I always feel like urinating but I only urinate a little bit

First, consider the most common cause - urinary tract infection. According to statistics, women will suffer from urinary tract infection at least once in their lifetime. Of course, this is an average data. Some people may have never had it once, while others may have had it many times. Women are particularly vulnerable to infection due to their anatomical and physiological characteristics. In normal people, there are bacteria living in and around the urethra opening. However, because the urinary tract mucosa has the ability to resist bacterial invasion and is constantly flushed by urine, it is not easy to cause disease. The female anterior urethra is short and wide, and factors such as menstruation, sexual life, and pregnancy make it easy for bacteria to invade. Various iatrogenic urethral interventional procedures (such as catheterization, cystoscopy) and various chronic diseases (such as diabetes, glomerulonephritis) are also important factors that make it easy for bacteria to invade the urinary tract and cause disease.

Urinalysis is the simplest and most convenient method for the examination of urinary tract infection. Generally speaking, leukocytosis is the most common manifestation in urinary tract infections, especially acute infections. There are no white blood cells in the urine of normal people. If there are more than 5 white blood cells under the microscope, it can be basically confirmed that there is an infection. Although a urine routine test can tell what the infection is, it cannot tell what pathogen the infection is caused by. If necessary, a urine culture test can be performed. Knowing what germs are causing the problem allows for more targeted treatment.

After ruling out urinary tract infection, you need to consider other issues if you have frequent and urgent urination. You should know that many urinary system diseases, such as bladder stones, bladder tuberculosis, interstitial cystitis, and bladder tumors can cause symptoms of frequent urination and urgency. Although these situations are relatively rare, they are obviously more harmful. In view of these situations, it is necessary to do some specialized examinations. B-ultrasound examination is simple to operate, non-invasive, and can easily detect some serious lesions. It is the preferred examination method. Cystoscopy is an invasive examination, but it can clearly see the entire length of the bladder and urethra, and can take biopsies of suspicious lesions, which is a further examination method. With the advancement of imaging technology, CT examination and reconstruction technology can replace traditional imaging methods and can clearly scan the entire urinary system. Through these examination methods, most diseases can be correctly diagnosed.

Finally, when no problems are found in all examinations and the symptoms are very severe, you should consider the condition of "overactive bladder (OAB)". OAB is a new term that appeared in 2002. It refers to a group of clinical syndromes with frequent urination, urgency and urge urinary incontinence as the main manifestations. The causes are very complicated and may be caused by increased bladder excitability (that is, the bladder is too sensitive). Urodynamic testing can clarify bladder sensation and motility and determine whether there are neurogenic problems, which is very helpful in the diagnosis of OAB. OAB mostly occurs in middle-aged and elderly women. For women of this age group, the possibility of OAB should be considered after excluding other diseases.

Once the causes of frequent and urgent urination are identified, treatment can be targeted. Treatment can be divided into two categories, one is etiological treatment and the other is symptomatic treatment. In etiological treatment, urinary tract infections should be treated with antibiotics, and attention should be paid to rest and local hygiene, which generally has a good effect. Urinary tract tuberculosis should be treated with anti-tuberculosis therapy. Bladder stones or tumors should be treated with surgery. OAB treatment can include bladder function training under the guidance of a professional doctor. In symptomatic treatment, some drugs such as cholestatic receptor blockers can be taken orally, which can achieve immediate results. However, these drugs may have some side effects and may even cause urinary retention. They must be taken under the guidance of a urologist and should not be taken alone.

In short, women with frequent urination and urgency should go to the urology department for treatment and receive treatment under the guidance of a specialist in order to achieve good results.