Often enough to make adjustments to their eating habits (fluid restriction, avoiding caffeine), and the amount of urination normalizes. However, in some cases, treatment of frequent urination without pain is required.
Do not self-medicate, because with this symptom special medicines are used, and, for example, Kanefron with frequent urination without pain is not used, but is recommended only with inflammation of the bladder (cystitis).
Treatment of polyuria and increased urination with diabetes is a treatment for diabetes: type I needs insulin, and how type II diabetes is treated, read in the publication - Kidney diabetes insipidus
With the majority of pathologies leading to more frequent painless mikings, doctors advise taking vitamins A, E, B1, B2, B6, PP. Pharmacological agents, usually antimuscarinic (anticholinergics), are recommended only if behavioral therapy is ineffective. In addition, the drugs in this group have many side effects, especially in the elderly.
We list some drugs used to treat frequent urination with a neurogenic and hyperreflective urinary bladder.
Oxybutynin hydrochloride (Oxybutynin, Sibutin, Ditropan, Driptan and other trade names) is administered internally - one tablet (5 mg) once a day. Contraindications include problems with the intestines (ulcerative colitis and Crohn's disease), glaucoma and age of up to five years; and the most common side effects are expressed in constipation or diarrhea, nausea, dry mouth, discomfort in the stomach, increased heart rate, sleep disturbance.
Detruzitol (Detroly, Urotol) is dosed individually (depending on the age), taken once a day (one hour before meals or on an empty stomach); in pediatric practice is not used. There may be side effects in the form of dry eyes and mucous membranes of the mouth, dyspepsia, abdominal pain, headache, redness of the face, tachycardia, confusion and memory impairment.
The same contraindications and side effects have other agonists of alpha and beta adrenoreceptors: Mirabegron (Betmiga), Flavoxat (Uripas), Solifenacin (Vesicar).
A preparation Desmopressin (Minirin, Nurema) is used for a deficiency of endogenous vasopressin: 0.1-0.2 mg twice a day (maximum daily dose - 1.2 mg). At the same time, it is recommended to reduce fluid intake. Among the contraindications of this medication, cardiac and / or renal failure, fibroids of the bladder, deficiency of electrolytes in the blood, prerequisites or presence of cerebral pressure, age up to 12 months are noted. Possible side effects include headache, dizziness, nausea and vomiting, seizures and heart rhythm disturbances.
More useful information in the article - How is the neurogenic bladder treated?
In patients with overactive bladder, botulinum toxin A (Botox) can be used, which is introduced into the muscles of the bladder and blocks the action of acetylcholine, partially paralyzing the detrusor. As noted by urologists, the positive effect of this method lasts up to nine months.
Surgical treatment of a hyperactive bladder is extremely rare, and it consists of:
- in the implantation under the skin of the nerve stimulants, providing contraction in the pelvic organs and the muscles of the pelvic diaphragm;
- in a myectomy with an increase in the volume of the bladder or in the replacement of the bladder with a portion of the small or large intestine.
Physiotherapeutic treatment can be carried out using sessions of low-frequency electrostimulation of the muscular fibers of the pelvic floor. In addition, since impulses of the perineal muscles of the pelvic diaphragm reduce the contractions of the muscular walls of the bladder, urologists recommend patients with pollakiuria and overactive bladder exercises Kegel to strengthen the muscles of the pelvic floor. These exercises should be performed 30 to 80 times a day for two to three months.
The currently known herbal treatment is a herbal remedy of traditional Chinese medicine Gosha-jinki-gan (Gosha-jinki-gan).