How many times a day do you go to the bathroom to pee? The answers to this question can be very varied and vary from person to person, and from period to period. But if you have a feeling that you are going to empty very often – say twice an hour or more or if you wake up several times a night to empty your bladder – there may be some medical problem that causes an increase in the frequency of urination.
In this case, you should consult your family doctor, but for starters here are some possible reasons why you need to pee all the time:
1. Urinary tract infection
The immediate suspect of course is the infamous urinary tract infection. Its identifiable symptoms are a sudden increase in the need and frequency of urination and burning when urinating. Other symptoms that can occur due to urinary tract infection are fever and pain in the lower abdomen. Inflammation is caused by the penetration of bacteria into the bladder, and is usually treated by a combination of antibiotics and painkillers.
If you feel that you are not only going to pee many times, but you also have a larger than normal amount of urine to empty – this may be a sign of diabetes. In the case of diabetes (type 1 or 2) large amounts of excess sugar accumulate in the body, and one way to get rid of it is through the urinary system. The much sugar that accumulates in the blood is transferred to the kidneys, and if they do not keep pace, the excess is diverted to urine and fluid is pumped from the tissues to clear the sugar in this pathway. This process can also cause dehydration. Another side effect of diabetes is thirst, which causes people to drink more, then urinate more – and you understand which direction it is going, such a vicious circle.
3. Prostate problem
This section is only relevant for men (women, compensation in the next section) – an enlarged prostate can produce pressure on the urethra (the tube that carries urine out of the body) that restricts the passage of urine and causes irritation in the bladder walls. In such a situation the bladder may shrink and signal to you that you need to empty, even when it is not full and contains only a small amount of urine. Men who suffer from benign prostate enlargement may wake up around 8 times during one night just to evacuate. In addition, the pressure of the prostate makes it difficult to resist and hold the urine.
This section is probably relevant for women – hormonal changes that occur throughout the stages of pregnancy may increase the frequency of urination. And as the pregnancy progresses and the growing uterus and fetus take up more space in the abdominal cavity and exert pressure on the surrounding organs, the bladder also becomes stressed and seeks to empty more frequently. The excess load on the pelvic floor may also impair the ability to hold urine and hold back and cause more frequent evacuation.
5. Irritable bowel syndrome
People who suffer from irritable bowel syndrome become more frequent due to involuntary contractions of the bladder. The result is that they feel they have to pee even when their bladder is empty. Dealing with this syndrome can be very frustrating, but there are a variety of treatments that can help those suffering from it – from pelvic floor physiotherapy exercises to drug treatments and minimally invasive procedures.
Excitement, stress, pressure and anxiety can send us running to the bathroom. Under normal circumstances, our bladder fills and expands until it reaches its maximum lid and then it signals to our brain that it is time to empty. For the most part, we also have the pause to do so when the conditions and timing are right for us. But as anxiety and stress levels rise, the bladder may become more active, making us feel we must evacuate now and immediately.