Urinary urgency: Difference between revisions
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==Overview== | ==Overview== | ||
'''Urinary urgency''' is a sudden, compelling urge to urinate. It is often, though not necessarily, associated with [[interstitial cystitis]], urge [[urinary incontinence]], [[polyuria]] and [[nocturia]]. Urinary urgency often occurs as a result of irritation and/or inflammation of the [[urothelium]] (aka the bladder wall). In interstitial cystitis, urinary frequency and urgency are the hallmark symptoms, in addition to nocturia and dyspareunia. In many cases, however, these symptoms are often exacerbated by the consumption of foods and/or beverages that are high in acid and caffeine, particularly coffees, regular teas, green teas, sodas, diet sodas and, surprisingly, fruit juices. Cranberry juice, for example, often causes extreme urgency in patients with a damaged bladder lining due to its high acid content. | '''Urinary urgency''' is a sudden, compelling urge to urinate. It is often, though not necessarily, associated with [[interstitial cystitis]], urge [[urinary incontinence]], [[polyuria]] and [[nocturia]]. Urinary urgency often occurs as a result of irritation and/or inflammation of the [[urothelium]] (aka the bladder wall). In interstitial cystitis, urinary frequency and urgency are the hallmark symptoms, in addition to nocturia and dyspareunia. In many cases, however, these symptoms are often exacerbated by the consumption of foods and/or beverages that are high in acid and caffeine, particularly coffees, regular teas, green teas, sodas, diet sodas and, surprisingly, fruit juices. Cranberry juice, for example, often causes extreme urgency in patients with a damaged bladder lining due to its high acid content. | ||
==Differential diagnosis of causes of urgency== | |||
===Incomplete voiding=== | |||
===[[Polyuria]]=== | |||
===Reduced bladder capacity=== | |||
===Urinary tract obstruction=== | |||
*Bladder neck obstruction | |||
*[[Prostatic hypertrophy]] | |||
*[[Prostatitis]] | |||
*Median bar hypertrophy | |||
*[[Urethral stricture]] | |||
*[[Bladder calculi]] | |||
===Neurogenic bladder=== | |||
*[[Poliomyelitis]] | |||
*[[Parasympatholytic]] drugs | |||
*[[Tabes dorsalis]] | |||
*[[Multiple sclerosis]] | |||
*Spinal cord lesions | |||
*[[Diabetic neuropathy]] | |||
===Irritative lesions of the urinary tract=== | |||
*[[Urinary tract infection]] | |||
*[[Prostatitis]] | |||
*[[Renal calculus]] | |||
*[[Bladder cancer]] | |||
*[[Kidney cancer]] | |||
*[[Ureter cancer]] | |||
*[[Urethral cancer]] | |||
===Pelvic inflammation== | |||
*[[Vaginitis]] | |||
*[[Hemorrhoids]] | |||
*[[Diverticulitis]] | |||
*[[Appendicitis]] | |||
*[[Salpingitis]] | |||
== Support Resource == | == Support Resource == | ||
Revision as of 21:28, 19 January 2009
| Urgency of urination | |
| ICD-9 | 788.63 |
|---|---|
Template:Search infobox Steven C. Campbell, M.D., Ph.D.
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Overview
Urinary urgency is a sudden, compelling urge to urinate. It is often, though not necessarily, associated with interstitial cystitis, urge urinary incontinence, polyuria and nocturia. Urinary urgency often occurs as a result of irritation and/or inflammation of the urothelium (aka the bladder wall). In interstitial cystitis, urinary frequency and urgency are the hallmark symptoms, in addition to nocturia and dyspareunia. In many cases, however, these symptoms are often exacerbated by the consumption of foods and/or beverages that are high in acid and caffeine, particularly coffees, regular teas, green teas, sodas, diet sodas and, surprisingly, fruit juices. Cranberry juice, for example, often causes extreme urgency in patients with a damaged bladder lining due to its high acid content.
Differential diagnosis of causes of urgency
Incomplete voiding
Polyuria
Reduced bladder capacity
Urinary tract obstruction
- Bladder neck obstruction
- Prostatic hypertrophy
- Prostatitis
- Median bar hypertrophy
- Urethral stricture
- Bladder calculi
Neurogenic bladder
- Poliomyelitis
- Parasympatholytic drugs
- Tabes dorsalis
- Multiple sclerosis
- Spinal cord lesions
- Diabetic neuropathy
Irritative lesions of the urinary tract
- Urinary tract infection
- Prostatitis
- Renal calculus
- Bladder cancer
- Kidney cancer
- Ureter cancer
- Urethral cancer
=Pelvic inflammation
Support Resource
Intervention
- Bladder Friendly Diet (aka IC Diet)
- Behavioural Techniques
- Anti-Cholinergic
See also
- Urination
- Polyuria
- Urinary incontinence#Urge incontinence
- Research in Acupuncture and Urinary Urgency
External links
- http://www.medterms.com/script/main/art.asp?articlekey=18379
- http://www.wrongdiagnosis.com/sym/urinary_urgency.htm
- http://www.shands.org/health/information/article/003140.htm
References
- Katharine K. O’Dell & Sarah McGee. "Acupuncture for Urinary Urgency In Women Over 50: What Is the Evidence?". UROLOGIC NURSING - February 2006 - Volume 26 Number 1.
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