinal cord signals begin to arrive that the bladder is full.

But there are conditions when visiting the toilet becomes very frequent. And they can be divided into two groups:

A feeling of a full bladder, when a small amount of urine is released when trying to empty it;
- frequent urge with a virtually empty bladder.

The vessel is half full

Frequent urination in small portions is more common. This condition is typical for several diseases.

Cystitis is the most common and least dangerous reason, although it causes significant discomfort. When the wall of the bladder becomes inflamed. Due to inflammation, it becomes tense, resulting in a feeling of a full bladder. But every time you go to the toilet, very little urine is released.

Diabetes is serious endocrine disease. At diabetes mellitus patient a lot and . Due to entry into the body large quantity Liquid urine is filtered very quickly, and the urge to go to the toilet becomes more frequent. But in this case, every visit to the restroom becomes...

Chronic renal failure- dangerous chronic illness, which can lead to very serious consequences, if you run it. With chronic renal failure, a lot of urine is produced, but it is, so to speak, unconcentrated. That is, in such urine the specific gravity is sharply reduced and the concentration of salts is reduced.

In addition to disruptions nervous system problems with bladder may cause malfunctioning ovaries.

Whatever the reason, you should not try to treat yourself. Be sure to go for a consultation with a urologist - he will select the correct treatment for you or prescribe a consultation with another specialist.

Sources:

False urge to urinate
Feeling of a full bladder: a process in the body Copied from the site: http://www.astromeridian.ru/medicina/
Female urology in questions and answers
I constantly want to go to the toilet: why?

The human body consists of two-thirds water, and its amount in cells and intercellular space must remain at a certain level for normal functioning. If some kind of failure occurs, receptors located in the cerebral cortex signal the need for urgent fluid replenishment. In this case, the person begins to suffer from thirst.

Thirst on a hot summer day, when excessive sweating occurs, or as a result of strenuous physical work is normal and quite normal phenomenon. Cells are losing water at an accelerated rate, and your desire to replenish its supply is a protective mechanism that saves the body from dehydration.

Signs of an imbalance in water balance may include dry mouth, pointed facial features, sunken eyes and loose, grayish skin. Solving this problem is quite simple - drink more fluid. Be sure to replenish water balance in the body is necessary, Thirst is often caused by salty and spicy food, as well as caffeine. If the kidneys are functioning normally, the condition resolves quickly as overly salty or spicy foods are digested.

Some medical supplies can also affect the receptors of the cerebral cortex, kidneys or heart, “responsible” for alerting about water balance. Diuretics, antibiotics, lithium and, for example, such a well-known drug for reducing blood pressure, How . If the patient drinks a lot, he again develops symptoms, which means that taking this medicine loses all meaning. In this case, cardiologists prescribe other drugs.

Unfortunately, others that cause thirst are not so harmless. If you don't overexert yourself or overheat, drink enough water and still experience constant desire drink, pay attention to your blood sugar levels. This may be a sign of diabetes. For someone suffering from this disease and taking insulin or other sugar-lowering drugs, increased thirst may indicate an exacerbation of the disease. In this case, obviously, you will have to lower your glucose levels.

Excessive thirst may be a symptom of kidney failure. Sick kidneys cannot retain water normally, urine output decreases, swelling appears, but the person still wants to drink.

Other manifestations of diseases through thirst also require medical intervention. A strong desire to drink appears in people with excess or deficiency of hormones, with head injuries or neurosurgical operations, with impaired water metabolism (diabetes), liver disease and bleeding. Therefore, if you experience thirst for a long time and cannot explain its reasons, try not to put off visiting the doctors.

Video on the topic

anonymously

Hello, 4-5 days ago I started having this feeling that I constantly wanted to go to the toilet little by little and there was slight excitement in the clitoral area (incessant). And when you go to the toilet, at the end there is a feeling (when you are already straining the uterus in vain, that is, when you have already finished going “little” and only the last drops come out) that something is pulling, as if some thin vessel is being pulled down or something else. In general, there is internal discomfort, as if some organ in that place is enlarged and rests directly on the walls. I’ve already made an appointment with the gynecologist, but I have an internal feeling, I want to know at least the prerequisites for what this could be. Thank you!

I recommend consulting a urologist. To clarify the reason for your complaints, at this stage, due to the situation you described, you need to go through gynecological examination: pelvic organs (before and after menstruation); cytological examination of the cervix and possibly colpososcopy. I recommend conducting a study on the biocenosis of the vagina and culture of the flora of discharge from the genital organs, determining sensitivity to the main range of antibiotics and bacteriophages, as well as excluding sexually transmitted infections (mycoplasmosis, ureaplasmosis, trichomoniasis, gonorrhea, herpes, HPV, etc.), In addition, it is advisable to undergo a culture test for fungi of the genus Candida with identification and determination of sensitivity to antimycotic drugs. It should be borne in mind that the main cause of inflammatory diseases in women (especially chronic ones) are mixed infections - a combination of viral and bacterial infection, as a rule, against the background of weakened immune system. In this regard, I recommend discussing with your doctor the possibility of using complex therapy inflammatory processes of the drug Groprinosin, which has a dual mechanism of action: immunostimulating and. The drug reduces clinical manifestations viral diseases, accelerates convalescence (recovery after suffering infectious disease), increases the resistance (resistance) of the body. Treatment must be carried out under the supervision of a doctor. Self-medication is unacceptable.

People who rarely go to the toilet are sometimes said to have “an iron bladder,” and to some extent they are envied. Rarely visiting the toilet is a valuable quality for a diplomat and any employee who has to attend events from which it is difficult to leave even for a short time.

Therefore, with the complaint: “I don’t go to the toilet very often,” people go to the doctor only when urinating becomes painful or when you begin to notice swelling in yourself. That is, when the disease is already in an advanced form.

To the illness in her initial stage When the amount of urine gradually decreases, attention is rarely paid.

What is the name of the condition in which urine output is less than normal?

The norm for an adult is 6-7 small visits to the toilet per day with urine output of up to 1.5 liters.

At the first stage, a decrease in the amount of urine excreted does not cause any inconvenience. They think about visiting a urologist when it hurts to go to the toilet, urine comes out only if you take a certain position, the stream is “sluggish” or the liquid is already released in drops.

If not, then they begin to guess about the disease by a deterioration in general health, which can be expressed in periodic nausea not related to the process of eating, weakness and dizziness.

Infrequent urination may be associated with problems such as:

inflammatory diseases;
disruption of the excretory system;
failure in the endocrine system;
neurological pathology.

If a urological problem is not identified, then with the complaint: “I don’t go to the toilet very often,” the doctor will refer you to the right specialists: a neurologist, an endocrinologist or, in some cases, a cardiologist.

The general name for a condition in which urination is infrequent is called oliguria in medicine.

Diseases that cause oliguria

Oliguria itself does not qualify as a disease. Its appearance is always accompanied by some reason. They can be natural or caused by a certain pathology.

For example, the natural occurrence of oliguria is typical in hot weather when the body loses fluid in the form of sweat. Urine is not produced if the flow of fluid into the body is limited.

Realize that there are problems in the body and the amount of urine has decreased, in the absence painful sensations It's difficult on your own. More often, go to the doctor with the complaint: “I notice that they come when there is pain.

Diseases in which the kidneys stop secreting fluid include:

Oliguria can be caused by cancer.

Urine stops being released even when the ureter is clogged with sand or blocked by a stone, during inflammation of the bladder.

Sometimes a decrease in the amount of urine produced occurs after an injury.

Symptoms of oliguria

Before you go to the doctor with the question: “Why don’t I go to the toilet a little?”, you need to think for yourself what this is connected with, does it cause inconvenience?

If secondary symptoms:

When you don’t experience any discomfort, you don’t observe any swelling, the passage of urine is painless, the urge to urinate precedes the process of urination itself - then, most likely, rare urination - individual feature body.

How to check whether you need to see a doctor if you have oliguria

If the problem, which can be expressed as “I don’t go to the toilet a lot”, does not cause inconvenience, that is, it worries more on an emotional level, you can roughly calculate whether the amount of liquid you drink matches the amount you excrete.

“Drunk” is considered to be free liquid, soup, juices, and approximately the moisture contained in the consumed fruits and vegetables is added to it. At the same time, they make a discount on the fluid secreted from the sweat glands.

If 60-80% of the liquid is excreted in the urine, depending on the air temperature and sweating, then you do not need to see a doctor.

Individual causes of oliguria in men and women

Most diseases associated with work disorders occur in the same way in men and women. But due to the difference in the structure of the genitourinary organs, the appearance of oliguria can be caused by various reasons.

For men, a decrease in the amount of fluid secreted is often associated with inflammatory diseases of the prostate, its enlargement, and the appearance of tumors in it.

Urination in such pathologies is painful, and men rarely delay visiting a urologist.

In women, a decrease in the amount of urine excreted may be due to:

atony of the bladder, which occurs due to inflammation or against the background of stressful situations;
with age-related changes;
due to hormonal imbalance.

Treatment of oliguria

The answer to the question: “Why don’t I walk small enough?” - a urologist cannot give a patient without an examination. To establish the cause, special studies are carried out.

First of all, you need to take urine and blood tests, from which you can find out whether there are any abnormalities in the work or whether intoxication of the body is beginning. Then ultrasound and computed tomography studies may be prescribed.

If the cause was infectious or inflammatory disease, then after treatment, urine output will be restored.

When the disease is serious and caused by kidney pathology, you need to be prepared for the fact that restoration of their excretory function will take a sufficient amount of time.

If oliguria is associated with the occurrence oncological diseases or with renal failure, it is unlikely that the kidneys will function fully. Therapy will be aimed at ensuring that the discharge process does not stop completely.

The process of urine excretion for each person is purely individual. Some people visit the restroom five times a day, while others go to the toilet after every cup of liquid they drink. Normally, it is believed that if a person visits the toilet no more than 10-12 times a day, then his urinary system functions normally. A change in this frequency may indicate progression of the pathology. Also, patients often complain that after urination there is a feeling that they want more. The causes of this condition can be both pathological and physiological.

This suggests that you should not immediately panic and run to the doctor. But if such a feeling occurs systematically, then this is a serious reason to consult a urologist.

This specific sensation can occur in people from different backgrounds. age category. It is worth noting that the pathology is more often diagnosed in the fair sex. This is due, for the most part, to the structural features of their urinary system. The urethra in women is much shorter than in men, therefore different pathogenic microorganisms can easily penetrate it and provoke the progression of the inflammatory process ( this reason is one of the main ones that provoke the feeling of an incompletely emptied bladder).

Etiological factors

If after urinating you want to pee more, then this warning sign, which usually signals disturbances in the functioning of the organs of the urinary system. The following may trigger this sensation in a person: pathological conditions:

. The presence of formed conglomerates of various sizes in the bladder significantly reduces the volume of this body. All this leads to the fact that a person, after visiting the restroom, wants to pee again. Simultaneously with this symptom, a picture of this particular illness appears - pain in the lumbar region, the presence of pathological impurities in the urine, and hyperthermia may also be noted;
Diabetes. Diabetics often experience this symptom;
Cystitis. If after urination you want more, then in most cases it is cystitis that becomes the cause of this. unpleasant sensation. With this infectious process, not only the urethral mucosa is affected, but also the bladder mucosa, which leads to disruption of its functioning. Therefore, a person has a regular urge to empty it, after which there is an uncomfortable feeling that he has not completely emptied;
Often the cause of the feeling that you want to urinate again is progressive renal failure. This is due to the fact that the patient experiences constant feeling thirsty and consumes a lot of fluids. Respectively, naturally A fairly large volume of urine is excreted. Due to the irritation of the bladder, there is a feeling of incomplete emptying (I want to write more);
In men, such a discomfort may occur due to damage to the prostate;
It can also provoke the feeling that after passing urine you want to visit the toilet again various infections which are sexually transmitted. IN this group include gonorrhea, trichomoniasis, chlamydia, etc.

Physiological factors:

period of bearing a child. At this time, the bladder is under pressure from the ever-expanding uterus. Therefore, pregnant women often have the feeling that after emptying their bladder they want to visit the toilet again;
severe hypothermia of the body;
consuming too much liquid per day (the norm is no more than 2.2 liters).

Video: Signs of prostatitis

Symptoms

The feeling that after passing urine you want to pee again is already a symptom, but a symptom of another ailment that is progressing in the human body. That's why clinical picture may be supplemented by signs characteristic of the underlying pathology. For example, a sick person may exhibit the following symptoms:

pain syndrome in the lumbar region;
discharge of urine containing pathological impurities - blood, pus, mucus, sand;
burning during urine output;
hyperthermia;
frequent urge to urinate;
nausea and vomiting;
disruption of urine outflow, etc.

If one or more of these symptoms occur, you should immediately contact medical institution for complex diagnostics.

Diagnostics

If a person, after passing urine, has the feeling that he wants more, then first of all he will need to go to an appointment with a urologist. At initial appointment The doctor will interview the patient and examine him. Based on the information received, a pathology diagnostic plan is developed, which may include the following activities:

blood analysis;
urine test (the most informative in this case);
urine culture. It is carried out if the doctor suspects progression infectious process in the patient’s urinary system;
blood biochemistry;
daily urine;
Ultrasound of the pelvic organs, kidneys, and abdominal organs;

Therapeutic measures

It is important to understand that therapy will not be aimed at eliminating this particular discomfort. Treatment will be carried out for the pathology that provoked the appearance of this symptom. Therapy is selected for each patient strictly individually, taking into account the severity of his underlying pathology, as well as the characteristics of his body.

The patient may be prescribed the following medications:

drugs that have a destructive effect on formed conglomerates in the lobes and bladder;
antispasmodics to reduce pain syndrome(if one is present);
muscle relaxants;
diuretics;
antibiotics are prescribed if an infectious process is detected;
anti-inflammatory and so on.

Video: Frequent urination? Signs of prostatitis in men