As the male and the female population is often the situation arises when the bladder is not completely emptied. A feeling of incomplete emptying of the bladder occurs, if it has at least 50 ml of urine, the so-called residual urine.
In the absence of pathological processes in the urge to urinate generally appears when the bladder filling with urine in the amount of two hundred-two hundred and fifty milliliters. The act of urination is subject to the reflexes of the human body.
As normal it takes taurinate?
In normal operation, the body is a number of complementary processes that lead to the normal current of urine. If the bladder is full, it sends a signal to the Central nervous system that should free him from the urine. Further, during dewrinkle the brain sends a command to the sphincter of the bladder and he relaxes, and muscles contract. Urine flows via the ureters.
Why there is such pathology?
Why is there a feeling of incomplete emptying of the bladder? The causes of this phenomenon are very diverse.
The main ones are:
- concretions in the bladder;
- BPH and phimosis in men;
- benign tumors and cancer of the body;
- inflammation in the other pelvic organs (occurring reflex excitation of the bladder);
- the bladder is of small capacity;
- hyperactivity bladder;
- the disruption of the normal innervation of the pelvic organs as a result of trauma, neoplastic diseases;
- kidney infection;
- pathology of the nervous system (spinal injury and brain tumors in this area, myelitis);
- poisoning with drugs (prolonged use of narcotics, hypnotics);
- in women, this disease can be when carrying a child, and after childbirth;
- viral infection (herpes);
- stricture of the urethra;
- age loss decrease of force of muscles of a bubble.
Still it must be said that the feeling of a full bladder can trigger alcohol-containing drinks, low temperatures, disorder the normal work of intestines.
Incomplete bladder emptying in women most often occurs on the background of inflammation of the urogenital system.
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The mechanism of development
The mechanism of development of “ailments” which have a constant feeling of a full bladder, in many cases, can be linked directly with the presence of residual urine in the bladder. Typically, this situation occurs when the hindrance of normal urine current (a fusion of the urethra or calculi).
Also one of the pathogenetic factors is atony or hypotonia of the bladder, the walls of the tank can not normally be reduced. This situation occurs when disruptions in the mechanism of innervation.
Sometimes the inability to fully empty bladder tank is due to psychological causes.
Excessive stretching of the bladder triggered by various infections. If the liquid is not removed, the muscle layer is subjected to tensile, there is tenderness, feeling of fullness above the pubic area. In the future to empty the bladder normally is unable to contract.
Sometimes a causal factor may be a hyperactivity of the reservoir for urine, this condition is the opposite atony. Then the muscles are constantly in good shape. This occurs very frequent desire to urinate, and not very crowded bubble of the person not feeling incomplete act.
In pregnancy, the disruption of the normal functioning of the bladder due to the fact that the growing fetus presses on nearby structures, and also activates the bladder, it was slow to adapt to more intensive work.
Therapeutic measures in pregnant women is carried out exclusively in stationary conditions
Frequent cause of the disease becomes and age-related decrease of tonus of muscular layer of the bladder, usually this type of disorder affects people whose age has surpassed 60 years.
The types of pathology
The disease process may be of two types:
- the total delay of urine (if this variety is a sick man unable to allocate even a milliliter of urine). The urge to eat, and to release the bubble impossible. These patients are forced to resort to empty through the catheter;
- incomplete delay (the emptying of the bladder is carried out, but due to any factors, the act is not completed), excreted little urine;
- residual urine (disease in which the initially normal interruption of urination, with inability to continue).
If successful, the treatment may prevent chronic disease.
Crowded bladder symptoms is the frequent urge to urinate, they can occur directly after the end of deprivatsii. The feeling of full bladder after urination. The process is accompanied by pain, burning, discomfort, heaviness, above the pubic area. It is correlated with stretching of the walls of the bladder with plenty of fluids.
We should not forget about the psychological component. Even with empty bladder the patient is restless, he is unable to go far from the bathroom, to do routine chores. This leads to fatigue, irritability, and aggressiveness.
There are also specific signs of the disease, which leads to such pathology. If prostatitis in men has intermittent flow of urine, impotence, leakage of urine. However, if there is a malignant neoplasm of the prostate, the patient loses weight, he has no appetite.
For kidney stone disease are cramping pain, especially if the calculus moves along the urinary tract. There is sediment in the urine, sometimes hematuria.
Glomerulonephritis and pyelonephritis are characterized by the fact that there is pain in the lower back, possible fever, change of urine composition. Glomerulonephritis are observed in the urine admixture of blood.
Cystitis and urethritis are characterized in that the patient is caused a frequent desire to urinate, during emptying of the bladder causes pain, burning sensation. Characteristic hyperthermia.
The elucidation of the causes of this condition consists of many stages. First the doctor conducts a medical history, he explicitly asks the patient about symptoms, about what preceded this state, all chronic illnesses, surgeries. The women need to talk about their last birth, menstrual cycle.
Also, the doctor palpated the location of the bladder, if it is really crowded, the expert will easily identify it by feel, it will bulge. On the basis of the examination, the doctor may suggest why there is a feeling of fullness of the bladder, which assign research.
Methods of diagnosis using the General analysis of blood and urine, blood biochemistry, urine culture on the flora, zitostaticescoe, orographically,ultrasound examination of the pelvic area. The ineffectiveness of these techniques is prescribed CT, MRI and isotope methods.
Approaches to recovery
The treatment of this disease begins with eliminating the underlying causes of illness. If you factor in the feelings of a full bladder, is an infection, it definitely is antibacterial or antiviral therapy. In the presence of urolithiasis, the doctor appoints drugs that can dissolve small stones. If the size of the stones is great, in this case, use the crushing stone.
In the case of urethral stricture, the only solution to the problem is the surgical solution to the problem. If the disease is due to psychological factors, then the patient is prescribed a sedative medication, psychotherapy is recommended.
In the case of entities of benign and malignant nature of the performed excision of the tumor, with confirmation of malignancy chemotherapy is applied, radiological exposure.
There are a number of ways to diagnose the reasons for the feeling of a full bladder, which can significantly improve the well-being of the sick person:
- when urinating the need to relax, not to compress the muscles of the bladder and stomach;
- definitely need to retire to find the most comfortable place;
- you can not rush, as this emptying of the bladder difficult;
- pressure palm suprapubic region leads to what is emptied will be much easier;
- for stimulation of diurinal you can use the sound of water that flows;
- in the process of the act of emptying the crowded bubble you cannot terminate the process (some use this technique as a workout), as it creates an even greater violation.
If all the above techniques are ineffective, the doctor performs a setting of a urinary catheter.
With acute urinary retention performed an emergency catheterization. External opening of the urethra is disinfected, smeared with vaseline and then insert a catheter, then inflate its terminal part. With this it is fixed. The exceptions are situations in which the cause of the disease is the prostatitis or stones. In this case, the catheter is forbidden to use, as it can aggravate the process.