If you are not able to empty completely, your bladder and its muscles may become floppy over time. With larger amounts of urine being held in the bladder all the time urine will leak out when you don't want it to and you may have a constant feeling of fullness.
The symptoms of urinary retention can range from severe abdominal pain and the inability to urinate, to few or no symptoms at all. Urinary retention results from either a blockage that partially or fully prevents the flow of urine, or your bladder not being able to maintain a strong enough force to expel all the urine.
Urinary retention occurs when you can't completely empty your bladder. It can cause damage to your bladder and kidneys. It can result from a blockage of the passage that lets urine out of your bladder (urethra), or a problem with how your bladder muscle works.
A urinary tract infection (UTI)
Besides frequent urination, signs of a UTI include fever, a burning feeling when you pee, discolored urine and constantly feeling like you need to pee (even after peeing). You may also feel bladder pressure or discomfort in your back or around your pelvis.
Incomplete emptying of a bladder can affect people across all age groups and be a cause for pain, irritation, and embarrassment to the person. The medical term for the condition is 'Urinary Retention'. If not treated in time, the condition can lead to complications including kidney failure that can be fatal.
Adults[23]: Less than 50mL PVR is adequate bladder emptying. Over 200mL PVR indicates inadequate emptying.
In turn, the kidneys will only be able to make highly concentrated urine that irritates the bladder. Therefore, staying hydrated by drinking plenty of water throughout the day is one of the essential pieces of any treatment plan for urinary retention.
Over two-thirds of men and women over 70 urinate at least once per night, and up to 60 percent go twice or more each night. In a nutshell, the study shows that it is very common for most people to wake up once a night, and it becomes more common as you get older.
The most common cause of urinary retention is benign prostatic hyperplasia. Other common causes include prostatitis, cystitis, urethritis, and vulvovaginitis; receiving medications in the anticholinergic and alpha-adrenergic agonist classes; and cortical, spinal, or peripheral nerve lesions.
Urinary retention is treatable, and there is no need to feel embarrassed or ashamed. A doctor can often diagnose the problem. However, in some cases, a person may need a referral to a urologist, proctologist, or pelvic floor specialist for further testing and treatment.
You shouldn't have to use your muscles to force urine out. A healthy bladder works best if the body just relaxes so that the bladder muscles naturally contract to let the urine flow, rather than using the abdominal muscles to bear down as with a bowel movement.
The most common causes include pelvic neuropathy, central nervous system disorders, bladder muscle dysfunction, aging, neurological diseases, and medication effects.
If you drink 8 oz. of water , it will usually be in your bladder within 20 minutes, so maybe a good idea to plan your void, if your bladder does not warn you. Also there is no health benefit to large volumes of water.
What's normal and how many times is too frequent to urinate? Most people pee about seven to eight times per day, on average. If you feel the need to pee much more than that, or if you're getting up every hour or 30 minutes to go, you might be frequently urinating.
Water is the best drink of choice to keep your bladder pain under control. It will also provide other benefits such as healthy skin, increased energy, reduced toxin levels, and a boosted metabolism. You'll want to stay away from acidic, caffeinated, or alcoholic beverages such as fruit juice, coffee, beer, and soda.
But sometimes, urine stays in the bladder even after you think you've emptied it. The PVR test can tell your healthcare provider if you've completely emptied your bladder. A small amount of residual urine is generally ok, but large amounts can be concerning for urinary retention.
Your bladder, a muscle, may even start to atrophy or weaken, leading to urinary incontinence, or poor bladder emptying." In rare and serious situations, holding urine for too long can lead to a bladder rupture.
You may have slow urine flow if you have a slow urine stream. If you have slow urine flow or another lower urinary tract problem, you may dribble of urine after you finish urinating, wake up multiple times a night to pee, or feel lower abdominal discomfort.
Urinary retention can be a short-term or long-term problem and can occur suddenly (acute) or get worse over time (chronic). If urine stays in your bladder, it can lead to urinary incontinence (leaking urine between wees) and urinary tract infections.
A note from Cleveland Clinic
Contact a healthcare provider if you're waking up several times per night to pee. Often, lifestyle changes can make a big difference. But sometimes, medication is necessary, especially if you have an underlying bladder or prostate issue. Fortunately, most cases are highly treatable.
Interstitial Cystitis (IC) or Bladder Pain Syndrome (BPS) or IC/BPS is an issue of long-term bladder pain. It may feel like a bladder or urinary tract infection, but it's not. It is a feeling of discomfort and pressure in the bladder area that lasts for six weeks or more with no infection or other clear cause.
Low estrogen bladder symptoms can include incontinence, overactive bladder, and pain. However, these symptoms are treatable. A holistic approach that uses medication, lifestyle changes, physical therapy, or other interventions may help reduce them or help someone manage them.
Drink Plenty of Fluids to Flush Out Bacteria — But Don't Overdo It. Drinking plenty of water — six to eight glasses daily — can flush bacteria out of your urinary tract and help prevent bladder infections.