Imperative urge: causes and treatment
Imperative urges are disorders in the body that are associated with a sharp and irresistible urge to urinate or defecate. These phenomena are a symptom of diseases of the genitourinary system and the intestines.
Violation of urination
Imperative urge to urinate delivera person discomfort and interfere with the conduct of a full life. This is due to the fact that after emptying the bladder after a short time a person feels a strong desire to go to the toilet again. There is a feeling that urination will happen immediately, and there is a fear that it will not be able to be held.
Sometimes it happens: in some cases, the symptom is accompanied by urinary incontinence. Usually, such phenomena are a sign of the inflammatory process of the urinary tract, less often the cause becomes an increase in intravesical pressure, and sex infections, surgeries and even spinal cord injuries and spine injuries can provoke the disease.
Imperative urges (urgency) persecutea person with a violation of urination constantly, not allowing to focus on ordinary everyday affairs. Do not confuse the usual strong urge to urinate with urgency. When it appears, it immediately becomes clear that the body is not all right. It is characterized not only by incredibly strong urges, but also by their very frequent appearance. Such symptoms can not be controlled, they worry constantly, regardless of time of day, sex and age. Earlier statistics spoke of a more frequent susceptibility to the ailment of elderly people, now this phenomenon is increasingly found among young people.
There are cases when urgency is accompanied bynocturia (primarily nighttime urination) or urinary incontinence. Often urgency leads a person to inoperable. Among the violations of urination urgency - the most common, and among other diseases takes a fairly high position. If it is available, they talk about bladder hyperactivity (GMS).
Previously it was believed that the state of urgencymost often cause urological and gynecological diseases, and also it can be a consequence of the operation. Now, modern research methods have made it possible to establish that the main cause of the symptoms of imperative uncontrollable urges is the GMP syndrome. Hyperactivity of the bladder means abnormal activity, which can be chronic. The reason for this is not fully understood, but the diseases that provoke the appearance of GMP are revealed, and this is not only a disease of the genitourinary system (acute cystitis, adenoma, prostate cancer, bladder neck tumor). Such provocateurs include heart failure, diabetes mellitus, neurological disorders, menopause, age-related changes, multiple sclerosis.
People experiencing permanent imperativedesires, are examined comprehensively, in several stages, so that the doctor can diagnose the true cause of these manifestations. To identify co-morbid conditions, the patient is guided by ultrasound of the internal organs - the bladder, prostate, kidneys. Then the urine analysis, its sediment, crop on sterility is investigated, the physician conducts a physical examination (including general examination, palpation).
The diary of the patient's urination,Based on which it is also possible to draw conclusions about the diagnosis, the GMF is placed in the presence of more than eight urination per day and more than one per night. To identify the causes of hyperactivity, cystometry (measurement of bladder volume), water tests and "Lidocaine" are used, a technique used to exclude neurological causes affecting detrusor functions (bladder muscles).
Treatment of imperative urges, urination withwhich are frequent and unbearable, should be conducted as quickly as possible. After all, living a full life with such symptoms is impossible, a person experiences not only physical discomfort, but also constant stress. The goal of the treatment is to control the accumulation of fluid in the bladder. To do this, use anticholinergic drugs. They block the nerve impulses that cause permanent imperative urine urge.
In addition, the treatment usedantispasmodics, reducing the muscle tone of the urinary tract. Among such drugs, "Spazmex" is very popular, which does not exclude the combination with other medicines and practically does not cause side effects. In addition to drug therapy, Kegel exercises (alternating tension and relaxation of the muscles responsible for urination) and behavioral therapy (visiting the toilet strictly on schedule) are used for a more effective result in treatment.
Non-medicamentous methods of treatment. Behavioral Therapy
Combination of the use of drugs andalternative methods of treatment gives effective results in the fight against impaired urination. The main directions of non-drug treatment are strengthening the muscles of the bladder, as well as gaining the ability to monitor visits to the toilet. Behavioral therapy involves limiting fluid intake, if it exceeds the norms, correction of the drinking regime, exclusion of alcoholic and caffeinated drinks, refusal to drink before bedtime. Most of the liquid entering the body during the day should be pure non-carbonated water. The amount is determined strictly individually, taking into account age and concomitant diseases. Behavioral therapy involves setting the regime of visiting the toilet in a strictly designated time for the purpose of training the bladder. This approach helps to reduce imperative desires in half.
Kegel exercises for women
This is a complex of exercises for women, created forstrengthening the muscles of the pelvic floor. As you know, women are more likely to suffer from incontinence, including stress (with laughter, sneezing, coughing). Regular exercise helps to reduce the imperative urge to stool and learn to control pelvic muscles. The complex is very simple, easy to use and accessible to any woman.
Exercises train the muscles that are responsible forbladder, rectum, uterus, urethra. They help to cope with the incontinence of pregnant women in 70% of cases, ease the condition of the ladies of old age. Exercises Kegel improve blood circulation in the pelvic and rectum, accelerate the rehabilitation after childbirth, prevent the development of hemorrhoids.
Violations of urination in children
Frequent requirements of the child "go for a pot"should alert the parents, especially if the urination does not occur (the desires are false). If the baby is asked to enter the toilet almost every 15 minutes, this is an occasion to consult a doctor to find out the cause of such manifestations and eliminate it as soon as possible. The reasons behind the imperative desires of children are several:
- balanoposthitis in boys;
- vulvovaginitis in girls;
- urethritis (inflammation of the urinary canal);
- cystitis (inflammation of the bladder);
- pyelonephritis, kidney disease.
Such diseases are caused by infections orsupercooling. But this is not the only reason, in some cases there is an abnormality in the development of the urino-genital organs or a disease of the nervous system, including congenital malformations and traumas, psychiatric illnesses, neuroses.
Desire for defecation
With a physiological need to emptyintestine in a person there are desires for defecation. In the case of normal functioning, such phenomena do not cause any discomfort. If the intestinal function has failed, there may be imperative urges for defecation. They cause a convulsive contraction of the muscles of the intestine, usually accompanied by pain. Such symptoms can be the result of irritable bowel syndrome (IBS). In addition to frequent calls to the chair, it can be accompanied by diarrhea (more than three times a day), constipation (stool less than three times a week), abdominal pain, flatulence.
After the chair there is a feeling of incompleteevacuation of the intestine. For treatment, spasmolytic drugs are used, for example, "Dicyclomine." A prerequisite for therapy is compliance with the diet, rejection of fatty, sharp and fried foods that irritate the intestines. One of the types of disease is tenesmus. These are excessively strong mandatory urges, accompanied by a contraction of rectum muscles and pain, but defecation does not occur. In this case, they still speak of false urges. The cause of this can be a tumor of the rectum, infection, chronic or acute colitis.