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What Does A Constant Urination Urge Indicate?

Posted on Sat, 9 May 2015

Question: I am a 36 year old male. Type 2 diabteic. Well controlled.

I am feeling to go for a wee even after emptying my balder.

I have had a urine test and thats all clear.

What could this be? 24 hours this has been happenin.

Answered by Dr. Binu Parameswaran Pillai (4 hours later)

Brief Answer:
Check prostate status

Detailed Answer:
Good day.
Noted your concern. There are few possibilities.

1. URINARY tract infection: but I noted that your urinary examination was clear. So this is unlikely.

2. Prostate infection or prostate enlargement:
This can cause incomplete bladder emptying as well as frequent urination.

3. VERY rarely diabetic neuropathy can also cause frequent urination.

Please get an ultrasound scan of abdomen and urinary tract. Get a pre and post void scan. This will give an idea if there is urine left behind after each urination. Besides get a prostate examination and blood works for prostate as well.
regards XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (42 hours later)

Prostate enlargemnt even at 36 years of age?

Answered by Dr. Binu Parameswaran Pillai (3 hours later)

Brief Answer:
Infrequent, but possible.

Detailed Answer:
very good question. As you rightly pointed out, prostate enlargement is more common in men over the age of 50 years. However, it is also seen in young people, mainly due to prostate infection or inflammation ( PROSTATITIS). One of the symptom of prostatitis is frequent urination. Pus in urine during microscopy examination may also be seen.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (4 hours later)

So nothing serious?

Answered by Dr. Binu Parameswaran Pillai (6 minutes later)

Brief Answer:
Urine examination

Detailed Answer:
Unlikely to be anything serious. However, ruling out prostate inflammation is important. Need to do a urine microscopy examination as well

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (2 minutes later)

Would this be picked up on a dipstick check?

Answered by Dr. Binu Parameswaran Pillai (26 minutes later)

Brief Answer:
Microscopy + Dipstick test

Detailed Answer:
Dipstick test will pick protein and red blood cells. Together with dip stick test, a microscopy of the urine centrifuge sediment also is required.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (4 minutes later)

So if there was an issue then a dipstick would pick it up initially?

Answered by Dr. Binu Parameswaran Pillai (3 minutes later)

Brief Answer:
Yes

Detailed Answer:
Yes, it would have picked up blood or proteins. However, dipstick can not pick up all cases of Prostate inflammation. Clinical examination followed by an ultrasound will give more clarity

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (12 minutes later)

Ok thanks. Can it be felt with the bsck passage examination

Answered by Dr. Binu Parameswaran Pillai (35 minutes later)

Brief Answer:
That would be appropriate

Detailed Answer:
Yes that is important. A per rectal finger ( back passage) examination by your GP or urologist will be good to pick up prostate enlargement and tenderness.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (6 minutes later)

ok thanks. just had another urine sample and small amounts of protein was there . so this is a urine infection right?

Answered by Dr. Binu Parameswaran Pillai (9 minutes later)

Brief Answer:
Small amounts of protein can disappear

Detailed Answer:
Protein in urine could be from urine infection.Small amounts of protein ( trace) can be present temporarily occasionally which can disappear. This can not be considered abnormal if it disappears on a repeat examination.

Other causes of significant protein in urine are diabetes, hypertension and kidney diseases.

.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (1 hour later)

yes it's disappears. I have had 5 urine samples and only 1 showed protein. very weird.

Answered by Dr. Binu Parameswaran Pillai (5 minutes later)

Brief Answer:
Not to worry.

Detailed Answer:
Okay, there are many limitations for dipstip method. Not to worry. If it was significant, it would presist.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (1 minute later)

ok thanks. appreciate your help. hopefully nothing serious?

Answered by Dr. Binu Parameswaran Pillai (2 minutes later)

Brief Answer:
Any diuretics?

Detailed Answer:
Yes , i would thik so. It would be helpful if you could keep a track of your fluid intake and urine output chart in 24 hours. It will be helpful when you meet a doctor.
By the way, are you on any diuretics? or do you take excess Celery in your salads?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (59 minutes later)

what do you mean by diuretics? I don't take celery.

Answered by Dr. Binu Parameswaran Pillai (2 minutes later)

Brief Answer:
used for treating water retention.

Detailed Answer:
diuretics are pills used for treating hypertension and water retention. Celery is a natural diuretic. they cause frequent urination

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (3 minutes later)

no nothing like that. my bloods came back normal i.e kidney function all normal.

Answered by Dr. Binu Parameswaran Pillai (2 minutes later)

Brief Answer:
moitor fluid intake and urine output

Detailed Answer:
okay. good to know that. do not worry. monitor your urine output and water intake closely. avoid drinking excess water at evenings

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (6 minutes later)

ok will do. I will let you know this evening. thanks

Answered by Dr. Binu Parameswaran Pillai (1 minute later)

Brief Answer:
yes

Detailed Answer:
sure.it may give an idea about the problem

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (5 minutes later)

Its 12:37pm here in uk.

I woke up around 9am. Had a wee (decent flow) and since then i have had some water and a cup of tea and have been back again for a wee. Its now 12:30pm.

So in 3 hours i have been 3 times roughly.

As said before my bloods are ok and no utis.

Not sure what this may be.

I will let you know the exact anount later.

Answered by Dr. Binu Parameswaran Pillai (1 minute later)

Brief Answer:
Keep a track over 24 hours

Detailed Answer:
Okay. Keep a track on your water intake and urine output in 24 hours.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar