Constant Urge To Pee But Little Comes Out
It’s a common problem, but it can be really frustrating. You get up in the morning and feel an overwhelming urge to go pee, only to find that all you produce is a trickle of urine.
Or worse yet, nothing comes out at all. Thankfully there are some things you can do about it!
What Causes Constant Urge To Pee?
One of the most common causes is a disorder called interstitial cystitis (IC). The bladder walls become inflamed and irritated, usually as a result of some type of infection.
Normally urine flows easily from the bladder through tubing to the urethra, where it’s released from the body.
With IC, those tubes become obstructed, which allows the bladder to fill with urine.
It becomes extremely painful and causes an urgent need to pee even though little comes out.
Another cause is BPH (Benign Prostatic Hypertrophy) which is caused by an enlarged prostate gland. The prostate lies directly in the way of the tubes that carry urine from the bladder to the urethra.
When the prostate is enlarged, it can easily obstruct those tubes and cause an urgent need to go. BPH is very common in older men, but younger guys can have it too.
At least one-third of all men over 50 have this condition.
Some even have chronic pelvic pain syndrome (CPPS), which is a generic term for any type of pelvic pain, including IC and prostatitis.
Symptoms Of Constant Urge To Pee
- An urgent need to pee that’s often accompanied by a crampy ache in the lower abdomen
- Pelvic pain –usually felt as a burning sensation at the tip of the penis or just inside the anus.
- In severe cases, this pain can spread to the lower back and upper thighs
- Urination problems—pain or burning when urinating, a slow-starting stream, frequent urination throughout the day and night.
- Frequent morning awakenings with a full bladder because you’ve been unable to empty it all at night.
- Pain during and after ejaculation
- Pain in the lower back or upper thighs
- Painful intercourse
What Does It Mean When You Have An Urge To Pee?
The need to urinate is caused by the effort of your bladder muscle to push out urine.
When your bladder is nearly empty, nerve signals to the brain decrease, and you should feel no need to urinate.
If there’s any remaining urine in the bladder, it stretches the bladder wall slightly, activating stretch receptors which send an urge signal to the brain.
The urge may subside after you go, or it may build and build until it overcomes your ability to hold it in.
When the bladder is full, you may feel pressure at the base of the abdomen.
That’s because when your bladder gets too full and stretched, nerve signals increase and tell your brain something has got to give NOW!
If you ignore those signals and try to tough it out, the pressure gets worse until you give in and pee.
If you go when you feel no need to urinate (when your bladder is only slightly stretched), then there’ll be little if any urine in your bladder to stretch the wall.
When that happens, the nerve signals decrease again, which causes less urgency and a much smaller volume of urine to be passed.
The result? You won’t feel an urgent need to go, and the urge will stop.
What To Do If You Feel Like You Need To Pee All The Time?
If you feel as though you have to go all the time, it’s a good idea to see your doctor.
In many cases, there’s a simple cause for your symptoms and something that can be done about it.
The first thing they might do is run a urinalysis on a urine sample to determine if some type of infection is present.
If not, then they’ll probably do a DRE (digital rectal exam) to check for prostate problems. If that’s normal, they might refer you to see a urologist who specializes in men’s health issues.
They may also test your urine for the presence of blood or infection. Most often, you’ll be asked to do a 24-hour urine collection.
Other Treatments And Prevention
Drink lots of fluids, especially when you’re in a hot or sweaty environment. This lessens the concentration of urine and reduces irritation to the bladder wall.
Avoid caffeine and alcohol—both can irritate your bladder. They also produce a frequency of urination.
Avoid spicy food, acidic juices (such as orange or tomato juice), and carbonated drinks. Spicy foods make you feel like you have to go but don’t actually “do” anything for your bladder.
Cranberry juice is good for the urinary tract, especially if taken during an acute attack of CPPS or in a regular drink to prevent attacks.
Frequent, small meals may be easier to digest and less irritating.
Lose weight if you’re overweight—extra pounds put pressure on your bladder when you sit down and get up from a chair or raise your legs when lying down.
Get plenty of rest, especially before bedtime, so you can fight fatigue and sleep through the night without having to get up.
Maintain a normal fluid intake, but avoid fluids within two hours of going to bed.
Exercise regularly since being sedentary can increase fatigue and lead to problems with your bladder.
Keep a regular schedule for going to the bathroom—don’t wait until you’re desperate before going. Go often enough so that it doesn’t build up.
Since some people hold their urine to avoid having to go during an attack, don’t wait until the last minute to go. Relaxation exercises may help you avoid holding your urine just because of fear.
See Prostate Protocol By Scott Davis