Time intake of diuretics (take them mid- to late afternoon, six hours before bedtime).Restrict fluids in the evening (especially coffee, caffeinated beverages, and alcohol).Treatment options for nocturia, regardless of cause, may include: If prostate enlargement is the cause, medications or surgery may be needed. If sleep apnea is considered, you may be referred to a sleep specialist or pulmonologist. Treatment usually is targeted toward the underlying cause. He or she may refer you to a urologist to treat the condition. If you think you might have nocturia, see your healthcare provider. In addition to reviewing your voiding diary, your doctor may order a urinalysis to examine your urine for infection. Do you drink alcoholic beverages? If so, how much each day?.Does frequent urination during the night keep you from getting enough sleep?.How much caffeine do you drink each day, if any?.Has there been a change in urination output (increase or decrease)?.Is there a large or small volume of urine when you void at night?.How many times do you need to urinate each night?.Your provider may ask you the following questions: Your healthcare provider will review the diary in order to determine the possible cause(s) of and treatment for the nocturia. You should also record any medications you are taking, any urinary tract infections and any related symptoms. This is a two-day record of how much you drink, how often you have to go the bathroom and how much you urinated (volume in mL’s). To help your healthcare provider diagnose nocturia, you can keep a fluid and voiding diary. This occurs because the frequent urinations can interrupt your sleep cycle. Fatigue, sleepiness - even after waking up.Urinating more volume (if polyuria is present).Waking up more than once a night to urinate.This can cause disruptions in a normal sleep cycle. People who have nocturia wake up more than once a night to urinate. Normally, you should be able to sleep six to eight hours during the night without having to get up to go to the bathroom. Interstitial cystitis (pain in the bladder).Bladder infection or recurrent urinary tract infection.The causes of an inability of the bladder to fully fill can include: Benign prostatic hyperplasia (men), a non-cancerous overgrowth of the prostate that obstructs the flow of urine.The causes of an inability to fully empty your bladder can include: This can also occur due to difficulty sleeping - you may wake up for one reason, but then go to the bathroom while you’re awake, which will make you think that you woke up because you had to urinate. This is usually due to an inability of the bladder to fully empty (this is why it fills up faster) or the inability of the bladder to fill completely before developing the urge to urinate (low bladder volume). The total amount of urine produced is not elevated. If you have nocturnal urinary frequency, you may urinate in small amounts or urinate more frequently. Drinking too much fluid before bedtime, especially coffee, caffeinated beverages or alcohol.
Certain drugs, including diuretics (water pills), cardiac glycosides, demeclocycline, lithium, methoxyflurane, phenytoin, propoxyphene, and excessive vitamin D.Sleeping disorders, such as obstructive sleep apnea (breathing is interrupted or stops many times during sleep).Edema of lower extremities (swelling of the legs).The causes of nocturnal polyuria can include: It can re-enter your veins and be filtered by your kidneys, producing urine. Once you lie down to sleep, gravity no longer holds the fluid in your legs. This is usually due to fluid retention during the day that often accumulated in the feet or legs. Their urine volume during the day is normal or reduced. Those with nocturnal polyuria experience a high urine volume only at night. Diabetes insipidus, gestational diabetes (occurs during pregnancy).Untreated diabetes (Type 1 and Type 2).It can also happen if something is in the urine, pulling the extra water out, such as sugar (glucose). This is usually caused by there being too much water filtered by the kidneys. People with polyuria urinate >3,000mL in 24 hours. There are many possible causes of nocturia, depending on the type.
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