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Frequent toilet visits: when the nervous bladder becomes an irritable bladder
Our bladder always reports when it is usually inappropriate. An irritable bladder sometimes comes from fear, stress, or internal pressure. But a nervous bladder can also be treated well. A few exercises can help you get a grip on the problem. Some people drink large amounts of coffee or water and don't need to use the toilet for a long time. Others are already running for a drink to pee on. Is there an illness behind the frequent urination or do you not have to worry?
How often is normal?
Even though there is no fixed number of how many toilet visits per day are normal, some people quickly become worried because they often have to urinate. How often and how much is peed depends on various factors, especially the amount that was drunk. But sometimes it also depends on which drinks or food are consumed. For example, artichokes are diuretic. Or beer. In some cases, however, frequent urination can also indicate a disease.
Increased urge to urinate when excited
Annette Maleika, chief physician of gynecology and obstetrics at the GRN Clinic in Schwetzingen, advises those affected in her bladder consultation. Often, the expert reports, “irritation, anxiety, stress or tension” hide behind an irritable bladder. The psyche has a direct effect on the bladder. The bladder is controlled by the autonomic nervous system and centers in the brain. From there, special signals are sent to the bladder muscle and the pelvic floor via many nerve pathways and neurotransmitters. Nervousness, fears, stress and overwork can lead to the loss of urine or constant urge to urinate. On the other hand, problems with the bladder are very stressful for those affected. He is caught in a spiral of fear. But: "Our bladder is a schoolable organ," Maleika explains. Behavioral training and a nutritional check can bring improvement as the first interventions.
In some people, the urge to urinate is triggered when they hear water splashing. The restlessness and excitement before exams often makes the queue in front of the toilet grow longer. There is usually no need to worry about frequent urination, at least not as long as there are no warning signs such as blood, pain or fever. You should be alert, however, if there have never been problems with frequent urination.
Notice of various diseases
If there is a persistent strong feeling of thirst, this can be an indication of diabetes mellitus, for example. In addition, frequent urination can also be a sign of bladder infection, especially if there are problems with urination. An irritable bladder also ensures constant urge to urinate, but only with small amounts of urine. In addition, other possible diseases such as heart failure can be considered as the cause.
Pee diary can help with diagnosis
Therefore, if you have an overactive bladder, it makes sense to see a doctor. For the diagnosis it can be helpful to keep a diary of drinking habits and toilet visits for several days beforehand. If necessary, the doctor will perform a blood test and carry out further tests. The therapy depends on the respective diagnosis.
If there is no organic cause, bladder training may help, according to some health experts, but other experts believe that this is useless. There is agreement that those affected do not solve the problem by drinking less. This is bad for health. Relaxation exercises can help in some cases, especially autogenic training. (sb, ad)