Night Urination – Causes and Cures
Night urination is determined as waking up at least one time during the night time with a purpose to urinate. It is a widespread phenomenon that impacts the quality of lifetime of much of the population and will have an effect on the average number of years a person might expect to live . It arises because of a variety of problems, for example, enlargement of the prostate gland, congestive heart failure, kidney failure, etc.
The percentage of those who suffer from night urination fluctuates with elevated age. Various observations found that the incidence ranges from 16-40 percent among these aged 45-40 and 50-90 percent among those aged 80 years or over. It’s also thought of as a sleep problem because it is the cause for daytime sleepiness and weariness, despair and reduced psychological capability. As a result, there could also be increased morbidity, increased threat of problems and elevated rate of death rate which can be primarily as a consequence of falls and bones fractures.
In a good physical shaped person, there are daily adjustments in the production of urine by the kidneys. Daytime urine output is larger than at night time.
By definition, increased night urination output means greater than 20 percent of the full output of urine a day. Based on some researchers, the production of greater than 0.9 to 1.3 cubic centimeters per minute of urine at night time is considered as increased night time output. Patients who sleep six hours a night and their nocturnal night urination is 324 cc or more will probably be thought-about as suffering from increased nocturnal urine output, as a result of they produce over 0.9 cc per minute. Healthy people are not alleged to get up at night to urinate.
The general public belief is that extreme night urination is caused exclusively because of an enlargement of the prostate gland. But the issue may have several other significant reasons. One is a defect within the • anti -night urination• hormone production. This defect might be present at birth or acquired. In many cases, it is part of the getting older process, as a result of the hormone production decreases with age. Even consuming fluids or alcohol before bed might have an effect on the production of this hormone.
Another reason is the excessive discharge of salts and water by the body or due to congestive heart failure. Congestive heart failure means your heart can’t pump blood efficiently. In consequence, fluids remain within the body, concentrated primarily in the space between lower limbs cells. These fluids trigger edema. Edema can disappear in the morning, as a result of when lying the fluid flows back into blood vessels, the heart and, finally, to the kidneys.
Kidney failure or sleep apnea syndrome also can trigger blood drainage problems from the lower extremities. Because of this, the cumulative fluid within the space between the cells is as in congestive heart failure. If you are lying down at night, the fluid is dripping to the veins in the legs and reaches the kidneys. That produces more urine. Lack of estrogens, i.e. female hormones, causes urinary system dysfunction and frequency in day and night urination. Sleep disorders and urinary bladder storage disorders additionally increase the necessity for night urination.
The best-recognized problem associated with night urination is an enlarged prostate which causes the obstruction within the bladder• s output. Consequently, problems are created causing the necessity to urinate continuously day and night. A man with the problem ought to have a short and easy medical examination, which features a physical examination, completing a questionnaire about his medical situation (sickness, surgery and medicines he takes) and, of course, filling in a diary documenting his urination output during a 24 hour period.
Suggestions are supplied to patients to alter their lifestyles, equivalent to raising the legs while lying down or utilizing elastic stockings for patients affected by edema. These measures enhance the vein drainage and scale back edema. Another recommendation is to avoid drinking a lot, especially alcohol, tea and coffee, before going to bed. If the patient suffers from sleep apnea syndrome, using a positive pressure mask improves sleep quality and reduces night urination.
Different means of dealing with the problem are the treatment of ailments such as congestive heart failure, diabetes, conditions of an overactive bladder or blockage of the bladder by an enlarged prostate.
