Having a weak, slow flow or having trouble urinating can be uncomfortable and concerning. You probably want to increase urination if you’re not urinating often, can only urinate a little bit at a time, or are having trouble urinating at all. Most people urinate an average of 6-8 times a day, [1] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source and regular urination is important to keep your bladder healthy. [2] X Research source Often, you can increase urination through rehydrating. [3] X Research source In other cases, you may need medication or medical treatment. Contact a doctor immediately if you are having trouble urinating, have not urinated in 12 hours, [4] X Research source experience pain while urinating, [5] X Research source or have blood or dark brown urine. [6] X Research source
Steps
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Drink plenty of water each day. Drinking more fluids is the best way to increase urination. [7] X Expert Source Robert Dhir, MD
Board Certified Urologist & Urological Surgeon Expert Interview. 12 October 2020. Most people need about 2 litres (8.5 c) of water a day. Drink more if you sweat a lot, work out, or live in a hot climate. [8] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source Water, juice, and tea count towards your fluids. [9] X Research source- If your urine is scarce and a dark yellow, you may be dehydrated. [10] X Research source
- If you’re dehydrated due to vomiting or diarrhea, don’t drink fruit juice or soda. These can worsen the problem. [11] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source
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Keep an eye out for signs of dehydration. The most common cause of low urine output is dehydration. It’s also the problem that’s easiest to fix! You can easily become dehydrated if you’ve had diarrhea, been vomiting, or have a high fever. It’s also easy to get dehydrated if you sweat a lot while working out, or are in a hot environment. If you’re dehydrated, your urine will be dark yellow or you won’t urinate much at all. [12] X Trustworthy Source National Health Service (UK) Public healthcare system of the UK Go to source Recognize if you have other symptoms of dehydration so you can treat it appropriately:
- Dry lips, tongue, and mouth
- Feeling thirsty
- Fast or irregular heartbeat
- Dizziness, especially when going from sitting or lying to standing
- Feeling shaky, restless, or irritable
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Give a hydrating solution to dehydrated children. If your child has low urine production due to dehydration, it’s important to rehydrate them right away. This can occur because of diarrhea, vomiting, or a high fever. Give the child a rehydrating solution like Pedialyte or Hydralyte. [13] X Research source Give them 1 teaspoon (4.9 mL) every 1-5 minutes at first, and increase the amount gradually. [14] X Research source
- Talk to your pediatrician before giving your child rehydrating drinks. Some require precise dosing.
- Use a syringe to give the solution to very young children. [15] X Research source
- Older children can have diluted sports drinks to replenish fluids and electrolytes. Mix half Gatorade or other sports drink and half water. [16] X Trustworthy Source HealthyChildren.org Health information from the American Academy of Pediatrics. Go to source
- You may also provide ice chips to children using a cup and spoon. [17] X Trustworthy Source HealthyChildren.org Health information from the American Academy of Pediatrics. Go to source
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Minimize salt in your diet. Eating a high-salt diet can cause you to retain water, which limits how much you urinate. [18] X Research source Reduce the amount of salt in your diet by avoiding fast food and processed food like chips and other snack-aisle items. Flavor your meals with herbs and spices instead of table salt. [19] X Trustworthy Source National Heart, Lung, and Blood Institute Research and education center within the National Institutes of Health Go to source
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Take a diuretic to help yourself urinate. If you have a medical condition that makes your body hold onto extra water – like heart failure, for instance – your doctor can prescribe you a diuretic. That’s a medication that increases how much you urinate. Diuretics should only be used for specific conditions, so discuss your urinary trouble with your doctor and ask if a diuretic is right for you. [20] X Trustworthy Source US Food and Drug Administration U.S. government agency responsible for promoting public health Go to source
- Beverages containing caffeine and alcohol are natural diuretics. [21]
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Expert Source
Robert Dhir, MD
Board Certified Urologist & Urological Surgeon Expert Interview. 12 October 2020.
- Beverages containing caffeine and alcohol are natural diuretics. [21]
X
Expert Source
Robert Dhir, MD
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Get IV fluids. If you’re severely dehydrated, visit the emergency department for intravenous (IV) fluids. You’ll be given a saline solution through a needle into your vein. This is an effective way to get hydrated, and you will begin urinating more soon afterward. Signs of severe dehydration requiring IV fluids include: [22] X Research source
- Not urinating at all for hours, or very dark yellow urine
- Dried up, shriveled skin
- Confusion or delirium (quick onset of confusion or hallucinations)
- Rapid breathing, fast heartbeat, or skipped heartbeats
- Severe fatigue or listlessness
- Unconsciousness
- Fever
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See your doctor for a urine test. Any time you’re having trouble urinating, visit your doctor. They can test your urine to see if you’re dehydrated or have an infection. [23] X Research source Getting diagnosed is the first step to treating the problem.
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Have your kidney function checked. Sometimes if your kidneys aren’t working well, your body stops making urine or decreases how much urine is made. See your doctor right away for a kidney function test if you stop making much urine and have swelling in your legs, feel drowsy, confused, or fatigued, have chest pain, or experience shortness of breath. [24] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
- Your doctor can check your basic kidney function with a blood test. [25] X Trustworthy Source National Health Service (UK) Public healthcare system of the UK Go to source
- Kidney problems can be chronic (long-lasting) or acute (new and abrupt). Many illnesses can cause kidney problems, so see your doctor to get diagnosed and treated. [26] X Research source
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Visit your doctor if it burns when you urinate. Urinary tract infections, or UTIs, are more common in women than men, [27] X Research source but both sexes can experience symptoms. UTIs can cause inflammation or swelling that blocks urine flow. Treatment is typically administered in the form of an antibiotic. [28] X Trustworthy Source Centers for Disease Control and Prevention Main public health institute for the US, run by the Dept. of Health and Human Services Go to source Visit your doctor for treatment if you have symptoms of a UTI such as:
- A strong urge to urinate
- Burning or pain when you urinate
- Urinating often in small amounts, or having a weak flow
- Urine that looks cloudy, pink, red, or brown
- Pain in the center of your pelvis, back, or sides
- A strong smell to your urine
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Get medical treatment for weak flow with groin pain. Prostatitis, inflammation of the prostate because of infection, is a cause of slow or weak urine flow in men. You usually also have pain in your groin or pelvis, and possibly chills or a fever. See your doctor to get checked if you have these symptoms associated with difficulty urinating. [29] X Trustworthy Source PubMed Central Journal archive from the U.S. National Institutes of Health Go to source
- Prostatitis will be treated with antibiotics if it’s caused by a bacterial infection. [30] X Research source
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Manage your benign prostatic hyperplasia if you’re a man. Benign prostatic hyperplasia (BPH) commonly causes urinary problems in men over age 60. Your prostate enlarges and squeezes the urethra, blocking urine flow. [31] X Trustworthy Source National Institute of Diabetes and Digestive and Kidney Diseases Health information from the National Institute of Diabetes and Digestive and Kidney Diseases, a division of the U.S. National Institutes of Health Go to source If you have urinary trouble, see your doctor to be checked for BPH. Depending on how severe your symptoms are, your doctor can treat you with natural remedies like saw palmetto extract, medications called alpha-blockers, or surgical procedures. [32] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
- BPH is very common, but prostate cancer – though much less common – can also enlarge your prostate and cause urinary symptoms. It’s important to have your prostate checked regularly starting at age 50 (or earlier if a relative had prostate cancer). [33] X Trustworthy Source American Cancer Society Nonprofit devoted to promoting cancer research, education, and support Go to source
- Treatment is often administered in the form of an antibiotic.
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Treat your constipation if you’re having trouble urinating. Sometimes if you’re constipated a hard stool can push against your urethra or bladder and block urine from leaving your body. If you’re unable to urinate or have a weak flow and you’re also constipated, try to alleviate your constipation , then see if you can urinate freely. [34] X Research source
- Drink extra water, eat prunes, [35] X Research source and avoid dairy to try to alleviate constipation. ref> https://www.webmd.com/digestive-disorders/constipation-what-not-to-do </ref>
- Take an over-the-counter laxative like Miralax or Colace, or try a Fleet enema. Ask your doctor or pharmacist for suggestions. [36] X Research source
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Get examined for scar tissue. If you’ve had past surgeries in the area of your lower abdomen, scar tissue may have formed. See your doctor for evaluation and discuss any illnesses, surgeries, or medical problems you have had with your bladder, kidneys, urethra, vagina, or prostate. Scar tissue or adhesion can sometimes be removed with minor surgery, which will allow for more room for urine flow. [37] X Expert Source Robert Dhir, MD
Board Certified Urologist & Urological Surgeon Expert Interview. 12 October 2020.- Scarred areas can also be open up with dilators, which stretch the area to allow urine to flow better. These procedures often need to be repeated over time. [38] X Research source
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Stop medications that decrease urination. Stay away from antihistamines like Benadryl, and decongestants and stimulants like pseudoephedrine found in many cold medicines. Ingredients in these make it harder to urinate. [39] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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Do strengthening Kegel exercises. Women and men alike can benefit from doing kegel exercises, which strengthen the pelvic floor and improve continence and urinary flow. [40] X Research source You can do Kegels anywhere, simply follow these instructions: [41] X Trustworthy Source Harvard Medical School Harvard Medical School's Educational Site for the Public Go to source
- While urinating, squeeze the muscles that stop your flow midstream – those are the muscles you want to isolate. You can do the exercise in any position.
- Tighten those muscles, hold for 5 seconds, then relax. Repeat this several times in a row.
- Gradually work up to holding the contraction for 10 seconds, then resting for 10 seconds. Try to do three sets of ten repetitions every day.
- Don’t squeeze other muscles like your abs, legs, or butt. Focus on flexing only your pelvic floor muscles.
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Support your bladder with a synthetic sling. [42] X Expert Source Robert Dhir, MD
Board Certified Urologist & Urological Surgeon Expert Interview. 12 October 2020. Sometimes, vaginal childbirth or heavy coughing or straining can weaken the muscles that hold your bladder in place, causing your bladder to droop. This can affect how well you can urinate, and may be your problem if you have a feeling of fullness or pressure in your vagina or pelvis, it feels worse when you strain or bear down, you feel like your bladder isn’t fully empty after you urinate, you leak urine during intercourse, [43] X Research source or you see or feel a bulge of tissue in your vagina. [44] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source -
Use estrogen cream for postmenopausal urinary problems. Most women with leaking or weak stream experience the trouble after menopause – as estrogen decreases, skin and tissues thin and weaken. Using an estrogen cream that’s made for your vagina may help strengthen the surrounding skin and tissues. Ask your doctor or OB/GYN whether your urinary troubles might be helped with “topical” estrogen. [47] X Research source
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Use heat packs on your lower abdomen. Place a hot water bottle or heating pack on your low abdomen between your belly button and your pubic bone. Like with other muscles, the heat may relax your bladder and help you urinate more freely. [48] X Research source
- You can also try taking a hot shower or soaking in a warm bath. [49] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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Discuss cholinergic medications with your doctor. Cholinergic medications increase how strongly your bladder contracts, which will help you urinate if your weak flow is due to nerve issues. [50] X Research source Bethanechol hydrochloride (Urecholine) is usually prescribed, but can have many side effects, so talk to your doctor about whether it’s right for you. [51] X Trustworthy Source PubMed Central Journal archive from the U.S. National Institutes of Health Go to source
- Ask your doctor questions about your condition, such as, “What is causing my urinary problems?” and, “What type of medicine will help? What are the possible side effects?”
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Get a catheter for emergency relief. In severe cases of urinary retention, you can ask your doctor about having a catheter placed inside your urethra and up into your bladder. This allows a clean, open passage for urine. This is meant as a short-term measure. Some people who have problems urinating due to nerve disorders may need permanent catheters. [52] X Trustworthy Source PubMed Central Journal archive from the U.S. National Institutes of Health Go to source
Expert Q&A
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QuestionWhat should I do if urine is not coming out?Dr. Robert Dhir is a board certified Urologist, Urological Surgeon, and the Founder of HTX Urology in Houston, Texas. With over 10 years of experience, Dr. Dhir’s expertise includes minimally-invasive treatments for enlarged prostate (UroLift), kidney stone disease, surgical management of urological cancers, and men’s health (erectile dysfunction, low testosterone, and infertility). His practice has been named a Center of Excellence for the UroLift procedure, and is a pioneer in non-surgical procedures for ED using his patented Wave Therapy. He earned his undergraduate and medical degrees from Georgetown University and was awarded honors in pre-medical studies, urology, orthopedics, and ophthalmology. Dr. Dhir served as chief resident during his urological surgical residency at University of Texas at Houston / MD Anderson Cancer Center in addition to completing his internship in general surgery. Dr. Dhir was voted Top Doctor in Urology for 2018 to 2019, one of the top three Best Rated Urologists in 2019 & 2020 for Houston Texas, and Texas Monthly has named him to the 2019 & 2020 Texas Super Doctors Rising Stars list.To diagnose the problem, your doctor may recommend a cytoscopy, where a camera is placed into your urethra and bladder.
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QuestionHow can I increase my urine flow?Dr. Robert Dhir is a board certified Urologist, Urological Surgeon, and the Founder of HTX Urology in Houston, Texas. With over 10 years of experience, Dr. Dhir’s expertise includes minimally-invasive treatments for enlarged prostate (UroLift), kidney stone disease, surgical management of urological cancers, and men’s health (erectile dysfunction, low testosterone, and infertility). His practice has been named a Center of Excellence for the UroLift procedure, and is a pioneer in non-surgical procedures for ED using his patented Wave Therapy. He earned his undergraduate and medical degrees from Georgetown University and was awarded honors in pre-medical studies, urology, orthopedics, and ophthalmology. Dr. Dhir served as chief resident during his urological surgical residency at University of Texas at Houston / MD Anderson Cancer Center in addition to completing his internship in general surgery. Dr. Dhir was voted Top Doctor in Urology for 2018 to 2019, one of the top three Best Rated Urologists in 2019 & 2020 for Houston Texas, and Texas Monthly has named him to the 2019 & 2020 Texas Super Doctors Rising Stars list.Increasing fluids is generally the best way to increase urination. There are common cardiovascular medications that also increase the need to urinate, such as diuretics, which are prescribed to decrease blood pressure or remove excess fluid from the body. Natural diuretics include caffeine and alcohol.
Tips
- Use an app on your smartphone or set alarms to remind yourself to drink more water throughout the day.Thanks
Warnings
- All surgeries have risks. Discuss the risks and benefits of different procedures with your doctor.Thanks
- Only take medications as directed, and discuss any medications or supplements with your doctor before you take them to make sure they’re safe for you.Thanks
References
- ↑ https://health.clevelandclinic.org/what-your-bladder-is-trying-to-tell-you-about-your-health-2/
- ↑ https://www.nia.nih.gov/health/13-tips-keep-your-bladder-healthy
- ↑ https://www.yalemedicine.org/news/5-ways-to-pee-better
- ↑ https://www.webmd.com/first-aid/dehydration-in-children-treatment
- ↑ https://www.webmd.com/a-to-z-guides/uti-symptoms
- ↑ https://www.webmd.com/a-to-z-guides/brown-urine-causes
- ↑ Robert Dhir, MD. Board Certified Urologist & Urological Surgeon. Expert Interview. 12 October 2020.
- ↑ https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/water/art-20044256
- ↑ https://www.webmd.com/parenting/features/healthy-beverages#1
- ↑ https://www.nhsinform.scot/illnesses-and-conditions/nutritional/dehydration
- ↑ https://my.clevelandclinic.org/health/treatments/9013-dehydration
- ↑ https://www.nhs.uk/conditions/dehydration/
- ↑ https://www.rch.org.au/kidsinfo/fact_sheets/Dehydration/
- ↑ https://kidshealth.org/en/parents/dehydration.html
- ↑ https://www.nationwidechildrens.org/conditions/vomiting
- ↑ https://www.healthychildren.org/English/health-issues/conditions/abdominal/Pages/Drinks-to-Prevent-Dehydration-in-a-Vomiting-Child.aspx
- ↑ https://www.healthychildren.org/English/health-issues/conditions/abdominal/Pages/Drinks-to-Prevent-Dehydration-in-a-Vomiting-Child.aspx
- ↑ http://www.actiononsalt.org.uk/salthealth/salt-and-water-retention/
- ↑ https://www.nhlbi.nih.gov/health/educational/healthdisp/pdf/tipsheets/Use-Herbs-and-Spices-Instead-of-Salt.pdf
- ↑ https://www.fda.gov/consumers/free-publications-women/high-blood-pressure-medicines-help-you
- ↑ Robert Dhir, MD. Board Certified Urologist & Urological Surgeon. Expert Interview. 12 October 2020.
- ↑ https://www.webmd.com/a-to-z-guides/dehydration-in-adults-treatment
- ↑ https://www.kidney.org/news/kidneyCare/spring10/UrineSamples
- ↑ https://www.mayoclinic.org/diseases-conditions/kidney-failure/symptoms-causes/syc-20369048
- ↑ https://www.nhs.uk/conditions/kidney-disease/diagnosis/
- ↑ https://www.webmd.com/a-to-z-guides/understanding-kidney-disease-basic-information
- ↑ https://www.medscape.com/answers/452604-54622/why-are-urinary-tract-infections-utis-more-common-in-women-than-in-men
- ↑ https://www.cdc.gov/uti/about/?CDC_AAref_Val=https://www.cdc.gov/antibiotic-use/uti.html
- ↑ https://pubmed.ncbi.nlm.nih.gov/26926407/
- ↑ https://www.urologyhealth.org/urology-a-z/p/prostatitis-(infection-of-the-prostate)
- ↑ https://www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostate-enlargement-benign-prostatic-hyperplasia
- ↑ https://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/diagnosis-treatment/drc-20370093
- ↑ https://www.cancer.org/cancer/prostate-cancer/early-detection/acs-recommendations.html
- ↑ https://www.bcm.edu/healthcare/care-centers/obstetrics-gynecology/conditions/urinary-retention
- ↑ https://www.webmd.com/digestive-disorders/dietary-fiber-the-natural-solution-for-constipation
- ↑ https://www.webmd.com/digestive-disorders/treat-constipation
- ↑ Robert Dhir, MD. Board Certified Urologist & Urological Surgeon. Expert Interview. 12 October 2020.
- ↑ https://www.urologyhealth.org/urology-a-z/u/urethral-stricture-disease
- ↑ https://www.mayoclinic.org/diseases-conditions/interstitial-cystitis/diagnosis-treatment/drc-20354362
- ↑ https://www.uclahealth.org/urology/prostate-cancer/kegel-exercises-for-men
- ↑ https://www.health.harvard.edu/bladder-and-bowel/step-by-step-guide-to-performing-kegel-exercises
- ↑ Robert Dhir, MD. Board Certified Urologist & Urological Surgeon. Expert Interview. 12 October 2020.
- ↑ https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/bladder-prolapse
- ↑ https://www.mayoclinic.org/diseases-conditions/cystocele/symptoms-causes/syc-20369452/
- ↑ https://www.webmd.com/urinary-incontinence-oab/what-are-vaginal-pessaries
- ↑ https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/prolapsed-uterus
- ↑ https://www.webmd.com/urinary-incontinence-oab/womens-urinary-incontinence#1
- ↑ https://jamaicahospital.org/newsletter/home-remedies-that-help-relieve-uti-symptoms/
- ↑ https://www.mayoclinic.org/diseases-conditions/cystitis/diagnosis-treatment/drc-20371311
- ↑ https://emedicine.medscape.com/article/321273-medication
- ↑ https://pubmed.ncbi.nlm.nih.gov/30112787/
- ↑ https://pubmed.ncbi.nlm.nih.gov/18350762/