Nocturia is a sleep disorder which causes a poerson to wake up at least a couple of times during the night with the need to urinate. This condition can affect both men and women at any age, but is most common in pregnant women and elderly people. This condition can be the result of simply consuming too much fluid close to bedtime or may be indicative of other physical problems.
A normal person is able to sleep 6 to 8 hours at night without having the need to urinate. People suffering from Nocturia wake up multiple times throughout the night to go to the bathroom, which causes a disruption in in their normal sleep cycle.
Symptoms may include:
- Excessive nighttime urination
- Overproduction of urine during the day (polyuria)
- Overproduction of urine while you sleep (nocturnal polyuria)
- Sleep difficulties – some people with interrupted sleep will urinate whenever they awaken, but NOT as a result of above symptoms
- Drinking fluids too close to bedtime
- Large intakes of fluid late in the day
- Drinking caffeinated beverages
- Alcohol consumption
- Use of Diuretics
- High blood pressure
- Heart disease
- Vascular disease
- Restless leg syndrome
- Sleep disorders
- Swollen legs
- Bladder obstruction
- Enlarged prostate (men)
Generally, after your primary care provider confirms your condition, he or she will refer to one of the following specialists:
- Sleep Expert
These are steps you can take yourself without the consultation of a doctor.
- Limiting fluid intake (especially tea, coffee and alcohol)
- Naps in the afternoon
- Leg elevation
- Compression Stockings
These behavioral modifications may reduce the accumulation of fluids and help relieve the symptoms of Nocturia.
Anticholinergic Medications decrease symptoms of an excessively active bladder. Side effects associated with anticholinergic medications are being lightheaded, having a dry mouth, and having blurred vision.
- Trospium Chloride
- Solifenacin (a new medication shown to have less anticholinergicside effects)
If the above listed drugs prove ineffective, second-line drug therapy may be introduced.
- Bumetanide (This loop diuretic should be taken with caution and only after you have consulted your doctor)
Nocturia can be a distressing complication for many individuals due to the effects of acute sleep disturbance. However, by taking proactive management of the condition, a better quality of life will follow.
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