THE SENSITIVENESS OF THE BLADDER.

The next step to determined it is due to any local condition.

Stricture, enlarge prostate gland in men past 40 yrs. of age, stone in the bladder, an old gonorrheal infection of the seminal vesicles or of the posterior urethra, and in women to a faulty position of the uterus causing pressure in the bladder. A careful examination by a family physician will enable him to advice if any local condition needs attention.

Occasionally, in certain cases, no inconvenience is experienced during the day but at night the kidneys secrete more urine, and after retiring it is necessary to get up frequently to void this condition, in the absence of any local trouble, is usually the result of complete rest in bed which removes the extra work required of the heart during the day. The result is that the heart performs its excretory work better at night, the circulation of blood is improved, and the kidneys secrete more urine. This occurs especially when the heart is weakened and has no reserve power. such people often complain of shortness of breath when climbing stairs or walking up a hill. For such symptoms a first class physician should be consulted promptly to make a careful examination of the heart, and then advice accordingly.

One of the commonest causes of frequent urination in young men is an old, uncured gonorrheal infection. There is no discharge of pus, but the germs cause an irritation and make the urethra very sensitive. this condition can be cured by proper medical care, but it requires prolong treatment owing to the chronic condition.

The commonest cause in older men, especially past 50 yrs. of age, is a hypertrophy or enlargement of the prostate gland. the enlarge prostate gland presses upon the outlet of the bladder so that the bladder muscles cannot completely expel all the urine, and one-fourth or one-half of the urine remains in the bladder, according to severity of the condition. The result of this is that the urine becomes alkaline, or frequently becomes infected, causing a cystitis or inflammation of the bladder. when this symptoms indicate that the prostate gland is enlarged, consult your family physician to let him determine after he has made a recall examination if it is only a temporary condition and whether he can relieve the symptoms by local massage and treatment. If it is due to chronic condition and requires the use of catheter to draw off the urine, then the only cure is of the gland by operation. the best results are obtained before any complications occur, such as inflammation of the bladder or kidneys.

In women, especially in those who have borne children, a displacement of the uterus occasionally occurs. When the uterus falls forward it presses against the neck of the bladder and causes frequent urination. this often can be very readily corrected by the family doctor.