Frequent Urination (cont.)
treatment for frequent urination depends upon underlying cause.
- Urinary tract
infection: The doctor will prescribe antibiotics. Drinking plenty of fluids is
- Diabetes: When blood sugar levels get very high, frequent urination is
often one of the first symptoms. Treatment for frequent urination in diabetics
involves close management of blood sugar levels.
- Diuretic use: Ask your doctor
if you can take your diuretics in the morning, or less frequently. This may
cause less trips to the bathroom at night (nocturia).
- Prostate problems:
Problems with the prostate are usually treated by a specialist called a
urologist. There are two common drug types prescribed for enlarged prostate: 5ARIs
(5-alpha-reductase inhibitors), which reduce the level of the hormone that causes
the prostate to grow, and alpha blockers, which relax the smooth muscle cells,
including the bladder. Surgery may also be considered to treat prostate
- Pregnancy: Frequent urination often accompanies pregnancy. There may
not be much that can be done to reduce frequent urination, especially later in
the pregnancy. Reduce consumption of diuretic fluids that contain caffeine, such
as tea, soda or coffee, however, do not reduce overall fluid intake, as it is
important to stay hydrated while pregnant. Consume most fluids during the day to
reduce nighttime trips to the bathroom. When using the bathroom, it may help to
lean forward slightly to help completely empty out the bladder.
cystitis: This condition usually requires treatment by a urologist who
specializes in interstitial cystitis. It may be treated medically with
medications, including drug pentosan polysulfate sodium (Elmiron), tricyclic antidepressants, pain medications or antihistamines.
Surgical treatment may be necessary.
- Stroke or other neurological diseases:
Depending upon the cause, the urinary frequency may be treated with medication
or behavioral therapy, such as bladder retraining (see below).
- Bladder cancer:
Treatment for bladder cancer should be directed by a urologic oncologist. It may
involve chemotherapy, radiation, and/or surgery.
- Overactive bladder syndrome:
The first-line treatment for overactive bladder syndrome usually involves
bladder retraining (see below). Treatment also may include drugs such as tolterodine (Detrol
LA), oral oxybutynin (Ditropan), darifenacin (Enablex), transdermal oxybutynin (Oxytrol), trospium (Sanctura XR), imipramine (Tofranil), and solifenacin (VESIcare).
- Artificial sweeteners, alcohol, caffeine and other foods: Avoid foods and beverages that irritate your bladder or act as a diuretic.
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