Why do I have to pee urgently but always pee a little?

I believe that people are prone to urinary urgency in daily life. Some people feel the urge to urinate but always urinate a little. This situation requires people to understand in detail. It may be a precursor to some disease. If not treated in time, it may endanger the health. So let’s introduce in detail what is going on when you feel the urge to urinate but always urinate a little?

This symptom should first be considered as urinary tract infection caused by secondary infection due to lack of attention to local hygiene, resulting in urinary urgency and pain. If dry stool occurs at the same time, it should be considered as constipation caused by improper diet.

Guidance: It is recommended to observe carefully, treat symptomatically, perform urine routine tests, and use antibiotics appropriately. Drink plenty of water, pay attention to diet, eat more high-fiber foods such as vegetables and fruits, and take medication to promote gastrointestinal motility if necessary.

1. Acute uncomplicated cystitis in young women

For healthy multiparous women with symptomatic lower urinary tract infection (such as dysuria, frequent urination, urgency, nocturia, and discomfort above the pubic symphysis) but without symptoms and signs of vaginitis (foul vaginal discharge, vulvar itching, dyspareunia, only dysuria without frequent urination and vulvovaginitis), the following points should be noted in their treatment:

(1) Clear the infection of the superficial mucosa of the lower urinary tract.

(2) Eliminate urinary tract pathogens from the vagina and lower gastrointestinal tract.

To achieve this goal, short-term treatment with sulfamethoxazole/trimethoprim (SMZ-TMP) or quinolones can be used. Both types of drugs are superior to β-lactamases. Quinolones and trimethoprim (TMP) are present in vaginal secretions at concentrations exceeding those required to eliminate common Escherichia coli and other major urinary pathogens (with the exception of Enterococci). At the same time, the antimicrobial activity of these antibiotics had little effect on the anaerobic and microaerophilic flora that are resistant to the main uropathogens, which remained intact. In contrast, β-lactamase drugs, such as amoxicillin, can promote the proliferation of the uropathogen Escherichia coli in the vagina. There are two options for short-term therapy, namely single-dose therapy and 3-day therapy. There is no strong evidence that the 3-day therapy is superior to the single-dose therapy. These two regimens, sulfamethoxazole/trimethoprim (SMZ-TMP) or a quinolone (ciprofloxacin, ofloxacin, lomefloxacin, or norfloxacin), appear to be equally effective in treating cystitis in women. However, single-dose therapy is less effective than 3-day therapy in eliminating urinary tract pathogens from the vaginal or intestinal flora, resulting in earlier relapses, mainly due to the above pathogens, which are more common. Healthy parous women with symptoms suggestive of cystitis require longer courses of treatment (> 5 days), which are costly and have a higher incidence of side effects (rash, fever, and, especially with sulfamethoxazole/trimethoprim, gastrointestinal upset). There is no evidence that longer courses of treatment for vaginal candidiasis improve cure rates for this particular UTI.