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Urinary Urgency

By

Geetha Maddukuri

, MD, Saint Louis University

Last full review/revision May 2021| Content last modified May 2021
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A compelling need to urinate (urgency), which may feel like almost constant painful straining (tenesmus), can be caused by bladder irritation. Uncontrolled loss of urine (incontinence) may occur if a person does not urinate immediately. Urgency may be caused by a bladder infection. Caffeine and alcohol use may contribute to urgency but rarely cause severe urgency by themselves. Rarely, inflammation of the bladder (interstitial cystitis) is the cause.

Doctors can usually determine the cause of urgency because of the person’s symptoms, the results of the physical examination, and urinalysis. If infection is suspected, urine culture may be needed. Sometimes, particularly if interstitial cystitis is suspected, doctors may insert a flexible viewing tube into the bladder (cystoscopy) or do a biopsy of the bladder.

Doctors treat the cause of urgency.

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Nephrotic Syndrome
Glomeruli are clusters of tiny blood vessels in the kidneys containing pores that filter blood. In patients with nephrotic syndrome the glomeruli do not function properly and cause excessive protein excretion into the urine. Excessive protein excretion in turn may lead to fluid accumulation, low levels of the protein albumin in the blood, and high levels of blood fats. There are several causes of nephrotic syndrome, including which of the following?
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