Tackling Nocturia To Get More Sleep

Tackling Nocturia To Get More Sleep

Below are blog posts by health care professional on Nocturia

This post is by Jerry Blaivas, MD, clinical professor of Urology, Weil-Cornell Medical School and adjunct professor of Urology, SUNY-Downstate Medical School

Are you awakened from sleep because of the need to urinate? Thats called nocturia. Getting up once or twice is considered normal, but if it bothers you or if you cant fall back asleep, it can be treated. If you get up more than twice a night to urinate, it is abnormal and could be the sign of a more serious condition. Nocturia and rushing to the bathroom is a major cause of falls and broken bones especially in the elderly. There is a long list of conditions and disease that cause nocturia ranging from heart failure and diabetes to prostate problems and varicose veins. Fortunately, almost all of the causes have effective treatments. So if you are bothered by nocturia, see your doctor.

This post is by Leslie Woolridge, MSN, RNCS, GNP-BC, director of the Bladder Control Clinic at Mercy Health Partners in Michigan

Sleep is the most important commodity our body owns. When disrupted it can affect us in many ways other than just being tired. To avoid getting up too many times at night, try these tips:

  • No caffeine after lunch
  • No fluids after supper or three hours prior to bedtime
  • Elevate swollen legs/ankles on three pillows for one hour around 4-5pm
  • If you are taking diuretics, ask your doctor if you can split them to take half in the morning and the other half in the afternoon
  • Make sure the path to the bathroom at night is lit to prevent falls
  • Use of a bedside commode or urinal can help cause minimal disruption in sleep
  • Try to stay up as late as possible. Going to be at 7pm or 8pm will result in frequent trips to the bathroom later during the night
  • When toileting yourself, remember to relax and use bladder emptying techniques that result in less urine left in your bladder. This not only helps with bladder urges but leaking with movement in bed

Realistic goals for night are five uninterrupted hours of sleep and not up to the bathroom more than one or two times per night.

This post is by Paul Fine, MD, medical director for Planned Parenthood and professor of OB/GYN and Urology at Baylor College of Medicine

Nocturia is a condition where you are awakened from sleep several times during the night because of a strong urge to urinate. Although awakening once to urinate is considered normal, many people with nocturia awaken 2-4 times leading to next day symptoms of lack of sleep that include fatigue and poor concentration. Additionally, persons awakening from a deep sleep with a strong urge to urinate will hop out of bed and rush to the toilet to avoid wetting themselves. They then lose balance and may fall suffering injury or broken bones. This is especially more common in senior citizens. There are several things that you can do to improve nocturia without requiring medication:

  • Do not drink fluids for several hours before going to bed
  • Limit evening caffeine
  • Limit evening alcoholic beverages
  • Limit evening carbonated beverages
  • If you are taking a diuretic for fluid retention or hypertension, take it in the morning and not in the late afternoon or evening

If these things to not help, then you should talk to your doctor about your problem with nocturia. Medications can be prescribed that can help. If you have arthritis or other conditions that limit your mobility, consider having a bedside commode so you will not have to rush to the bathroom and potentially fall and injure yourself if you still have some nocturia.

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7 Responses to Tackling Nocturia To Get More Sleep

  1. Hung says:

    Important tips! I have been previously searching for something such as this for a time now. Thx!

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  6. Diane says:

    A bit of contradictory info between Ms. Woolridge and Dr. Fine.

    Splitting a diuretic dose to BID, even with the 2nd dose in the afternoon, increases risk for nocturia. I believe Dr. Fine is right, diuretics should be taken in the morning.

  7. Having authored 2 volumes about A good nights sleep every night without the use of drugs I feel qualified to write about nocturia and pelvic floor muscle exercises. I totally agree with all of the recommendations made. Add to those a daily workout of these muscles & you will be amazed at what a difference can be made. Kegels are easy to do, the problem is that if done randomly while waiting on line they will not give the benefits desired. An organized, coached & reminder program is available on your smartphone. Search for Kegel Aerobics the app. What a difference an app can make

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