NOCTURIA: CAUSES AND TREATMENTS

NOCTURIA: CAUSES AND TREATMENTS

Are you one of the adults who wake up at least twice a night to urinate?

Normally an adult person with an fluid intake has an urge for evacuating the bladder about 4-5 times during the day and none or once during the night.

If the bladder frequency to emptied is more often than this at night time it is called NOCTURIA - the need to wake and pass urine at night, in contrast to enuresis, where urine is passed unintentionally during sleep and it is something to look at.

What are the Causes?


Awakening at night to urinate (nocturia) has many causes such as:

●Congestive heart failure
●Poorly controlled diabetes mellitus
●Diseases of the bladder and prostate
●Various medications
●Pregnancy
●Excessive intake of caffeine containing drinks, tea or coffee

What are the treatment options?


●Treatment of the primary cause like infections with antibiotics
●Nocturia associated with pregnancy is self limiting
●Avoid Drinking more water at night and Alcohol
●Desmopressin tablet :Taken nightly before bedtime, desmopressin reduces urine production by increasing water absorption through the kidneys. The drug can cause low levels of serum sodium (hyponatremia). A severe case of hyponatremia can lead to seizures, coma, respiratory arrest, or death. Before starting desmopressin, make sure clinician check your sodium levels and is normal.

The drug is contraindicated for children, pregnant women, patients with symptomatic congestive heart failure or uncontrolled hypertension, and patients taking loop diuretics or glucocorticoids.

Nocturia though Embarrassing but is not a health hazard itself.
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