What is Nocturia?
This is a condition involving the need to get up during the night to go to the toilet – and is most likely to happen when individuals get older. This problem is very common amid men who are older since it may be due to an enlarged prostate – referred to as “benign prostatic hyperplasia”. The prostate pushes on the urethra tube and prevents the bladder from emptying totally – causing the need for many trips to the toilet. But, studies recently have shown that many elderly women also suffer from the exact same problem.
Nocturia Symptoms
The indications of nocturia consist of extreme nighttime urination and the need to urinate in the night. This may be instigated by some disruption of the normal concentrations of urine or due to a consequence of the nerves and muscles that manage urinating due to the existence of over-stimulation. For a physician to make a conclusive diagnosis, he will need to examine carefully both the symptoms and the individual’s medical history. Nocturia may be instigated by endocrine, metabolic, as well as cardiovascular illnesses. Extreme urination through the night may also be caused by some drugs that having a diuretic effect or from consuming large quantities of liquid at night – predominantly beverages with caffeine or alcohol.
Causes of Nocturia
Symptoms of nocturia are most normally caused by one or more of numerous different medical problems, including:
- Diabetes
- Use of diuretics
- Sleep apnea
- Congestive heart failure
- Cystitis
- Prostate cancer
- Disorders of the prostate
- Incontinence
- Benign prostate hyperplasia
- Heart failure
- Acute pyelonephritis
- Extreme consumption of alcoholic beverages
- Hypercalcemic nephropathy
- Acute pyelonephritis
- Excessive amounts of beverages that contain caffeine
- Chronic kidney failure
- Excessive drinking prior to bedtime.
Nocturia Treatment
When not being due by a causal disorder, a diversity of changes in lifestyle as well as changes in behavior may help to lessen the incidences when an individual get up for the toilet at night. They may include the limiting the quantity of liquids being drank during the evening and particularly immediately before going to bed, napping in the afternoon, elevating legs during sleep and the use of compression stockings.
One or a combination of any of these lifestyle changes may help however a physician needs to be consulted prior to beginning any treatment, since nocturia might be instigated by a condition that is more severe. Keeping a diary of how frequent you get up during the night and how critically was the need to urinate every time is a good suggestion; it may help you distinguish any issues that might be contributing to the nocturia.
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There are also numerous drugs used to manage nocturia. The first line of drugs that can be used include the anticholinergic medicine, which includes numerous drugs that focus on the treatment of detrusor overactivity – this is the muscle that helps oust the urine. These consist of:
- Darifenacin – rises the bladder capacity and reduces the amount of contractions.
- Tolterodine – works similar to oxybutynin.
- Oxybutynin – relaxes the detrusor muscle and is available in tablet form and patches.
- Solifenacin – works similar to Tolterodine but with fewer side effects.
- Trospium chloride – blocks cholinergic receptors and allows bladder to relax.
In the result that these medications are fruitless treatment of nocturia, a second route of treatment may be used. These include:
- Imipramine – decreases urine production – how is unknown.
- Demsmopressin – matches the hormone vasopressin – results in the kidney creating less urine.
- Furosemide – normalizes urine creation and output while awake but does the opposite when asleep.
- Bumetanide – strong substitute to furosemide.
Numerous of these drugs have hazardous side effects and therefore should be taken under a doctor’s supervision in order to decide the suitable option for treatment. Extra in-depth information on medications may be found on the National Association for Continence website.
