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Alpha blockers are pills that relax the muscles of the prostate and bladder, and improve urine flow. These medications include alfuzosin (Uroxatral), silodosin (Rapaflow) terazosin (Hytrin), doxazosin (Cadura) and tamsulosin (Flomax). These drugs are recommended for men with moderate to severe BPH.
Early prostate cancer does not usually cause any symptoms. If the cancer has grown large enough to put pressure on your urethra, the symptoms of prostate cancer can be difficult to distinguish from those of prostate enlargement. They may include: needing to pee more frequently, often during the night.
Drinking too much fluid during the evening can cause you to urinate more often during the night. Caffeine and alcohol after dinner can also lead to this problem. Other common causes of urination at night include: Infection of the bladder or urinary tract.
And it happens more frequently later in life. “It's normal for men as we age to get up to go,” says urologist James Ulchaker, MD. “In fact, it's normal for a 60-year-old man to get up once, a 70-year-old man to get up twice and an 80-year-old man to get up three times a night.”
Contact your healthcare provider if you find yourself waking up to pee more than once or twice per night. It may be a sign of something else going on and the frequent wake-ups may leave you feeling exhausted.
Nocturia is often one of the first symptoms of an enlarged prostate. The key reason is that during the night, having your sleep disturbed makes the need to urinate frequently more obvious than during the day.
Nocturia has several possible causes, from drinking too much fluid before going to bed to having an enlarged prostate (benign prostate hyperplasia - BPH). The following are known to cause the condition: Drinking too much fluid before bedtime (especially alcohol and caffeine).
Can an Enlarged Prostate Be Cured? For most patients, BPH (enlarged prostate) is curable. Some people see a significant reduction in symptoms with medication alone. If medicine does not work, or your prostate is too large, surgery will often remove enough of the prostate to provide you with relief.
The drug desmopressin (DDAVP) reduces urine production at night.
Urinary tract infections (UTI) are the most common cause of frequent urination. These are bacterial infections in your bladder, urethra or other parts of your urinary tract. They include cystitis (bladder infection), urethritis (infection of the urethra) and pyelonephritis (kidney infection).
Nocturnal enuresis or bedwetting is the involuntary release of urine during sleep. Bedwetting can be a symptom of bladder control problems like incontinence or overactive bladder or more severe structural issues, like an enlarged prostate or bladder cancer.
“Our study indicates that if you need to urinate in the night – called nocturia – you may have elevated blood pressure and/or excess fluid in your body,” said study author Dr Satoshi Konno, of the Division of Hypertension, Tohoku Rosai Hospital, Sendai, Japan.
Sudden stress (pressure) on your bladder causes stress incontinence. Common causes include coughing, sneezing, laughing, lifting and physical activity. Younger and middle-aged women and people assigned female at birth (AFAB) near or experiencing menopause are most likely to have stress incontinence.
Weak bladder or pelvic floor muscles. Overactive bladder muscles. Damage to nerves that control the bladder from diseases such as multiple sclerosis, diabetes, or Parkinson's disease. Diseases such as arthritis that may make it difficult to get to the bathroom in time.
While it's not uncommon for people over 60 to urinate once or twice a night, if you urinate more than twice a night you should consider consulting a doctor.