John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
treatment for frequent urination depends upon underlying cause.
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).
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).
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.