GoodRx Health13 Causes of Frequent Urination and How to Treat It

Frequent Urination: A Multifaceted Symptom with Diverse Etiologies and Treatment Approaches

Frequent urination is a common complaint that can significantly impact quality of life. This comprehensive review outlines 13 potential causes of urinary frequency, ranging from benign conditions to serious medical issues. Understanding these diverse etiologies is crucial for accurate diagnosis and effective management. The article provides insights into symptoms, risk factors, and treatment options for each cause, emphasizing the importance of thorough evaluation in clinical practice.

Key Points:

• Urinary frequency is defined as urinating more than six times per day.
• Common causes include urinary tract infections (UTIs), diabetes, pregnancy, and overactive bladder.
• Less common causes include appendicitis, fibroids, and certain types of cancer.
• Medications such as diuretics and calcium channel blockers can increase urinary frequency.
• Lifestyle factors like excessive fluid intake and caffeine consumption can contribute to the issue.
• Nocturia (frequent urination at night) affects about 1 in 3 people over 30 years old.
• Benign prostatic hyperplasia (BPH) is a common cause of urinary frequency in men, affecting 50% by age 60.
• Pelvic organ prolapse can cause urinary frequency in women, especially after multiple vaginal births.
• Kidney stones can irritate the bladder and increase urinary frequency.
• Treatment approaches vary based on the underlying cause and may include:
  • Behavioral modifications
  • Bladder training
  • Antimuscarinic medications
  • Sacral neuromodulation
  • Botulinum toxin injections
• Urinary frequency is not a normal part of aging and usually has an identifiable cause.
• Early evaluation by a healthcare professional is crucial for proper diagnosis and treatment.

The National Overactive Bladder Evaluation study found that 16.5% of participants met the criteria for OAB. Although this translates to effect as many as 33 million adult Americans, this may be an underestimation, as many patients fail to seek help due to embarrassment or ignorance. (Current Urology)

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