Nocturia: Symptoms, Diagnosis & Treatment (2024)

FAQs

Nocturia: Symptoms, Diagnosis & Treatment? ›

Nocturia is waking up more than once during the night because you have to pee. Causes can include drinking too much fluid, sleep disorders and bladder obstruction. Treatments for nocturia include restricting fluids and medications that reduce symptoms of overactive bladder.

Diagnosis of Nocturia

Blood tests: These tests can help identify underlying conditions, such as diabetes or kidney issues, that may be contributing. Bladder diary: Keeping a record of fluid intake, frequency and volume of urination, and episodes of nocturia can provide valuable information for your urologist.

Nocturia therapy should begin with modifying dietary habits, including compliance with the fluid regimen, avoiding alcohol, coffee and tea. Moderate physical exercise is also recommended.

Medicine for nocturia

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.

Desmopressin is the only therapeutic agent to be highly recommended for treating nocturnal polyuria by current guidelines. There is a medical need for new, approved drugs for treatments for patients with nocturia.

Anticholinergic or Beta agonist medicines to treat bladder muscle problems. They relax the bladder if it spasms. These are used to correct overactive bladder. Anticholinergics include: Darifenacin , Oxybutynin, Tolterodine, Trospium Chloride or Solifenacin.

The present work presented a very relevant and original assessment associating vitamin D deficiency in children with overactive bladder related urinary incontinence (1).

Lifestyle changes for nocturia include: Restricting fluids in the evening (especially caffeinated beverages). Taking diuretic medication in the morning or at least six hours before bedtime. Taking afternoon naps.

There are many lifestyle changes that could help with treating nocturia. They include taking the following actions: Restrict fluids in the evening. Limiting fluid intake, especially coffee, caffeinated beverages, and alcohol can result in a decreased amount of urine produced in the evening/night.

Herbs and supplements

Capsaicin: This natural remedy comes from chili peppers. Older research from 2003 recommends it as an efficient and inexpensive treatment for overactive and highly sensitive bladders. Pumpkin seed extract: An older 2014 study suggests this may be beneficial for both nocturia and OAB.

What makes nocturia worse? ›

Excess hours in bed will make sleep shallower, leading to worsening of their nocturia. Also, the longer patients stay in bed, the more likely they are going to need to urinate. Make the bedroom as comfortable as possible for sleeping by eliminating as much noise and light as possible.

- The Left Side Position: Sleeping on your left side allows gravity to aid the bladder in emptying more efficiently. This position can also reduce pressure on the pelvic floor muscles, making it an ideal choice for those with OAB and nocturia.

Nocturia, disruption of sleep because you have to urinate during the night, is significantly associated with testosterone deficiency (low T), lower urinary tract symptoms (LUTS), and — not surprisingly — sleep disorders. Some 1 in 3 adults over 30 experience the condition, and the risk increases as you age.

Oxybutynin transdermal patches are an OTC medication that can help people with an OAB improve their symptoms. This is only available as an OTC drug for females, while a version for males is prescription only. You typically need to apply oxybutynin transdermal patches twice a week and change it every 3–4 days.

Nonpharmacologic measures can help, but by themselves usually do not solve the problem. Drug therapies for nocturia include desmopressin (DDAVP), antimuscarinic agents, alpha-blockers, and 5-alpha reductase inhibitors.

It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night).

Drinking too much fluid during the evening can cause you to urinate more often during the night. Caffeine and alcohol with or after dinner can also lead to this problem. Other common causes of urination at night include: Infection of the bladder or urinary tract.

Nocturia is highly prevalent in patients with neurological diseases. It is considered as one of the most frequent and bothersome LUTS in stroke patients, and one of the most frequent NMSs in PD patients. However, information on NP and other neurological disorders such as SCI is scarce.

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.

Check in with your health care provider if: There's no obvious reason for your frequent urination, such as drinking more total fluids, alcohol or caffeine. The problem disrupts your sleep or everyday activities. You have other urinary problems or symptoms that worry you.