![]() ( A randomized double-blind study using Desmopressin, found a reduction in the symptoms of nocturnal polyuria.) Or you might benefit from medication that can reduce the amount of urine you produce at night. There may be a simple solution that includes limiting your fluid intake around bedtime or reducing swelling in the legs with compression socks. Treatment depends on what your provider learns. Usually a urinalysis, which tests your urine for germs and blood, is done. Your daily fluid intake can be measured through a voiding diary (how much you drink and how many times and how much do you go to the bathroom) over a 24-hour period is done. So what can your physician or health care professional do to help you get up less at night? First, a thorough history of what you’re eating and drinking as well as medications can be reviewed. In addition, they believe that there is no medication or treatment that can make it better. Unfortunately, lots of folks ignore nocturia and nocturnal polyuria because they think it’s just a sign of getting older. Diabetes, heart disease, high blood pressure, edema (swelling) of the legs and sleep apnea may be factors. In fact, as much as 20 – 33% of urine production can occur at night.įinally, there are also underlying illnesses that have nocturia as a symptom. One clinical trial conducted in 2011 found that around 80% of people with nocturia have nocturnal polyuria. However, the overwhelmingly most common reason why men and women get up at night is the overproduction of urine. Medications like diuretics (also called water pills), lithium and Vitamin D (if you take too much) can also cause nocturia. Alcohol and caffeinated drinks are diuretics (they make you go to the bathroom) and should be avoided before bed. Other causes of nocturia can be as simple as drinking too much fluids before bedtime or drinking the wrong type of liquids too close to bedtime. Nocturia has also been associated with an increased risk for falls, fractures, depression and even mortality. It can lead to decreased sleep, decreased efficiency at work and worsening quality of life. Nocturia is the most bothersome urinating symptom in both men and women. It’s not a disease but more a symptom of something that’s going on in the body. There are lots of factors contributing to NP including kidney, cardiovascular, and pulmonary causes. It’s simply making too much urine at night! The over production of urine at night is termed nocturnal polyuria or NP. However, the most common cause is not your prostate and not your bladder. In the past, because nocturia is urinating frequently at night, it’s been attributed an enlarged prostate (BPH) in men and an overactive bladder in women. Getting up at night to urinate frequently has lots of causes. ![]() In “ 5 Things You Probably Didn’t Know About An Unappreciated Organ: The Bladder,” there is a description of what part your bladder plays in the urinary tract. That excess fluid and waste goes into the bladder in the form of urine. Filtering occurs because of the high pressure that is created.Įxcess fluids, urea, uric acid and creatinine are some of the waste products that the kidneys filter. ![]() The glomerulus is unique in that blood flows into the structure in arterioles (smaller arteries) and also flows out through arterioles. This difference is necessary because blood in the arteries is under higher pressure than veins. Most of the time, blood flows from arteries that have thick elastic muscles to veins that have thin muscles. First, blood moves through the glomerulus. In 6 Facts You Probably Didn’t Know About Your Kidneys, describes how the kidneys filter the blood.įiltration is a two-step process. To refresh your memory, there are two previous posts that provide information about what your kidneys and bladder do. Getting up two or more times at night is the defining symptom of nocturia. If any of these statements describe your experience, you might have a condition called nocturia caused by nocturnal polyuria (NP). “When it was just once a night, I could handle it. “As soon as I lie down, I feel like I need to GO!” “I never get a full night’s sleep…I’ve got to get up two or three times a night.”
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