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Nobel Hygiene

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Urinary Frequency - A Brief Overview

Normal urination frequency differs from person to person. Most people’s urine cycles range between 4 and 10 visits to the toilet in 24 hours. The most important thing while speaking about the frequency of micturition is urination frequency and urgency. A person with a normal urine cycle will have ample warning before the moment of urination and will not find it difficult to wait a few minutes at least before using the toilet. Furthermore, if a person drinks 2-4 litres of water daily, they should need about 2 hours between toilet visits. 

If either of these two parameters are shifted, you could be facing urinary incontinence or overactive bladder syndrome. These could be caused because of various reasons, such as the bladder not contracting fully, the bladder not emptying fully, nerve damage and diabetes. 

Most commonly, a higher frequency of micturition is caused by Overactive Bladder Syndrome. This occurs when the bladder contracts (causing urination) even when it does not have to—such as when it is only half or quarter full of urine. This results in an increased need to go to the toilet even when there is not much actual urine to dispense. 

Normal urination frequency also depends on the amount and types of fluid consumed in a day. Medicines called diuretics taken to control high blood pressure, for example, may cause increased urine flow. Taking supplements, steroids and drugs can also affect the urinary frequency. 

Causes of Urinary Frequency

Experiencing urinary frequency can signal various health concerns, ranging from kidney issues to simple hydration habits. If you notice frequent urination alongside fever, a strong urge to urinate, and discomfort in your abdomen, it could indicate a urinary tract infection. Age-related changes, hormonal fluctuations, and neurological conditions can also impact urinary frequency and urinary urgency. Other causes of urinary frequency include:

  • Diabetes: Early stages of both type 1 and type 2 diabetes may manifest as frequent urination, as the body attempts to expel excess glucose through urine.
  • Pregnancy: As the uterus expands, it can exert pressure on the bladder, leading to more frequent urination, especially in the early stages of pregnancy.
  • Prostate problems: An enlarged prostate can obstruct urine flow, irritate the bladder, and prompt more frequent urination.
  • Interstitial cystitis: This condition involves bladder and pelvic pain, often accompanied by urgent or frequent urination.
  • Diuretic use: Medications prescribed for conditions like high blood pressure can prompt increased urinary frequency.
  • Neurological issues: Conditions like stroke or neurological diseases can affect bladder function, causing sudden urges to urinate.
  • Hypercalcemia: Elevated calcium levels in the blood, stemming from various factors like overactive parathyroid glands or certain illnesses, can lead to frequent urination and other symptoms such as excessive thirst, upset stomach, and bone/muscle pain.

If you are experiencing urinary frequency along with fever or any other symptoms, it's advisable to consult a healthcare professional for proper evaluation and guidance. One must understand the causes of urinary frequency and not ignore such symptoms. 

Healthy Urinary Frequency

One must know how many times a day should you pee and get a check-up in case of discrepancies. Typically, people urinate about six to seven times a day, although variations are common. Several factors influence urination frequency, including age, daily fluid intake, beverage choices, health conditions like diabetes or urinary tract infections (UTIs), medication use, and bladder capacity. Additionally, the frequency of urination in pregnancy is higher than normal.

If you pee more or less on certain days, it is not a matter of concern. Regularly exceeding seven urinations daily might be normal for some individuals and not necessarily indicative of health issues. However, the National Institute of Aging advises you to consult your doctor if you consistently urinate eight or more times daily.

When The Urine Frequency Is Considered Abnormal

When was the last time you sat and pondered about your urination? If the answer is something like just this morning or yesterday; if you’re always thinking about urinating if you’re always on the lookout for a toilet, if you’re nervous about malls and parties because “What if the line in the toilet is too long?” or you’re here, reading this blog, because you googled something like ‘natural urination frequency’, chances are you are suffering from incontinence or overactive bladder syndrome. 

According to research conducted, most people suffer from frequent urination for nearly 1.5 years before speaking about it to family or consulting a doctor. While we understand the embarrassment and fear that comes with the symptoms of frequent urination, not treating it can only make matters worse. 

Thus, if you feel like you no longer have a normal urination frequency, or your work/life/sleep is disturbed due to constant visits to the toilet, it may be a good idea to visit the doctor. 

The doctor will require details from you on the urinary frequency and urgency you have been experiencing. It is thus a good idea to record the following before visiting them: 

  • How many times a day do you visit the toilet? 
  • What is the duration of each visit? 
  • How much urine do you pass on each visit? 
  • Do you leak urine?
  • How often do you feel a strong, uncontrollable urge to urinate? 
  • Is this a strong urge followed by a large volume of urine? 
  • Do you take any medications for diabetes, etc?
  • What is your diet like? 
  • How much water and other liquids do you normally consume? 
  • How often do you have to get up in the middle of the night to urinate?
  • Do you suffer from nighttime urination?

Keeping track of tips like these for 3-5 days before your doctor's appointment will help the doctor give you a faster, more accurate diagnosis.

What Symptoms Should You Be Aware Of?

Normal urination frequency is signified by spaced-out and stress-free urination. You may be facing frequent urination if you experience any of the following urinary problems: 

  • Every 30 minutes or so, a strong urge to urinate
  • A strong need to urinate every half an hour
  • Urge to urinate strongly, followed by a small/insignificant amount of urine
  • A strong urge to pass urine, only to discharge a very small or insignificant amount of urine
  • Bedwetting occurs when bladder control is lost, especially at night.
  • While urinating, you may experience pain or a burning sensation.
  • Urine with a peculiar colour
  • Facing difficulty while passing the urine
  • Throughout the day, there is a continuous trickle of urine.

Urinary Frequency in Men:

Men may experience urinary frequency due to various factors, such as prostate enlargement, Urinary Tract Infections (UTIs), or bladder issues. Prostate enlargement, often associated with ageing, can obstruct urine flow and prompt more frequent urination. UTIs, though less common in men compared to women, can still lead to urinary frequency in men when bacteria infect the urinary tract. Additionally, bladder issues like overactive bladder or bladder irritation may contribute to increased urination frequency in men, necessitating medical evaluation for proper diagnosis and management.

Urinary Frequency in Women:

Female urinary frequency is frequently influenced by factors such as hormonal changes, Urinary Tract Infections (UTIs), and pelvic health issues. Hormonal fluctuations during menstruation, pregnancy, or menopause can affect bladder function and lead to increased urinary frequency. UTIs, which are more prevalent in women due to their shorter urethra, can cause frequent urination along with other symptoms, like a burning sensation during urination. Pelvic health conditions, such as pelvic floor dysfunction or interstitial cystitis, may also contribute to urinary frequency in women, emphasising the importance of seeking medical attention for accurate diagnosis and treatment. The frequency of urination in pregnancy often intensifies due to hormonal changes and the expanding uterus pressing on the bladder. This increased female urinary frequency is a typical discomfort experienced by many pregnant women.

Everything you need to know about nighttime urinary frequency

Nighttime urinary frequency, often attributed to ageing, involves decreased production of the antidiuretic hormone, leading to increased urine output, especially at night, and weakened bladder muscles. Other factors, such as urinary tract infections, excessive fluid intake before bedtime, and certain medications, can also contribute. Symptoms include frequent urination during the night, urgency to urinate, and potential disruptions to sleep quality, posing risks of falls and injury, particularly in the elderly.

What Factors Affect Urinary Frequency?

Urinary frequency is affected by the following:

  • Hydration levels
  • Bladder health
  • Medical conditions like diabetes or UTIs
  • Medication use
  • Lifestyle habits such as caffeine and alcohol intake
  • Age-related changes
  • Hormonal fluctuations, and
  • Neurological conditions

Understanding these factors helps identify triggers and seek effective treatment.

Tips for Managing Urinary Frequency:

To manage urinary frequency, the following can be undertaken:

  • Adopt healthy bladder habits, such as scheduled urination (pee once every 3-4 hours).
  • Pelvic floor exercises like Kegel strengthen muscles and improve bladder control. 
  • Monitor fluid intake, especially before bedtime, and seek medical evaluation for personalised treatment approaches, which may include medication, behavioural therapies, or surgical interventions.
  • Consult a healthcare professional to enhance your quality of life and manage urinary frequency

All About Managing Frequent Urination Challenges

The important thing to note is that frequent urination is often a symptom of a disease and does not appear in isolation. This disease could be affecting the kidney, the ureters, the urethra, the bladder or the nerves and muscles controlling the urinary system.

Some of these conditions that affect normal urination frequency include: 

  1. Changes in kidney function or kidney/bladder stones
  2. Prolapse cystocele, or other damage to the pelvic muscles
  3. Pregnancy, or post-pregnancy complications 
  4. Menopause 
  5. Diabetes 
  6. Diuretics 
  7. Excess alcohol, caffeine or fluids 
  8. Narrowing of the urethra
  9. Prostate issues 
  10. Radiation treatments in the lower body
  11. Urinary Tract Infection

How Friend’s Diapers Can Help

Akash Jain had a successful clothing business in a busy part of Mumbai. He would sit at his shop for over 12 hours a day managing his employees and interacting personally with customers. “That’s how you sell a sari,” he would say. However, in 2019, Jain suddenly shut the shop, fired his employees and came home. He said he wanted to retire. His son, a banker, became solely responsible for their house of 8 people. The money became tight. Discord and unhappiness grew. The reason for all this? Frequent urination. 

When Jain had normal urination frequency, he could take the 5-minute walk to the public toilet in the marketplace. However, post-prostate surgery it became more and more difficult to reach the toilet. On the way he’d run, panting heavily as his eyes would start watering and his urethra would threaten to burst. On most days, he just about made it to the toilet, and then one day, he didn’t. 

A man who’d had a shop for years in this busy market, a man of repute, stood amid watermelon wallahs and incense sellers, his pyjama wet with urine. He’d lost control. He’d done the ‘unthinkable’.  

There was nothing to do now, but to pack up shop and leave. Forever. 

We met Jain while conducting a research study for our diapers. What started as a small study eventually led to Mr Jain opening his shop again. “Friends diapers changed my life. They gave me confidence and took away my fear. I am very thankful,” he told us a month after he started using our diapers. 

So what worked for him? 

  1. The Design and Fit: Friends Dry Pantsare designed like pull-up underwear that can be worn easily. The material is slim and soft and does not show up under clothing. 
  2. Help with control: The Dry Pant in many ways is a means of being secure. Now, Jain knows that even if he does not make it to the toilet, his pants will not get wet and there will be no public embarrassment. 
  3. Odour Lock: Friends Dry pants come with odour lock technology to make sure the wearer remains fresh and odour free. 
  4. High absorption: On heavy work days users like Jain can wear dry pants for up to 8 hours, through various urine cycles without worrying about a leak. Friends diapers instantly convert urine to gel form making the way for a rapid dry, highly absorbent feel. 

Frequent urination can, indeed, be challenging to deal with. However, if managed correctly and with proper resources, it can be easier to live with. :)

FAQ

How many times a day should you pee?

You should generally pee around 6 to 7 times a day. However, this can vary depending on several factors, including how much water you drink, your age, any health conditions you might have, and the capacity of your bladder. Also, it is important to note that female urinary frequency is different from male urinary frequency, especially the frequency of urination in pregnancy.

Why do I still feel like I need to pee after urinating?

Sensations of incomplete emptying or persistent urge to urinate post-urination may be attributed to conditions like overactive bladder, urinary tract infections, or bladder irritation. Consulting a healthcare professional is advisable for proper diagnosis and management.

How long can you hold urine?

While bladder capacities vary, it's generally recommended to empty the bladder every 3 to 4 hours to prevent discomfort and potential bladder-related issues. Excessive urine retention can elevate the risk of urinary tract infections and bladder complications.

What colour is healthy urine?

Ideally, healthy urine presents as pale yellow to transparent, signifying adequate hydration and waste elimination. Darker urine hues may indicate dehydration, while cloudy or unusual colours warrant medical attention for potential underlying health concerns.