Have you ever been woken from a deep and dreamless sleep with the urgent need to run to the toilet?
Is this happening frequently throughout the night?
Have you found yourself questioning, why do I pee all night long?
If this sounds like you, then you may be experiencing nocturia.
Nocturia is a medical term for excessive urination at night.
When we sleep, the body produces less urine, and typically people do not need to wake up during the night for a toilet visit.
However, for some people, this is not the case, and they are constantly woken by the need to urinate.
This can disrupt sleep patterns and may be a sign of an underlying health problem.
Keep reading to learn what causes night-time urination and how you can naturally get rid of nocturia.
What causes nocturia?
There is no single identifiable cause of nocturia. Many factors can contribute to its development, including:
Prostate problems
Nocturia can often be a tell-tell sign of prostate problems in men. As men age, the prostate gland enlarges.
An enlarged prostate (BPH) can press on your urethra and prevent your bladder from emptying properly, resulting in urinary frequency.
Bladder problems
If you are feeling the need to urinate frequently, it could be due to an overactive bladder.
An overactive bladder (OAB) affects your bladder capacity, causing a sudden urge to urinate.
Alternatively, it may be a sign of a bladder infection. Symptoms include dark, cloudy, and smelly urine; pain when passing urine; and struggling to empty your bladder completely.
Diabetes
Frequent urination is a symptom of diabetes. High blood sugar increases your thirst, so you may drink more than usual, resulting in the need to urinate. This can affect sleeping patterns.
Certain Medications
Medications often have side effects, and nocturia may be one of them. This is particularly true of diuretics, a medication used to treat high blood pressure.
Multiple sclerosis
Bladder dysfunction is common in people with multiple sclerosis. It happens when MS lesions block the transmission of nerve signals that control the bladder and urinary sphincters.
Obstructive sleep apnea
Obstructive sleep apnea is when your airways get blocked, causing your breathing to start and stop when you sleep.
A study showed that over 84% of patients with sleep apnea reported frequent nighttime urination.
Pregnancy
During pregnancy, women may experience the frequent need to urinate at night, resulting in poor sleep quality.
Signs and symptoms of nocturia (nighttime urination)
Nocturia can cause sleepless nights. If you are experiencing the following symptoms, you should visit your doctor for advice.
- Excessive urination (polyuria)
- Frequent urination
- Urinary urgency
- Disrupted sleep
How is nocturia diagnosed?
During diagnosis, your doctor will ask you a number of questions to help determine the symptoms you are experiencing and any possible causes.
You may also be asked to keep a bladder diary, recording the amount you drink and how often you urinate.
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- Daily bladder diary
- Better understand your urinary symptoms
- Step-by-step guide
Further diagnostics may involve:
- Urinalysis detects problems that may be shown by your urine, such as an infection.
- Blood sugar test to check for type 1 or type 2 diabetes.
- Complete blood count (CBC) is a standard test that screens for certain disorders that can affect your health.
- A bladder scan shows the volume of urine remaining in the bladder after you urinate.
- Cystoscopy checks for a tumor or other causes of your symptoms. This is inserted through your urethra and into your bladder, providing a visual.
- Urodynamic testing checks to see how well your lower urinary tract stores and releases urine.
What are the treatment options for nocturia?
Treatment of nocturia will be dependent on its cause.
Medication
Medicines to help the kidneys produce less urine. For example:
- Desmopressin.
- Anticholinergic medications to treat bladder muscle problems. They are used to treat an overactive bladder by relaxing the bladder if it spasms. As do many drugs, anticholinergics come with several warnings. Reported side effects include memory problems, confusion, and blurry vision.
- Diuretic medicines to regulate urine production and high blood pressure. For example, Bumetanide and Furosemide.
However, as with many drugs, each comes with warnings and may have adverse side effects. Before taking medication, discuss the potential side effects with your doctor and do your research.
If your case of nocturia is related to underlying health problems, such as prostate problems or diabetes, your health practitioner will discuss the next steps for treatment.
Lifestyle Changes
To help manage the symptoms of nocturia, there are several changes you can make to your daily routine. These include:
- Urinating before going to bed.
- Taking steps to sleep better at night.
- Reducing the amount of fluid you drink before bed.
- Avoiding drinks, such as alcohol and caffeine, which can cause bladder irritation.
- Avoiding foods such as chocolate, spicy foods, acidic foods, and artificial sweeteners, which can also cause bladder irritation.
- Keeping a food diary so you can identify specific foods that may affect your symptoms.
- If you are taking diuretics, timing is an important consideration to discuss with your doctor.
- Practicing kegel exercises (pelvic floor exercises) to help strengthen pelvic muscles and improve bladder control.
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Clinical trials and meta-studies show that the active ingredients in Total Health for The Prostate have a positive impact on prostate volume, improve lower urinary tract symptoms, increase peak urinary flow, and decrease the risk of acute urinary retention.
Conclusion
- Nocturia can be an embarrassing condition that leaves you sleep-deprived and fatigued.
- While it might be easy to dismiss as part of ‘growing older,’ it can affect the quality of life and could signify an underlying health problem.
- Luckily, there are many nocturia treatment options available, as well as lifestyle changes that can help to manage symptoms.
Explore More
8 Ways To Naturally Stop Frequent Urination at Night (Nocturia).
