**Doctor Zhao Yongbin
I finally fell asleep, and I was woken up by urine, and nocturia was really annoying!
Nocturia is a very common but often overlooked disease. It is more common and increases with age.
Among them, the ratio of men to women is:Male 73%, female 35%。
What are the causes of increased nocturia?Is there any way to alleviate it?
Frequent nocturiaCauses
Frequent nocturia is related to physiology, age, and pathology.
Physiological factors
Drink diuretic drinks such as coffee, alcohol, plenty of water, or use diuretics before bedtimeInsomnia and mental stress may cause increased nocturia.
Age factor
As we age, nocturnal antidiuretic hormone secretion decreases, kidney function ages, and blood flow decreases.
Pathological factors
How to judgeFrequent urination at night
Frequent nocturia may be caused by increased frequency of urination, high urine output, or both.
Here are 3 criteria for your reference:
01 The number of times you get up and urinate 2 times in a row.
02 Nocturnal urine output is greater than that of the day, or greater than 500 ml (about one mineral water bottle).
03 Urine output (ml) greater than 10 at night.
*Note: If one of the above 3 criteria is met, it is considered nocturia.
The bladder capacity of a normal healthy male is generally 300 400 ml, the maximum urinary flow rate is more than 15 ml per second, and the normal urination time is generally less than half a minute, with an average of 21 seconds.
Frequent nocturia:
Be wary of this3 diseases
Prostate disease
Hypernocturia is one of the early symptoms of prostatic hyperplasia, which causes a decrease in the effective capacity of the bladder, prompting increased nocturia.
Note: Benign prostatic hyperplasia is the most common cause of frequent night wake-ups in middle-aged and elderly men
Diabetes
Diabetes can cause symptoms such as dry mouth, polydipsia and polyuria, and nocturia is one of the earliest symptoms.
Diabetes insipidus
Diabetes insipidus is caused by abnormal secretion, release, or transport of antidiuretic hormone, and patients may not be able to control the discharge of urine on their own initiative and urinate frequently.
In severe cases, there may be a gap of less than 30 minutes between each urination and a large amount of urine.
How to mitigateNocturia?
Relieves frequent nocturia
Light diet – According to the Dietary Guidelines 2016, the daily salt intake should not exceed 6 grams.
Excessive salt intake stimulates the desire to drink water, and after drinking a large amount of water, it increases the burden on the kidneys, leading to increased urination).
Control water intake before bedtime – try to drink less water half an hour before bedtime, no more than one glass (i.e. 200 ml).
This is especially true for patients with prostatic hyperplasia who are troubled by frequent nocturia).
Levator ani exercise - 3 4 rounds of levator ani exercise every day, through the way of strong inhalation, lifting, tightening, and then exhaling and relaxing, carry out powerful and rapid contraction exercises, which can be done alternately in 5 10 groups.
Proper dietary supplementation - black sesame, black rice, black beans, black fungus, wolfberry and various animal kidneys have the effect of warming and replenishing kidney yang, and appropriate supplementation is also beneficial to prevent nocturia.
Pay attention to men's health and protect a better life