Excessive urination at night is known as simple as nocturia.
Nocturia or Frequent Urination is known by waking people during the night, a couple of times per night, to urinate. Often distraction during the night is bad for your sleep and that’s the main reason why this condition is considered to be a sleep disorder. Learn everything you need to know about this condition and check if you’re safe during the night.
What is Nocturia
Nocturia is known as a frequent need to use the toilet during the night to urinate. This condition is not the same as bedwetting or enuresis in which the person does not arouse from sleep, but empties bladder anyway.
Nocturia is a common cause of sleep loss. This applies to 3rd generation the most, or to older people.
In general, people who are not bothered by this condition can sleep for 6 to 8 hours without waking up. On the other hand, that’s not the case with people who are diagnosed with Nocturia. Doctors support the theory that urinating once per night is O.K., and it’s considered to be normal, while two or more events per night may be linked with tiredness that comes from daily schedule.
However, patients that are dealing with nocturia usually get up five or six times during just one night in order to reach the bathroom and urinate. A night of steady sleep if just not possible.
How Many Times Is Normal to Urinate at Night?
It is completely normal if you ask this question yourself occasionally because you should know how your metabolism works and what’s considered to be normal, and what might worry you.
Also, many people wonder how often they should pee. Although no specific number is linked with ‘normal pee number’, people on average urinate six or seven times a day. Furthermore, peeing between 4 and 10 times daily is normal if it doesn’t interfere with person’s life on a daily level.
There are many factors that can affect directly urinary frequency. The most common factors are:
- intake of fluids
- bladder size
- current medical condition
- type of fluids
- use od medications
Next, urination in pregnancy is different, it’s more often and it may from vary from women to women. In addition, peeing too often or not often enough, can depend on numerous underlying causes and most of the conditions are treated with major lifestyle changes and medications.
What Does It Mean When You Pee Once a Night?
If your bladder is killing your sleep it is usually a sign that your body is trying to send you some message and you should follow it. Your body gets rid of your fluids by urinating. Urine, in general, contains waste, toxins, urea, water, and uric acid. And the crucial role in this process lies to the kidneys.
The urinary bladder holds urination until it reaches the highest point and awakens an urge to urinate. As stated before if it happens between 4-10 times per day it’s still considered to be normal. However, if it happens above that number it’s a clear sign that you fall under the category of people who urinate a lot.
So, peeing a lot during the night means that your urinary frequency is high. If it kills off your sleep a couple times during the night, the chances are that you probably have nocturia.
Nocturia is known as a specific condition in which you wake up during the night to urinate. As people age, this condition becomes more common. It’s equally represented in both women and men, due to numerous reasons.
Nocturia always comes with a condition that includes urological infection, from bladder prolapse, over a tumor of bladder or prostate, or any another disorder that affects sphincter control. Nocturia is also often seen in people with heart failure, poorly controlled diabetes mellitus, or liver failure.
Strong belief that nocturia was caused by a full bladder was active for decades. However, recent studies showed that’s also strongly connected with a symptom of sleep apnea.
People are still not well aware of this condition and that they might have it. When it comes to the States even 72% of adults never heard of nocturia, and 66% of nocturia sufferers have never spoken to their doctor about it.
Before you determine that you have nocturia, be sure that don’t confuse it with overactive bladder (OAB).
Overactive bladder is caused by uncontrolled bladder muscle, meaning that a person has to urinate when the bladder is not actually full, so it means often urination during the day, and during the night, as well.
However, people with nocturia experience frequent urination only at night.
Causes for nocturia are many and the first one starts with intake of significant amount of fluids. However, causes for nocturia are often related to heavier health conditions. The most common causes of nocturia are the following:
- Infection of the bladder
- Enlarged prostate gland
- Infection of urinary tract
- Kidney failure
- Chronic kidney failure
- Drinking an excessive amount of water, coffee, and alcohol
Furthermore, waking often during the night can be linked to sleep apnea or one of many sleeping disorders
Symptoms of Nocturia
It is important not to mix nocturia with other conditions, so getting to know symptoms is ‘a must’. First thing first, waking up more than once during the night, and during the night only, in a longer period of time means that your normal sleep cycle is disturbed and that you are in the first phase of nocturia.
Symptoms of Nocturia in a Nutshell:
- Producing a great deal of urine
- Producing a large volume of urine during your sleep time
- Producing more urine at night
- Poor sleep
- Huge amoutn of liquids
Treatment of Nocturia
Treatment on nocturia depends on the type and cause of nocturia. For example, if sleep apnea is considered you may be referred immediately to a sleep specialist or even a pulmonologist.
Furthermore, you may be addressed to a urologist (specialist in urinary problems). If you have a slight doubt that you have nocturia, visit your physician and take it from there.
Intervention for nocturia is always a good step and these steps don’t include medications. The most common intervention steps are:
- Less fluids at night
- Use of diuretics
- Afternoon power naps
- Elevate the legs
- Prevent fluid accumulation by wearing compression stockings
If the nocturia is related to more serious health problems, you will probably have to see medications as the defensive line.
When it comes to medical treatments the most common drugs are:
- Desmopressin (DDAVP®)
– this medicine helps your kidney to produce less urine
- Bumetanide (Bumex®), or Furosemide (Lasix®)
– the main goal of these drugs is to assist you in regulating urine production
- Anticholinergic medications
– scale down symptoms of overactive bladder
Quick tip: If you need support for yours drug intake tracking, use this 30 – dose tracker.
Cause of frequent nighttime urination will determine treatment options. If the cause of nocturia is an infection it will be treated with antibiotics, while for more complicated or complex cases, patients will benefit from the urologist. All in all, a doctors visit is crucial in any way and it is your first step forward non-movement, all night long, sleep.
Can You Live With Nocturia?
High-quality life with nocturia is doable. So many people are already living with this condition. You will have to make certain adjustments to your lifestyle in order to make yourself life easier.
Cut down on everything that pushes you to use toilet often, like drinks, and adjust it to a normal amount of liquid. Don’t drink at least two hours before bed, especially tea and alcohol.
Good to know: Products like alcohol, coffee, and tea stimulate urine production.
Check with your doctor what is the best lifestyle to you and what you should limit yourself. If you are a tea lover and you just MUST drink a few cups of tea per day, try drinking tea that is good for your sleep.
Reach out a community of people living with nocturia and hear their stories and tips, that’s the first-hand experience. You will hear some priceless insights for sure.
You can try homeopathic medicines, and alternative approaches like acupuncture or hypnosis, as long as your doctor is O.K. with it.