Browse Medications by Everyday Health Concerns: Urgency to urinate

Written by Amar Lunagaria
Pharm.D • NiHowdy Founder

Reviewed by James Wong
Pharm.D • NiHowdy Founder
Updated Jan 27, 2025
•Published Jan 15, 2025

What is Urgency to urinate?
Symptoms of Urgency to urinate
- Sudden, intense urge to urinate
- Frequent urination, often in small amounts
- Inability to hold urine until reaching a bathroom
- Involuntary leakage of urine, which can occur if the urge is not managed quickly
- Discomfort or pressure in the lower abdomen
What causes Urgency to urinate?
- Overactive bladder, where the bladder contracts uncontrollably
- Urinary tract infections (UTIs), which can irritate the bladder and cause a constant urge to urinate
- Bladder irritation, from medications, caffeine, or alcohol
- Interstitial cystitis, a chronic bladder condition causing urgency and pain
- Prostate problems (in men), such as benign prostatic hyperplasia (BPH)
- Neurological conditions, such as stroke or multiple sclerosis, which affect bladder control
Risk factors for Urgency to urinate
- Age, as bladder control tends to weaken with age
- Sex, with women being more likely to experience urgency due to pregnancy, menopause, or pelvic floor weakness
- Chronic conditions, such as diabetes or neurological disorders
- Obesity, which can put pressure on the bladder and lead to urgency
- History of UTIs or bladder infections
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How is Urgency to urinate diagnosed?
- Urine tests, to rule out infections or blood in the urine
- Bladder diary, where patients record urination patterns to help identify triggers
- Cystoscopy, which allows a doctor to examine the bladder for abnormalities
- Urodynamic testing, to assess how the bladder fills and empties
- Physical exam, to check for underlying conditions, such as prostate issues or pelvic floor dysfunction
How is Urgency to urinate treated?
- Bladder training, to gradually increase the time between urination
- Medications, such as anticholinergics or beta-3 agonists, to reduce bladder contractions
- Pelvic floor exercises, to strengthen muscles that control urination
- Lifestyle changes, such as reducing fluid intake before bed
- Surgery or procedures, for conditions like prostate enlargement or bladder issues
Medications for Urgency to urinate
Can Urgency to urinate be prevented?
- Maintaining a healthy weight, to reduce pressure on the bladder
- Avoiding bladder irritants, such as caffeine and alcohol
- Practicing pelvic floor exercises to strengthen the muscles involved in urination
- Staying hydrated, but avoiding excessive fluid intake before bed
- Managing chronic conditions, such as diabetes or neurological disorders
Managing Urgency to urinate at home
- Practice bladder training, to increase the interval between urination
- Avoid caffeine and alcohol, which can irritate the bladder
- Perform pelvic floor exercises to strengthen bladder control
- Stay hydrated, but limit fluid intake close to bedtime
When should you seek help for Urgency to urinate?
- The urgency worsens or interferes with daily activities
- You experience pain or blood in your urine
- You have difficulty urinating or feel your bladder is not emptying fully
- You have incontinence, or leakage of urine
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