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Bob asked...

I am just under 40 and relatively healthy and active - just above recommended BMI. Recently I have started to need to urinate a lot more than say a year ago. I wake up busting, in fact it causes me to wake up earlier than I would like. I need to go several times a day. If I drink a pint of water I feel I need to go straight after. However, I don't feel too dehydrated ever. Is this just getting old or is this something I should get checked out? Unfortunately all the radio ads on prostate Cancer have perhaps got me excessively worried but I don't appear to have any other commonly associated symtoms e.g. blood in urine. I did however have a very sore are near the groin not so long ago which remains a bit tender. But that was put down to a tissue injury following physio and an MRI scan. Thanks,

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The Answer

From what you are describing it sounds like there are a few possible reasons for the frequency in passing urine. These reasons are a possible Urinary Tract Infection(UTI), possible onset of diabetes and possible issues with your prostate.

UTI - Symptoms of an infection to the Urinary Tract can include stinging on passing urine, frequency and urgency of passing urine and incomplete emptying of the bladder. You can also have acute sharp pain in your lower abdomen, groin and loin area of the back.

Treatment and prevention of urine infection can be achieved by many means including:

Ensuring that you drink between 2-3 litres of fluids daily - preferably water. Reducing caffeine intake as this can irritate the bladder Drinking fluids such as barley water and cranberry juice Maintaining good body hygiene particularly post ablutions or sexual intercourse. Avoiding constipation

A UTI can be tested for by means of sending a sample of urine to microbiology to look for the presence of infection. There does not always have to be blood present to suggest infection.

Diabetes (type2)-

This is when the body does not produce enough insulin to function properly and therefore glucose is not digested properly and stays in the blood as opposed to being used to provide energy for the body.

Symptoms of late onset diabetes include excessive thirst, feeling tired all the time and passing urine more frequently particularly at night.

Diabetes can be treated by making alterations to your diet, exercising and losing weight but if this does not help then medication may be necessary.

This can be tested for by means of a blood test to look at the sugar levels in your blood particularly when fasting and after eating.

The final reason for the urinary frequency could be due to issues involving your prostate gland such as infection, enlargement of the prostate gland or tumours.

Your GP will be able to examine you and check for signs of infection, enlargement and growths.

Again some simple tests can be done to exclude factors these include physical examination, urine and blood samples.

A urine sample can be sent to exclude infection.

Blood test to check PSA levels can be done to check for potential indication of growths. A physical examination checking your prostate for enlargement or growths can also be done- this would involve a rectal examination.

We would suggest that seeing you have been having symptoms a while now that you make an appointment to see your GP as soon as possible. At the same time as seeing your GP please ask them to do a general health check screening too.

If any tests indicate any anomalies then your GP will treat you as appropriate and refer you for further investigation.

Answered by the Health at Hand nurses  

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