The causes of urinary retention are related to either a blockage that partially or fully prevents urine from leaving your bladder or urethra, or your bladder not being able to maintain a strong enough force to expel all the urine.
A healthy bladder works best if the body just relaxes so that the bladder muscles naturally contract to let the urine flow, rather than using the abdominal muscles to bear down as with a bowel movement. In men, the need to push urine may be a sign of bladder outlet obstruction, which is commonly due to BPH.
In women, urinary hesitancy may be due to female void dysfunction. The term covers all conditions that cause poor coordination between the urethra and the bladder muscles. As a result, the muscles of the pelvic floor relax incompletely during urination.
Neurogenic bladder is a condition where the nerves that control the bladder are damaged. This prevents a person emptying their bladder fully. It can be caused by an injury to the nerves in the spine or a condition that damages the nervous system, such as motor neurone disease or spina bifida.
Incomplete emptying of a bladder can affect people across all age groups and be a cause for pain, irritation, and embarrassment to the person. The medical term for the condition is 'Urinary Retention'. If not treated in time, the condition can lead to complications including kidney failure that can be fatal.
The need to strain or push in order to urinate can be due to problems with the contractile force of the bladder or problems with obstruction of the bladder outlet and urethra.
Most people with urge incontinence have overactive bladders. Your bladder is the organ in your urinary system that holds urine. An overactive bladder causes your muscles in your bladder to squeeze (contract) more often than they should. This makes you feel like you have to pee before your bladder is actually full.
If a person has a constant urge to pee but nothing comes out when they go, they may have an infection or other health condition. If a person frequently needs to pee but little comes out when they try to go, it can be due to a urinary tract infection (UTI), pregnancy, an overactive bladder, or an enlarged prostate.
A urinary tract infection (UTI)
Besides frequent urination, signs of a UTI include fever, a burning feeling when you pee, discolored urine and constantly feeling like you need to pee (even after peeing). You may also feel bladder pressure or discomfort in your back or around your pelvis.
Sudden stress (pressure) on your bladder causes stress incontinence. Common causes include coughing, sneezing, laughing, lifting and physical activity. Younger and middle-aged women and people assigned female at birth (AFAB) near or experiencing menopause are most likely to have stress incontinence.
A study done on vitamin c intake in 2060 women, aged 30-79 years of age found that high-dose intake of vitamin c and calcium were positively associated with urinary storage or incontinence, whereas vitamin C from foods and beverages were associated with decreased urinary urgency.
Drinking too much fluid during the evening can cause you to urinate more often during the night. Caffeine and alcohol after dinner can also lead to this problem. Other common causes of urination at night include: Infection of the bladder or urinary tract.
Over time, consistent pushing when you pee (or poop) may cause your pelvic floor muscles to weaken, leading to pelvic organ prolapse, a condition where one of your pelvic organs (the bladder, uterus, or rectum) collapses into the vaginal canal. You could develop, or worsen, hemorrhoids.
With this type of dysfunction, the muscles that control the flow of urine out of the body don't relax completely, and the bladder never fully empties. This causes a range of symptoms such as daytime wetting, night wetting, a feeling that the bladder is always full, urgency, and straining to urinate.
Share on Pinterest Double voiding involves sitting in an ideal position to urinate and then waiting for 20-30 seconds to urinate again. This technique is especially effective for people who feel like their bladder is not empty, or who return quickly to the restroom after voiding.
Neurogenic bladder refers to what happens when the relationship between the nervous system and bladder function is disrupted by injury or disease. It cannot be cured but can be managed. Treatment options include medications, use of catheters and lifestyle changes.
Mirabegron is a medication approved to treat certain types of urinary incontinence. It relaxes the bladder muscle and can increase how much urine the bladder can hold. It might also increase the amount you're able to urinate at one time. This may help you to empty the bladder more completely.
Typically, you should be able to sleep six to eight hours during the night without having to get up to go to the bathroom. But, people who have nocturia wake up more than once a night to pee.
Limit your intake of fluids two hours before bedtime
Drinking too close to bedtime can lead to urinating at night. You'll also want to limit alcohol and caffeine, which are bladder stimulants, throughout the day.
Magnesium. Magnesium is important for proper muscle and nerve function. Some doctors believe better magnesium levels can reduce bladder spasms, a common cause of incontinence. Magnesium levels can be checked through a blood test at your next doctor's visit.