Bladder emptying symptoms. Urination with a feeling of incomplete emptying. Urine from the bladder does not come out completely: consequences and complications

Incomplete emptying of the bladder is a pathological condition that can accompany many diseases of the genitourinary system, as well as some diseases of other organs. Such a pathological condition creates a lot of both physical and psychological discomfort for the patient, therefore, when the first signs of this disorder appear, it is necessary to consult a doctor for a comprehensive examination. In this case, you should not self-medicate, since only by correctly determining the root cause of the problem, you can achieve the elimination of this unpleasant symptom.

Etiology and pathogenesis of development

The causes of such a pathological condition as incomplete emptying of the bladder in men and women are extremely diverse. In this case, the problem can revolve both in the disruption of the nervous system and various organic damage to the organs of the urinary system, so it is very important for the doctor when such a violation occurs to identify the root cause of the problem. Most often, such a violation is a consequence of:

• urethritis;
• cystitis;
• prostate adenomas;
• narrowing of the urethra;
• diseases of the abdominal organs;
• pyelonephritis;
• tumors of the urinary organs;
• prostatitis;
• neurogenic bladder;
• stones.

Many illnesses cause a small amount of urine to remain during emptying. This may be due to certain physiological reasons, for example, some obstruction that interferes with urine diversion. Such an obstacle can be, for example, a stone in the bladder or external pressure and changes in the structure of the urinary tract. Among other things, the reason why the bladder is not completely emptied may be developed atony or hypotension, due to which it cannot contract sufficiently.

In rare cases, incomplete excretion of urine is observed against the background of a violation of the innervation of the pelvic organs caused by spinal cord injuries, multiple sclerosis, spinal hernia, and sciatica. If the problem lies in the incorrect interpretation of the nerve impulses of the brain, then there may not be a real urinary retention. In addition, in rare cases, this pathology can be observed against the background of diabetes mellitus. In the absence of targeted treatment, the walls of the bladder are constantly subjected to pressure from the side of not excreted urine, which contributes to their stretching.

Diagnostic methods

If a person has a feeling that the bladder is not completely emptied, it is urgent to consult a doctor for advice and targeted treatment. The thing is that only a specialist can correctly establish the reason for the lack of complete emptying of the bladder. When visiting a doctor, it is necessary to describe as fully as possible the feeling of incomplete emptying of the bladder and the accompanying symptoms, because in inflammatory infectious diseases that affect the genitourinary system, fever, pain during urination, and sometimes burning are often observed.

Only after a thorough history taking and examination of the medical history for the presence of cases of trauma to the spinal cord or brain, or diseases that can cause disruption of the central nervous system, and other pathological conditions, the urologist can prescribe a comprehensive examination. If the patient often has a feeling of incomplete emptying of the bladder, the following diagnostic tests are often prescribed:

• general blood analysis;
• general urine analysis;
• collection of swabs for seeding;
• Ultrasound of the abdominal organs;
• tomography;
• biopsy of mucosal tissues and existing neoplasms;
• cystoscopy;
• urography.

In the absence of problems with the urinary tract and pelvic organs, it may be necessary to consult other highly specialized specialists, including an endocrinologist, neurologist, gynecologist, if there is an incomplete emptying of the bladder in women. Consultation with a psychiatrist may also be required, since in some cases such a phenomenon may be of a psychosomatic nature. Only after a comprehensive study of the human body, the doctor can accurately determine why the bladder is not emptied to the end, or there is no feeling of its complete emptying, which will allow adequate treatment to be prescribed.

What treatment will the doctor prescribe

After a comprehensive diagnosis and analysis of the patient's complaints, the doctor may prescribe a comprehensive treatment, depending on the nature of the existing primary disease. For example, in the presence of pathogenic microflora and inflammatory processes caused by it, directed antibacterial therapy is required, which can be supplemented with anti-inflammatory and restorative drugs.

With a viral etiology of incomplete emptying of the bladder in a person, immunomodulatory and antiviral therapy is prescribed. Among other things, vitamin complexes are usually prescribed to help strengthen the immune system and restore damaged tissues.

In the presence of stones in the kidneys and bladder, surgery may be indicated. In addition, temporary placement of a catheter may be indicated in some cases to facilitate urinary diversion and prevent urinary stasis in the bladder.

The situation is much more complicated when the bladder is not completely emptied due to various disorders in the conduction of nerve impulses. In this case, a longer treatment is required to improve the conduction of nerve impulses. The prognosis for treatment in this case will largely depend on the specifics of damage to the nerve endings. In some cases, if complex treatment has been carried out, the violation of bladder emptying can be completely eliminated.

One of the common symptoms of diseases of the genitourinary system is the feeling of incomplete emptying of the bladder. Modern medicine knows how to get rid of such a problem. The main thing is to identify the cause of this condition and start competent therapy in time.

Why is this happening?

Pathologies of the organs of the genitourinary system are manifested as follows:

First.

After going to the toilet, there is a feeling of a full bladder.

Second.

The patient again and again experiences the urge to urinate. This brings inconvenience, especially if it is not possible to empty so often.

Third.

When urinating, other symptoms of the disease may also be felt, for example, burning and pain.

In most cases, this condition is caused by the presence of urine that remains in the cavity of the organ. Obstructing factors do not allow its outflow to move normally.

Sometimes the reason that the bladder does not empty completely is atony, in which it cannot contract normally. The tone of its walls is weakened, and the muscles can no longer support it in the desired position.

In some patients, there are no obstacles to the outflow of urine, however, it is still not completely excreted from the body, and the person wants to go to the toilet all the time. This may indicate the presence of erroneous signals received by the brain.

This condition is typical in the case of the development of certain pathologies: adnexitis, appendicitis, salpingo-oophoritis etc. Prolonged stress, shocks and nervous tension can also act as a psychological cause.

You can't let the problem run its course. After all, the constant fullness of the bladder worsens the quality of life and can have serious consequences. The urine that remains in the body is a good breeding ground for bacteria, which can provoke an inflammatory process.

Associated symptoms and types of diseases

To accurately diagnose, it is necessary to evaluate the accompanying symptoms of diseases.

Diseases of the prostate

The patient complains of pain in the lower abdomen, he has problems with erection. The stream of urine is weak and intermittent, and blood may be excreted. With a malignant tumor of the prostate, the patient loses weight, his temperature rises.

Urethritis, cystitis, pyelonephritis

Often, incomplete emptying of the bladder in women can indicate the development of and. These diseases are accompanied by burning, cutting and pain during urination. This may cause a headache and a fever. Urine becomes cloudy. With inflammation of the kidneys, pain is felt in the lower back and abdomen.

Stones in the bladder

It is expressed in renal colic and severe pain in the lumbar region, lower abdomen. Its signs are also traces of blood in the urine, frequent trips to the toilet, the number of which increases with movement.

Adnexitis

This is a female disease in which body temperature rises, pain in the groin is felt, and discharge can be observed. A woman feels insufficient emptying, she is tormented by chills, weakness, gastrointestinal disorders.

Hypotension

Together with urination disorders, the patient has problems with the gastrointestinal tract, tension in the pelvic muscles, and pain. A person constantly feels the presence of fluid in the bladder, the very act of urination passes sluggishly and weakly. Chronic illness provokes incontinence of feces and urine.

Urethral stricture

The narrowing of the urethra does not allow the patient to carry out adequate urination. The flow of urine is weak, accompanied by a constant sensation of a full bladder. There are pains in the pelvic area and during a trip to the toilet, there is blood in the urine.

Bladder overactivity

This diagnosis is often made by excluding other diseases. Incomplete emptying overactive bladder is rare. This disease is characterized by frequent urination, urgent and strong urge. In some cases, urinary incontinence occurs.

Other pathologies can also cause discomfort: diabetes mellitus, sciatica, spinal cord injuries, multiple sclerosis. The feeling of a full bladder can be the result of serious illness, so if this symptom occurs, you should immediately contact a specialist.

Which doctor should I contact?

The urologist deals with the diagnosis and treatment of diseases of the genitourinary system. A woman may need an examination of the ovaries and uterus. Then the urologist will refer the patient to the gynecologist, who will take a smear from the vagina to exclude the presence of infection. A urologist is also involved in the treatment of diseases of the genital organs in men.

Don't be afraid to tell your doctor about your problem. A detailed description of the symptoms will help him diagnose the disease more quickly. It is better to choose a high-class specialist, because health and even life are at stake.

Diagnosis and treatment

After collecting an anamnesis, the doctor determines the change in the size of the bladder using palpation. He usually orders the following tests:

• General blood analysis;
• General urine analysis;
• Urine culture;
• Ultrasound of the genitourinary organs;
• Cystoscopy;
• Contrast urography.

In some cases, a CT or MRI may be required. Only after the results of the examination, the doctor can accurately diagnose and prescribe treatment, which will be aimed at eliminating the root cause of the pathology.

To eliminate infectious diseases, a course of antibiotics and antibacterial agents is prescribed, in the presence of urolithiasis, drugs for removing stones. If the disease is psychological in nature, the doctor usually prescribes sedative drugs that calm the nervous system.

Some gynecological diseases, due to which the bladder is not completely emptied, require the use of hormonal drugs. In cases, the patient may be prescribed surgical intervention.

Unfortunately, even the complete elimination of unpleasant symptoms cannot guarantee that a person will not be disturbed by relapses in the future.

Diseases that cause incomplete bladder emptying usually have a number of additional symptoms. Almost immediately after using the toilet, the patient again feels the desire to empty himself, the urge comes again, it is impossible to forget about it for a long time. Painful symptoms prevent a person from continuing to lead a normal life.

Emptying the bladder is painful. The process is accompanied by a burning sensation and pain. Discomfort occurs due to an increase in the body in volume, stretching of its walls. The jet can be very weak, sometimes urine is released uncontrollably.

If after emptying there is a feeling of a full bladder, this indicates the development of one of the pathologies.

Pain can radiate to the abdominal cavity, cause fever, chills. The pain usually spreads only on one side, it is characterized as pulling. Less often, discomfort appears in the lumbar region.

The quality of the patient's urine also changes. It becomes less transparent, flakes or bloody clots are present.

Causes of the problem

The main diseases that cause discomfort in men and women are as follows:

• adenoma, prostatitis;
• tumors;
• insufficient provision of tissues with nerve cells;
• small organ volume;
• narrowing or fusion of the walls of the urethra;
• neurogenic bladder;
• other acute inflammatory diseases.

Women are more likely to experience a similar problem due to a tendency to cystitis and urethritis. Complications occur when the course of the disease becomes chronic.

Diseases of any pelvic organ of an inflammatory nature can irritate the bladder and cause reflex contraction.

A foreign formation, such as tumors, polyps, stones in the kidneys and urinary tract, can cause a feeling of incomplete emptying of the bladder.

The symptom of insufficient emptying does not occur as a separate disease and is most often the cause of a more serious pathology.

In women, this problem can also occur due to genital herpes, postoperative or postpartum complications. Inflammation in the vagina or on the vulva has a negative effect. The infection can go into the urinary canal, microbes from the outside cannot be ruled out.

The reason may run much deeper.
Injuries to the spine, spinal cord, multiple sclerosis, sciatica, increased brain impulses, and diabetes can lead to problems in the urinary system.

Prolonged stress, experienced shock can also lead to a problem.

An incompletely emptied bladder can serve as a breeding ground for infection, leading to ascending pyelonephritis and other inflammatory diseases of the pelvic organs.

Diagnostics

Timely diagnosis and treatment will help to get rid of discomfort and avoid complications.

• To begin with, the doctor will prescribe a general blood and urine test. This will reveal the presence of inflammatory processes and determine the causative agent of the infection.
• A more detailed picture of the bladder, kidneys and pelvic organs in men and women will be shown by ultrasound.
• Women also take a vaginal swab.
• An additional research method is X-ray diagnostics using a contrast agent.
• Cystoscopy will help assess the condition of the inner wall of the organ.

The above methods are usually sufficient to provide a diagnosis. If not all aspects could be revealed, the patient is sent for an MRI and CT scan, a radioisotope examination.

Treatment

Surgery is indispensable if tumors were found in the pelvic area.

If the cause is psychological, then the treatment is carried out by a psychotherapist. Sedatives and special techniques are prescribed.

The gynecological cause in women is treated with anti-inflammatory drugs, antibiotics, and sometimes hormone therapy is required. Men are prescribed prostate massage.

To make the patient's life during treatment more comfortable, it is important to follow a few rules:

1. In the process of urination, you need to relax as much as possible, tense muscles can retain fluid in the bladder.
2. You can achieve contraction of the bladder by pressing on it with the palm of your hand.
3. The organ will begin to contract reflexively if you turn on the water. Under the sound of flowing water, you can achieve complete liberation from the liquid.

Treatment with folk remedies

Folk remedies will help relieve inflammation in diseases of the bladder.

• For the treatment of cystitis, horsetail, plantain and cinquefoil are mixed in a ratio of 3: 4: 3. In 1 liter of boiling water is added 1 tbsp. teaspoon dry herb mixture You need to take two glasses a day until relief comes.
• 4 tablespoons of lingonberry leaves are poured with a liter of boiling water. You need to drink the infusion in two days. Lingonberry has not only anti-inflammatory, but also a diuretic effect.
• For male diseases, it is recommended to use celandine. A tablespoon of dry grass is poured with a glass of boiling water. You need to take 3 tbsp. spoons a day. The course of treatment is up to 1 month.
• Parsley will help alleviate the condition of the prostate. The roots of the plant are dried and crushed, 100 grams of raw material is poured with a liter of boiling water and infused. You need to take the medicine half a glass 3 times a day.

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Why is the bladder not emptying completely in women?

Problems with incomplete urine output from the body

Diseases of the genitourinary system occupy one of the first places in terms of frequency of occurrence among the pathologies of the whole organism. Both men and women are equally affected by them. Only the weaker sex more often suffers from diseases of some organs, and the male part of the population - from the defeat of others.

One of the first symptoms of the development of pathology and a bell that should be a signal to contact your doctor is the feeling that urine is not completely out of the bladder.

Physiology of urination

Urine consists of water and various elements that occur in the body due to metabolic processes. The kidneys filter harmful substances and excess fluid from the blood, driving it through a system of special tubules, and then send the finished urine to the bladder through two long tubes - the ureters.

The ureters empty into the cavity of the bladder. There are no sphincters on them, so they are always open, and urine continuously flows into the bladder. When a sufficient amount of liquid is accumulated in it (usually 200-300 ml is enough), the folds on the walls stretch and stimulate specific receptors.

They, in turn, send a signal to the spinal cord about the fullness of the organ. Spinal cord neurons process the information received and send a response, instructing the muscles and the internal sphincter to relax.

Thus, urine begins to flow into the urethra, and the person feels the need to visit the toilet. If there is no opportunity to immediately empty the bladder, then a person can hold urine in the urethra for a while by squeezing the muscles and closing the external sphincter.

In diseases of the genitourinary system, and in some cases with the involvement of other organs, disturbances may occur at all stages of secretion and excretion of urine. For example, in pathologies of innervation, signals that provoke relaxation of the muscles of the bladder can come when the organ is not yet completely filled. And with prostatitis or prostate adenoma, men experience difficulties in the process of urination itself, as well as frequent urges to it.

Causes of an unpleasant symptom

There are a lot of reasons why urine does not completely leave the bladder, only an experienced specialist can make a differential diagnosis and prescribe the correct treatment. This is due to the fact that the pathological process does not have to be concentrated in the bladder itself in order to cause unpleasant symptoms.

In most cases, the feeling that not all urine has left the body occurs under the following conditions:

Why doesn't the bladder empty completely?

1. Benign prostatic hyperplasia (adenoma) or prostatitis - occurs only in the male part of the population. Other symptoms may include decreased urine flow and painful bowel movements. In addition, it is difficult for such patients to begin to release urine.
2. Cystitis - the presence of an inflammatory process in the walls of the bladder. It can develop both in men and in the fair sex. But women are more susceptible to this disease. This is due to the fact that the urethra of girls is several times shorter than that of the male, so it is easier for pathogenic microflora to penetrate the body.
3. Calculous formations, in other words, bladder stones. Pathology is accompanied by pulling pains in the lower abdomen, blood impurities in the urine, and in the case when the stone blocks the excretory canal, ischuria occurs - acute urinary retention.
4. Urethritis is a disease characterized by inflammation of the mucous membrane of the urethra. It is manifested by cutting pains in the urethra and unpleasant discharge from it.
5. Overactive bladder syndrome is a condition in which receptors located in the folds react and send a signal to the spinal cord even when the walls are slightly stretched by fluid.
6. Benign or oncological processes in the bladder, accompanied by the appearance of neoplasms that irritate the walls of the organ or take up a lot of space.

Yes, the feeling that urine comes out is not completely false. That is, the bladder itself is empty, but it seems to the patient that part of the urine still remains in the body.

This condition is associated with pathologies of the nervous system and diseases of the spinal cord:

• radiculitis;
• phase of exacerbation of multiple sclerosis or its advanced forms;
• hernias that occur in the parts of the spinal cord, which are responsible for innervation in the pelvic organs;
• back injury.

Also, quite often, diabetes mellitus can lead to disturbances in the control of the organ by the nervous system.

The reason that the urine is not completely out, and part of it remains in the bladder can also be the following pathologies:

• strictures of the channels through which urine exits (narrowing or fusion of the walls);
• hypotension or complete absence of organ tone;
• a tumor that compresses the bladder.

It is not uncommon when diseases of organs that are located in the small pelvis lead to excessive irritation and a feeling of emptyness:

• women may have salpingo-oophoritis, that is, inflammation of the uterine appendages - the ovaries and fallopian tubes;
• inflammation of the appendix;
• pelvioperitonitis;
• inflammatory processes in the small and / or large intestine.

If the bladder is poorly emptied, it can cause overstretching of its walls. In such cases, patients begin to complain of aching or pulling pains in the lower abdomen, a constantly arising feeling of heaviness and fullness above the pubis. In addition, if the organ is stretched and greatly enlarged, then it can be felt during palpation of the abdomen.

Stagnant urine is an excellent environment in which various pathogenic microorganisms almost immediately settle down and begin to actively multiply. Therefore, patients with a similar problem often have urethritis, cystitis and pyelonephritis.

Since such a symptom can indicate many diseases, it is not worth self-medicating. When there is a feeling of incomplete release of the bladder, you need to see a doctor as soon as possible. Since only an experienced specialist is able to figure it out, find the true cause and prescribe the correct treatment.

Inflammation of the urinary organs

Most often, such pathologies occur in women. They are characterized by cutting pains, a burning sensation and intense pain when trying to urinate. In the case of pyelonephritis, pain may be localized in the lower back. Urine becomes whitish, cloudy and flaky.

Prostate diseases

It can only cause men, because women simply do not have a problematic organ. Usually, in the male population, the prostate grows throughout life, and by the age of 55-60 it grows so much that it begins to squeeze the channel through which urine exits. Patients also complain of pain, but often a problem such as impotence joins.

If prostate cancer (adenocarcinoma) develops, then the patient rapidly begins to lose weight, and the body temperature is constantly kept within 37–37.5 degrees.

In the presence of calculous formations in any part of the genitourinary system, patients in the anamnesis will definitely have records of renal colic. Also, patients will complain of severe back pain, and their urine will be cloudy, sometimes with blood impurities. In some cases, it will be possible to notice sand in it - salt crystals.

neurogenic bladder

Patients cannot move away from the toilet, the need to urinate is felt almost all the time. The disease develops little by little, at first its manifestations are insignificant, but intensify every day.

What to do when there is a feeling that there is fluid left in the bladder after the act of urination? You need to contact your doctor, who will conduct an examination and refer you to a narrower specialist - a urologist, andrologist, etc.

To clarify the diagnosis, the doctor will prescribe a number of additional studies:

• general analysis of capillary blood (blood from a finger);
• Analysis of urine;
• bacteriological examination of urine (sowing on a life-giving medium in order to grow microorganisms that may be in the urine);
• ultrasound examination of the organs that are in the pelvis, as well as the kidneys;
• contrast retrograde or intravenous urography;
• cystoscopy.

How to get rid of an unpleasant symptom

To minimize discomfort during and after urination, you can use the following techniques:

1. You need to take a comfortable position on the toilet and try to completely relax, especially the pelvic floor muscles. Sit in this state for about 5 minutes. This exercise will help to remove as much urine as possible.
2. To make the bladder contract better and more actively excrete urine, you need to press a little above the pubis with your hand while urinating.
3. You can open a water faucet. The murmuring sound reflexively relaxes the muscles and stimulates emptying.
4. You can also urinate in a bucket of hot water that produces steam. But you need to be careful not to burn the mucous membrane of the genital organs.

In addition, doctors recommend drinking diuretics, and traditional medicine uses various herbs that promote urine excretion. From medicinal plants, you can make various tinctures, decoctions and more. But such treatment usually lasts a long time, it is desirable to combine it with traditional methods.

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Causes of incomplete emptying of the bladder

Problems with urination can affect people of any gender and age. At the same time, in men they can be the result of some diseases, and in women of others. One of the most common disorders in the functioning of the bladder is its incomplete emptying.

The feeling that the bladder remains full after emptying, occurs, as a rule, on the basis of retention of urine residues in it. The reasons may be:

1. The occurrence of obstacles to the removal of the entire volume of urine produced. An example of situations where stagnation of urine is formed can be a blockage of the urethra by a stone or a decrease in its width under the influence of prostate growth.
2. The condition of the bladder itself, when its musculature or surrounding muscles are weakened.

The formation of urinary stagnation can be the result of many specific diseases:

• cystitis in any form;
• urethritis;
• prostate adenomas;
• bladder stones;
• prostatitis;
• polyps on the walls of the urinary tract;
• inflammation of the pelvic organs;
• cancerous tumors;
• and others.

The fact that after urination part of the urine remains in the bladder may be due to diseases of both the pelvic organs and other parts of the human body, for example:

1. appendicitis;
2. pyelonephritis;
3. andexite;
4. diabetes;
5. injuries and diseases of the spinal cord;
6. and others.

Associated symptoms

The feeling that fluid remains in the body after urination is only one of the symptoms of diseases of the bladder and other pelvic organs. Other commonly encountered accompanying sensations are also considered:

• problems with potency;
• pain syndrome of the lower abdomen;
• decrease in pressure force or interruption of the urinary stream;
• spontaneous decrease in weight indicators;
• a slight increase in body temperature;
• urine with blood.

Urolithiasis almost always causes discomfort during urination, regardless of the gender of the patient. But frequent urge to go to the toilet more than ten times a day can report such a deviation in the work of the bladder as its hyperactivity.

It is very difficult to make such a diagnosis, and therefore they come to it by excluding other diseases. In addition to the frequency of urges, this disease is characterized by an increase in the force of urine pressure.

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Features of the diagnosis of the disease

To determine the nature of the disease, one of the symptoms of which is the feeling of an incompletely emptied bladder after going to the toilet, you need to contact a specialist in the field of urology and undergo a complete diagnosis. It is important to take into account that the structure of the female and male genitourinary systems differ significantly from each other, and therefore the methods for determining the disease in people of each sex can be different.

Most often, a course of tests that allows you to identify the cause of the formation of urine residues includes a number of laboratory tests:

1. general analysis of urine and blood;
2. sowing urine to determine violations of the microflora in the bladder;
3. Ultrasound of all organs located in the small pelvis: male prostate or female ovaries and bladder;
4. Ultrasound of the kidneys to exclude pyelonephritis;
5. cystoscopy, which is a procedure for examining the bladder with a cystoscope using local anesthesia;
6. X-ray of the bladder with the introduction of a contrast agent into it to detect tumors and other formations;
7. magnetic resonance imaging if needed.

Sometimes studies of the genitourinary and other organs of the small pelvis have to be combined with the diagnosis of abnormalities in the cardiovascular system.

There are cases when the feeling of a full bladder after urination is an indicator of heart disease.

Only after receiving all the results of the diagnostic procedures, the specialist can determine the actual diagnosis and prescribe the correct treatment.

Pain relief

To alleviate the pain associated with the formation of urine residue in the bladder after urination, you can use several methods:

1. During the process of urination, it is necessary to relax the muscles of the pelvis, so it is better to visit the toilet in places where a person is not subjected to psychological discomfort.
2. Do not rush to empty your bladder so that incomplete urination does not develop into a habit.
3. You should not leave the toilet room immediately after the main exit of urine, remaining in a half-sitting position, you need to move your body back and forth several times. After such movements, the remaining urine should come out.
4. Accompany your trip to the toilet with the sound of running water. They subconsciously stimulate the bladder to empty. It is important only to use this method in extreme cases, so as not to cause the urinary organs to become unstable.
5. During emptying, you can lightly press on the muscle of the bladder, which will help reduce its volume and remove more fluid.
6. As a last resort, doctors use a catheter inserted into the urethra. It contributes to the complete elimination of urine and thereby eliminates pain.

The cause of the formation of urine residue after going to the toilet can be various diseases. If the features of their course are not determined in time and the necessary treatment is not received, the consequences can be unpredictable, and sometimes irreversible. Therefore, it is very important if you experience a feeling of incomplete emptying of the bladder, contact a medical institution and go through the entire course of diagnostic studies.

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Feeling of incomplete emptying of the bladder in adults and children: what to do about it?

Discomfort, embarrassment, violation of the usual regimen - this is what is accompanied by incomplete emptying of the bladder. This problem happens to both children and adults, it overtakes both women and men.

There are many factors that can affect the violation of the genitourinary function. Most often this is due to the inflammatory process, which has disrupted the healthy mechanisms of urination.

Causes of the phenomenon

You can talk about pathology if after going to the toilet there is a feeling that the process has not been completed completely. After a couple of minutes, the person again goes to the toilet, but the feeling of completeness of the act of urination still does not come.

This seriously interferes with work, doing ordinary things, a person is literally tied to going to the toilet.

Read about urethritis in men in our article.

It is possible to explain the frequent urge to the toilet with urolithiasis, and with tumors of a different nature in the bladder.

If the innervation of the pelvic organs is impaired, problems may also arise with urination itself, because reflexes control this process. But acute or chronic cystitis men suffer much less often than women.

If it is acute cystitis, it needs to be cured qualitatively so that the situation does not go into the stage of a chronic disease.

Also, the causes of problems with the release of the bladder from urine are:

• Narrowing / accretion of cells of the urethra;
• Acute inflammatory diseases of the pelvic organs;
• Neurogenic bladder;
• Inadequate provision of tissues with nerve cells.

Gynecological diseases are also an inflammatory process that can also affect the bladder. It causes its reflex contraction, which is expressed by the feeling that you constantly want to go to the toilet.

This is not a separate disease - incomplete emptying is considered only a symptom, a sign of some kind of pathology.

Also, similar sensations occur in pregnant women, especially those who are in the last weeks of bearing a baby.

The growing uterus puts pressure on the pelvic organs, including the bladder. It is unnaturally compressed, which can cause signals to the brain about the desire to urinate. The problem resolves itself after childbirth.

This disease can be explained by a violation of the nervous regulation of urination, because the cause of the neurogenic bladder can be congenital malformations of the central nervous system, neuritis, underdeveloped sacrum and coccyx.

But sometimes a similar problem speaks of kidney pathology, cystitis, viral infections. Psychological dysfunctions, which also often lead to urination disorders, cannot be ruled out.

Accompanying the pathology are the following symptoms:

• The pain occurs constantly, it intensifies when probing the abdomen, lifting weights, physical effort;
• Acute pain in the lumbar region is characteristic of urolithiasis;
• Feeling of fullness in the lower abdomen;
• Changing the color of urine;
• Blood in urine.

These manifestations are dangerous because a person does not immediately respond to them. This situation can be fraught with stagnation of urine. Due to stagnation, the patient is tormented by a constant pressing sensation, a feeling of overcrowding of the bladder.

And in stagnant urine, bacteria and other pathogens begin to develop. They can affect the bladder and even the urethra.

And if the inflammatory process is not stopped, the infection will reach the kidneys and cause pyelonephritis.

Therefore, it is very important to quickly seek help from doctors at the first symptoms of the disease.

Not only current symptoms are taken into account, but also those diseases that a person previously had. Age, sex of the patient, chronic diseases, etc. are taken into account.

The doctor may prescribe:

1. Several detailed analyzes (urine and blood);
2. Ultrasound of the pelvic organs;
3. Consultation with a nephrologist, gynecologist, neurologist, etc.

The sooner you go through all the diagnostic procedures, the sooner you can start treatment.

With a partial form of the disease, urine drains slightly. It seems that the liquid comes out, but pretty soon the person wants to go to the toilet again.

Treatment can be started only after establishing the cause of the pathology. After the results of laboratory tests, it will be possible to prescribe therapy.

What can be the treatment:

• If the cause is a bacterial infection, then a course of antibiotics will be prescribed, which is drunk strictly according to the scheme;
• If stones are found in the urinary tract, medications will be prescribed, the action of the drugs is aimed specifically at removing these stones;
• With the psychological factor of the disease, a person will be prescribed sedatives, they will calm the patient;
• With gynecological root causes, treatment will be aimed at resolving the gynecological disease;
• In case of violations of the nervous system, the treatment will be prescribed by a neurologist.

Particularly severe cases that are not amenable to conservative medicine require surgical intervention. This usually happens when too large stones are found in the organs of the genitourinary system. Also, the need for surgery can cause tumors and neoplasms.

The patient himself can help himself to alleviate the condition, remove some unpleasant symptoms. During the act of urination there should be no tension, you need to relax as much as possible.

If you gently press your palm on the bladder area at the very moment of urination, this will stimulate its contraction. While you are in the toilet, you can turn on the water - the sound of running water helps urinate.

Symptoms should not be treated with folk remedies, this is not yet a disease, but only its signs. Be sure to find out what caused the violation of urination, go through all the examinations and proceed with the treatment according to the scheme prescribed by the doctor.

Find out about the causes and methods of treating urinary retention from the video:

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Why the bladder does not empty completely - All you wanted to ask

Urological problems, especially urinary disorders, often cause embarrassment and shame in patients. Therefore, many patients are ready to endure difficulties and pain for years, embarrassed to see a doctor.

• cystitis (acute or chronic);
• urethritis;
• in men, an inflammatory process that affects the prostate, or adenoma;
• solid neoplasms (calculi);
• tumor neoplasms in the cavity of the bladder (for example, oncological diseases, leukoplakia);
• overactive or even neurogenic bladder;
• impaired innervation of organs located in the pelvic zone;
• strictures of the urethra (a pathological condition in which the walls narrow or coalesce);
• inflammation that affects other organs located in the small pelvis (the bladder in this case is irritated reflexively).

All these factors can become prerequisites for the development of sensations resembling incomplete emptying of the bladder, both in women and men. In order to better understand the essence of this problem (a feeling of incomplete emptying of the bladder), it is necessary to understand the pathogenesis of the phenomenon in more detail.

Symptoms and causes

Some diseases can cause the feeling that the bladder has not completely emptied due to residual urinary fluid in the cavity of this organ. Especially often, such a deviation in the work of the urinary system is due to obstacles that disrupt the normal outflow of urinary fluid. These can be urethral strictures, solid neoplasms, and prostatitis in men.

Auxiliary means - catheters and hygienic packages.

Even if pain is not felt, a urine test must be done. A sign of infection is cloudy, foul-smelling, often dripping urine, sometimes with blood; fever, increased spasms, and excessive fatigue. Chronic inflammation of the urinary tract can occur

due to residual urine in the bladder after catheterization or due to stones.

In the event that the bladder does not fully fulfill its functions, that is, it does not empty, its walls are overstretched. This is a very common problem, accompanied by pain, a feeling of fullness. Even the patient himself can easily feel that the bladder has increased.

Incomplete emptying of the bladder is fraught with the multiplication of various types of bacteria, as they are formed in the residual urine. This contributes to the development of various inflammations, such as cystitis or pyelonephritis. Do not delay visiting a doctor. Only a doctor is able to correctly diagnose and prescribe the right treatment. And this will help get rid of the disease and its possible consequences, which can be much worse than the disease itself.

How the disease is diagnosed

There is such a thing as stress urinary incontinence, or stress incontinence. This is the loss of urine during any physical exertion: laughing, coughing, sneezing, quick sudden movements, lifting weights. It is clear that such a phenomenon causes serious social, psychological and purely hygienic problems for a woman. But there is also urinary incontinence caused by various temporary circumstances - for example, an infection that led to inflammation of the bladder, constipation, and certain medications. It can also be provoked by people who abuse caffeine, alcohol, artificial food additives, carbonated drinks. In this case, it is enough to eliminate the unfavorable circumstances, and the problem disappears.

However, even in the case of stress urinary incontinence (until the problem is so advanced that it needs to be eliminated with the help of an operation), a person can be helped. It is clear that muscles and ligaments overstretched during pregnancy and childbirth, ruptures during childbirth, etc. worsen the situation - there is no escape from this. But a woman always, and especially after pregnancy and childbirth, should take care of herself. These are, first of all, physical exercises that strengthen the muscles of the pelvic floor and help keep the organs in the position in which they should be, so that there is no incontinence, urine leakage, and exacerbations of cystitis. When the normal anatomy of the urinary system - the bladder and urethra - is maintained, then there will be no problems.

For several years I have not been able to leave home for a long time or find myself in some place where there is no toilet. It seems that I drink quite a bit, but the frequent urge to urinate does not allow me to live. What to do with it?

In men with prostatitis or prostate adenoma, the gland increases in size, squeezing the urethra. This leads to a violation of the outflow of urine and its retention. The patient may complain of pain in the lower abdomen, a weak and intermittent stream of urine during urination, instillation of urine. Often these symptoms are accompanied by impotence. With adenocarcinoma of the prostate (malignant tumor), the patient loses body weight, there is a prolonged subfebrile condition (a slight increase in temperature). The same symptoms are characteristic of neoplasms of the bladder, but in these cases, blood is often excreted in the urine.

Diseases of the female genital area

Women may feel insufficient emptying of the bladder with adnexitis. With this disease, body temperature may rise, pulling pains appear in the left or right inguinal region, less often on both sides. Sometimes there are pathological discharge from the genital tract.

If you notice that the feeling of incomplete emptying of the bladder has become more frequent, you should consult a doctor, and the sooner the better, since this symptom can signal quite serious problems.

Diagnostics

Do not think that the problem will be resolved by itself - it is necessary to consult a doctor without fail. But in order to at least slightly alleviate your condition, you can take an antispasmodic and lie down, putting a heating pad on your lower abdomen, and if time permits, take a warm bath.

The above tips are relevant only when there is at least some release of fluid. If this is completely impossible and we are talking about complete urinary retention during pregnancy, treatment (insertion of a catheter to empty the bladder) should be carried out exclusively in a hospital setting. If necessary, the device remains in the bladder for several days until the normal functioning of the latter is restored.

To confirm or refute their assumptions, the doctor prescribes:

• bacteriological examination of urine;
• Ultrasound of the kidneys and pelvic organs;
• radiography, including contrast urography;
• cystoscopy.

Ultrasound is a highly informative method for diagnosing most diseases of the genitourinary system.

Urinary incontinence. loss of bladder control is manifested by uncontrolled leakage of urine. There are several causes and types of urinary incontinence, on which the method of treatment depends. Treatment for urinary incontinence ranges from simple exercises to surgery. Women suffer from urinary incontinence more often than men.

Urinary retention or bladder emptying problems is a common urological problem that can develop due to many reasons. Normally, when urinating, the bladder is completely emptied. With urinary retention, urine accumulates in the bladder. Acute urinary retention is an acute condition in which the patient is unable to urinate, experiencing pain and discomfort. Causes may include urinary obstruction, stress, or neurological problems. In chronic urinary retention, urine accumulates in the bladder because the bladder does not empty completely. Common causes of chronic urinary retention are insufficiency of the detrusor muscle of the bladder, nerve damage, or urinary tract obstruction. Treatment for chronic urinary retention depends on its cause.

Who to contact for the treatment of diseases of the urinary system?

Your local physician will prescribe treatment for certain diseases of the urinary system. In case of diseases of the urinary system that occur in children, it is necessary to contact a pediatrician. But some diseases of the urinary system may require the intervention of a urologist - a doctor who specializes in the treatment of diseases of the urinary system and the reproductive system in men. A gynecologist is a doctor who specializes in diseases of the female reproductive system and can help treat some urological diseases in women. A urogynecologist is a gynecologist who specializes in the treatment of diseases of the urinary system in women. A nephrologist is a doctor who treats diseases of the kidneys.

Both the male and the female part of the population often have a situation where the bladder is not completely emptied. The feeling of incomplete emptying of the bladder occurs if it contains at least 50 ml of urine, the so-called residual urine. In the absence of pathological processes, the urge to urinate usually appears when the bladder is filled with urine in a volume of two hundred to two hundred and fifty milliliters. The act of urination is subject to the reflexes of the human body.

How does deurination normally proceed?

During the normal functioning of the body, a number of complementary processes occur that lead to a normal flow of urine. If the bladder is full, then it sends a signal to the central nervous system that it should be emptied of urine. Further, during deurination, the brain sends a command to the sphincter of the bladder and it relaxes, and the muscles contract. Urine flows out of the ureters.

Why does such a pathology appear?

Why is there a feeling of incomplete emptying of the bladder? The reasons for this phenomenon are very diverse. The main ones are:

• cystitis;
• stones in the bladder;
• prostate adenoma and phimosis in men;
• benign tumors and cancer of this organ;
• inflammation in other organs of the small pelvis (there is a reflex excitation of the bladder);
• bladder of small capacity;
• overactive bladder;
• violations of the normal innervation of the pelvic organs as a result of trauma, tumor diseases;
• kidney infections;
• pathology of the nervous system (injuries of the spinal cord and brain, neoplasms in this area, myelitis);
• drug poisoning (with prolonged use of drugs, sleeping pills);
• in women, such an ailment can be when carrying a child, and even after childbirth;
• viral infections (herpes);
• urethral strictures;
• age-related loss of bladder muscle strength.

It is also necessary to say that the feeling of a full bladder can be initiated by alcohol-containing drinks, the effect of low temperatures, and disorders of the normal functioning of the intestines.

Incomplete emptying of the bladder in women most often occurs against the background of inflammation of the genitourinary system.

Stricture formations in the channel for deurination

Development mechanism

The mechanism of the development of "illness", in which there is a constant sensation of a full bladder, in many cases can be associated directly with the presence of residual urine in the bladder. As a rule, this situation occurs when the normal flow of urine is interfered with (urethral fusion or calculi).

Also, one of the pathogenetic factors is atony or hypotension of the urinary tract, while the walls of the reservoir cannot contract normally. This situation occurs when interruptions in the mechanism of innervation.

Sometimes the inability to completely empty the urinary reservoir is due to psychological reasons.

Overstretching of the bladder is provoked by various infections. If the fluid is not completely removed, then the muscular frame is stretched, pain occurs, a feeling of fullness over the pubic region. In the future, the emptying bladder is unable to contract normally.

Sometimes the causative factor can be the overactivity of the urine reservoir, this condition is the exact opposite of atony. Then the muscles are constantly in good shape. Because of this, a very frequent desire to urinate occurs, and with a not quite full bladder, a person does not leave the feeling of an unfinished act.

During pregnancy, a violation of the normal functioning of the bladder is due to the fact that the growing fetus presses on nearby structures, and the bladder is activated, it does not have time to adapt to more intensive work.

Therapeutic measures in pregnant women are carried out purely in stationary conditions.

An age-related decrease in the tone of the muscle layer of the bladder also becomes a common cause of the disease, usually people whose age has crossed the line of 60 years suffer from this type of disorder.

Types of pathology

The pathological process can be of two types:

• complete retention of urine (with this variety, a sick person is unable to excrete even a milliliter of urine). There are urges, but it is impossible to release the bubble. Such patients are compelled to resort to emptying by means of a catheter;
• incomplete retention (emptying of the bladder is carried out, but due to some factors the act is not completed), little urine is excreted;
• residual urine (a disease in which there is an interruption of the initially normal act of urination with the inability to continue it).

With successful treatment, it is possible to prevent chronic disease.

Symptoms

The symptoms of a full bladder are frequent urges to urinate and may occur immediately after the end of deurination. Sensation of a full bladder after urination. The process itself is accompanied by soreness, burning, discomfort, heaviness over the pubic area. This is due to the stretching of the walls of the bladder with a large amount of fluid.

We should not forget about the psychological component. Even in the presence of an empty bladder, the patient is restless, he cannot move far from the restroom, do routine chores. This leads to fatigue, irritability, aggressiveness.

There are also specific signs of the disease that leads to such a pathology. With prostatitis in men, there is an intermittent stream of urine, impotence, urine leakage. If there is a malignant neoplasm of the prostate gland, then the patient loses weight, he has no appetite.

With urolithiasis, cramping pains are present, especially if the calculus moves along the urinary tract. There is a sediment in the urine, there is hematuria.

Glomerulonephritis and pyelonephritis are characterized by the fact that there is pain in the lower back, fever is possible, a change in the composition of urine. With glomerulonephritis, blood impurities are observed in the urine.

Cystitis and urethritis are distinguished by the fact that the patient has a frequent desire to urinate, during the emptying of the bladder there is pain, burning. Characterized by hyperthermia.

Establishing diagnosis

Finding out the causes of this state consists of many stages. First of all, the doctor collects an anamnesis, he asks the patient in detail about the symptoms of the disease, about what preceded such a condition, also about all chronic diseases, about the surgeries. A woman needs to talk about her last birth, menstrual cycle.

The doctor also palpates the location of the bladder, if it is actually full, then the specialist will easily determine this by touch, it will bulge. Based on the examination, the doctor can suggest why there is a feeling of fullness of the bladder, what studies to prescribe.

Of the diagnostic methods, a general blood and urine test, blood biochemistry, urine culture for microflora, cystoscopic, urographic, and ultrasound examination of the pelvic area are used. If these methods are ineffective, CT, MRI, isotope techniques are prescribed.

Healing Approaches

Treatment of this pathology begins with the elimination of the root cause of the disease. If an infection is the factor causing the feeling of a full bladder, then antibacterial or antiviral therapy is mandatory. In the presence of urolithiasis, the doctor prescribes drugs that can dissolve small stones. If the size of the stones is large, then crushing of the stones is used.

In the case of urethral stricture, the only way to solve the problem is the surgical way to solve the problem.

If the disease is explained by a psychological factor, then the patient is prescribed sedatives, psychotherapy is recommended.

In the case of benign and malignant formations, the tumor is excised, and when malignancy is confirmed, chemotherapy and radiological exposure are used.

There are a number of ways to diagnose the causes of the sensation of a full bladder, which can significantly improve the well-being of a sick person:

• when urinating, you need to relax, do not compress the muscles of the bladder and abdomen;
• be sure to retire and find the most comfortable place;
• you can not rush, as it is difficult to empty the bladder;
• pressure with the palm of the suprapubic region leads to the fact that it will become much easier to empty;
• to stimulate deurination, you can use the sound of water that pours;
• during the act of emptying an overflowing bladder, the process must not be interrupted (some use this technique as a training), as this creates even more disruption.

If all of the above methods are ineffective, then the doctor will place a urinary catheter.

In acute urinary retention, emergency catheterization is performed. The external opening of the urethra is disinfected, lubricated with petroleum jelly, and then a catheter is inserted, then its terminal part is inflated. With this, it is fixed. An exception is situations in which the cause of the disease is prostatitis or calculi. In this case, the catheter is prohibited for use, as it can aggravate the process.

Conclusion

The feeling of a full bladder is a big problem that needs attention. The success of the treatment directly depends on the correct diagnosis. Untimely and incorrectly selected therapy can lead to serious complications, which will be very difficult to cope with. That is why the treatment of such a "ailment" should be dealt with by a doctor. Be healthy.