If you have ever experienced frequent urination in the evening, surely you are forced to know the facts about frequent night time urination.

Excessive urination at night is a condition in which you wake up many times during the night just to urinate. This is also called nocturia.

If someone you love suffers from bed-wetting, you’ll definitely want to read this…

Considerations
Normally, urine has a decrease in volume and tends to be more concentrated at night. This means that most people can sleep between 6 and 8 hours without the need to urinate.
However, persons with nocturia repeatedly get up several times during the night to urinate. For this reason, those who have excessive urination at night frequently have disrupted sleep cycles.

Cause
• Benign prostatic hypertrophy
• some medications that include diuretics, demeclocycline, lithium, methoxyflurane, phenytoin and propoxyphene
• Chronic or recurrent urinary tract
• Chronic renal failure
• Congestive heart failure
• Cystitis
• Diabetes
• Drinking too much fluid before bedtime, specifically coffee and alcoholic beverages
• Calcium level greater than the normal range
• Obstructive Sleep Apnea and other sleep disorders

Home Care
Keep a diary of your overall oral fluid intake, urine frequency, and urine output. Write down your body weight at the same time on the same scale every day.

Situations requiring medical assistance
It is imperative to seek a doctor’s help if:

• Excessive nighttime urination persists for several days already and is not caused by drugs or frequent fluid intakes

• You are disturbed by the number of times that you urinate at night

What to expect at the doctor’s office
The doctor will perform a physical assessment and ask questions about your nighttime urination. These questions may include:
• When did it start?
• How often does it occur in the evening?
• Was there a change in the volume of urine produced?
• Have you ever experienced “accidents” or bed wetting?
• What is the estimated amount of urine each time you void?
• What makes the condition worse or better?
• How much water do you consume before sleeping? Have you attempted to restrict fluids before bedtime?
• What other manifestations are present? Have you experienced burning or pain when urinating? Do you experience back or abdominal pain? How about fever?
• What drugs are you taking?
• How much caffeine do you consume everyday?
• Have you experienced bladder infections in the past?
• Do you have a family history of diabetes?
• Does your nighttime urination disrupt your adequate sleep and rest?
• Do you drink alcohol, and if so, how much each day?
• Did you just alter your diet?

The diagnostic tests that can be performed:
• BUN
• serum creatinine or creatinine clearance
• Fluid deprivation
• Osmolality
• serum electrolytes
• blood sugar (glucose)
• Urinalysis
• concentration of urine
• Urine culture

Treatment depends on the causative agent. If excessive nighttime urination is due to diuretics, you may be advised to take the drug early in the day.

Alternative Names
Nocturia

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