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Symptoms of disease - violation of urination

Violation of urination is the most frequent manifestations of urologic pathology. Under violations of urination understand symptom complex that includes the change in frequency of urination, incontinence or delay urine, painful urination, compelling urge.

Typical symptoms of violations of urination:
- pain when urinating;
- incontinence;
- urination occurs often in small portions;
- the beginning of urination happens to work;
- blood in the urine;
- dark coloured urine.

Which diseases there is violation of urination

Types of violations of urination:

1. Change in frequency of urination.
Urinary frequency depends on the age. The newborn reflex on urination is carried out by the unconditional, the frequency of urinations reaches 20 times a day. As far as the increase of the volume of the urinary bladder and the stabilization of urination child begins to urinate less frequently, up to 5-6 times a day. It should be noted that the effective volume of urine when this should correspond to age norm (2 -3 years - 50 - 90 ml 4-5 years - 100 - 150 ml, 6 - 9 years of age - 150 - 200 ml, 10 - 12 years - 200 - 250 ml, 13 - 15 years - 250 - 350 ml).
Change in frequency of urination is possible in the direction as to increase (pollakiuria), and shortening (oliguria). Changes in the frequency of urination rarely bother the parents, usually this symptom pay attention in combination with mandatory impulses, pain symptom or incontinence. However, it is important to be able to identify changes in the frequency of urination, that allows in future to correctly identify the survey plan of the patient. The most objective method is the registration of the rhythm of intrinsic time urination during the day and time and date of urination and the effective volume. Conducting research within 3-4 days allows the doctor to evaluate the frequency of urination and the identification of possible deviations.

2. Urine retention.
Urine retention - it is a condition in which a person cannot spontaneously highlight the urine from the bladder through the urethra. The urine in the bladder is. Is full and partial delay of urine. When fully delays in the urine of the patient is unable to urinate. In case of partial delay of urine patients may self-emptying the bladder, but this process is partial and after each urinating in the bladder urine remains. It is called "residual". In urology is more suitable term "chronic urinary retention". This condition is due to the fact that detrusor not able to overcome the pressure, which occurs because of the obstacles outflow of urine from the bladder. With the progression of this condition there is a loss of sphincter ability to hold urine in the bladder and the state of "paradoxical ischuria", when in the presence of a delay of urine, she drops to leave the bladder.

3. Acute urine retention.
Occurs suddenly. It is necessary to differentiate from anurii. Bladder is full. Causes of acute urine retention is the presence of obstacles outflow of urine, but in this case, as a rule, there is a change of these conditions in the worst degree.
Reasons for the delay of urine may be a variety of neurological disease (organic lesions of the brain, spinal cord injury, compression of the spinal cord). In addition, this condition occurs when the spinal tabes, tumors of the spine, hysteria. The mechanical obstruction outflow of urine in the urinary tract no. Mechanical causes may be in the so-called intravesical obstruction. This is the narrowing of the urethra, bladder neck sclerosis, the stones of the urethra, tumors of the urethra, the trauma of the urethra, tumors of the urethra, BPH, etc.

4. Pollakiuria.
Pollakiuria is frequent urination. Can be a reflex, for example, when finding a stone in the lower third of the urethra. Often accompanied by a compelling urge to urinate. May be night and day. This condition occurs when the stones of the bladder (day) and adenomas prostate (night).

5. Incontinence of urine.
Urinary incontinence is the involuntary urine without urinating on because of the insufficiency of sphincter machine bladder of different Genesis. Distinguish day and night enuresis; incontinence of urine during the stored urge to urinate, when the imperative urge and, on the contrary, with a weakened or even a complete absence of impulse. Total urinary incontinence with the absence of the urge to urinate is a symptom of a deep disorders of innervation of the bladder.
Some words should be said about the true and false incontinence. True urinary incontinence is an arbitrary, without urinating on urination drop by drop. When the bladder urine no. This occurs when malformations of the urinary system, vesico-vaginal fistulas and diseases of the nervous system.
False is characterized by urinary incontinence together with normal acts of urination. As a rule, this condition happens when the evils of development, when the mouth of one of the ureters opens into the vagina and vesico-ureteral fistula.

6. Difficulty urinating (urinary retention).
The tension, the anxiety of the child during urination in the absence of pain is a sign of the difficulty urinating. Most difficulty urinating due to mechanical reasons, namely the narrowing of the lumen of the urinary tract. Sometimes this may be due to disorders of innervation of the bladder. Difficulty urinating due to mechanical reasons happens when contractions (strictures) the urethra, the prostate benign hyperplasia (BPH). It can be observed from the birth of a child, which is more typical for a variety of developmental disorders, and may accumulate gradually or develop suddenly and lead to a delay of urine. The last condition is more characteristic of tumor processes or urolithiasis (blockage of calculus bladder neck or urethra).

7. Strangury.
Strangury - this combination of reduced frequency of urination with quickened urge to urinate and a painful feeling of incomplete emptying of the bladder. This situation is very typical for cystitis, prostatitis, colliculitis and vesiculitis.

8. Painful urination.
Pain above the pubic symphysis pubis (of the abdomen) or in the field of pussy may arise or be strengthened or at least fill the bladder, either at the end of urination. The most common cause of pain syndrome are various acute and chronic diseases of the bladder, cervical, bladder, the urethra (particularly of the lower urinary tract (cystitis, urethritis)), and prostate cancer.

9. Compelling urge.
In those cases, when the urge to urinate is accompanied by a feeling that this will happen immediately, talk about the imperative urge. Compelling urge often accompanied by a withhold and incontinent of urine and are often a sign of inflammatory changes of the lower urinary tract, although there may be and in their absence. Compelling urge in such cases associated with episodes of sharp increase of the vnutripuzarnogo pressure in the face of the detruzora.
Thus, the symptom complex of violation of urination is very diverse, however, one can distinguish the following main groups of diseases and developmental disorders that cause the symptoms above.
- Defects of development of the external genital organs and lower urinary tract:
a) accompanied by incontinence with the failure of the sphincter of the bladder (total epispadias, ecstrophy bladder;
b) accompanied by difficulty urinating, on the background of obstacles outflow of urine (cicatricial phimosis, meatalny stenosis, infravesical obstruction);
b) accompanied by the total incontinent of urine when stored act of urination (sphincter ectopies the mouth of the urethra).
- Inflammatory changes of the lower urinary tract (cystitis, urethritis).
- Malformation of the lumbosacral spine, including coupled with the defeat of a spinal cord.
- Traumatic injuries of the spinal cord and the lower urinary tract.

Which doctor should I contact if there is a violation of urination

If You have broken urination, You need to consult a urologist.
Examination of the patient with violations of urination should include a careful examination of the anamnesis, examination, General urine analysis (with doubtful results - implementation of urine analysis according to Nechyporenko, Addis Kakovsky), the sowing of urine for sterility cystoscopy, functional methods of research of urodynamics. Binding is also an x-ray of the lumbar-sacral spine (direct and lateral).

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Do you feel disrupted urination? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

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Map of the symptoms and the types of disorders is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.