Urgent need to urinate
Overview
An urgent need to urinate is a sudden, intense feeling that you must urinate immediately, often accompanied by difficulty holding urine. This symptom involves a strong, compelling urge to empty the bladder that feels difficult or impossible to delay.
Common Causes
This symptom commonly occurs when you drink large amounts of fluids, especially caffeine or alcohol, which can increase urine production and bladder activity. Stress and anxiety can also trigger the feeling of needing to urinate more frequently or urgently. Cold weather often makes people feel like they need to urinate more often due to blood vessel changes. Certain medications like diuretics (water pills) are specifically designed to increase urination, while others may have this as a side effect.
Severity Levels
Mild: You feel a stronger than normal urge to urinate that comes on suddenly, but you can still hold it for a short time and make it to the bathroom without difficulty.
Moderate: The urgent feeling is intense and frequent, making it challenging to delay urination for more than a few minutes, and you may need to plan activities around bathroom access.
Severe: The urge is overwhelming and immediate, with little to no ability to delay urination, potentially leading to accidents or significantly disrupting daily activities and sleep.
Medical Attention
Seek immediate medical attention if you experience severe pain, blood in urine, fever, or inability to urinate at all. Contact your healthcare provider if the urgency is new, worsening, or interfering with daily activities and sleep. You should also see a doctor if the symptom persists for more than a few days or is accompanied by burning during urination or frequent accidents.

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