Bathroom Urine Sheet

Your Daily Bladder Diary This diary will help you and your health care team figure out the causes of your bladder control trouble. A complete urine log or a bathroom log is a basic source of data for treatment. You can also use the Bladder Diary App as a comfortable water/pee reminder during the time of completing your electronic bladder diary.

It helps you track and know how much and when you drink liquids, how much and when you urinate, when you have that "gotta go" feeling, and how much and when you leak urine. When is a Bladder Diary used? You can use a Bladder Diary before or after visiting with your healthcare professional. This will allow you to measure your urine.

To complete your bladder diary you need to keep a simple record of: Measuring everything you drink. Write the amount you drank and the type of fluid i.e. "200ml juice".

When and how much you pass urine. Use a measured container or jug (mls). Add a cross if you were unable to measure your urine.

A bladder diary is a simple chart which allows you to record the fluid you drink and the urine you pass during the day and night, as well as document if you have urgency (a sudden and intense need to pass urine that cannot be put off) and/or accidental urine leakages. A bladder diary can provide valuable information for the healthcare professional treating your bladder problem and help monitor. Download a free bladder diary (voiding diary) PDF to track urination, fluid intake, and symptoms.

Print it out and start monitoring your bladder health today. The National Association For Continence provides education, community and support to those living with bladder, bowel or pelvic floor health disorders. A bladder diary is an assessment tool you may use with your health care provider to better understand your urinary incontinence symptoms.

Urinary incontinence is the uncontrollable leakage of urine. A diary can help you track a number of things. In case that the pad was wet with urine, fill in shortly whether it was a "S", "M" or a "L" amount.

Urine Voiding Diary - pen and paper style (PDF). Printable urine-voiding-diary.pdf An example of a diary template Indicate to what degree you had: Leakage prior to getting to the toilet Urgency degree to go to the toilet. If you leaked urine at any time write leak here.

Bladder sensation - Write a description of how your bladder felt when you went to the toilet using these codes: 0 - If you had no sensation of needing to pass urine, but passed urine for "social reasons", for example, just before going out, or unsure where the next toilet is.