Women always feel the urge to urinate but don't urinate much

Our bladder stores some urine on a daily basis. Once the urine reaches a certain amount, the brain will remind us to excrete. But sometimes, if conditions do not permit, many women choose to hold their urine. Holding urine for a long time is very bad for the urinary system. If a woman always feels the urge to urinate but does not urinate much, she should first consider whether she has a urinary tract infection.

Urinary tract infection can be divided into upper urinary tract infection and lower urinary tract infection according to the site of infection; according to the relationship between the two infections, it can be divided into isolated or sporadic infection and recurrent infection, the latter of which can be divided into reinfection and bacterial persistence, which is also called recurrence; according to the state of the urinary tract at the time of infection, it can be divided into simple urinary tract infection, complicated urinary tract infection and urosepsis. Urinary tract infections are common in women, especially those who are sexually active and postmenopausal women.

The onset is sudden, and the onset in female patients is often related to sexual activity. The main manifestations are bladder irritation signs, namely frequent urination, urgency, pain when urinating, discomfort in the bladder area or perineum, and a burning sensation in the urethra; the degree of urinary frequency varies, and in severe cases, urge urinary incontinence may occur; the urine is turbid, there are white blood cells in the urine, terminal hematuria is common, and sometimes it is hematuria throughout the process, and even blood clots are discharged. Generally there are no obvious systemic infection symptoms, and the body temperature is normal or there is a low fever.

The clinical manifestations of complicated urinary tract infection vary greatly, and are often accompanied by other diseases that increase the risk of infection or treatment failure, with or without clinical symptoms (such as frequent urination, urgency, dysuria, dysuria, low back pain, costovertia angle tenderness, suprapubic pain and fever, etc.). Complicated urinary tract infections are often accompanied by other diseases, such as diabetes and renal failure; they also cause many sequelae, the most serious and fatal of which include urosepsis and renal failure. Renal failure can be divided into acute and chronic, reversible and irreversible.

The recommended treatment for acute simple cystitis is a three-day therapy, which consists of taking oral co-sulfamethoxazole; or ofloxacin; or levofloxacin. Because the efficacy of single-dose therapy is not as good as the three-day therapy, it is no longer recommended. In areas where the resistance rate of pathogens to sulfamethoxazole is as high as 10% to 20%, nitrofurantoin can be used for treatment.