Still facing frequent urination issue for months even though all reports are normal - #14201
Hello Doctor, I’ve been having a frequent urination problem for the past 10 months. At the beginning, I consulted a doctor and took various tests including sugar, blood, and urine tests — all results were normal. I also underwent a scopy test to check for any internal issues, but that was also normal. Despite this, my condition hasn’t improved. I currently feel the need to urinate about 2–3 times every hour. I have no pain or burning sensation, but it causes discomfort and affects my daily activities .I stopped the previous treatment a few months ago since there was no change. Please advise what might be the cause and what treatment I should follow next.
100% Anonymously
No sign-up needed.
Doctors’ responses
Experiencing frequent urination while having normal test results can be frustrating. Since typical issues like diabetes or infections have been ruled out, consider interstitial cystitis or overactive bladder as possible causes. Interstitial cystitis is a chronic bladder condition that leads to bladder pressure and pain, with increased urgency to urinate. Unlike infections, it does not show up on standard urine tests. Overactive bladder, on the other hand, involves frequent and sudden urges to urinate, related to involuntary bladder muscle contractions. For diagnosis, a urologist may perform specialized tests such as urodynamic testing or, in more detailed evaluations, cystoscopy with hydrodistension.
As for management, pelvic floor exercises, often guided by a physiotherapist, considered effective in reducing symptoms by strengthening bladder support muscles. Bladder training techniques, where you gradually increase time between bathroom visits can improve bladder control over time. Dietary adjustments, like avoiding caffeine, alcohol, and acidic foods, might help reduce irritative bladder symptoms. If lifestyle adjustments aren’t improving the situation, medications such as antimuscarinics or beta-3 agonists might be considered to relax bladder muscles and reduce urgency.
Lastly, behavioral approaches and support from a healthcare provider trained in cognitive therapy can help in managing symptoms’ impact on daily life. Since symptoms have persisted over months, consulting with a urologist or specialist in urinary disorders is recommended for targeted treatment strategies and to rule out any underlying conditions. Be sure not to delay seeking personalized care to ensure discomfort doesn’t further disrupt your lifestyle or lead to complications.
Hello Lingkeshraam By going through your history and evaluation of your health status I am suggesting you following tests -
Urine flow test USG test CBC test
By getting through these tests done kindly share this report to urologist for better evaluation and understanding your health.
Thank you
Hello Lingkeshraam, I understand how frustrating and tiring it must be to deal with such frequent urination for so many months. Your issue might be due to Overactive Bladder, Pelvic Floor Dysfunction, Anxiety, etc.
Kindly get these test done - Urine routine & culture, Ultrasound KUB with PVR and prostate evaluation, Uroflowmetry, Serum PSA, BUN, Creatinine, FBS, HbA1c (if not recent).
Based on results, treatment can be started accordingly — and most patients improve significantly with proper diagnosis and bladder training.
Till then start with these lifestyle measures - Limit caffeine, alcohol, and late-night water intake. Double voiding technique (urinate, wait, try again). Bladder training: gradually increase time between voids. Pelvic floor (Kegel) exercises.
Also consider visiting a Psychiatrist & a Urologist for your physical evaluation.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
Hello sir It seems you are having micturition problem which is characterized by excess secretion of water and release of sodium ions by kidneys. May be the diagnosis could be pollakiurea or excess urination frequency I suggest you to please get following tests done for confirmation USG kindly Rft Rbs CBC Cystoscopy Clinical evaluation and urine analysis Please share the result with urologist for better clarity Hopefully you recover soon Regards
Hello,
🛑Common causes in such cases include overactive bladder, bladder hypersensitivity, pelvic floor dysfunction, or stress-related factors, rather than infection or structural problems.
It’s important to rule out incomplete bladder emptying or subtle bladder overactivity through a urodynamic study and to maintain a bladder diary recording fluid intake and urination patterns.
🛑 In the meantime, limit caffeine and excessive fluids, try bladder training techniques, and consider pelvic floor relaxation exercises.
Consult a urologist again and specifically ask about urodynamic testing and overactive bladder management.
I hope this helps Thank you
Hi Dear Lingkeshraam, Frequent urination can be of various causes Kindly visit an Urologist firstly and then an Endocrinologist Needs evaluation Kindly donot worry
100% Anonymously
Get expert answers anytime, completely confidential. No sign-up needed.
About our doctors
Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.
