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Yeh alamat kya hai
Frequency ka matlab hai din mein aap ke liye aam se zyada baar peshab karna. Urgency ka matlab hai achanak, tez hajat jise taalna mushkil ho, kabhi itni tez ke toilet pohanchne se pehle thora sa nikal jaye. Koi aik ginti aam nahi hai. Yeh is par munhasir hai ke aap kitna peete hain, mausam, aur umar. Ahem baat aap ke apne aam tareeqe mein tabdeeli hai, ya aisa tareeqa jo aap ke din mein rukawat dale.
Aik ahem ishara miqdar hai. Agar aap baar baar thora thora peshab karte hain, to bladder ya prostate zyada mumkina wajah hain. Agar aap baar baar zyada peshab karte hain, to jism zyada peshab bana raha hai, jo aap ke peenay ya kisi tibbi masle ki wajah se ho sakta hai.
Aam wajohat
Yeh mardon, auraton aur bachon sab ko hota hai. Aam wajohat yeh hain:
Thora thora, aksar jaldi ke saath
- Peshab ka infection, aksar jalan aur dhundhle ya tez boo wale peshab ke saath (dekhein peshab ki jalan guide).
- Overactive bladder, jis mein bladder ka patthay us waqt sikudta hai jab nahi sikudna chahiye (dekhein overactive bladder guide).
- Mardon mein barhi hui prostate, jo bladder ko khafa karti hai aur poori tarah khaali hone se rokti hai (dekhein enlarged prostate guide).
- Bladder ki pathri, ya kam hi bladder ka tumour, khaas tor par agar peshab mein khoon ho (dekhein peshab mein khoon guide).
- Khafa bladder. Chai, coffee, cola, energy drinks, sharab aur tambaku sab bladder ko khafa kar sakte hain.
- Qabz, jo bladder par dabao daalta hai.
- Fikr aur zehni dabao, jin se bohat se logon ko toilet ki zyada hajat hoti hai.
- Aurton mein, hamal, menopause ke baad hormones ki tabdeeli, aur neeche aaya hua bladder ya rahm (prolapse).
- Nas ke masail, maslan stroke, reerh ki chot ya diabetes ke baad (dekhein neurogenic bladder guide).
- Prostate ki soojan, ya bladder ka lamba dard (dekhein neechle pait ya bladder ke dard ki guide).
- Pelvis ki radiotherapy ke baad, jo bladder ko khafa kar sakti hai.
Zyada zyada miqdar
- Bohat peena, aadat ke tor par ya garam mausam mein, ya bohat zyada chai ya cola.
- Diabetes, jis mein khoon ki zyada shakkar se jism bohat peshab nikalta hai, pyaas, thakan aur wazan ke girne ke saath.
- Pani ki goliyan (diuretics) aur kuch aur dawaiyan.
- Kidney ke masail, jin se kidneys pani rokne mein kam qabil ho sakti hain.
- Kam aam hormone ya khoon ke namkiyaat ke masail, jinhein doctor dekh sakta hai.
Agar aap zyada tar raat ko peshab ke liye jagte hain, to dekhein raat ko peshab ke liye uthne ki guide.
Jaanch aam tor par kaise hoti hai
Aap ke doctor poochhenge ke aap kitni baar peshab karte hain, kitna, kya jaldi hai, leakage, jalan, dard ya khoon hai, aap kitna aur kya peete hain, aur kaun si dawaiyan lete hain. Woh aap ka pait dekhenge, aur mardon mein prostate ka bhi muaina ho sakta hai. Aam tests yeh hain:
- Teen din ki bladder diary, jo aap ke peenay, peshab ki baaron aur miqdar dikhati hai. Yeh aksar sab se kaam ka qadam hota hai.
- Peshab ka test, infection, khoon aur shakkar ke liye. Agar infection ka shak ho to peshab ka culture bhi kiya jata hai.
- Khoon ke tests, khoon ki shakkar aur kidney ka kaam dekhne ke liye. Mardon mein PSA test is ke faide aur hudood ki baat ke baad zer-e-ghaur aa sakta hai.
- Kidneys aur bladder ka ultrasound, jo peshab ke baad bachay hue peshab ki miqdar bhi dikha sakta hai.
- Dhaar ka test aur bladder scan, agar khaali hona kamzor ho sakta ho.
- Bladder ka camera test (flexible cystoscopy), agar peshab mein khoon ho ya alamaat bina wazeh wajah ke jaari rahein.
Fauran madad kab lein
Baar baar peshab ke liye meherbani karke jald doctor ko dikhayein, aur agar saath mein in mein se koi bhi ho to fauran qareebi hospital ke emergency department jayein:
- Aap peshab nahi kar pa rahe, ya dard wale, bhare bladder ke saath sirf chand boondein aati hain (dekhein peshab na aane ki guide).
- Bukhar, kapkapi, ya pehlu ya peeth mein dard ke saath bimar mehsoos karna.
- Bohat pyaas, bohat zyada peshab, wazan ka girna, dhundhli nazar, ya matli ya ghunoodgi. Yeh khoon mein bohat zyada shakkar ki nishaniyan ho sakti hain.
- Zyada khoon behna ya peshab mein mote lothray.
- Neechle pait mein shadeed dard, ya baar baar ulti.
- Uljhan ya shadeed ghunoodgi, khaas tor par kisi umar rasida shakhs mein.
- Aap hamila hain aur jalan, bukhar, dard ya khoon behna ho.
- Shair khwar ya chhota bachcha jo bukhar ya ulti ke saath bimar ho, ya aam tarah peshab na kar raha ho.
Sirf baar baar peshab emergency nahi hai, lekin meherbani karke jald doctor ko dikhayein agar yeh naya ho, chand dinon se zyada rahe, ya jalan, khoon ya dard ke saath ho.
Ab kya karein
- Teen din bladder diary rakhein. Likhein ke kya aur kab peete hain, har baar peshab kab karte hain, aur koi jaldi ya leakage. Napne wali jug madad karti hai. Isay doctor ke paas laayein.
- Koi dawai lene se pehle doctor ko dikhayein aur peshab ka sample dein.
- Zaroorat se kam paani na peeyein, khaas tor par garmi mein. Halke peele rang ke peshab ka maqsad rakhein. Bohat gehra, tez peshab bhi bladder ko khafa karta hai.
- Chai, coffee, cola, energy drinks aur sharab kam karein, aur dekhein ke jaldi kam hoti hai ya nahi. Har qism ka tambaku chhor dein. Yeh bladder ko khafa karta hai aur bladder cancer ka khatra barhata hai.
- Bladder ko sikhayein. Jab tez hajat aaye, saakin rahein, pelvic floor ke patthay sikodein, aahista saans lein aur hajat guzarne ka intezar karein, phir sukoon se toilet jayein. Aahista aahista baaron ke darmiyan waqt barhayein.
- Har waqt "ehtiyatan" toilet na jayein. Is se bladder kam rokna seekh jata hai.
- Roz pelvic floor ki warzish karein. Mardon aur auraton dono mein yeh patthay hote hain. Jahan physiotherapist dastiyab ho, woh sahi tareeqa sikha sakta hai.
- Qabz ka ilaaj karein, wazan theek rakhein, aur agar diabetes ho to khoon ki shakkar qaabu mein rakhein.
- Peshab ke test ke baghair medical store se antibiotics ya jari booti ki bladder ki cheezein na kharidein.
- Apne doctor ko har dawai batayein jo aap lete hain, pani ki goliyon samait, aur khud unhein na chhorein.
- Urologist ko dikhayein agar aap mard hain aur dhaar kamzor hai, peshab mein khoon hai, infections baar baar aate hain, ya saade iqdamaat ke baad bhi alamaat jaari hain.
Aam sawalaat
Din mein kitni baar peshab zyada hai?
Koi aik ginti nahi hai. Yeh is par munhasir hai ke aap kitna peete hain, mausam aur umar. Ahem baat aap ke apne aam tareeqe mein tabdeeli hai, ya jab yeh aap ke kaam, safar, namaz ya neend mein rukawat dale.
Kya mujhe peshab ka infection hai?
Ho sakta hai. Jalan, dhundhla ya tez boo wala peshab, aur neechle pait ki takleef infection ki taraf ishara karte hain. Baar baar peshab ki aur bohat si wajohat bhi hoti hain, is liye peshab ka test hi jaanne ka tareeqa hai.
Darwaze tak pohanchte hi ya paani ki awaaz sun kar mujhe itni jaldi kyun hoti hai?
Yeh overactive bladder ki aam nishani hai, jis mein bladder ka patthay jaldi sikud jata hai. Yeh kamzori ya aadat nahi jo aap ne chuni ho. Bladder training, peenay mein tabdeeli aur kabhi dawaiyan madad karti hain.
Kya der tak peshab rokna nuqsandeh hai?
Kabhi kabhar is se kam nuqsan hota hai. Baqaida bohat der tak rokna bladder ko phaila sakta hai aur infection ka khatra barha sakta hai. Meherbani karke har baar "ehtiyatan" jane se bhi bachein, jis se bladder kam rokna seekhta hai.
Kya garm mausam ya chai se farq parta hai?
Haan. Garmi aur paseena aap ke peenay ko badalte hain, aur chai, coffee aur cola bladder ko khafa karti hain aur kidneys se zyada peshab nikalwati hain. Inhein kam karna aik saada pehla qadam hai.
Kya yeh diabetes ho sakti hai?
Ho sakti hai, khaas tor par agar aap zyada peshab karte hain aur bohat pyaas, thakan ya wazan ka girna ho. Peshab aur khoon ki shakkar ka test is ko tay kar deta hai, aur karwana chahiye.
Kya yeh cancer ki nishani hai?
Aam tor par nahi. Baar baar peshab ki zyadatar wajah infection, overactive bladder, barhi hui prostate ya peenay ki cheezein hain. Lekin peshab mein khoon, jaari rehne wali alamaat, ya dard ki hamesha jaanch honi chahiye, kyunke kabhi kabhar yeh bladder ya prostate ke cancer se ho sakte hain.
Main aurat hoon. Kya yeh menopause, hamal ya prolapse ho sakta hai?
Haan, teeno wajah ban sakte hain. Hamal aur menopause bladder ko badalte hain, aur neeche aaya hua bladder ya rahm dabao, baar baar peshab aur leakage kar sakta hai. Doctor muaina kar ke madad kar sakti hain.
What this symptom is
Frequency means passing urine more often than is usual for you during the day. Urgency means a sudden, strong need to pass urine that is hard to delay, sometimes so strong that a little leaks before you reach the toilet. There is no single number that is normal. It depends on how much you drink, the weather, and your age. What matters is a change from your own usual pattern, or a pattern that interrupts your day.
An important clue is the amount. If you pass small amounts again and again, the bladder or prostate is more likely to be the cause. If you pass large amounts again and again, the body is making more urine, which may come from what you drink or from a medical condition.
Common causes
It affects men, women and children. Common causes are:
Small amounts, often with urgency
- A urine infection, often with burning and cloudy or strong-smelling urine (see the burning when passing urine guide).
- An overactive bladder, where the bladder muscle squeezes when it should not (see the overactive bladder guide).
- An enlarged prostate in men, which irritates the bladder and stops it emptying fully (see the enlarged prostate guide).
- Bladder stones, or less often a bladder tumour, particularly if there is blood in the urine (see the blood in urine guide).
- An irritated bladder. Tea, chai, coffee, cola, energy drinks, alcohol and tobacco can all irritate the bladder.
- Constipation, which presses on the bladder.
- Anxiety and stress, which make many people need the toilet more.
- In women, pregnancy, hormone changes after menopause, and a bladder or womb that has dropped (prolapse).
- Nerve problems, such as after a stroke, a spinal injury or with diabetes (see the neurogenic bladder guide).
- Inflammation of the prostate, or long-term bladder pain (see the lower abdominal or bladder pain guide).
- After radiotherapy to the pelvis, which can irritate the bladder.
Large amounts
- Drinking a lot, as a habit or in hot weather, or too much tea, chai or cola.
- Diabetes, where high blood sugar makes the body pass large amounts of urine, with thirst, tiredness and weight loss.
- Water tablets (diuretics) and some other medicines.
- Kidney problems, which can make the kidneys less able to hold on to water.
- Less common hormone or blood-salt problems, which a doctor can check for.
If you mainly wake at night to pass urine, see the passing urine at night guide.
How it is usually investigated
Your doctor will ask how often you pass urine, how much, whether there is urgency, leaking, burning, pain or blood, how much you drink and of what, and which medicines you take. They will examine your tummy, and in men the prostate may be checked. Usual tests are:
- A bladder diary kept for three days, which shows your drinks, how often you pass urine and how much. It is often the most useful step.
- A urine test, for infection, blood and sugar. A urine culture is added if infection is suspected.
- Blood tests, to check blood sugar and kidney function. In men, a PSA test may be discussed after a talk about its benefits and limits.
- Ultrasound of the kidneys and bladder, which can also show how much urine is left after passing urine.
- A flow test and bladder scan, if emptying may be poor.
- A flexible camera test of the bladder, if there is blood in the urine or symptoms continue without a clear cause.
When to seek urgent help
Please see a doctor soon about frequent urination, and go to the nearest hospital emergency department if it comes with any of these:
- You cannot pass urine, or pass only a few drops with a painful, full bladder (see the unable to pass urine guide).
- Fever, shaking chills, or pain in the side or back with feeling unwell.
- Great thirst, passing very large amounts of urine, weight loss, blurred vision, or feeling sick or drowsy. These can be signs of very high blood sugar.
- Heavy bleeding or thick clots in the urine.
- Severe lower tummy pain, or repeated vomiting.
- Confusion or severe drowsiness, especially in an older person.
- You are pregnant and have burning, fever, pain or bleeding.
- A baby or young child who is unwell with fever or vomiting, or who is not passing urine normally.
Frequent urination alone is not an emergency, but please see a doctor soon if it is new, lasts more than a few days, or comes with burning, blood or pain.
What to do next
- Keep a bladder diary for three days. Note what you drink and when, every time you pass urine, and any urgency or leaks. A measuring jug helps. Bring it to the doctor.
- See a doctor and give a urine sample before taking any medicine for it.
- Do not drink less than you need, especially in the heat. Aim for pale yellow urine. Very strong, dark urine also irritates the bladder.
- Cut down tea, chai, coffee, cola, energy drinks and alcohol, and see whether the urgency eases. Stop all tobacco. It irritates the bladder and raises the risk of bladder cancer.
- Train the bladder. When a strong urge comes, stay still, squeeze the pelvic floor muscles, breathe slowly and wait for the urge to pass, then walk calmly to the toilet. Slowly stretch the time between visits.
- Do not go "just in case" all the time. It teaches the bladder to hold less.
- Do pelvic floor exercises daily. Men and women both have these muscles. A physiotherapist can teach the correct way where one is available.
- Treat constipation, keep to a healthy weight, and keep blood sugar under control if you have diabetes.
- Do not buy antibiotics or herbal bladder products from a counter without a urine test first.
- Tell your doctor about every medicine you take, including water tablets, and do not stop them on your own.
- See a urologist if you are a man with a weak stream, if there is blood in the urine, if infections keep coming back, or if symptoms continue after simple steps.
Common questions
How many times a day is too many?
There is no single number. It depends on how much you drink, the weather and your age. What matters is a change from your own usual pattern, or when it interrupts your work, travel, prayer or sleep.
Do I have a urine infection?
Maybe. Burning, cloudy or strong-smelling urine, and lower tummy discomfort point to infection. Frequency can also come from many other causes, so a urine test is the way to know.
Why do I feel desperate to go as soon as I reach the door or hear running water?
This is a common sign of an overactive bladder, where the bladder muscle squeezes early. It is not weakness or a habit you chose. Bladder training, drink changes and sometimes medicines help.
Is it harmful to hold urine for a long time?
Now and then it does little harm. Regularly holding it for very long can stretch the bladder and raise the chance of infection. Please also avoid going "just in case" every time, which teaches the bladder to hold less.
Does hot weather or chai make a difference?
Yes. Heat and sweat change how much you drink, and tea, chai, coffee and cola irritate the bladder and make the kidneys pass more urine. Cutting down is a simple first step.
Could it be diabetes?
It can be, especially if you pass large amounts and are very thirsty, tired or losing weight. A urine test and a blood sugar test settle it, and it is worth doing.
Is it a sign of cancer?
Usually not. Most frequent urination is from infection, an overactive bladder, an enlarged prostate or drinks. But blood in the urine, symptoms that continue, or pain should always be checked, because they can occasionally come from a bladder or prostate cancer.
I am a woman. Could it be menopause, pregnancy or prolapse?
Yes, all three can cause it. Pregnancy and menopause change the bladder, and a dropped bladder or womb can cause pressure, frequency and leaking. A doctor can examine you and help.