Quick Fixes for Difficulty in Urinating: How to Relieve the Problem Immediately?

Urination is actually a normal physiological function of the body, but if there is a urinary system infection, symptoms such as incomplete urination or difficulty urinating may occur. Generally, holding urine for a long time can also lead to difficulty urinating. In such cases, massaging the abdomen, which is the location of the bladder, can effectively promote urination. Of course, if the problem is caused by a urinary tract infection, it is best to go to the hospital for a check-up and use medication for treatment.

Kidney and bladder diseases can cause difficulty in urination, decreased total daily urine output, and even complete urinary retention or minimal urine output. These symptoms are mainly seen in conditions such as neurogenic urinary retention, bladder sphincter spasms, urinary stones, urinary tract tumors, urinary tract injuries, urethral stenosis, prostatic hyperplasia in the elderly, spinal cord inflammation, and oliguria or anuria caused by renal insufficiency. Treatment focuses primarily on promoting urination and is supplemented by nourishing the spleen and kidneys.

The diet should be predominantly light; sufficient calories should be provided to conserve protein utilization and thereby reduce the burden on the kidneys; adequate vitamins should be supplemented to regulate the acid-base balance in the body. It is also advisable to increase water intake moderately and to rest adequately.

Clinically, diuretics are categorized into three levels based on their diuretic efficacy: high-potency, medium-potency, and low-potency. High-potency diuretics, also known as loop diuretics, are the most commonly used and include drugs like furosemide (Lasix). Medium-potency diuretics are typically thiazide diuretics such as hydrochlorothiazide. Low-potency diuretics, also known as potassium-retaining diuretics, are often used in combination with thiazide drugs to enhance their efficacy and reduce potassium excretion. Spironolactone, amiloride, and amiloride hydrochloride are examples of low-potency diuretics. Additionally, osmotic diuretics and organic mercury diuretics (such as mercurial diuretics, which have been phased out due to their toxicity) are also available. Carbonic anhydrase inhibitors (e.g., acetazolamide) have a weak diuretic effect and are currently used in ophthalmology to lower intraocular pressure and treat glaucoma.

Thiazide diuretics are commonly used to treat hypertension, especially when cost and compliance are important considerations. They are also effective in treating isolated systolic hypertension in the elderly. In cases of severe hypertension where maximum doses of multiple drugs fail to achieve satisfactory control, diuretics may still be needed. Loop diuretics are effective in patients with renal failure, congestive heart failure, and other conditions where edema is a primary symptom.