Are YOU weeing too much? How to tell something might be wrong…

Are YOU weeing too much? How to tell something might be wrong… and what it might mean

• Most people have needed to wee more often than normal at some point
• But what if needing to pee a lot is a constant problem? Do you just put up with it?

Most people – particularly as they get older – have needed to wee more often than normal at some point. 

And there’s usually a simple explanation, like having drunk too much liquid.

But what if needing to pee a lot is a constant problem? Do you just put up with it – perhaps chalking it off as an inevitable part of ageing – or should you get it checked out by a doctor?

Most people – particularly as they get older – have needed to wee more often than normal at some point. However, it can be a sign of a problem, such as diabetes, bladder infections and an enlarged prostate (shown in graphic), says Dr Babak Ashrafi, from Superdrug Online Doctor

‘Concerns about increased frequency of urinating is something that is commonly expressed by patients and can be distressing,’ said Dr Babak Ashrafi, from Superdrug Online Doctor.

‘It’s important to know that a rise in the need to urinate may indicate a range of issues, so it’s wise to seek advice from a healthcare professional.’

So, what could those issues be?

Diabetes

Dr Ashrafi said: ‘Diabetes can cause increased urination due to elevated blood sugar [glucose] levels.

‘The kidneys work to eliminate excess sugar through urine, leading to increased thirst.’

According to Diabetes UK, the urge to drink more fluids is because the body can become dehydrated as a result of this process. 

So, if you’re suddenly peeing more, and also very thirsty, it’s a good idea to get your blood sugar levels checked, according to Dr Ashrafi. 

Other signs of diabetes can include ‘unexplained weight loss and fatigue’.

How often should I pee? 

It is normal to need to pee around four to eight times per day and possibly once in the night, doctors say.

This is based on drinking around one-and-a-half to two litres per day.

Needing to go more frequently, or getting up every 30 minutes to an hour, can be a sign of frequent urination.

However, what is normal varies between people. 

Those who are drinking lots of fluids, taking certain medication, are pregnant, aged over 70 or have an enlarged prostate may need to pass urine more often.

Infections

Infections like cystitis irritate the bladder and urethra, causing a frequent and urgent need to urinate. 

Dr Ashrafi said additional signs of cystitis include pain or a burning sensation during urination, as well as cloudy or strong-smelling urine.

Mild, short-term UTIs can sometimes clear up on their own, especially if you stay well hydrated. 

But Dr Ashrafi recommends seeing a doctor if it’s your first time experiencing these symptoms, they worsen or don’t clear up after a couple of days.

Additionally, he advises seeking medical help if you notice an increase in pain and other worrying symptoms, such as a fever or feeling generally unwell. 

Anyone who notices blood in their urine should see their GP.

Prostate enlargement

Benign prostate enlargement (BPE) is very common in men over the age of 50 – although it can occasionally affect younger men too.

Prostate Cancer UK (PCUK) stresses that it isn’t caused by cancer, and doesn’t increase the risk of getting the disease.

It basically means the prostate – a small, walnut-sized gland located between a man’s bladder and rectum – has increased in size, which can cause men to feel like they need to pee more, especially at night. 

PCUK says around a third of men over the age of 50 have urinary symptoms, and the most common cause is BPE.

‘Prostate enlargement can obstruct the urethra, causing difficulties in starting or stopping urination and resulting in a weak urine stream, which then contributes to an increase in the frequency of urination,’ Dr Ashrafi said.

The good news is, BPE can be managed – you don’t have to just put up with it. GPs can assess whether any further tests should be carried out.

Menopause

Many women going through menopause report needing to pee more urgently, and the NHS reports that around 70 per cent of females say their urinary incontinence began after their final menstrual period. This is linked to a depletion of oestrogen in the urinary tract and vagina.

‘Menopause brings hormonal changes that can affect the urinary system,’ Dr Ashrafi said. 

‘Vaginal dryness, hot flashes, and mood swings may be accompanied by an increased frequency of urination.’

Gynaecological issues

Gynaecological problems can also be accompanied by the need to pee more.

Dr Ashrafi said: ‘Another reason for increased urination in women can be gynaecological problems, such as pelvic pain, abnormal bleeding, and discomfort during intercourse. 

‘These can lead to changes in bladder function, resulting in an increased urge to urinate.’

Dr Ashrafi recommends keeping a track of your symptoms and checking in with your GP. You may need further tests to rule out any underlying causes, as well as advice for managing symptoms.

Pelvic floor issues

Weak or damaged pelvic floor muscles – the muscles spanning the bottle of the pelvis – in both men and women can lead to increased urination. 

Dr Ashrafi said: ‘Pelvic floor issues, such as weakness or dysfunction, may result in incontinence and difficulty controlling bowel movements. 

‘These issues can contribute to an increase in the frequency of urination.’

For women, this may be linked to childbirth, age and hormonal changes. 

But anyone can potentially be affected – it could also follow injury or other health problems, for example. 

Simple pelvic floor exercises are proven to help. Dr Ashrafi recommends speaking to your GP or physiotherapist for advice.

Ageing

Dr Ashrafi said: ‘Ageing can lead to gradual changes in bladder function, resulting in reduced bladder capacity and weakened pelvic muscles.’

He said this can then ‘contribute to a higher frequency of urination’.

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