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Why do I pee so much with prostatitis?

Frequent Urge to Urinate An enlarged or inflamed prostate can apply pressure and irritate the bladder, causing the bladder wall to become thicker and irritated. This irritation can cause the bladder to contract - even when it contains only small amounts of urine - causing more frequent urination.

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Annoying prostate conditions and life-threatening prostate conditions share many of the same signs and symptoms. Symptoms of common prostate conditions like prostatitis may also resemble other medical conditions or problems. You should always consult your doctor for a diagnosis.

General Signs and Symptoms of Prostate Conditions

The most common signs and symptoms of prostate conditions tend to fall into two main categories: (1) impaired urinary function and (2) pain associated with urination and ejaculation or localized near the lower back, hips and rectal area. The following can all be general signs and symptoms that you have a prostate condition:

Frequent Urge to Urinate

An enlarged or inflamed prostate can apply pressure and irritate the bladder, causing the bladder wall to become thicker and irritated. This irritation can cause the bladder to contract - even when it contains only small amounts of urine - causing more frequent urination. Eventually, the bladder walls may weaken, so that it does not empty completely, leaving some urine behind and leading to a frequent sensation of needing to urinate.

Frequent Nighttime Urination

Related to a frequent urge to urinate, the body receives constant messages during sleep signaling the need to urinate - this condition is called nocturia . In serious cases, this results in adult bedwetting, or enuresis .

Weak Urine Flow, Dribbling Urine or Inability to Urinate

An enlarged or inflamed prostate pushes on, or squeezes the urethra, creating a narrowing of the passageway or, in some cases, creating obstructions. This cuts off the steady flow of urine, creating a weak stream or, in some cases, constant dribbling of urine. The most severe cases can cause a complete blockage of the urethra, leading to a serious condition requiring immediate medical assistance. This is one of the more common prostate symptoms that occur in the aging male.

Painful or Burning Sensation During Urination and Ejaculation

An inflamed or infected prostate can cause painful sensations in the bladder and urethra during urination and ejaculation. Pressure on the bladder and urethra can also lead to various levels of general discomfort during urination and sexual function.

Blood in Urine or Semen

Blood in urine or semen is a serious condition and you should consult a doctor immediately. The presence of blood generally indicates an infection or injury in the prostate, urinary system or reproductive system although, it may indicate cancer, so contact a physician right away. Frequent Pain or Stiffness in Lower Back, Hips, Pelvic or Rectal Area, or Upper Thighs Pain or stiffness in the areas surrounding the prostate can indicate infection or worse. Pain is usually localized in the areas around the penis and scrotum, with sharp pain or pressure in the perineum (the space between the scrotum and anus). Some prostate conditions, like prostate cancer, can lead to pain or stiffness in the lower back, hips, pelvis or upper thighs.

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Does prostatitis make you tired?

Types of prostatitis This sudden-onset infection is caused by bacteria that travel from the urethra, and perhaps from the rectum, to the prostate. It's the least common but most dramatic form of prostatitis, beginning abruptly with high fever, chills, joint and muscle aches, and profound fatigue.

October 29, 2013

Pat Skerrett is the editor of STAT's First Opinion and host of the First Opinion podcast. He is the former editor of the Harvard Health blog and former Executive Editor of Harvard Health Publishing. Before that, he was editor of … See Full Bio As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

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