Nocturia is when you pee too much at night. Common causes include medications, health conditions or drinking too much fluids before bed.
Causes of Nocturia. The main causes of nocturia include producing excess urine at night, decreased bladder capacity, and sleep disruptions.
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.
There are three main types of nocturia: 1) nocturnal polyuria (or overproduction); 2) bladder storage problems; and 3) mixed nocturia. People with nocturnal overproduction (polyuria) make excessive urine during sleep and less during the day.
Nocturia leads to sleep deprivation, which can cause exhaustion, mood changes, somnolence, impaired productivity, increased risk of falls and accidents, fatigue, lethargy, inattentiveness, and cognitive dysfunction.
Be sure to limit alcohol and caffeine (soda, tea and coffee). Manage your use of diuretics. If you have to take a diuretic, then do so at least 6 hours before you go to sleep. This will help reduce the number of times you urinate during the night.
Nocturia has multiple potential causes. The initial evaluation should start with a good history and physical examination, including such things as drinking habits, caffeine and alcohol intake as well as sleeping habits. A high sodium intake, hypertension, use of diuretics, and diabetes will all influence nocturia.
Nocturia causes lack of sleep and excessive daytime somnolence, reducing overall well-being, vitality, productivity, and mental health. Nocturia is significantly associated with testosterone deficiency, lower urinary tract symptoms (LUTS), and sleep disorders.
Limit your intake of fluids two hours before bedtime
You'll also want to limit alcohol and caffeine, which are bladder stimulants, throughout the day. If you're struggling with nighttime urination, cut back to just one alcoholic beverage, or none at all, and decrease your current caffeine intake.
Nocturia without Polyuria
Patients with congestive heart failure have decreased renal plasma flow and increased filtration fraction during ambulation. This is associated with sodium retention. Nighttime recumbency improves renal hemodynamics and sodium excretion, resulting in nocturia.
There is little evidence that drinking water before bed has specific health benefits beyond overall hydration. It may also increase a person's need to urinate during the night, known as nocturia.
The second theory is that anxiety and stress can cause muscle tension, which can affect the muscles of the bladder and increase the urge to urinate. Anxiety and depression are also associated with nocturia, which is the term for frequently waking during sleep to go to the bathroom.
Nocturia is common in CKD, but other disease processes such as cardiovascular disease and diabetes that can affect renal function as part of the overall clinical picture may lead to a multifactorial pathophysiology of nocturia.
Context: Reduced renal function impairs salt and water homeostasis, which can drive nocturnal or 24-h polyuria. Nocturia can arise early in chronic kidney disease (CKD). Evidence-based recommendations can facilitate management outside nephrology clinics.
Vitamin C
Vitamin C is one of the most popular vitamins for good reason! Vitamin C intake is also a helpful resource when it comes to urinary incontinence, as it can act as an antioxidant that can reduce inflammation in the bladder leading to decreased urinary urgency and improve overall bladder health.
Another possibility is that anxiety and stress causes muscle tension which in turn affects the muscles of the bladder and increases the urge to urinate. Finally, studies also link nocturia, a symptom of OAB in which you wake frequently during the night to go to the bathroom, with depression and anxiety.
The aging process, behavioural habits and a multitude of pathological conditions are the main contributors to the development of nocturia in the elderly. Age-related physiological changes can alter the regular pattern of urine excretion and lead to increased nocturnal frequency of voiding.
A low-dose version of a medicine called desmopressin may be used to treat nocturia, which is the frequent need to get up during the night to urinate, by helping to reduce the amount of urine produced by the kidneys.
There are several possible causes of nocturia. Now a group of Japanese scientists have discovered that reducing the amount of salt in one's diet can significantly reduce excessive peeing -- both during the day and when asleep.