SYMPTOMS

What is urinary urgency?

Urinary urgency refers to a sudden, strong urge to urinate that is difficult to control, often leading to an immediate need to void. In some cases, individuals may not reach the toilet in time, resulting in involuntary urine leakage. It may also involve frequent urges to urinate shortly after voiding, with a risk of wetting undergarments if not relieved promptly. Urinary urgency can occur during the day or night and is often accompanied by frequent urination and painful urination^[1].

What symptoms often accompany urinary urgency?

Urinary urgency frequently occurs alongside other urinary symptoms, such as frequent urination, painful urination, or sudden interruption of urine flow^[2].

The combination of frequent urination, urinary urgency, and painful urination is termed bladder irritation syndrome, caused by various factors (e.g., infection, tumors, or stones) stimulating the bladder. These symptoms often appear suddenly and persist continuously until the underlying cause is resolved.

TREATMENT

How to Relieve Urinary Urgency Symptoms on Your Own?

1. Reduce fluid intake at night: To manage nighttime urination, avoid drinking any liquids before bedtime. Try to refrain from consuming alcohol or caffeinated beverages^[3].
2. Relax your mood: For urinary urgency caused by tension or anxiety, relieve stress by watching movies, exercising, or practicing relaxation breathing techniques (adjusting deep breathing rhythms to improve physical and mental states for relaxation). Increase rest to alleviate symptoms.
3. Maintain local dryness and hygiene: Bathe frequently to avoid repeated irritation from infections of the glans or vulva, which can worsen symptoms like frequent urination and urgency.

Most cases of urinary urgency may be organic (diseases affecting body organs or tissues) or have clear causes, such as diabetes, stroke, or Parkinson's disease, which can damage nerves and disrupt normal bladder function. Therefore, for long-term or recurrent urinary urgency, after ruling out physiological factors (like normal urination after drinking a large amount of water) or medication factors (such as spironolactone or amiloride), it is important to actively identify the underlying cause and treat it accordingly^[1].

DIAGNOSIS

Under what circumstances should patients with urinary urgency seek medical attention promptly?

If you experience, but are not limited to, the following conditions, please contact a doctor or seek medical attention immediately^[1,2]:

1. Accompanied by fever, back or side pain, vomiting, or chills;
2. Accompanied by thirst or increased appetite, fatigue, or sudden weight loss;
3. Accompanied by frequent urination, excluding pregnancy or excessive water intake;
4. Accompanied by urinary incontinence or severe urinary urgency that significantly affects daily life;
5. Changes in urine characteristics, such as bloody or cloudy urine;
6. Yellow pus-like or cottage cheese-like discharge from the penis/vagina.

POTENTIAL DISEASES

What are the causes of urinary urgency?

Urinary urgency can occur due to various reasons, such as:

1. Emotional factors: Anxiety, nervousness, or high stress, such as before an interview or exam, often related to emotional triggers.
2. Infections: Including urinary tract infections and infections of adjacent organs, such as pyonephrosis, pyelonephritis, renal tuberculosis, cystitis, urethritis, prostatitis, endometritis, salpingitis, or vaginitis, possibly accompanied by fever or back pain.
3. Tumors: Including tumors of the urinary system and adjacent organs, such as bladder cancer, urethral cancer, prostate cancer, endometrial cancer, or rectal cancer, often accompanied by symptoms like hematuria or dysuria.
4. Stones: Such as bladder stones or urethral stones.
5. Other diseases: Overactive bladder, diabetes, Parkinson's disease, benign prostatic hyperplasia, etc.
6. Other triggers: Alcohol or coffee consumption; pregnancy; use of diuretic medications such as spironolactone or amiloride^[1,2].