question-icon

What causes frequent urination and urge to urinate?

default
Posted on Wed, 6 May 2015
Question: HI, I am a 52 year old female who have had five kids.
I often have go to the bathroom to urinate, I have this urgency but when I do go it's usually a small amount, I have gone at least 20 times in a day, and usually just minutes after I went the first time.
doctor
Answered by Dr. T Chandrakant (55 minutes later)
Brief Answer:
Proper investigations and consultations

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.

(To recapitulate: 52 / Female - 5 kids - urgency - frequency - small amount - 20 times today - taking Azo. - not visited Doctor.)

I would like to ask just a few more information:
Since when have you got this problem?
Any evidence of uterine prolapse?

The most probable causes are:
- This looks to be a problem of Urinary tract infection, the basic cause may be uterine prolapse.

I would advise you the following:
-First of all, send the urine sample for routine, microscopy, culture and sensitivity before start of antibiotic. This is the most important step as a single tablet of antibiotic can change the reports.
-Clinical evaluation and actual physical examination including per-vaginal and per-speculum by the Gynecologist to see for uterine prolapse, urethral opening, tenderness in the pelvis and so on.
-Further tests of blood for sugar, urea and creatinine and as per orders of your Doctors.
-Ultrasonography of the whole abdomen including per-vaginal
-Institute the proper antibiotic cover till getting reports.
-Further tests of CT scan of the abdomen and Intra-venous Pyelography only if required by your Doctors.
-Second opinion of an Urologist.

All these things together will get you the most proper diagnosis in all respect and give a plan for further management.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. T Chandrakant (1 hour later)
I was tested for a UTI, which was negative. This started almost 6 months, but has steadly gotten worse, i have no pain,just extreme urgency and feequency
doctor
Answered by Dr. T Chandrakant (7 minutes later)
Brief Answer:
Opinion of a Gynecologist / Urologist ?

Detailed Answer:
What are the opinion's of a Gynecologist and / or Urologist ?
Is there a prolapse causing this or the intrinsic bladder problem?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 18781 Questions

premium_optimized

The User accepted the expert's answer

Share on
What causes frequent urination and urge to urinate?

Brief Answer: Proper investigations and consultations Detailed Answer: Hi. Thanks for your query and an elucidate history. (To recapitulate: 52 / Female - 5 kids - urgency - frequency - small amount - 20 times today - taking Azo. - not visited Doctor.) I would like to ask just a few more information: Since when have you got this problem? Any evidence of uterine prolapse? The most probable causes are: - This looks to be a problem of Urinary tract infection, the basic cause may be uterine prolapse. I would advise you the following: -First of all, send the urine sample for routine, microscopy, culture and sensitivity before start of antibiotic. This is the most important step as a single tablet of antibiotic can change the reports. -Clinical evaluation and actual physical examination including per-vaginal and per-speculum by the Gynecologist to see for uterine prolapse, urethral opening, tenderness in the pelvis and so on. -Further tests of blood for sugar, urea and creatinine and as per orders of your Doctors. -Ultrasonography of the whole abdomen including per-vaginal -Institute the proper antibiotic cover till getting reports. -Further tests of CT scan of the abdomen and Intra-venous Pyelography only if required by your Doctors. -Second opinion of an Urologist. All these things together will get you the most proper diagnosis in all respect and give a plan for further management.