How Often Should You Pee 11 Causes Of Frequent Urination
Although everyone is different, most adults urinate or pee five to seven times in 24 hours, most of that during the day, says Ali Dabaja, MD, a urologist with Henry Ford Hospital in Detroit. If you’re peeing a lot more often than that, does it mean something is wrong?
Potentially, but not always, according to Melissa A. Laudano, MD, an attending urologist at Montefiore Health System and assistant professor of urology at Albert Einstein College of Medicine, both in New York City.
Here’s everything you need to know about the causes of frequent urination. Plus, treatment options and when to talk to your doctor.
Possible Reasons For Frequent Urination
Frequent urination is much more common that you might think. As you get older, you may find that you have to use the bathroom more often. Many people who begin to experience frequent urination, may blame stress or think they drink too much water. In fact, it is perfectly normal to go the bathroom 6-10 times a day, especially if you are active and drink lots of water. However, if you go more often than that, you might consider seeing your doctor.
To help you understand why you have to go to the bathroom so much, here are the most common causes of frequent urination.
Drinking Too Much Fluid
“What goes in must come out,” Kristy M. Borawski, MD, associate professor of urology at the University of North Carolina-Chapel Hill School of Medicine, tells her patients. “Too much of any fluid can result in increased urinary frequency,” she says. Caffeinated and alcoholic beverages are even more likely to increase your need to pee because they are diuretics, which means they boost urine output.
Citric acid, which is found in citrus foods and drinks, can be a culprit too. Even spicy food can provoke an urge to go, Dr. Dajaba adds. Vitamin C in your diet or from supplements may even contribute. In these cases, the solution is as easy as cutting back on the suspected culprit.
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What Are Hot Flashes
Hot flashes can be a pretty unpleasant symptom of perimenopause and menopause. We dont totally understand the cause of hot flashes.
Most people describe a hot flash as a sudden hot feeling that spreads all over your body but mostly the upper body, like your arms, chest, and face. You may also get sweaty, and your fingers may tingle and your heart may beat faster. A typical hot flash usually lasts anywhere from 1 to 5 minutes.
Hot flashes at night are called night sweats. Sometimes they can get so severe that you soak your sheets with sweat.
Hot flashes are super common. More than 3 out of 4 people have them while going through perimenopause and menopause.
Nothing will make hot flashes stop completely, but there are some things you can do to help get some relief. Wearing light, loose clothes, keeping your room cool, drinking cold liquids, and avoiding alcohol and caffeine can help you stay cool.
Prescription hot flash treatments can be helpful, too. Hormone therapy works best to treat hot flashes, but other medicines like SSRIs and SNRIs and clonidine may also help. Research shows that herbs, vitamins, acupuncture, and reflexology dont help with hot flashes.
Does Menopause Cause Urinary Incontinence
Although women can experience urinary incontinence during their life, the frequency of UI tends to occur more often when you get older. This loss of bladder control stems from hormonal changes that affect muscle strength in your pelvic area. Women who are pregnant, giving birth, or going through menopause are all likely to have urinary incontinence. So, does menopause cause urinary incontinence? It is a contributing factor, but there is more to it.
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Meanwhile Should You Wear Liners Leak
Until now, I used to laugh at the thought of wearing leak-proof underwear. Theres no way I would even imagine putting on adult diapers. But then I saw younger influencers endorsing them during postpartum. At that point, I felt confident about trying them. If young moms wear them and feel comfortable, then why cant older women wear them? After all, they protect us from embarrassing moments. On the other hand, I do not plan to toss away my cute lace undies anytime soon! I can still wear them at home.
Why You Might Need To Urinate More
Here are eight reasons, according to Dr. Jaeger, that you may be running to the bathroom more often than youd like:
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How Soon After Starting Kegel Exercises Will Urinary Incontinence Get Better
It may take 4 to 6 weeks before you notice any improvement in your symptoms.
Kegel exercises work differently for each person. Your symptoms may go away totally, you may notice an improvement in your symptoms but still have some leakage, or you may not see any improvement at all. But even if your symptoms dont get better, Kegel exercises can help prevent your incontinence from getting worse.
You may need to continue doing Kegel exercises for the rest of your life. Even if your symptoms improve, urinary incontinence can come back if you stop doing the exercises.
Causes Of Menopausal Frequent Urination
During the menopause, a womans estrogen levels drop, causing her periods to stop. Unfortunately, this decrease in estrogen also leads to a number of other symptoms throughout the body. Many women find that they need to use the bathroom more frequently than before, or that they have very little warning when they need to pass urine.
The reason for this is that a lack of estrogen causes the tissues and muscles surrounding the vagina and urethra to become thin and atrophied. This weakens the bladder and leads to a reduced ability to control urination.
Age is another factor in urinary frequency after menopause. Muscles will naturally weaken with age, and in some cases, damage sustained during childbirth may become apparent later in life.
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What Is Frequent Urination
Every woman goes on her own schedule, but generally, peeing 68 times every 24 hours is normal. More than that including peeing a lot at night and you may have frequent urination.
While theyre often mentioned together, frequent urination isnt the same as incontinence, which is involuntary urination that can result in leakage. But frequent urination can be just as inconvenient to your day-to-day life. Besides the disruption to your routines and activities, constant trips to the bathroom can also feel distressing, especially if youre not sure of the cause.
Frequent urination may only be just that, or it may appear alongside other symptoms. Regardless, understanding why you have to pee so often is the first step toward getting relief. Often, customized treatment can help stop frequent urination and let you get back to life on your own schedule.
Menopause & Urinary Symptoms At A Glance:
- Changes in a womans urinary function often accompany menopause. A primary cause is urogenital atrophy, which is the deterioration of the urinary tract and vagina.
- These urinary changes occur for two reasons: Menopause reduces the amount of the female hormone estrogen, and a lack of estrogen reduces the urinary tracts ability to control urination. Advanced age, which usually coincides with menopause, also has various debilitating effects on the pelvic area organs and tissues.
- Symptoms include the need to urinate more frequently, the inability to control urination , dryness and itching in the vagina, and increased urinary tract infections.
- Treatments vary and include dietary changes, strengthening exercises, topical estrogen for the vagina, and surgery.
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Bladder Problems Can Badly Affect Morale And Confidence
Increased frequency of urination, urinary incontinence/leaking, painful urination and night time peeing are common symptoms of menopause. These can be brought on by laxity of muscles caused by changes in hormones espcially the decrease of oestrogen. Weakened pelvic muscles and the thinning of membranes are the most common causes of these difficulties. Bladder symptoms can be very distressing but they are very treatable.
A weakening of the pelvic floor muscles is common during perimenopause – you may notice that you have a leakage of pee when you cough, sneeze or jump. Star jumps or the trampoline are out of the question for some of us! As soon as you notice these limitations it’s time to work on improving your pelvic floor with exercise that some may know from childbirth. The exercises are sometimes known as Kegels. Other interventions include biofeedback using electronic devices, which provide electrical stimulation. Medication and complimentary treatments like homeopathy, naturopathy and acupuncture can reduce many types of leakage. In some cases collagen implants may be injected and in more severe cases surgery may be required where other approaches are unsuccessful.
Post-menopause many women find that they have to sprint to the toilet in order to make it on time as they get little warning from the brain.
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Solutions To Increased Urinary Frequency From Perimenopause
Dr. Ellerkmann says that some studies support the use of supplemental vaginal estrogen cream in both periomenopausal and menopausal women to partially alleviate symptoms of overactive bladder.
Dr. Ellerkmann also explains, Excluding organic causes that might cause overactive bladder symptoms or medications or behavior , the most common inciting causes of urinary frequency and urgency are consumption of known dietary irritants the most common of which are caffeinated beverages, tea, artificial sweeteners, carbonated beverages, citrus juices, tomatoes, chocolate, sodas.
Dr. Ellerkmann is board certified in both OB/GYN and female pelvic medicine and reconstructive surgery. He specializes in the treatment of urinary incontinence in women of all ages.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. Shes also a former ACE-certified personal trainer.
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What Steps Can I Take At Home To Treat Urinary Incontinence
Your doctor or nurse may suggest some things you can do at home to help treat urinary incontinence. Some people do not think that such simple actions can treat urinary incontinence. But for many women, these steps make urinary incontinence go away entirely, or help leak less urine. These steps may include:
You can also buy pads or protective underwear while you take other steps to treat urinary incontinence. These are sold in many stores that also sell feminine hygiene products like tampons and pads.
Could My Age Make A Difference
The older you are, the more likely you are to need to pee at night.
As you age, your body produces less of a hormone that helps concentrate urine so that you can hold it until the morning.
When you’re older you’re also more likely to have other health problems that make you need to pee overnight. Your gender can play a role, too:
- Men: An enlarged prostate is common when you’re an older guy. It usually isnât serious, but it can keep you from emptying your bladder.
- Women: After menopause, you make less estrogen. That can cause changes in the urinary tract that make you have to go more often. If youâve had children, the muscles in your pelvis may be weaker, too.
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How Can I Treat Bladder Weakness
There are lots of medications that are available on prescription that are used to treated urinary incontinence. You will need to see your GP to discuss your symptoms so they can decide on the best method of treatment for you. Depending on your type of incontinence will depend on your treatment. Below are links to some of the treatment options available
Some of these treatments will need time to start working so if you need something more immediate to help you feel more comfortable then there are a wide range of feminine continence products available on the market now. Many of these have now been designed to be more discreet and can help to take away the embarrassment of urinary incontinence. You can find more information on the products available here.
What Bladder Issue Do You Have
The most common ones women face during and after menopause are:
Stress incontinence. You might lose a few drops of urine when youre coughing, sneezing, or laughing. Or you might notice leaking when youre lifting something heavy or doing something that puts pressure on your bladder.
Urge incontinence. The need to pee comes on fast and unexpectedly. You might not make it to a bathroom in time. This is sometimes called an irritable or overactive bladder.
Nocturia. Some women wake up several times in the middle of the night with an urge to pee.
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Symptoms Of Menopausal Frequent Urination
As well as needing to urinate more often, women with this condition may suffer from a number of other, related symptoms. These include the following:
- Urge incontinence
- Stress incontinence
- Waking up to urinate during the night
- Dryness, itching, or burning of the vagina
- Increased risk of urinary tract infections due to altered pH levels of the vagina
- Pain or bleeding during sexual intercourse
These symptoms can be extremely distressing and embarrassing, but luckily there are a number of treatments available including both medical and non-medical interventions.
Childbirth Trauma And Other Causes
Increased age is a common risk factor for pelvic floor disorders, including OAB and urinary incontinence. Some life phases can also affect your bladder. For example, pregnancy and childbirth can change the tone of your vagina, your pelvic floor muscles, and the ligaments that support your bladder.
Nerve damage from diseases and trauma can also cause mixed signals between the brain and the bladder. Medications, alcohol, and caffeine can also affect signals to the brain and cause the bladder to overflow.
Are There Herbal Remedies To Help Me
There are certain herbal remedies you can use alongside home remedies to help with your weak bladder. Uva-ursi, also known as Bearberry, is one of Alfred Vogels first herbal remedies. It has antiseptic properties and is effective in aiding urinary tract health.
What is important to remember is that your weak bladder may be a symptom of the menopause, and so looking for support with the menopause is likely to bring relief from these other symptoms. Soy isoflavones mimic the effect of oestrogen in the body, reducing the severity of menopause symptoms. It can be found in herbal remedies such as our Menopause Support supplement.
What Else Can Cause Leakage
Menopause isnt always the reason why your bladder is acting up. Your muscles may have naturally weakened due to age. Or you might have had injuries as a result of giving birth to a child, or several children.
Think about any medicines you take, too. Some antidepressants and pain meds can keep your bladder from emptying. Your doctor may be able to change your dose or prescription.
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Could It Be A Sleep Problem
Sometimes itâs not the urge to pee that wakes you — but once youâre up, you need to go. That can happen if you have restless legs syndrome, hot flashes, ongoing pain, or depression. Thereâs also a connection between sleep apnea and having to go at night.
Treating the sleep disorder usually solves the nighttime peeing problem, too.
Risk Factors For Urinary Incontinence
Its helpful to know what things can increase your risk for urinary incontinence so you can make lifestyle changes, when possible. Its also a good idea to have a conversation with your doctor about risk factors that lifestyle interventions cant address.
Drinking beverages that contain alcohol or caffeine, which can fill your bladder more quickly
Having urinary tract infections, which can increase the feeling of urgency to urinate
Having nerve damage that can interrupt communication between your brain and bladder, making it difficult for your body to know when its time to empty your bladder
Using medications like steroids or diuretics, which can cause urinary incontinence as a side effect in some people
Being overweight or obese, as extra weight can put pressure on your bladder
Constipation, either acute or long-term, can also put pressure on your bladder
If youre experiencing any degree or type of urinary incontinence, know that youre not alone and that there are many things you can do to help alleviate this condition. Talk to your doctor to explore all of your options. Non-prescription remedies may take time. Dont give up
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