Frequent urges to urinate in men with and without pain: treatment with pills, folk remedies

Urologists note that frequent urination in men is considered a very common symptom. A normal adult man excretes approximately 1500 ml of urine per day, and with such a volume, the frequency of urination should be from six to ten times. Of course, these data are individual, and largely depend on the nature of the person's diet, drinking regime, as well as general health.

With such a complaint as frequent urination, men are not in a hurry to see a doctor. And completely in vain: in the early stages, most diseases that cause such a symptom are quite successfully treated.

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Causes frequent urination in men

A number of reasons that influence the frequency of urination in male patients are divided into two groups:

• physiological reasons related to dietary and beverage habits – for example, the total daily urine volume may increase due to increased amounts of plant foods, tea, coffee and alcoholic beverages (especially beer);
• pathological causes that are caused by a disease and are usually accompanied by other uncomfortable symptoms (pain, colic, discharge, etc.).

Among the diseases that can affect the frequency of urination in men, the following can be named:

• Prostatitis is an inflammatory reaction in the tissues of the prostate.
• Adenoma is a benign growth of prostate tissue.
• Sexually transmitted infections (trichomoniasis, gonorrhea, chlamydia).
• Pyelonephritis is an inflammatory reaction in the renal pelvis and bladder.
• Urethritis is inflammation of the urethra.
• Increased activity (hyperactivity) of the bladder.
• Diabetes.

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Risk factors

Risk factors for increased urination in men may include:

• Age – the risk of frequent urination increases significantly after age 50.
• Family predisposition – men who have immediate relatives with prostate or kidney diseases have a high probability of also developing a similar pathology.
• Region of residence, unfavorable environmental conditions - in areas with increased radioactivity, as well as in large industrial centers, the likelihood of malignant lesions of the urinary system increases significantly.
• Nutritional features – eating predominantly meat-based foods increases the risk of developing diseases that lead to increased urination in men.

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Pathogenesis

Every day, the male body normally excretes 75% of the liquid consumed through the urinary system. The remaining percentage is excreted with feces, sweat, and exhaled air. The number of times each man urinates may be different, and mostly depends on the volume of liquid consumed the day before, as well as the abundance of salt in the diet. On average, the daily frequency of urination can vary from 5-6 to ten times.

Urine fluid accumulates in the urinary bladder, the capacity of which is normally approximately 0.3 liters. But this indicator is also inconsistent: the volume of the bladder can change, depending on the individual characteristics of the male body.

A healthy man can consciously restrain the urge to urinate and control the fullness of the bladder. Emotionally unstable people may urinate more often, as they have hypertrophied sensitivity of the nerve endings localized in the walls of the bladder. In a similar way, the sensitivity of receptors increases during an inflammatory process or hypothermia.

In addition, a man has a prostate gland located next to the urethra: when it enlarges, it can put pressure on the urinary organs, causing both increased frequency of urination and difficulty in passing urine.

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Symptoms frequent urination in men

If frequent urination is associated with everyday physiological factors - dietary habits or fluid intake - then additional symptoms are usually not observed. With pathologically frequent urination, other complaints may also be present:

• pain, burning when urinating;
• periodic interruption of the stream;
• inability to urinate even when there is an urge;
• additional discharge from the urethra;
• increase in body temperature;
• general weakness, feeling of fatigue and exhaustion, loss of appetite;
• lower back pain - bilateral or unilateral.

The first signs may manifest differently in different patients: however, frequent urination usually becomes the symptom with which a man seeks help from a doctor. However, there are a number of additional signs and complaints that can be no less disturbing than frequent urination:

• Frequent urination in men without pain is often a sign of "overactive bladder"; this condition is usually not accompanied by any additional symptoms and is a consequence of tumor processes in the brain, head injuries, obstruction of the urinary tract, or age-related changes in the bladder.
• Frequent urination in men at night in many cases means adenoma - a benign tumor in the prostate that presses on the urethra. With this disease, urine excretion is weak, sometimes intermittent. In advanced cases, nocturnal urinary incontinence is observed.
• Frequent urination in men during the day may be associated with the peculiarities of nutrition and fluid intake: thus, the predominance of plant foods in the diet, as well as a rich drinking regime always lead to an increase in the urge to urinate. This condition is usually not accompanied by any other pathological symptoms.
• Frequent urination in the morning in men is often considered a completely normal phenomenon, if it is not accompanied by other painful symptoms. During the night, concentrated urine accumulates in the bladder, and in the morning the urge to urinate resumes: the urinary system begins to work after a night's rest.
• Frequent urination in men with pain (in the back, in the groin) is a symptom of urolithiasis. When urine moves through the canal, stones and sand can also move, which provoke the appearance of acute pain. In such cases, the urge to urinate is sometimes subjective.
• Frequent urination in men and burning may be signs of urogenital infections or sexually transmitted diseases. In addition to burning, there may be pain and abnormal discharge from the urethra.
• Frequent, abundant urination in men always raises suspicion of diabetes: to make sure there is no disease, it is necessary to take a blood test for sugar. In addition, it is necessary to keep track of the liquid consumed for several days - perhaps the reason is banal and consists of excessive consumption of various drinks throughout the day.
• Frequent urination with blood in men is a common symptom accompanying renal colic, when a stone moving through the urinary tract irritates the mucous membrane, causing tissue bleeding.
• Lower abdominal pain in men and frequent urination - in most cases, such symptoms indicate cystitis. The pain is dull, aching, and only in advanced cases - intense and cramping. There may also be pain, burning, and even urinary incontinence.
• Lower back pain and frequent urination in men may indicate the development of pyelonephritis. The disease is accompanied by back pain, frequent urges, and swelling. Blood biochemistry and general urine analysis are of great diagnostic importance in this situation.
• Pain in the groin and frequent urination in men is observed with prostate adenoma: pain in this case is associated with difficulty in the outflow of urine due to compression and curvature of the urethra. Pain is most characteristic of the late stages of adenoma development.
• Frequent urination in men and kidney pain indicate renal dysfunction, which may be expressed in the development of pyelonephritis or glomerulonephritis, or in the formation of stones. Kidney pain may be constant or periodic, one-sided or two-sided, dull or paroxysmal.
• Temperature and frequent urination in men are observed with kidney inflammation - for example, with pyelonephritis or glomerulonephritis. The condition is often accompanied by pain in the lower back, fever, increased sweating.
• Frequent urination in older men is a fairly common occurrence, the causes of which can be many. Age-related changes can affect both the urinary and reproductive systems. Thus, in old age, chronic pyelonephritis, prostatitis, prostate adenomas, as well as metabolic disorders and diabetes are often diagnosed. It is for this reason that in old age, men are recommended to regularly visit doctors for preventive examinations.
• Itching and frequent urination in men may be associated with urethritis, the most common disease of the male genitourinary system. Itching usually occurs in the early stages of the disease, and at later stages, discharge from the urethra and swelling appear. Itching may also be associated with sexually transmitted infections.
• Blood in the urine and frequent urination in men are often associated with prostatitis or other pathologies of the prostate gland. However, this symptom is considered too serious to independently assume one or another diagnosis: if blood in the urine is detected against the background of frequent urination, it is recommended to conduct diagnostics as soon as possible and begin treatment of the underlying disease.
• Frequent urination in men after sex occurs after a long period of abstinence from sexual intercourse. In such a situation, stagnation of semen in the tubules can lead to an inflammatory process. As a result, both the prostate and the bladder become inflamed, which leads to increased urination after each subsequent sexual intercourse.
• Frequent urination in men after ejaculation can also be a consequence of hormonal imbalance. Thus, a deficiency of certain hormones can lead to thinning of the mucous tissues of the genitourinary system, which, in turn, makes them vulnerable and susceptible to various infections. As a result, the patient "gets" chronic cystitis and other infectious pathologies of the genitourinary system.
• Frequent urination in men with diabetes is associated not only with constant thirst and drinking large amounts of liquid, but also with increased work of the kidneys, which seek to remove as much excess glucose from the body as possible.
• Thirst and frequent urination in men are sure symptoms of diabetes: high blood sugar levels lead to excessive removal of water from tissues (the body tries to remove excess sugar in this way). The condition may be accompanied by sweating, hair loss, dizziness, and loss of appetite.
• Frequent urination in men with urinary incontinence may be a consequence of a prostate tumor. Disorders of urine excretion occur against the background of tissue growth of the gland. Additionally, obstructions and disturbances in the outflow of urinary fluid are detected. Pain is usually absent.
• Weak frequent urination in men is a common symptom of prostatitis. Due to swelling of the prostate gland, the normal outflow of urine is disrupted, so a man is often forced to spend a long time in the toilet to empty a full bladder. In addition, the disease can be accompanied by pain in the groin, erectile dysfunction.
• Frequent urination in men after hypothermia is almost always associated with cystitis - inflammation of the bladder. Additional symptoms may include: a slight increase in temperature, blood at the end of urination, a rash in the groin area.
• Frequent urination in men and burning in the urethra are the result of infection penetrating the organs - be it a urogenital infection or sexually transmitted diseases. If a person's immunity is weakened, the risk of developing such a disease increases many times over. Long-term antibiotic therapy especially weakens the immune system, so with long-term antibiotic treatment, it makes sense to take additional medications that support normal microflora in the body.
• Frequent urination due to stress in men is called stress polyuria. Nervous shocks provoke hypertonicity of the urinary organs: smooth muscles contract, pressure on the bladder increases, which is the reason for the urge to urinate. Frequent urination in men under stress can also occur after exposure to other provoking factors, such as sneezing, coughing, changing body position, etc.
• Diarrhea and frequent urination in men is a reason to prescribe a number of additional examinations to the patient, since there can be many reasons for this phenomenon: from heart disease and endocrine system diseases to diseases of the digestive tract and chronic intoxications. Sometimes such a symptom occurs with helminthiasis, with long-term use of certain medications, with the use of poor-quality food products.
• Frequent urination in men after drinking alcohol can be caused by several reasons. Firstly, almost all alcoholic beverages have a diuretic effect, so frequent trips to the toilet after drinking them are considered normal. Secondly, frequent and regular alcohol consumption leads to functional disorders of the urinary organs: for example, chronic alcoholics often experience uncontrolled and involuntary urination associated with improper functioning of the smooth muscles of the urinary system.

Complications and consequences

Frequent urination, first of all, causes discomfort to a man: you always need to stay "closer" to the toilet, including at work, and when visiting, and in public places. And at night, a large number of approaches to the toilet can cause insomnia, fatigue, irritability in the morning, and decreased performance.

In addition, the absence of treatment for pathologically frequent urination can cause the underlying diseases to worsen:

• cystitis can develop into pyelonephritis;
• prostate adenoma - into a cancerous tumor;
• urolithiasis - during an attack of renal colic.

It is precisely in order to prevent the development of complications that you should, at the first signs of frequent urination, be examined by a doctor and undergo the necessary tests.

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Diagnostics frequent urination in men

Diagnostics always begins with questioning and examining the patient: the doctor specifies when the unpleasant symptoms appeared, what preceded them, what the patient eats and drinks during the day. Questions about intimate life may also be raised: the number of partners, the frequency of sexual contacts, the possibility of casual relationships, etc.

In addition, other types of research are prescribed:

• Laboratory tests:
  • a blood test that will indicate the presence of inflammation, dehydration and anemia;
  • blood biochemistry will help to detect problems with the kidneys (the level of creatinine, urea and uric acid is determined);
  • A urine test will determine the presence of protein, blood, mucus, and will also assess the pH of the urine.
• Instrumental diagnostics:
  • ultrasound examination of the kidneys and pelvic organs;
  • ultrasound examination of the prostate gland;
  • bacterial culture of a smear from the urethra;
  • computed tomography of the kidneys (usually performed in cases where a procedure for crushing stones or surgery is planned).

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Differential diagnosis

Differential diagnostics are carried out between diseases of the prostate gland, kidneys, urinary tract, as well as contagious pathologies that are transmitted sexually (for example, gonorrhea, syphilis, chlamydia).

In order to distinguish pathology from physiological frequent urination, the doctor conducts a Zimnitsky urine test, which is an assessment of the total amount of urine in the patient per day. All portions of urine obtained are tested for specific gravity. To determine the exact cause of pathologically frequent urination, the patient is deprived of fluid - for a period of time from 4 to 18 hours, depending on the situation. Urine is sampled hourly, determining its osmolarity indicators. This allows, for example, to distinguish polyuria caused by diabetes insipidus from frequent urination that developed as a result of nervous stress or other reasons.

Treatment frequent urination in men

Treatment is prescribed according to the identified cause of frequent urination. If such a cause is not identified, then general recommendations are limited:

• changes in diet and drinking regimen;
• refusal of alcohol;
• refusal of certain medications.

When starting treatment for pathological frequent urination in men, the use of the following groups of medications is considered:

• drugs that affect the pH of urine (cleanse the urinary tract from sand and crystallized salts);
• urological antiseptics (destroy microbes that live in the urinary system);
• antibacterial agents (used for infectious diseases and sexually transmitted diseases);
• antiprotozoal drugs (used for chlamydia or ureaplasma);
• antiviral agents (used for viral infections, such as herpes or papillomas);
• alpha-adrenergic receptor blocking drugs (used for prostatitis or prostate adenoma).

If drug therapy does not bring the expected results, surgical treatment may be required. This may include injections of sclerosing agents, therapeutic and diagnostic laparoscopy, sling surgeries.

Tablets for frequent urination in men

	Method of administration and dosage	Side effects	Special instructions
Carbamazepine	It is used for polyuria in diabetes insipidus, in the amount of 200 mg 2-3 times a day.	May cause dizziness, ataxia, drowsiness, depression, psychosis, dyspepsia.	It is an antiepileptic drug, but has the property of reducing the formation and excretion of urine. Incompatible with alcohol.
Vesicar	For overactive bladder, take 5 mg in the morning, daily.	May cause dry mouth, dyspepsia.	Not used in cases of renal failure, glaucoma, or during hemodialysis.
Minirin	Antidiuretic agent, prescribed according to individual regimens.	May cause headache, cramps, nausea, dry mouth.	Can be used for diabetes insipidus and nocturnal polyuria.
Nativa	Refers to hypothalamic hormones and is used according to individual regimens.	May cause convulsions, headaches, conjunctivitis, swelling.	Not used to treat children 4-5 years old.
Canephron	The dragees are swallowed whole, 2 pieces three times a day, with water.	May cause allergies, digestive upset.	It is used for cystitis, pyelonephritis, glomerulonephritis, interstitial nephritis.

Antibiotics for Frequent Urination in Men

Antibiotics for diseases that lead to frequent urination in men are prescribed in the presence of an infection. These can be broad-spectrum drugs or medications that act on a specific pathogen. Most often, fluoroquinolone drugs, cephalosporins and penicillins are prescribed.

The duration of antibiotic therapy may vary: it depends on the form of the disease, its stage, complications, as well as the general health condition and age of the patient.

After the period of exacerbation of the infection has subsided, the patient can be transferred to therapy with antimicrobial drugs of the nitrofuran series (one of the common representatives of this group is nitrofurantoin).

Along with antibiotic therapy, treatment with other drugs is also mandatory to eliminate spasms, improve urine flow, and relieve pain. A drug such as Canephron has proven itself well - it has all the necessary properties to alleviate the condition of a patient with diseases of the urinary system.

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Vitamins

Vitamins are very important for the treatment of urinary system diseases in men, as they have a complex effect on the body:

• inhibit the development of inflammation;
• improve kidney function, restoring their function;
• promote the rapid removal of toxic substances from the body;
• improve blood circulation;
• strengthen the immune system.

Particular attention should be paid to vitamins such as carotene, vitamin E, ascorbic acid, B vitamins, as well as pectins and omega-3 fatty acids.

If you stick to a diet containing the listed substances, the positive dynamics will be more clearly visible, and the body will recover faster. Even those patients who have been diagnosed with serious diseases of the urinary system will be able to feel the improvement.

Physiotherapy treatment

Physiotherapeutic procedures are included in the treatment plan for acute or chronic damage to the urinary organs. The influence of physical factors allows you to stop the inflammatory reaction, relieve spasms, and restore urine output.

Physiotherapy is not indicated for everyone. For example, such treatment is not recommended:

• in case of exacerbation of pyelonephritis;
• in the terminal phase of chronic pyelonephritis;
• in decompensated hydronephrosis;
• with polycystic disease;
• in malignant tumors.

Complex treatment with physiotherapy procedures may include several therapy options:

• hydrotherapy, medicinal baths;
• balneotherapy;
• Microwave therapy (not prescribed for kidney stones);
• UHF therapy;
• amplipulse therapy;
• magnetic therapy;
• ultrasound;
• laser therapy;
• electrophoresis with antibacterial drugs.

Most patients are recommended to undergo spa treatment with the use of mineral waters.

Home Treatment for Frequent Urination in Men

If frequent urination in men is detected in the early stages of a urinary tract disease, the condition can be corrected at home, simply by following a proper diet.

The patient needs to limit salt consumption to the utmost to reduce the load on the kidneys. However, it is not worth giving up its use completely: sodium chloride is necessary for the body to maintain water and electrolyte balance.

In addition to limiting salt (to about 2 g), there are a number of other comments:

• you can't overeat;
• you need to drink about one and a half liters of clean water per day;
• you need to give up hot spices, products with chemical additives (for example, sausages, chips, sweet soda, etc.), semi-finished products and fast food, smoked foods;
• preference should be given to plant foods, cereals, and seafood;
• You must not drink alcohol, smoke, or take medications without a doctor's prescription.

If you follow all the recommendations, you can cope with such a problem as frequent urination. If the doctor does not object, then you can also use traditional medicine recipes at the same time.

Folk remedies

• Take 50 ml of pure alcohol, mix with a raw chicken egg, stir until smooth. Drink 15 ml of the resulting medicine immediately, and about an hour later - the same amount again. The treatment is not carried out on an empty stomach, so as not to injure the mucous membranes of the digestive tract. Duration of treatment is 3 days.
• Drink 15 ml of quality olive oil on an empty stomach in the morning, 25 minutes before the first meal. Do this every morning for 1-1.5 months. During the entire treatment period, it is not recommended to eat melons, grapes and apples.
• Take a coil of white cabbage, separate a couple of thick leaves from it. Apply the leaves to the site of the bladder projection and fix with a bandage or plaster. It is advisable to do this procedure at night. In the morning, throw away the leaves. It is recommended to carry out such procedures daily for five to seven days.
• Some patients use the previous recipe as a basis, but additionally apply fresh grated potatoes to the cabbage leaf. This compress should be kept on the body for at least five hours. The treatment continues for ten days.

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Herbal treatment

• Take 5 g of St. John's wort and centaury herbs, brew in a glass of boiling water. Leave for 10 minutes, then filter and drink instead of tea. Do the same three times a day for a week.
• Brew 50 g of horsetail in a glass of boiling water, leave for one hour and filter. The resulting medicine is used for warm sitz baths, which are taken daily for 10 days.
• Grate one fresh onion. Place the resulting gruel on a piece of cloth and cover with gauze. Apply this compress to the lower abdomen and secure, leaving it for about two hours. Then remove the compress and wash the skin thoroughly with warm running water.

In addition, it is recommended to drink parsley decoction, chamomile tea, and sage throughout the day.

If frequent urination is accompanied by pain and other unpleasant symptoms, then self-treatment will not lead to recovery, or, moreover, may cause complications. Therefore, before starting treatment with folk methods, you need to undergo a full range of examinations with a doctor.

Homeopathy

Frequent urination can occur due to various diseases, so in many cases doctors recommend using complex homeopathic preparations, the spectrum of action of which is quite wide. The most popular are the following remedies:

• Renel is an excellent remedy for cystitis, pyelitis, increased kidney stone formation, prostatitis. The drug is in the form of granules, the frequency of administration and the amount of which is prescribed individually.
• Berberis gommacord is a drug for eliminating spasms and inflammatory reactions in the urinary system. The drug is often prescribed for cystitis, pyelitis, colic. Berberis gommacord can be used in the form of drops or injections.
• Populus compositum – eliminates intoxication, improves renal filtration function, relieves spasms. The drug is available in the form of drops.
• Solidago compositum is successfully used for cystitis, nephritis, kidney stones. It relieves pain and spasms, stops inflammation, and corrects the process of urination. Solidago compositum is administered by injection.
• Nefronal Edas 128 is a drug in the form of drops, which is used to treat cystitis, nephritis, kidney stones. Nefronal can be used both for the treatment of exacerbations and chronic forms of diseases.

Before taking the above-mentioned remedies, you should first consult with your doctor, as many drugs are prescribed in individually selected dosages. There are practically no contraindications to the use of homeopathic remedies: the only exception is an allergy to any of the components of the drug.

Prevention

Preventive measures are appropriate only in relation to pathological frequent urination in men. If frequent urination is associated with drinking large amounts of liquid, then in this case it is necessary to simply adjust the drinking regime.

To prevent the occurrence of frequent urination due to urological pathologies, doctors advise paying attention to the following rules:

• one should not forget about barrier protection during casual sexual contacts - this will help avoid urogenital infectious diseases and sexually transmitted diseases;
• you need to follow the rules of healthy eating - this way you can prevent the appearance of kidney stones;
• It is important not to abuse alcohol and not to smoke;
• It is recommended to regularly examine your body - take tests, undergo ultrasound, consult a doctor about suspicious symptoms.

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Forecast

The further prognosis depends on the initial factor that caused frequent urination in men. Modern treatment methods allow curing even very severe cases of diseases, but there is still no guarantee that frequent urination will not resume after a certain number of years. Therefore, maximum attention should be paid to preventive measures.

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