Polyuria means passing excessive urine with very frequent toilet visits. When the volume of urine excreted is more than 2.5 litres in a day then your doctor may not consider it to be normal.
You can experience this throughout the day or particularly at night.
Symptoms associated with polyuria
As said before, you will feel the urgency to access toilet at frequent intervals and pass large volumes of urine. Some people might experience polyuria at night, which is known as nocturnal polyuria. It’s a very disturbing condition as your sleep is seriously hampered.
Furthermore, due to loss of water from your body, you would feel thirsty all the time.
Some common symptoms associated with polyuria are
The discomfort that you would be facing would further depend on the underlying health complication.
What causes polyuria?
Polyuria can result from several medical conditions.
- Abnormal blood sugar levels- Diabetes mellitus and diabetes insipidus
- Side effects of diuretic and drugs containing lithium
- Renal problems: chronic kidney disease, pyelonephritis, chronic urinary obstruction
- Cushing syndrome
- Urinary incontinence
- Bladder dysfunction and bladder cancer
- Psychogenic polydipsia
- Sickle cell anaemia
- Overconsumption of water and alcohol
When to see a doctor?
If you are not drinking too much water yet having large volumes of urination, along with some of the aforementioned symptoms, then you must see a doctor.
Diagnosis of polyuria
It’s advised that you seek help from a urologist. He/she will be investigating the quality, quantity and physical properties of your urine. Initially you will be asked several questing attributing to these three parameters. You also need to explain the doctor your lifestyle, fluid intake, if you are taking medicines or supplements or have a medical history.
To proceed with the diagnosis, several clinical tests would be advised to find out the exact problem.
The recommended tests include:
- Urinalysis for diabetes, protein, ketone bodies, infections
- Urodynamic studies
- Neurological tests
- Urine osmolality tests
- Blood test for glucose, urea, electrolyte balance, pituitary hormones
- Imaging tests for kidneys, urinary tract, bladder etc.
Your doctor would also advise you to maintain a urinary diary which you need to show him during your visits.
Treatment for polyuria
Treatment of polyuria is completely dependent on the test reports. If a medical condition, for example- diabetes, has been found out then the treatment will be primarily directed towards it, which will subsequently control your urinary volumes.
Apart from that the dosage for your medicines responsible for the increased urine output might be adjusted. Electrolyte replacement therapy might also be recommended when you are dehydrated.
If your lifestyle and fluid intake habits have contributed to polyuria then your doctor would suggest to moderate them.
Managing polyuria with alternate options.
Your doctor will offer you counselling through which you can gain better control over urination. It can help you to overcome compulsive water drinking habits.
This helps to improve urinary incontinence. Your doctor would help you to learn Kegel exercises that need to be practised everyday.
Limit fluid intake
Your doctor would advise you to cut down fluid intake when you are consuming in large amounts, especially in the evening. Avoid alcohol, juices and too much water before going to bed at night.
Written by: healthplus24.com team
Date last updated: February 19th, 2016