Have you ever been in a situation where you felt like you needed to pee but could not use a restroom? A lot of times, especially in public, during an office meeting or an interview, we come across such circumstances, while sometimes we hold pee to not embarrass ourselves socially, or just because of the lack of facilities. Doing that often may not be good for our health.
The urinary bladder is a hollow, pear-shaped organ that forms part of the urinary system. The bladder's role while is to store urine, it also releases once the limit is crossed, which is around one pint or two cups of liquid. However, under certain circumstances, it can stretch to hold more than this.
We start to fee the urge to urinate when it is filled halfway.
When you hold your pee too often, your bladder stretches and the muscle weakens. As time pass by, it can become difficult for your bladder to empty it completely. This can lead to urinary retention, and being unable to fully emptying your bladder.
Ignoring the urge to pee regularly can lead to pain or discomfort in the bladder or kidneys. When you eventually make it to the bathroom, urinating might feel painful.
Additionally, the muscles involved in holding urine may remain partially tense even after you’ve emptied your bladder, potentially causing pelvic cramps.
One of the most common discomforts caused by holding in pee for too long is Urinary tract infection. It can cause bacteria to multiply.
As per the Urology Care Foundation, people should avoid holding in pee for extended periods, as it increases the risk of UTIs. Dehydration, poor personal hygiene, and certain medications can also increase the risk of developing a UTI.
As mentioned before, in long run, regularly holding in pee could cause the bladder to stretch and make it difficult or sometimes, impossible for the bladder to contract and release pee.
If someone has a stretched bladder, sometimes, extra measures like a catheter could also be necessary.
Regularly holding in urine can strain and potentially damage the pelvic floor muscles.
One key muscle, the urethral sphincter, helps keep the urethra closed to prevent leaks. Damage to this muscle may lead to urinary incontinence. Performing pelvic floor exercises, like Kegels, can help strengthen these muscles, repair damage, and reduce the risk of leakage.
For individuals prone to kidney stones or those with high mineral levels in their urine, holding in pee may contribute to stone formation. Urine naturally contains minerals like uric acid and calcium oxalate, which can crystallize and form stones over time.
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For people who work, laptops and computers are something we use every day. Sitting in front of a screen for hours can be bad for your neck and spine. When you sit and use your laptop the way you position yourself can hurt your neck over time.
This is true even when you are just scrolling on your phone. Keeping your head bent for a long time can put stress on the muscles and joints in your neck.
The problem is not the laptop itself but how we use it. Many people spend hours looking down at a screen without realizing it. This can cause muscle fatigue, stiffness, headaches and neck pain that will not go away.
Your neck is meant to support your head and let you move it around. When you keep your head tilted forward for hours the muscles in your neck have to work hard to keep it that way. Over time this can cause discomfort. Make it harder to move your neck.
If you sit with posture it can also affect the normal curve of your neck. Poor posture may not cause spinal problems on its own but it can cause wear and discomfort. This is especially true for people who already have neck or spine problems.
Also read: The Hidden Health Risk of Sitting for Long Hours: What Young Professionals Need to Know
One simple way to reduce strain on your neck is to make your workspace more comfortable. Your laptop or monitor should be at eye level so you do not have to look down all the time. Your back should be. Your arms should be comfortable too. Keep your feet flat on the floor. Do not sit still for too long.
It is also important to move regularly. Of sitting for hours get up and move every 30-40 minutes. Stand up walk around and move your neck and shoulders gently. This can help prevent stiffness and reduce strain on your neck. Your neck is meant to move not be stuck in one position for hours.
If your neck is stiff after a day, it may feel better with rest and better posture. If the pain gets worse or does not go away, you should see a doctor. If you have pain in your arm or if your arm feels numb tingling or weak you should see a doctor too.
To protect your neck, you do not have to make changes. Just make small adjustments to how you sit and use your laptop and move around more during the day. This can make using your laptop more comfortable. Reduce strain, on your neck and spine.
By Dr. Zahir Abbas Merchant, Consultant Spine Surgeon, Saifee Hospital, Mumbai
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Delhi has issued a public health advisory amid a sharp rise in H1N1, commonly known as swine flu, cases. Health authorities urging residents to follow respiratory hygiene, avoid crowded places and seek medical advice if flu-like symptoms develop.
The national capital has reported more than 1,777 H1N1 cases so far this year, including 114 new infections recorded on August 20 alone, according to the latest health department data. Overall, Delhi has reported more than 2,300 Influenza-A cases in 2026.
The sudden surge has prompted the Centre and Delhi authorities to step up surveillance and hospital preparedness. Health officials have also stressed that people should not panic but take necessary precautions to avoid getting sick.
According to health department, Delhi had recorded 2,392 Influenza-A cases by August 21, of which 1,777 were H1N1. The tally also included H1 and H3 infections and other Influenza-A strains.
The current number is significantly higher than the corresponding period last year. Public health experts have also described some of the H1N1 cases being seen this season as relatively severe.
Dr Chandrakant Lahariya, a public health expert, said H1N1 is not a new subtype and has been known for years, but the current surge needs to be taken seriously.
Doctors have linked the increase to the seasonal pattern of respiratory infections during the monsoon, when humidity, changing temperatures and increased indoor contact can facilitate the spread of respiratory viruses.
Dr Neetu Jain, senior consultant in pulmonary, critical care and sleep medicine at PSRI Hospital, told PTI, “H1N1 cases are particularly high in Delhi-NCR this year.”
She also said the number of cases was reported to be around six times higher than previous years and noted that high temperatures and humidity may contribute to the increase in flu and other viral infections.
H1N1 infection can mimic other viral respiratory illnesses. Common symptoms include:
Some people recover without complications, but influenza can become serious, particularly in young children, older adults, pregnant women and people with weak immune systems.
Difficulty in breathing, chest pain, drowsiness, low blood pressure, bluish discolouration or worsening of an existing medical condition are among warning signs that need urgent medical attention.
Also read: Human H1N2v Swine Flu Case Detected In China: Should You Worry?
With flu cases rising, doctors are also urging people not to assume that every fever or cough is H1N1 and start medicines without medical advice.
Dr Jain described H1N1 as a “fairly treatable illness”, while noting that it can become serious in vulnerable people. Antiviral medicines may be prescribed in appropriate cases, along with supportive treatment.
The Delhi government's advisory recommends several basic measures to reduce transmission. People are being urged to wear masks in crowded places, cover their mouth and nose while coughing or sneezing, wash their hands frequently and avoid close contact with people showing respiratory symptoms.
Residents have also been advised not to touch their eyes, nose or mouth unnecessarily and to avoid spitting in public places.
People who develop flu-like symptoms should stay away from others where possible and seek medical advice, particularly if symptoms become severe.
Authorities have also increased monitoring across the healthcare system. Thirty-five hospitals are under special surveillance, while referral laboratories at AIIMS and the National Centre for Disease Control (NCDC) are available for testing and confirmation.
Hospitals and district health authorities have been asked to strengthen monitoring of influenza-like illness, severe respiratory infections and COVID-19.
Union Health Minister JP Nadda has also reviewed Delhi's preparedness amid the rise in H1N1 cases, with authorities instructed to focus on surveillance, early detection and timely treatment.
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Chronic kidney disease is a disease whereby the patient's kidneys progressively lose their capacity to filter wastes and excessive fluids from the blood stream.
Since kidney damage develops slowly, many individuals might not experience any signs in the early stages of the disease. It is therefore critical for individuals to know about the stages of CKD in order to appreciate the significance of kidney monitoring and timely medical intervention.
At stage 1, patients' kidney functions will be relatively normal (eGFR level of 90 or more). However, there will be some indication of kidney damage for example presence of protein in urine. Individuals usually show no symptoms. Controlling diseases like diabetes and high blood pressure can delay progression of CKD.
This CKD stage is indicated by an eGFR level of 60 – 89 as well as kidney damage. There will probably be no symptoms or very mild symptoms at this stage.
Also read: US CDC Says COVID ‘Growing’ In Nearly Every State: What You Should Know
This stage reflects the moderate loss of kidney function and features an eGFR ranging from 30-59. It normally involves two sub-stages that can be either 3a or 3b. Some of the symptoms of kidney failure can be fatigue, swelling of legs or ankles, changes in urination, or hypertension.
The fourth stage means that there is a severe loss of kidney functionality, which can be measured by eGFR of 15-29. It normally entails such symptoms as vomiting, swelling, tiredness, or changes in appetite. Health specialists discuss the possibilities of treatment of end-stage kidney disease with their clients and prepare them for getting a new kidney.
Also read: US Woman Paralyzed After Potassium Mistakenly Given During Knee Replacement Surgery
Stage 5 is indicated by eGFR being below 15 or the inability of kidneys to perform their functions properly. Waste products and extra fluids can accumulate in the blood and cause life-threatening conditions. Depending on the condition of a patient, the treatments may include dialysis, kidney transplantation, or supportive therapy.
The progression of CKD may not always be swift and early detection can make all the difference. The management of blood pressure and sugar, heeding medical advice, living a healthy lifestyle and regular medical check-ups can help preserve kidney functions. If anyone experiences consistent swelling, alteration in urinary habits or feels unusually tired among other symptoms, they should visit a Nephrologist.
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