hello welcome to HCM i have gone through your history and when i found such kind of patients in my clinic, i was treating them with following treatment there are several causes responsible for urge to urinate. i think you are suffering from urge incontinence Urge incontinence occurs when you have a sudden urge to urinate. In urge incontinence, the bladder contracts when it should not, causing some urine to leak through the sphincter muscles. It is also known as overactive bladder, bladder spasms, spasmodic bladder, irritable bladder, or detrusor instability. Dietary changes - reduce the irritation on your bladder. reduce the intake of alcohol, caffeine, and other irritating foods that are spicy, acidic, or high in sugar Kegel exercises - Try contracting the pelvic floor for five to 10 seconds, then rest for the double amount of time. The motion of contracting the pelvic floor is like stopping the flow of urine midstream. If you are unsure if you are doing it correctly, try stopping your urine mid-stream. The Kegel should replicate that sensation of stopping your urine. Bladder retraining - One technique involves urinating at only specific, scheduled times each day. You cannot urinate at other times, even if you have the urge to go. precautionary measures - eat more fiber to prevent constipation that puts pressure on the bladder. You should also quit smoking so that you cough less. i think this may help thank u