Nocturia is the frequent need to get up in the middle of the night and urinate. This is a common cause of sleep loss in people, especially among adults. Few researchers believe that one visit to the bathroom per night is within the normal limits, and two or more visits events per night may be associated with daytime tiredness. However, people who suffer from severe Nocturia may wake up to pee five or six times at night.
There are several causes of Nocturia, from lifestyle choices to medical conditions.
The most common medical conditions that cause Nocturia are urinary tract infection (UTI) or a bladder infection. These infections lead to frequent burning sensations in the bladder and urgent urination tendency throughout the day and night.
Other medical conditions that lead to Nocturia include:
It is also common in people suffering from heart failure, liver failure, or diabetes. Pregnancy and diuretic medications are also associated with it.
Medications like diuretics (water pills), which are used to treat high blood pressure, cause Nocturia in patients. A patient must seek emergency medical care if the person loses the ability to urinate or if the person no longer can control urination. It progresses with age. As the human body gets older, the bodies produce a less antidiuretic hormone that retains body fluid. With decreased production of this hormone, the body produces more urine at night. Also, older people are more likely to suffer from Nocturia. It is because their bladder tends to have more fluid holding capacity with age.
Frequent urination at night or nocturia symptoms include
Nocturia occurs when the biological clock of the person makes the daytime urination pattern happen during night time. Sometimes, the nocturia condition may also occur because of drinking too many fluids, especially caffeine before sleeping.
The patient and the healthcare specialist would want to learn more about the cause of nocturia. As such, the patient will be asked about the symptoms and health history. The diagnosis is also done by asking the patient to maintain a bladder diary to track the things like what amount and the kind of liquids one drinks and the trips to the bathroom. This will help suggest useful treatments. The healthcare specialist may also require more information about the condition and would suggest:
If a person is suffering from Nocturia, they should consult a doctor soon and follow the prescribed therapy. When consulting a doctor, the patient should bring a record of the number of times the person is urinating, a history of the sleeping habits as well as any daytime fatigue the person may be experiencing. The condition can be diagnosed by diagnostic tests like urinalysis, cystometry, neurological tests, and ultrasound. The doctor would prescribe medications after tests and evaluations.
You should make an appointment with a doctor if you’re urinating more frequently or if you are witnessing the following symptoms:
Lifestyle and behavioral changes are the first treatment. Natural remedies for nocturia include the following:
Avoid red wine and chocolate as they may worsen the symptoms. Dietary changes include cutting out several known food irritants from the diet and also limiting the intake of fluids. Foods to avoid
Retraining and controlling the bladder is often recommended to reduce nocturia. There are several ways to do this:
A person with nocturia should maintain a diary of urinary habits and based on the tracking, they can schedule trips by an additional 15 minutes to the usual urination times. This is important as in due course of time the person can gradually increase the period between bathroom visits.
Each time the urge to urinate occurs, one should try to delay the urination for at least 5 minutes. Relaxation techniques like deep breathing would help.
This technique is for people who think their bladder is not fully empty. For the person willing to double-void, they should:
Kegel contractions: These contractions involve strengthening the pelvic floor muscles, which are primary to control urinary flow. A person should practice squeezing these muscles for around 10 seconds and then relax for 3 seconds. This technique should be repeated 10 times. A person should have around three sets of 10 repetitions regularly.
Here are some lifestyle changes that you need to make.
Smoking would worsen nocturia. Coughing fits that occur in smokers may also increase leaking.
Excess weight puts additional pressure on the bladder and pelvic muscles. Maintaining a proper and healthy weight range is essential to control the bladder.
Though there is no scientific research or proof of an effective cure for Nocturia, some people believe that homeopathic medicines, hypnosis, or acupuncture methods can help treat Nocturia. One should seek advice from a trained practitioner if Nocturia occurs.
Also Read; Why Anxiety Causes Frequent Urination