Hello, thank you for writing in. You've already done the right tests, and having a normal
sugar, urine test and ultrasound is genuinely good news. It means a serious cause is unlikely.
When all the reports are normal but the urge to pass urine is still frequent, the cause is often functional. At 26, the usual ones are an overactive bladder pattern, anxiety and stress (the bladder is very sensitive to nerves), too much tea, coffee, cold drinks or water at once, and bladder habits like going "just in case". Sometimes a mild prostate or pelvic floor tightness can also play a part, even with a normal ultrasound. Each of these has a different fix, so the pattern matters. When it happens, how much you pass, whether it wakes you at night, and what you drink through the day are the clues that point to the cause.
Next Steps
A video consult would help me understand your pattern: day versus night, urgency versus just frequency, any burning, and your stress, sleep and fluid habits. For 3 days, you could note down the time and approximate amount each time you pass urine, along with what you drank, and bring it along. If it's still unexplained, an in-person check with a urologist, including a urine culture and a simple uroflow test, can close the gap. Please see a doctor soon if you notice burning, blood in the urine, fever, pain in the back or side, a weak stream, or sudden heavy thirst.
Health Tips
- Cut down on tea, coffee, energy drinks, soda and alcohol, which irritate the bladder
- Spread water through the day, and reduce fluids 2 hours before bed
- Don't go "just in case". Try to wait a few minutes when you feel the urge, so the bladder learns to hold
- Practice slow breathing when the urge comes, and keep stress and sleep in check
- Limit spicy food and artificial sweeteners
- Add light exercise, and pelvic floor (Kegel) exercises if you're comfortable with them
- Avoid holding urine for too long, and empty the bladder fully when you go
If you're worried, do book a consult and we can look at it together. Take care.