Why do you wake up at night to urinate?

Nighttime urination may be caused by factors such as excessive physiological water intake, reduced bladder capacity, prostatic hyperplasia, urinary tract infection, diabetes, etc. It can be improved by adjusting living habits, drug treatment, etc.

1. Drinking too much water:

Drinking large amounts of water or consuming diuretic drinks such as coffee and strong tea within two hours before going to bed will lead to increased urine production at night. It is recommended to control fluid intake after dinner, avoid alcoholic and caffeinated drinks, and allocate 70% of the water consumed throughout the day during the day.

2. Decreased bladder function:

Aging or holding in urine for a long time may lead to a decrease in bladder detrusor contractility and reduced urine storage capacity. You can perform bladder training, such as regular urination, Kegel exercises to strengthen the pelvic floor muscles, and avoid irritating foods.

3. Prostatic hyperplasia:

A common cause in middle-aged and elderly men is that the enlarged prostate compresses the urethra, resulting in poor urination and increased residual urine. Symptoms include frequent urination and thinning of the urine line, which may be related to changes in androgen levels, and need to be confirmed by digital rectal examination and ultrasound.

4. Urinary tract infection:

Cystitis or urethritis caused by bacterial infection can stimulate frequent urination, often accompanied by burning pain during urination and cloudy urine. Women are more likely to have it due to their shorter urethra, which is related to hygiene habits, sexual life and other factors. Routine urine examination is required.

5. Abnormal blood sugar:

The osmotic diuretic effect of diabetic patients will increase the number of nighttime urinations to more than three times, which may be accompanied by thirst and weight loss. It is recommended to monitor fasting blood sugar, control carbohydrate intake, and promptly detect metabolic abnormalities.

Comprehensive intervention is required to improve the problem of nocturia: dinner should be light with less salt, and avoid diuretic foods such as winter melon and watermelon.； Empty your bladder before bed and keep your perineum clean and dry ； Diabetics need to monitor their blood sugar, and patients with prostatic hyperplasia can try sitz baths to relieve symptoms. If nocturia persists for more than 2 weeks or is accompanied by hematuria, fever and other symptoms, you should promptly seek medical attention from a urology department or endocrinology department, and perform a urodynamic examination or prostate-specific antigen test if necessary. Middle-aged and elderly people can appropriately supplement phytonutrients such as pumpkin seed oil, but they cannot replace regular treatment.