Urgent need – disturbances in the body associated with sudden and irresistible desire to urinate or defecate. These phenomena are a symptom of the urogenital system and intestines.
The Imperative urge to urinate gives a person the discomfort and interfere with the conduct of a full life. This is because after emptying the bladder after a short time the man felt a sharp desire to go to the bathroom. The feeling that urination will occur immediately, and there is a fear that it will fail to hold.
Sometimes it happens: in some cases, the symptom is accompanied by urinary incontinence. Usually such things – a sign of inflammation of the urinary tract, less common cause is the increased intravesical pressure, and can cause disease of the genital infections, surgery and even spinal cord damage and spinal injury.
The Imperative urgency (urgentely) have the person with the violation of urination constantly, not allowing to concentrate on ordinary everyday Affairs. Not to be confused with the usual strong urge to urinate with urgentiste. When it appears, it immediately becomes clear that the body is not all right. She is not only incredibly strong impulses, and very often their appearance. These symptoms can not be controlled, they bother you constantly, regardless of time of day, gender and age. Earlier statistics talked about more frequent exposure to illness of the elderly, this phenomenon is increasingly common among young people.
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There Are times when urgentiste accompanied by nicturia (mainly night to urinate) or incontinence. Urgentiste often leads to an unhealthy condition. Among the violations of urgentiste urination - the most common, and among other diseases occupies a rather high position. If any speak of overactive bladder (OAB).
Previously it was thought that the state of urgentiste cause most often urological and gynecological diseases, and it can also be the consequence of the operation. Now modern research methods have allowed to establish that the primary cause of symptoms of imperative uncontrollable urge syndrome is a GEM. Overactive bladder means its anomalous activity, which may be chronic in nature. The reason for this is not fully understood, but identified the disease that provoke the emergence of OAB, and it is not only diseases of the genitourinary system (acute cystitis, adenoma, prostate cancer, tumor of the bladder neck). Such instigators include heart failure, diabetes, neurological disorders, menopause, age-related changes, multiple sclerosis.
People experiencing persistent peremptory impulses, examined thoroughly, in several stages, the doctor can diagnose the true cause of these manifestations. To identify comorbidities the patient undergoes ultrasound of internal organs-the bladder, prostate and kidneys. Further investigated the analysis of urine, its sediment, inoculation of sterility, the doctor will conduct a physical examination (including General inspection, palpation).
We study the diary of the patient's urination on the basis of which it is also possible to draw conclusions about the diagnosis, put GMP in the presence of more than eight voids per day and more than one per night. To identify the causes of hyperactivity is cystometry (measurement of bladder volume), tests with water and "Lidocaine" – a technique used to exclude neurological causes that affect the function of the detrusor (bladder muscles).
Treatment of imperative urgency, urination in which frequent and unbearable, should be carried out as quickly as possible. After all, to live a full life with such symptoms is not possible, the person experiences not only physical inconvenience, but also a constant stress. The goal of treatment is to control the accumulation of fluid in the bladder. To do this, use of anticholinergic drugs. They block nerve impulses that cause persistent and imperative urge of urine.
In addition, in the treatment of used antispasmodics that reduce muscle tone of the urinary tract. Among these drugs especially popular "Spasmex", which does not preclude a combination with other medicines and almost does not cause side effects. In addition to drug therapy, for a more effective result in the treatment used Kegel exercises (alternate tensing and relaxing of the muscles responsible for urination) and behavioral therapy (going to the toilet on schedule).
The Combined use of medications and alternative treatments produces effective results in the fight against urinary disorders. The main areas of non-drug treatment– the strengthening of the bladder muscles, as well as obtaining the ability to control the toilet. Behavioral therapy involves limiting fluid intake if it exceeds the normal correction mode of drinking, with the exception of alcoholic and caffeinated beverages, refusal to drink before bedtime. A large part of the consumed liquid during the day should be pure non-carbonated water. The amount is determined individually, taking into account age and comorbidities. Behavioral therapy involves the installation mode of the toilet in the designated time with the aim of training the bladder. This approach helps to reduce the urgent need doubled.
This set of exercises for women designed to strengthen the pelvic floor muscles. As you know, women are more likely to suffer from incontinence, including stress (when laughing, sneezing, coughing). Regular exercise helps to reduce the imperative urge to stool and learn to control the pelvic muscles. The complex is very simple, easy to use and available to any woman.
Exercises train the muscles responsible for bladder, rectum, uterus, urethra. They help to cope with incontinence pregnant women in 70% of cases, ease the condition of elderly ladies. Kegel exercises improve blood circulation in the pelvic area and rectum, accelerate rehabilitation after childbirth, prevent the development of hemorrhoids.
The Common requirements of the child "go potty" should alert the parents, especially if urination does not occur (false desires). If a kid asks to go to the toilet almost every 15 minutes, it is a reason to contact the doctor to determine the causes of such manifestations and its early elimination. Reasons why occur urgent need in children, there are several:
These diseases are caused by infections or hypothermia. But that's not the only reason in some cases there is a malformation of the urinary organs or disease of the nervous system, including congenital defects and trauma, psychiatric illness, neurosis.
When the physiological need to empty the bowel a person experiences the urge to defecate. In the case of normal operation such phenomena do not cause any discomfort. If the bowel has failed, you may experience an imperative urge to defecate. Their causes spasmodic contraction of the muscles of the intestine, usually accompanied by pain. These symptoms may be the result of irritable bowel syndrome (IBS). In addition to frequent urge to stool, he may be accompanied by diarrhea (more than three times a day), constipation (stool less than three times per week), pain in the abdomen, flatulence.
After stool feeling of incomplete defecation. For treatment with antispasmodic drugs, such as "Dicyclomine". A prerequisite of therapy – diet, avoiding rich, spicy and fried foods that irritate the bowel. One of the varieties of the disease – tenesmus. It's too strong imperative urges, accompanied by contraction of the muscles of the rectum and pain, but defecation takes place. In this case also talking about the false desires. The reason for this can be a tumor of the rectum, infection, chronic or acute colitis.
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