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delayed urination?

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winglets

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Is it possible for one to have delayed bouts of urination? As in on occasion, you may pee a few times in an hour or so, even though you haven't drunk that much water in that specific time period?

Could it be that an intake of coffee or tea earlier in the day could have an affect on urine output hours later? Is this really possible? I suppose it depends on the person's kidneys and how efficiently they function in terms of the speed of which the kidneys produce urine?
 
It sounds like a possible retention issue. I deal with this with my bladder condition. I self catheterise myself when I have retention these days as my specialist says that retaining puts me at high risk of infection. If this is a regular thing for you, it may be worth following up with your doctor. Caffeine can act as a diuretic which dehydrates, so if you're not drinking enough water, it's possible this will affect your urine output too. I wish you the best.
 
I would go to see your GP and ask them, if you like coffee go for decaff as i was told by my doctor as i was having 4 cups a day but 4 cups of decaff is fine. I had a kidney and pancreas in 2015 and they cut some off the nerves away from my bladder and we later found out that my whole body had nerve damage about a year after transplant in 2 days i went from 85 kg to 107 kg and was taken back to the ward to find the problem and as Mep has said i needed to use a catheter 4 times a day but a scan showed that my bladder can hold over 6 pints of fluid before a message is sent to the brain telling me to go to the toilet. This was due to the years of being a diabetic and also cutting some of the nerves away, i am not trying to scare you but i think it would put your mind at ease if the doctor could find out if there is a problem.
 
Reactions: Mep
It's just odd, I keep waking early still with this slight urge of wanting to pee but when I do go, like this morning for example around 545am I only voided around 200ml which is not much and I can easily hold this in during the day. So I guess this is just the urine produced overnight? That shouldn't wake me up though. Could be the anxiety because I figured if it were prostate issues I would have more obvious symptoms during the day too and also pain, burning etc?
 
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Yeh, it's best to see your doc as it could be absolutely anything going on. Retention has a number of causes which your doc will have to work out what the cause for you is. It's when you have chronic retention that your doc may then make decisions about how to deal with it as they have with me. I go to the toilet a lot during the day (average about 17 times), but I don't void that much at times and even though I feel like I'm going to burst, only a really small amount comes out (which isn't normal as my urologist said your bladder should fully empty every time you go). I'm seeing a physio for pelvic floor therapy. Part of the treatment is using an ultrasound to see what your bladder is doing and how much urine you're holding. They tell me how much I have in there and ask me to go and void. I go away and come back to find I've only voided half of it... not like I didn't try. But it's a problem as I mentioned previously because it goes stale the longer it's left in the bladder and can breed bacteria. At least for me I know what my cause is, you don't as yet. I hope you get some answers. I wish you the best.
 
I assume you are a male. otherwise discussing prostate would be pointless. I had issues with retention, but the ulltrasound and finger tests showed a normal size organ. I had no blood indicators showing prostate problem, and the special blood test that followed showed no issue. Apart from the symptoms you describe, the only other sign was a repeating UTI that needed strong ju-ju to shift. But I was given a medication to ease the problem, and it has been fine since.

I would not be offering to put out fires with it, but flow is now reasonable. Speak to your GP - only after the tests can you know whether there are any deeper issues, but I believe it is a common problem for us men, and often not the dreaded news.
 
Thanks for the replies. I have been to the doctor now like three times and each time my urine sample comes back negative so there's nothing more to be done as he says my symptoms are too mild and vague.

So what looking back is figured out what this is... I'm having bouts of frequent urination not frequent urination itself as it only happens on some days then not on others. So I'll have three or more days maybe where I'm totally fine, normal urination etc. then suddenly I'll have this bout where I'll go a few times in succession. During this time my pee is clear, almost white colour but what's bothering me is where this extra urine is coming from. I haven't changed my diet or fluid intake. For example last few days I've been totally fine, even slept fine without going but then last night I had a large cup of non caffeine tea, emptied my bladder maybe 40 mins later but then couldn't get to sleep because I was having that sensation like I needed to go again and did go and voided like a fairly decent amount with that clear almost white colour. Where did this come from if I had just voided a short while ago? Still no pain or burning or anything severe before or after peeing.

Then the next day I'm fine again.

The doctor has no idea about this. It's not high blood sugar as I checked my bs during one of these bouts and it was normal. It's not the mirtazapine / remeron as this is not a known side effect. And like I said no infection or uti as urinalysis is always negative. Doctor didn't mention prostate issues, firstly due to my age and secondly because I'm not having any prostate symptoms.

It may seem obsessive but then it is just worrying because I've never had this before and occasionally affecting my sleep now too. So have no idea what to do apart from requesting an urologist appointment. God knows how long that will take.
 
The absorption rate of imbibed water varies but can take up to 2 hours to be fully absorbed, depending on what you've eaten, amongst other things. Have you tried not eating or drinking for 4 hours before you go to bed? Are you taking any medications or supplements that could have a diuretic effect?

If you want to do some self- investigation, you could keep a diary for 24 hours and record the following measurements:- 1) the volume and time of each drink 2) the volume and time of each urination. You can then look at the total volume of urine produced in 24 hours, how frequently you need to pee, and whether the urine volume at each micturition is normal. It might be worth repeating this for a 'normal' day and for a 'frequent urination day'.
 
I think @Dark Horse has offered excellent solutions.

You may then like to do a search of 'voiding manoeuvres' as this may obviate the recurrent need to empty your bladder if it is due to incomplete bladder emptying. The simplist of these is to just sit on the loo, and lean forward to squeeze the last half of the volume out. Good luck.
 

Maybe the urologist appointment would be best as they have the ability to do all the tests such as cystoscopy, urodynamics, etc. If it is a retention issue they will need to identify the cause of it. I'm currently seeing my 4th urologist and I've had the run-around in the past with them. So whatever you do, don't give up and seek answers. As for me my retention waxes and wanes so some days I barely go and other days I feel like I'm voiding for the entire country. I have all the tips on how to deal with retention which also includes use of a TENS machine and catheters. I have a disease though that is causing this because of pain tensing muscles which causes the retention. Urologists get you to do a bladder diary as one of the first things to do where they want to see what volume you drink and what volume you void within a 72 hour period. You can probably do that yourself beforehand and take the information to them to save the time (you have to date and time every entry and say what you drank and how much, then another column for voiding and how much). Every time I've done one for them I void a lot more than I take in (of course there is liquid in some foods, but not the amount I was voiding) although I had bad retention days leading up to the diary test. See how you go anyhow. I wish you the best.
 
@Mep I have been doing exactly that so far. Although at times I have forgotten my voiding and intake amounts and on days where I've had normal urination simply because I was my normal self and didn't think about it. It's on days when I started getting this is when I worry and become on edge.
So some of my results -

DEC
24 - EXCESSIVE - 2.72l - drank around less I'm sure
26 - Normal - Around 1.5l
27 - EXCESSIVE - 3.35 l - drank around 2.5 litres
28/29 - Normal Under 1.5l
30/31 - Normal - Under 1.5l

JAN
01 - Normal - Under 1.5l
02 - Normal - 1.65l

Today 05/01 I am at just over 2l already, having drunk around 2l.
 
Please get yourself a PSA test I had prostate cancer 7 years ago, only symptom being going to toilet in night and nothing happening. Certainly no pain at all. The earlier caught the better the result, it may not be prostate at all but worth checking out.
 
Polyuria is defined as a urinary output of more than 3 litres in a day. https://patient.info/doctor/polyuria If it happens again, I would see your GP for investigation and take your results with you, including how much you've been drinking.
 


That's good you're keeping track. A urologist would want the particulars... I was told by urologists that normal is 4-7 voids per day. So for me my average of 17 is excessive. Try and do a 72 hour straight diary no matter how you feel (don't skip any days) as that is what they ask you to do in my experience. I guess you could do a longer period for them if you like.... but it is up to them to look at what you've recorded and decide whether or not you do have a problem. From there they do further tests usually to work out what the problem may be if there is one. If you have retention issues, they will need to work out what the cause is. My current urologist said leaving just 100ml in your bladder after each void is unacceptable as your bladder should fully empty. So it means you wind up with stale urine and the possibility of bacteria breeding and infection could result. They have proof I retain (it may be they do these type of tests on you).
 
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After my last post above, I started feeling better and normal urination habits etc. sleeping better too on the whole.

However I am still waking up most nights around 3-4am occasionally with a slightly dry mouth too but no strong urge to pee. Even then though, some nights I'll be wide awake, other times I'll be awake momentarily only to fall back asleep almost straight away.
There are days when I’ll drink say around 1l in the afternoon and won’t even need to go pee for almost the whole day and if I do then I’ll only void a small amount but then there are days where I could drink the same amount and I’ll void a fairly large amount, near the 1l that I had drunk. What’s the reason for this variation? Is this just normal and dependent on the individual?

During the times when I’m not voiding much, my urine is rather concentrated so a lot more yellow than the times when I void a fair amount, where it’s diluted and looking very clear. I've never had any pain, no straining, burning when urinating, good flow, no other physical symptoms really.

I did stop the mirtazapine/remeron about 3 weeks ago now so I don't think I'm having withdrawal symptoms.
 
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I finally had a DRE and to my surprise, the doctor said it was slightly enlarged however it was very smooth and normal in that regard. It shocked me because I didn't expect someone my age to have this but the doctor wasn't overly concerned about it and said this can happen and it's nothing hugely to worry about. Nevertheless it's got me really anxious now. He gave me a PSA form so I'm going to go and get that done. I realise that prostate enlargement is a benign condition and there is no link to cancer but I don't know, I'm a little worried. Am I right in thinking that the smoothness and surface/texture of the prostate is more important than the actual size?

He thinks that my symptoms are more likely due to a slight over-active bladder than anything else.

Also I should mention in relation to the enlarged prostate and a reason why possibly it could be in my case is that I have masturbated on average once a day since I was around 13/14 years of age. Now that is quite alot of masturbation and I know this has a connection with your prostate right? Is there any connection with prostate enlargement and masturbation?

Also on the morning of the DRE I had masturbated about an hour/1.5 hours before it so I don't know if that too had an effect.
 
Hi winglets, I exactly have the same issue. Have you felt relief now? Did you know what was causing it. I have bouts of excess urinationnon some days where I have to go pee about 20 times a a days and some days very normal about 5 times a day. If I drink more water more I urinate.please leave a mag
 

Hi Mcarunnie, I guess you know this post is old but I would suggest you see your Doctor. Excessive urination can be a symptom of high glucose levels (don't know your circs obviously). I was told that I was not urinating more because I was drinking more but I was drinking more because my body was forcing out excess sugar in the form of urine leaving me dehydrated, ie flushing it out of my body in a desperate attempt to get rid of it. Now my next sentence is a little gross I know, but try tasting a little of your urine on the end of your finger (it won't hurt you), if it tastes of saccharine then chances are your sugar levels are high. Also, go see your Dr. x
 
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