2024-05-18 09:39:34
Jang In-ho, Professor, Division of Urology, Chung-Ang College Hospital
Urinary problems after 50’s are nearer to getting old… There are lots of causes of overactive bladder and enlarged prostate.
Drug remedy and way of life enchancment have to be mixed… Ailments could be predicted by urine shade
I am urinating too continuously. May this be inflicting a well being downside? Is it potential to repair the issue of all of a sudden having to urinate and having to run to the lavatory? May it’s that even after you end urinating, the remaining drops of urine leak out and moist your underwear? What ought to I do if urine leaks even once I cough?
It is a urinary dysfunction that usually happens after the age of fifty. Jang In-ho, a professor of urology at Chung-Ang College Hospital, stated, “Urine problems after the age of fifty are sometimes a pure phenomenon of getting old. “You may enhance your high quality of life by revealing it and treating it as a substitute of hiding it,” he stated.
● Frequent urination in case you urinate greater than 8 instances a day.
![Weak urine stream shouldn’t be at all times a illness[베스트 닥터의 베스트 건강법]](https://dimg.donga.com/wps/NEWS/IMAGE/2024/05/17/124983247.7.jpg "Weak urine stream shouldn’t be at all times a illness[베스트 닥터의 베스트 건강법]")
Urinary problems are largely divided into △when storing urine, △when urinating, and △after urinating. Individually, urinary incontinence and enuresis are additionally categorized as urinary problems.
The most typical urine storage dysfunction is frequent urination. Frequent urination accounts for roughly 40% of all urinary problems. The typical grownup urinates 5 or 6 instances a day, roughly 300 mL every time. If the variety of urinations will increase to greater than 8 instances a day, it may be thought of frequent urination. Nocturia that happens whereas sleeping at night time, urinary urgency that causes a sudden must urinate, and urinary ache that feels ache across the urethra or bladder when urinating are additionally thought of urine storage problems.
Problem urinating normally happens when the bladder is blocked. It’s usually attributable to an enlarged prostate or urethral stricture. Due to this fact, it happens extra usually in males than in girls with a brief urethra. On the whole, △the urine stream turns into thinner, △urine comes out solely after a number of seconds, △the urine stream breaks and comes out once more, △it’s a must to pressure your abdomen to urinate, or △you can’t urinate. Enuria, which is a narrowing of the urine stream, accounts for about 30% of all urinary problems, making it the second commonest after frequent urination.
If there’s a feeling of residual urine after urinating, urine drops leak, and the urge to urinate once more instantly happens, that is post-micturition dysfunction. Professor Jang stated, “Amongst these, urine leakage usually happens in middle-aged males, however it’s nearer to getting old than a illness, so it’s higher to not be too burdened.” When this phenomenon happens, press the realm between the testicles along with your finger to expel the remaining urine from the urethra.
Urinary incontinence refers to a illness wherein urine leaks from the bladder. As we age, the variety of sufferers with stress urinary incontinence, which causes urine to leak when the strain within the abdomen will increase when coughing or sneezing, will increase. There are fairly a number of sufferers with urge urinary incontinence, which causes sudden outflow of urine. If urinary incontinence happens whereas sleeping, it’s typically recognized as enuresis.
● “Overactive bladder, signs enhance with medicine”
It’s unattainable to pinpoint the reason for urinary dysfunction. Even frequent urination could be attributable to diabetes or extreme water consumption. If you don’t urinate continuously through the day however nocturia happens at night time, it might be an indication of coronary heart failure. Additionally, if urinary urgency signs all of a sudden worsen, cystitis will be the trigger. If urinary issues seem earlier than the age of 40, bladder stones or urinary tract stones are suspected.
If this isn’t the case, the trigger is usually an overactive bladder (in girls) or an enlarged prostate (in males). Let’s take the instance of frequent urination. Usually, the bladder expands when it’s stuffed with urine. When there isn’t a must urinate, there isn’t a must urinate. Nonetheless, as we age and the elasticity of our bladder decreases, we grow to be extra delicate and understand even a small quantity of bladder as ‘full’. Due to this, you might want to urinate continuously. Males are somewhat totally different. As soon as the prostate gland turns into enlarged, issues come up. The enlarged prostate stimulates the bladder, and because of this, the bladder turns into delicate and the sensation of needing to urinate.
The largest reason behind urinary incontinence is overactive bladder. Usually, even when the bladder fills with urine, it’s potential to regulate it to some extent. You might be able to urinate after holding it in for dozens of minutes. Nonetheless, when the bladder goes uncontrolled, urine comes out.
You could strengthen your bladder to beat urination issues. The reason for overactive bladder shouldn’t be clear. Even with drug remedy, full remedy can’t be anticipated. The aim of drug remedy is to enhance signs. Because of this, the drug solely turns into efficient when taken. Should you cease taking it, your signs could worsen once more. Professor Jang stated, “Like hypertension medicine, it’s higher to deal with with medicine with the thought of taking it for a lifetime.”
The consequences of drug remedy normally seem from the second week. Moreover, passable remedy results are achieved if the remedy continues for greater than 6 months. In line with a survey of sufferers with overactive bladder by the Korean Society of Urinary Issues and Urinary Incontinence, the typical variety of urinations per day amongst sufferers who had been persistently handled with medicine decreased from 11.7 to eight.3. Urinary urgency additionally decreased considerably from 8.2 instances to 2.2 instances, and urge incontinence additionally decreased from 2.2 instances to 0.1 instances. Professor Jang defined, “Medicine have improved a lot that there’s a clear impact in enhancing signs even with out surgical procedure or different procedures.”
● Create wholesome urinating habits
Taking medicine alone doesn’t present basic remedy. Professor Jang stated, “To be efficient, you could appropriate your way of life habits whereas taking medicine.” On the identical time, he advisable following the seven main well being guidelines introduced by the Korean Society of Urinary Issues and Urinary Incontinence.
First, you might want to keep your weight by exercising often. Workout routines similar to strolling are advisable. Exercising develops the muscular tissues that help the pelvis and strengthens the bladder. Conversely, being chubby has a destructive impact on bladder well being.
Second, keep away from alcohol or caffeine. You could stop smoking. All of those substances irritate the bladder. Third, drink sufficient water, similar to consuming 6 to eight glasses of water each day. Constipation causes frequent urination. Due to this fact, devour fiber to advertise bowel actions. Fourth, maintain a urination diary. Should you write down how a lot you urinate, how a lot you urinate, and whether or not you expertise any discomfort, like in a diary, you may simply detect frequent urination, nocturia, and so on.
Fifth, when you’ve got issue holding in urine, do common bladder coaching. Holding urine for a sure time frame whenever you really feel the necessity to urinate. Beginning with quick intervals at first and steadily rising the time will enable you maintain your urine higher and assist with common urination.
Sixth, do pelvic muscle workout routines (Kegel workout routines). Sit along with your legs aside and pull and tighten your anus, considering you’re holding in a fart. Depend from 1 to five after which calm down. When contracting, don’t maintain your breath and place your hand in your decrease stomach to see if there’s any power.
Seventh, when you’ve got signs associated to urinary problems, seek the advice of a specialist. The earlier it’s found and handled, the faster the impact.
● Are you able to see a illness by wanting on the state of your urine?
Urinary system illnesses could be roughly assessed primarily based on the state of urine. In case your urine smells unhealthy, you almost certainly have cystitis or urinary tract an infection. If in case you have a candy odor, it’s a good suggestion to get examined for diabetes. Nonetheless, it isn’t straightforward to differentiate smells intimately, so you shouldn’t decide swiftly.
It’s higher to fastidiously observe the colour of urine moderately than the odor. Usually, urine must be clear and yellow. When this shade modifications barely, illness must be suspected. For instance, in case your urine could be very cloudy, you might have cystitis.
Generally the urine has a slight brown shade. This usually occurs within the morning whenever you get up from mattress, particularly in case you train or work for a very long time. Professor Jang stated, “The cloudy shade is expounded to signs of dehydration.” As you grow to be dehydrated, the colour of your urine modifications. Or, it might be a phenomenon that happens when some muscle cells are destroyed because of excessive train. Professor Jang stated, “It’s not an enormous concern, and it will get higher in case you drink water and relaxation.”
In case your urine turns darkish yellow, you might have a liver downside. As jaundice worsens, urine turns into darkish yellow. On this case, it’s best to go to a hospital.
Hematuria is a hazard signal. Anybody can establish hematuria. Inside the bathroom seat, crimson water accumulates within the concave space. Hematuria is almost definitely attributable to bladder most cancers, kidney most cancers, prostate illness, or acute cystitis. If you’re beneath 40, one other illness will be the trigger. In any case, it’s best to go to the hospital straight away.
When there’s foam within the urine, the quantity of froth and the variety of days it lasts have to be thought of. If there are plenty of bubbles quickly, there isn’t a main downside. Nonetheless, if a considerable amount of foam seems over a number of days, proteinuria must be suspected. Protein leaking into urine. It could imply that you’ve an issue along with your kidneys. On this case too, further testing is critical.
Reporter Kim Sang-hoon [email protected]
2024-05-18 09:39:34