Introduction to Difficulty Urinating
Difficulty urinating is a common problem among men and is generally associated with illnesses of the male gland called prostate. However, difficulty urinating may also affect women. The problem is bothersome and cause a lot of worry. Even though a person may have urge to urinate he/ she is simply unable to perform the act of micturition either due to obstruction of some parts of the urinary tract or due to increased need for urination even though there is no urine in the bladder. Apart from the difficulty urinating depending on the underlying cause a person may additionally complain about decreased force of urinary stream, pain or burning sensation during urination, sexual dysfunction and discomfort/ pain in the lower abdomen. The pain can be also located in the lower part of the back, in the groin area, rectum or perineum.
What Causes Difficulty Urinating in the Morning?
In majority of cases difficulty urinating in the morning affects older may and is associated with benign prostatic hyperplasia. The prostate is a male gland located below the bladder. It is essential for production of the fluid that carries sperms during the process of ejaculation. The gland tends to increase with age and may narrow the urethra causing the previously mentioned problem. Apart from the difficulty urinating in the morning patients suffering from benign prostatic hyperplasia also complain about weak urine stream, painful urination and dribbling at the end of micturition.
Another cause of difficulty urinating in the morning is also associated with the prostate. Namely, the inflammation of the gland may cause problems with micturition. This can be easily explained with an inflammation and swelling of the gland that consequently narrows the urethra.
Difficulty urinating in the morning may be only one among many characteristics of urinary tract infection. The problem in this case affects both genders. In many cases the infection is caused by bacteria (such as Escherichia coli etc.) and the problems with micturition are in a form of frequent urge for urinating and need for one to urinate even though there is no urine in the bladder. Increased impulse to urinate is a consequence of bladder irritation.
And finally, one more cause of difficulty urinating in the morning is the intake of certain medications. Some cold remedies, nasal decongestants, tricyclic antidepressants and antichilinergics may cause problems with micturition and difficulty urinating in the morning.
The actual cause of difficulty urinating in the morning must be identified as soon as possible and the condition treated accordingly. Infections require proper antibiotics while problems with prostate gland require specific medications. In case difficulty urinating in the morning develops due to intake of certain medications they are discontinued and patients are prescribed adequate substitute drugs.