Residual urine in the bladder in women and men: symptoms, treatment
The amount of urine that remains in the human body after urination is called residual urine. Regardless of age it is considered a deviation. The delay of urine may be complete and incomplete. In the first case, the patient feels the urge to use the toilet but is unable to do so. Sometimes for several years, the emptying is only with the help of the catheter. With incomplete delay urination occurs, but not completely. Residual urine in the bladder often causes the formation of stones and the development of inflammation. The lack of treatment is unacceptable. Because every time the disease progresses, the level of residual urine is constantly growing, the bubble begins to stretch, pain, and finally incontinence of urine.
The norm of residual urine in the bladder in men, women, children
The norm of residual urine for men and women is 30-40 ml. is considered to be the Critical figure of 50 ml. This means that the person is a disruption of normal outflow of urine and is the development of disease. With regard to the norms of residual urine for a child, they are:
- newborns 2-3 ml;
- from toddlers to year 3-5 ml;
- in children 1-4 years, this rate is 7-10 ml;
- 4-10 years 7-10 ml;
- 10-14 years — 20 ml;
- for adolescents under 14 years of age, the norm is not more than 40 ml.
The reasons for the increasing rates
Residual urine may occur due to a large number of reasons. In General, they are divided into three groups:
Obstructive is considered to be health problems that prevent urine out of the body. For example, stones, tumors, polyps, adenoma of prostate in men, uterine fibroids and ovarian cysts in women, as well as narrowing and soldering urinary channels. Swelling of the urethra and contraction of bladder muscles that occur because of inflammatory-infectious diseases, also lead to the delay of urine. So, prostate, cystitis, urethritis provoke the appearance of residual urine.
To the last group of reasons include the loss of Central nervous system control over urination. In such cases, the bladder healthy, and the problem lies in the muscles of the body or of the sphincter, which cease to contract at the right time. The reasons for this state of the body often sclerosis, trauma to the spinal cord and brain, congenital abnormalities of the Central nervous system, disease of the spine. The fact that antidepressants, antiarrhythmic, diuretics, hormonal drugs, drugs against Parkinson’s disease, as well as some painkillers negatively affect the tone of the body.
Symptoms of residual urine after urination
When you get off the toilet, but you have the feeling that inside there are still remnants of the urine is the first alarming bell and a symptom of the disease of the bladder. Also symptoms include unstable or intermittent flow of urine or when it all goes drops. In addition, the presence of such a symptom, as a continuous process of urination after the tension of the muscles of the abdominal wall also defines health problems.
Other symptoms doctors associated with diseases that provoke the appearance of the final urine. So urolithiasis is characterized by frequent urination, pain in bladder area, the appearance of blood in urine. And when urinating, patients feel itching and burning. Usually the pain become stronger after exercise or hard work.
When the prostate men suffering from pain in the groin, and disorders of sexual function. And pyelonephritis can lead to pain in the lower back, a sharp increase in body temperature to 37.5−38 degrees, and there is a feeling of General fatigue. Cystitis also causes frequent urination in the toilet, sharp pains in lower abdomen. During urination occurs itching and burning. And over a long period of time the temperature rises to 37.1−38 degrees.
Diagnosis: how to determine the volume of residual urine?
This deviation is dangerous because in the first stage of development, it has no distinct symptoms. This contributes to the progression of the disease and it goes into a more serious stage. In the second stage symptoms are already apparent. But even now they can be confused with the common cold as it chills, fever, back pain. It is therefore very important to carry out the determination of residual urine volume. If it exceeds the norm, it is the first symptom of the disease.
The determination of residual urine is a complex process and consists of a complex of activities:
- laboratory diagnostics;
- urological research;
- neurological studies.
So, in order to determine the volume of residual urine (OOM), you need to conduct clinical blood tests, urine analysis and cultures of urine. The next step is an ultrasound of the bladder, prostate, uterus and ovaries. In addition, if necessary, the patient has to undergo a cystoscopy and urodynamic study. The most effective is cystoscopy, but it is known for its harm. So the doctors only in extreme cases, appoint the procedure.
Also the definition of OOM is carried out using ultrasound. It is performed twice. First time with a full bladder, and then for 5-10 minutes after urination. Determine the amount of liquid according to a special formula. Taken into account the height, width and length of the bubble. In order for the result of the OOM were accurate, the procedure is performed 3 times.
Errors in the results
Unfortunately, there is a great risk that the results of tests to determine residual urine volume may be incorrect. So if you set a positive diagnosis, do not worry and repeat all undergone the procedure. So, before undergoing an ultrasound to refrain from diuretic beverages, drugs, as well as those foods that irritate the bladder. Because 10 minutes after drinking the quantity of urine is increased to 100 ml, and of course, the result will be distorted. In addition, all the tests performed immediately after the patient went to the toilet. Only under such conditions OOM will be measured correctly. Of course, in most cases it is impossible to get an ultrasound immediately after emptying.
And also to completely release your bladder from the urine, urination need to do in a familiar environment, and in the hospital it is simply impossible. Also, the patient should go to relieve himself in relation to natural impulses, not because they need to be. Is set and the pose, she should be familiar. If you do not follow these rules, then, of course, the diagnostics will reveal the rest of the urine.
If you have a suspicion of the presence of excess urine in the body, immediately seek qualified help. Because the consequences of your delay can cause you many problems. Very often, doctors have to operate on patients after treatment with drugs can help. And all this only because of the late determination of the final urine. Therefore, among the complications the most common are:
- inflammation of the kidneys and urethra;
- kidney failure;
- kidney stones;
The treatment of the disease
Residual urine in the body is not a disease, it is only to indicate her presence. That is why first and foremost you need to determine the causes of excess urine. In addition, you need to:
- to restore the patency of the urinary channels;
- relieve inflammation;
- to restore the ability of the bladder to contract.
Basic principles of treatment:
- it should beat the complex;
- the healing process cannot be interrupted in any case;
- the physician should select the course with minimal side effects.
Much complicated are considered neurological disorders. In this case, unfortunately, can not do without surgical and medical intervention. If the patient recorded atony, the doctor appoints drugs that help restore bladder function reduction. When it spasms frequently prescribed muscle relaxants. If all attempts were in vain, then it is necessary to carry out the operation, during which the doctor dissects in spinal cord those nerves which form the spastic contractions of the bladder.