"I've been running to the toilet ten times a day recently, and I can't hold back when I drink water, is my body broken?"
In life, we often encounter the problem of frequent urination, the most common is that we can't hold urine when we drink water, we often associate this with "kidney" or "bladder", so which is the problem?
1. I want to go to the toilet as soon as I drink water, is there a problem with my kidneys or bladder?
I believe that many people have this feeling, obviously drinking the same amount of water as others, but when they want to go to the toilet, the people around them don't feel anything, and they can't help but wonder if it is caused by their bad kidneys?
Before we can understand this problem, we need to know how urine is produced. After drinking water, most of it will be absorbed by the gastrointestinal tract into the blood circulation, and a small part will enter the kidneys, where the kidneys will filter fresh blood into raw urine, and send the waste products, excess salt and water in the blood to the bladder through the ureters, and finally excrete them from the body. This process generally takes 30~45 minutes, but there are great individual differences.
Some people may have the urge to urinate in 10 minutes, and some people may have the urge to urinate in 2 hours, and this alone cannot be used to determine whether the kidneys are healthy.
Is it a bad bladder to want to go to the toilet as soon as you drink water? Nor can it be judged on the basis of this alone.
But there is a common bladder dysfunction that can cause this problem, which is overactive bladder, and urinary urgency is the most typical feature. Patients may present with urinary urgency, frequency, nocturia, and urge incontinence, which occurs in 1 in 10 people over 40 years of age and increases with age.
There are many reasons for this disease, including pregnancy, childbirth and aging, etc., these factors will weaken the strength of the pelvic floor muscles, resulting in a decrease in the support of bladder traction receptors, and it is easier for the bladder to enter an unstable period, which in turn will cause symptoms such as urgency and frequent urination.
Although there is a great relationship between the occurrence of the disease and the increase of age, there are also certain "favored" groups, and the incidence is higher in men who often hold urine, like to drink coffee/strong tea, and suffer from prostatic hyperplasia.
Second, the tolerance of the bladder is limited, excessive injury or cancer
The bladder has always been a "small transparent" existence in our major organs, which is often ignored. The bladder is an organ located in the pelvis of the lower abdomen and is very inclusive.
The kidneys produce urine in the body, which is temporarily stored after being transported to the bladder, and when the storage reaches a certain level, it produces the urge to urinate and sends a signal to the brain to urinate.
But many people are silently hurting it every day and have the habit of holding urine for a long time. Most people think that holding urine is a big deal is a urinary tract infection, this idea is not right, and long-term holding of urine can easily lead to cystitis.
Shan Zhongjie, chief physician of the Department of Urology of Zhengzhou People's Hospital in Henan Province, said that the bladder is in a state of overfilling for a long time, which will reduce its elasticity, causing the bladder to become sluggish to baroreceptors and prone to urinary retention. As a result, the frequency of urination will also be reduced, and metabolic wastes staying in the bladder for a long time can easily induce cystitis, and in severe cases, it will even induce bladder cancer.
Bladder cancer is the most common malignant tumor of the genitourinary system, and one of the top ten malignant tumors in the body, most common in people aged 50-70, and the risk of bladder cancer in middle-aged and elderly men is 3-4 times that of women. In addition to bladder inflammation, the occurrence of bladder cancer is related to 3 causes.
1. Smoking
Smoking is known to be directly related to the occurrence of bladder cancer, and smoking will increase the incidence by 30~50%. Compared with non-smokers, smokers have a 2~3-fold increase in the incidence of bladder cancer.
2. Contact with chemicals
Long-term exposure to aromatic amines, such as those engaged in the dye, rubber, leather industry or those who need to be exposed to diesel exhaust gases for a long time, will have a much higher prevalence than the general population.
3. Drug effects
For example, people who take phenacetin for a long time also have an increased incidence of bladder cancer.
3. When the bladder becomes cancerous, be alert to the 3 major signals sent
Bladder cancer generally does not have obvious uncomfortable symptoms in the early stage, and by the time the symptoms are obvious, the disease has often progressed to the middle and advanced stages.
However, bladder cancer is not without a trace, and Zhang Xiaopeng, chief physician of the Department of Urology of Peking University People's Hospital, reminded that it is necessary to pay attention to the physical performance every day, and seek medical attention in time if these three abnormalities are found.
1. Hematuria is present
Hematuria is the first important alarm of bladder cancer, and about 90%~95% of patients will have this symptom.
When a tumor appears in the bladder, urothelial cells become malignant, proliferate, necrosis, and fall off, and blood vessels rupture, causing bleeding. Clinically, true hematuria does not refer to red-colored urine, but refers to the condition in which red blood cells can be detected in the urine.
2. Recurrent pain
The bladder is a muscular organ, and when the tumor grows and infiltrates the muscle layer, patients will experience abnormal urinary frequency and painful urination.
Pain can recur, and if there is no obvious evidence of infection, further testing must be done to determine the cause.
3. A pelvic mass
When a tumour is large in the bladder, a visible mass can be felt in the anterior part of the lower abdomen. In particular, some people with abnormal weight loss, frequent fatigue and fatigue need to be vigilant and seek medical attention in time, which is likely to be a sign of cancer.
Many people will accidentally find hematuria during a physical examination, and it is not to be taken lightly if the cause of the disease is ruled out after the hematuria is found. It is recommended to have a check-up at least every six months for two years, and after two years, the frequency of check-ups can be extended to once a year.
Resources:
[1] "Revealing the Secret| Running to the toilet as soon as you drink water is "bad kidneys"? Be careful when you experience these symptoms→". Guangzhou Health Commission 2024-03-14
[2] "If you want to go to the toilet as soon as you drink water, you may have "overactive bladder". Life Times 2022-09-19
[3] "A well-known actor died of cancer, this cancer is very "quiet", but there are three signals not to ignore! 》. Health Times 2022-10-26
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