Urge To Urinate In The Middle of the Night: Expert Urologist Explains

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  • เผยแพร่เมื่อ 6 ก.ย. 2024
  • Dr. Blaivas explains that getting up in the middle of the night to urinate is called nocturia. Reasons for nocturia include the bladder not holding enough to allow the patient to sleep through the night, and the patient's kidney potentially making more urine than the bladder can hold. Nocturnal polyuria is when too much urine is produced overnight, therefore causing the patient to get up in the middle of the night to urinate.
    Jerry Blaivas, MD: Getting up in the middle of the night to urinate is called nocturia. Nocturia is very very common, in fact most people get up once or twice at night to urinate starting in the teenage years even.
    If you think about it, there is only two possible reasons why someone would get up in the middle of the night to urinate. One is that their bladder does not comfortably hold enough to allow them to sleep through the night, and, two, you make more urine, that it is to say your kidney is making more urine then your bladder cannot comfortably hold overnight.
    The second condition, we called nocturnal polyuria. The nocturnal means nighttime and poly means too much and uria means urine. So nocturnal polyuria means that you make too much urine overnight and that is probably the commonest cause of nocturia.
    The most common cause of that even is just drinking too much before you go to sleep. So if you have a couple of beers or you have wine before dinner and then you take a glass of water with some pills, all of that fluid that you ingest will then overnight be converted by the kidneys to urine and then if you make more urine overnight than your bladder can hold, then of course you have to get up to urinate.
    So nocturnal polyuria is the commonest cause and the other cause, the bladder not holding enough urine, has many many many causes. Probably the most common one is, temporary problem is, urinary tract infection. It can be caused by blockages by the prostate. It can be caused by bladder cancer, by all kinds of other irritable kind of conditions so thinking back then we have these two different causes, making too much urine at night or the bladder not holding enough at night. So, then what to do about it.
    Well the first thing you need to do about it is to diagnose it. How do we diagnose it? Very - very simply! We have you keep a bladder diary, that is to say you record the time and amount of urine, time and amount of each urination that you make in a 24-hour period, then we simply see how much you urinate at night, how much you urinate for the 24-hours and through some mathematical formula, we can figure out if you are making too much urine at night.
    Generally, people make less than a third of their urine during sleep hours. If you make more than that then you have this nocturnal polyuria and we look for the causes of that. I briefly alluded to what they were in the beginning but now to get more complete, the most common cause is simply drinking too much.
    Probably the second most common cause is people that take medications at night that can have a diuretic like effect. Another cause is anything that causes your legs to swell up, so people with varicose veins or from prior surgery, if your leg swell up during the day that the swelling is actually fluid and when you lie down at night, your body resorbs that fluid, that fluid gets into your system and the kidneys make more urine.
    Another common cause is something called sleep apnea, people who snore, best diagnosed by going to a sleep lab and if you have sleep apnea, then that is what causes the problem and the treatment of the sleep apnea is the problem.
    The bladders that do not hold enough urine, again we first determine that by the bladder diary and then we look for the common causes, common causes of urinary tract infection, prostatic obstruction, dropped bladder in women, overactive bladder, sometimes bladder cancer, bladder stones, no matter what they cause though, once the diagnosis is clearly understood then treatment of the underlying condition that is causing the nocturia is very often effective, it is usually effective.
    However, just having nocturia, just getting up at night to urinate by itself does not demand any treatment.
    So if you get up once or twice at night or three times and you are not bothered by it, there is no need for any treatment at all. If there is a need for treatment, if you are bothered by it, rest assured there just about always an effective treatment.
    Learn more about Dr. Blaivas: www.urologysite...

ความคิดเห็น • 825

  • @shoaibfarid8987
    @shoaibfarid8987 3 ปีที่แล้ว +29

    Of course it does bother you to get up twice or more during the night---particularly when you are old--and for a very small quantity which is often one tenth of what one could hold when up during the day;most common case.
    When you finally wake up in the morning, you are far from fresh and energetic due to sleep interruptions.

  • @00kidney
    @00kidney 4 ปีที่แล้ว +281

    I don't want to scare anyone here but if this happens frequently it could be a symptom of DIABETES and KIDNEY DISEASE. This is not the end of the world but if you have other symptoms or risk factors (high blood pressure, family history etc.) better get checked before things get worse. I've made a video on my channel recently explaining exactly what you should be on the look out for. God bless.

    • @andreasummers8443
      @andreasummers8443 4 ปีที่แล้ว +1

      Op0

    • @andreasummers8443
      @andreasummers8443 4 ปีที่แล้ว

      Op0

    • @killerqueenjazz8794
      @killerqueenjazz8794 4 ปีที่แล้ว +2

      Welp I can't get check out because the coronavirus

    • @ironfistarrival
      @ironfistarrival 4 ปีที่แล้ว +1

      Hi there , having a small Cyst on my left kidney after doing Ultrasound , it’s about 5 cm ,can it cause Frequent Urination ? How about also the Prostate Enlargement on the top of that ?
      Is it a dangerous thing having that small cyst ? And what causes it ? What is the best treatment to solve this problem ?
      Thanks .

    • @davidronson8712
      @davidronson8712 4 ปีที่แล้ว +1

      when I read the title , I wanted to write a post to add to it, but just realized you beat me to it. BRAVO.

  • @nallammahkulanthaivelu997
    @nallammahkulanthaivelu997 2 ปีที่แล้ว +12

    Thank you, Doctor. Your Explanation is very helpful and has helped me not to get worried about Unwanted fear about urinating at night.

  • @petersawyer8044
    @petersawyer8044 4 ปีที่แล้ว +103

    The most common cause is 'experts' telling us to carry a bottle of water around with us all day and keep drinking from it, to keep hydrated. Very fashionable, but guaranteed to keep you peeing all day and all night!

    • @bobboscarato1313
      @bobboscarato1313 3 ปีที่แล้ว +2

      You better hydrate or else; particularly in Hot weather places like TEXAS.

    • @crayfish7542
      @crayfish7542 3 ปีที่แล้ว +1

      This can be " The Very Best Thing " !

    • @hestergrove8779
      @hestergrove8779 3 ปีที่แล้ว

      @@crayfish7542 6

    • @leecheeway1446
      @leecheeway1446 3 ปีที่แล้ว

      ;0m

    • @AbdulGani-fx8pf
      @AbdulGani-fx8pf 3 ปีที่แล้ว

      Yes, peeing all day and all night. I always bring with me a bottle of water wherever I go. If I am dehydrated I got migraine. I am under medication for prostate problem, bph I think.

  • @lancecourtney3900
    @lancecourtney3900 2 ปีที่แล้ว +27

    I used to think if I limited my fluid intake well before bedtime my problem would either go away or be lessened. We have to remember the solids will also fill our bladders as well. No Eating or drinking 4-5 hours before bedtime.

    • @johncomfort9161
      @johncomfort9161 2 ปีที่แล้ว +1

      I can prescribe you to DOCTOR OSEIWE who cured me from #Diabetes' and #Asthma, you can also get in touch with him on TH-cam channel DOCTOR OSEIWE, if you need help and be cured completely🇱🇷.

    • @johnbulljuliet3668
      @johnbulljuliet3668 2 ปีที่แล้ว +1

      @@johncomfort9161 I need the doctor please

    • @beckygarrigan3700
      @beckygarrigan3700 2 ปีที่แล้ว

      @@johnbulljuliet3668 Me too, PLEASE!!

    • @kanki1174
      @kanki1174 2 ปีที่แล้ว +1

      Exactly. Very soon after I began limiting food and fluid intake 2-3 hours before bedtime my quality and duration of sleep enhanced significantly.

  • @lillyrocks2011
    @lillyrocks2011 5 ปีที่แล้ว +6

    The most important is to know what's causing it. Like several diseases since an infecting, severe infections, kidney problems, prostate, brain diseases, kidney damage, bladder damage (but why there should be an investigation), diabetes.
    Sadly many doctors don't want to do any research and will tell you that's "only" a common Urine infection.

  • @roncurtis224
    @roncurtis224 3 ปีที่แล้ว +24

    Surprised he didn’t mention enlarged prostate. That makes it very hard to completely empty your bladder effectively making it much smaller than it actually is.

    • @Wilshare
      @Wilshare 3 ปีที่แล้ว +6

      at about 4 minutes in he does mention it

    • @fionagregory9376
      @fionagregory9376 2 ปีที่แล้ว +1

      Women do not have prostrates.

    • @paulmitford5189
      @paulmitford5189 2 ปีที่แล้ว +2

      @@fionagregory9376 Why not? some women have balls.

    • @terrytari1891
      @terrytari1891 2 ปีที่แล้ว

      He did but he said that there could be many other reasons!

    • @terrytari1891
      @terrytari1891 2 ปีที่แล้ว

      @@paulmitford5189 They have eggs & smaller bladders than men!

  • @amigoAsterisk
    @amigoAsterisk 3 ปีที่แล้ว +77

    I’ve had OAB for more than 13 years. And it seems I almost cured it just a month ago.
    Was trying different doctors. It took multiple years until they set a proper diagnosis. I tried electrical stimulation, Mirabegron, Solifenacin. Medication helped a bit, but after I stopped taking it, the symptoms got back to what had.
    In November here were my complains:
    * I went to a bathroom about 15 times a day (60ml - 130ml per one time)
    * 2-3 times during night
    * During mastrubation I had to make a break to pee
    * If I wanted to go to a bathroom then I had to do it ASAP.
    So in November another doctor recommended trying a Bladder training. As a main treatment. I adjusted it a bit my way and unbelievably I got my first results in 2 weeks: first time for maybe last 10 years I didn’t go to a bathroom at night. Then I started to go to the bathroom more rarely.
    Here is what I got now:
    * I go to a bathroom 5-7 times a day (200 - 300ml per one time)
    * Haven’t gone to a bathroom at night last 1 month
    * I can easily wait if I need
    So for some reason doctors didn’t recommend trying bladder training and hence I thought it wouldn’t help, so didn’t bother.
    ========
    One important thing to mention. Those recommendations are for Overactive bladder, which is a diagnosis urologists made for my case. It’s not like I just decided that OAB is my case. Before starting OAB treatment I made blood, urine tests as well as Cystoscopy and Urodynamic testing to exclude other reasons.
    ========
    Here is my modification of the bladder training which helped me to get cured from Overactive bladder which I suffered from for about 13 years:
    With the help of pelvic floor physiotherapist learn how to achieve these things:
    How to understand that your pelvic floor muscles are contracted. The doctor might use “biofeedback” device to help you with this
    How to relax pelvic floor muscles
    Keep a bladder diary. Record how many millilitres you urinate every time you go to a bathroom. While at home you can have a plastic bottle at the toilet with the volume marks. While not at home you can use a zip-bag which you also have to mark. Like 50 ml, 100 ml, 150 ml and so on.
    Analyse the reason why you might want to urinate. Be aware that sometimes the reason is caused by some patterns. For example, here are some patterns that I have: when getting up from a chair/bed; when sitting with my legs bent underneath me; when coming back from outside to home; when feeling depressed; when taking shower; when pooping.
    Then every time you want to urinate ask yourself: “Why do I want to urinate? Is it caused by a pattern? If so, what can I change? Can I wait a bit more?“. F.e. if the urge is caused by a body position like when sitting with my legs bent underneath me, then take a position when pelvic floor muscles are not contracted. If the urge is caused by a pattern like when you get up from a chair, then recognize that it’s just a pattern and try to ignore the urge for some time.
    When you are already at the toilet and about to urinate. Do these steps:
    Try to analyse how badly you want to urinate. Is it 10/10 or 5/10?
    Do you feel that sometimes your stomach is a bit stretched when you want to urinate and sometimes the urge is just in the head?
    If the urge is not that intense, can you try to not to urinate and postpone it a little bit? Like 15 minutes?
    After you urinate, write down in the diary how many millilitres you urinated.
    Next time you at the toilet play a game: Based on your feelings and urge evaluation, try to guess how many millilitres you are going to urinate. This was the key technique for me. After some time you’ll learn to understand by your feelings/sensations how many mls you’re going to urinate. Use this prediction skill and when you feel that the volume is going to be below 200 ml, try to relax the pelvic floor muscles and just ignore the urge. Go to the bathroom only when you think it’s going to be above 200 ml.
    The only exception when you go to the bathroom to urinate and you feel it’s going to be less than 200 ml is before going to bed at night.
    During the night try not to go to the bathroom right away. Try to resist as much as you can, but don’t torture yourself. Just make a bit of effort.
    Don’t drink like 3 hours before bed. Try to see if reducing the coffee intake helps.
    Don’t bother with how often you go to urinate. For me if I drink a litre of cola then at the very beginning of the training I can urinate within a 15 minutes interval. That doesn’t matter. What matters is to be above 200 ml.
    The doctor advised me to try the bladder training for 1 month and if I don’t see any changes, then we can add the medication like Mirabegron to help following the training.
    After 2 weeks of the training I didn’t go to urinate at night. Probably that was the first time in the last 10 years. Then later I went to urinate less and less at night. Last month I didn’t urinate at night at all. Wish you all luck!

    • @johnp4301
      @johnp4301 3 ปีที่แล้ว +6

      I am so thankful that you wrote all these in order to help other who have the same problem and can't go to sleep is that still working?,have a nice day

    • @amigoAsterisk
      @amigoAsterisk 3 ปีที่แล้ว +1

      @@johnp4301 Thanks! Yes, it still works for me

    • @hamm0155
      @hamm0155 3 ปีที่แล้ว +4

      Thank you! I appreciate this! I can relate and will try some of your recommendations

    • @shannamack4290
      @shannamack4290 3 ปีที่แล้ว +1

      Wow, during masturbation you had to STOP & pee ....
      Mind over matter didn't work, eh ?!?

    • @lamu7368
      @lamu7368 2 ปีที่แล้ว

      Can u I help me from overactive bladder. I am suffering now. My doctor told I must have tot pee everyhour and holding pee is bad for pelvic muscles .I am in confused

  • @trevorgwelch7412
    @trevorgwelch7412 4 ปีที่แล้ว +5

    I’m 59 had prostate surgery and still get up 4 times per night . And need melatonin to get back to sleep. I also take Flomax . Being diabetic doesn’t help either . I use to drive a Transit bus . Retired now , thank God . Take Care. Small bladder and loosing weight is very important.... go on a diet !!!! Thank The Doctor for this video.

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      @victoryjack4769 4 ปีที่แล้ว

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    • @randomguy2809
      @randomguy2809 2 ปีที่แล้ว

      You should try eating keto( low carb, low sugar). I was just watching a video discussing insulin and this exact problem of peeing too much. If you weren't aware eating foods that spike your insulin makes you pee more. Just food for thought, but go watch that video.

  • @29brendus
    @29brendus 2 ปีที่แล้ว +10

    I stopped drinking tea/coffee about 1hr, or 1.5 hrs before going to bed, and that seems to help quite a bit. Also, if you are genuinely tired after being active all day, you will sleep it out. Losing weight and eating healthy will reduce your prostate size, as happened in my case. I'm 66 soon.

    • @hidalgogmupas7928
      @hidalgogmupas7928 ปีที่แล้ว +1

      Good In formation but i peeh Lot my doctor give me a prescription for removing fluids from my body and i peeh lot. Maybe I am consuming a lot of sugar i am not a diabetic.

    • @durango8882
      @durango8882 ปีที่แล้ว +1

      I switched to a small cup of coffee per day.

    • @Person-mh6xq
      @Person-mh6xq 11 หลายเดือนก่อน +1

      Eating healthy does NOT shrink the prostate. Don't know where you got that nonsense from.

    • @fokkerd3red618
      @fokkerd3red618 8 หลายเดือนก่อน

      ​@@Person-mh6xqYour right about that.

  • @jaderose5127
    @jaderose5127 6 ปีที่แล้ว +32

    Thankyou for your expertise and coverage in explaining so clearly this common topic.

  • @jcolumbiap
    @jcolumbiap ปีที่แล้ว +24

    Stress definitely makes a person get up and urinate. I have been running races for 40 years and the night before the race is always a bit spooky so I might use the bathroom more. The day after the race I might only get up once in the middle of the night. I actually have had doctors tell me that if I got up to use the bathroom I probably had prostate cancer. I just looked at him and thought WOW! I’ve had cancer since I was 5 years old! I quit going to him.

    • @brendadrew834
      @brendadrew834 ปีที่แล้ว

      Spot on! Stress , negative stress, unfortunately wrecks havoc on one's physical, psychological and spiritual health, it's a real killer! Why it's so vitally important to embrace one's life, not only physically, but emotionally/psychologically and spiritually, i.e. holistic health! The body, mind and spirit connection! Far too many allopathic conventional doctors just deal with our health on a physical level! They forget we also have feelings, a mind and a spirit/soul! smdh Remind them!

    • @pauledwards4333
      @pauledwards4333 ปีที่แล้ว +3

      I had the problem and after 8 weeks went to the doctor. After numerous tests he discovered using Ultrasound a growth, after a MRT scan I was diagnosed with cancer, morbus hodgkin. The growth pushed against the bladder when I lay fown. Hence the problem was only at night. It was aggressive and doubled in size within 10 days. A Chemo was given to me over 5 months called BEACOPP and I am now in total remission 11 years. So please get problem checked out. Do not wait.....

    • @worldwidesports4k
      @worldwidesports4k ปีที่แล้ว

      @@pauledwards4333 Hello how many times were you getting up at night to pee???

  • @jannetteberends8730
    @jannetteberends8730 2 หลายเดือนก่อน

    Since I learned about the ‘second sleep’ it doesn’t matter anymore that I wake up once in the night. I adjusted my sleep pattern, and read a book at night. Already kept trace of the intervals during 24 hours. And at day there is always one long period of 5 hours or longer. So my bladder can hold enough urine.
    This video convinced me that drinking in the evening has effect. So that’s where I can take some measurements to keep it to once a night.
    Thanks for this video.

  • @Kris.G
    @Kris.G 2 ปีที่แล้ว +10

    I reduced getting up 3-4 times at night to just once by not drinking anything 4 hours before going to bed and intermittent fasting - two meals, one in the morning and one 4pm. No snacking either.

    • @FromNishasPOV
      @FromNishasPOV ปีที่แล้ว

      Is it hard not to drink anything for 4hrs?

    • @keerthidelwatta2785
      @keerthidelwatta2785 6 หลายเดือนก่อน

      one should eat both meals within 8 hrs and balance 16 hours without food if calorific value. This 8 hours could be further reduced to 6 hours or 4 hours for better results out of intermittent fasting.

  • @worldview2888
    @worldview2888 2 ปีที่แล้ว +6

    Bless you Dr Jerry thank you for this lesson.

  • @crand20033
    @crand20033 ปีที่แล้ว +2

    Ingesting high levels of erythritol for a long time can increase the urine volume and the number of times you urinate. Caffeine can promote urgency and frequency of urination as well as nocturia symptoms. L-arginine causes a significant increase in urine flow, urinary excretion.

  • @susanchin4117
    @susanchin4117 ปีที่แล้ว +2

    Tqvm Sir, your explanation is so clear and helpful. God bless you and your family 🙏

    • @thompsonsmith7798
      @thompsonsmith7798 ปีที่แล้ว

      Hello Susan
      How are you doing?

    • @susanchin4117
      @susanchin4117 ปีที่แล้ว +1

      @@thompsonsmith7798, Very well, thanks.

    • @thompsonsmith7798
      @thompsonsmith7798 ปีที่แล้ว

      @@susanchin4117 You're welcome
      Where are you texting from?

    • @susanchin4117
      @susanchin4117 ปีที่แล้ว +1

      @@thompsonsmith7798
      Malaysia

    • @thompsonsmith7798
      @thompsonsmith7798 ปีที่แล้ว

      @@susanchin4117 I'm from Los Angeles California
      Mind if we text on goggle chat..

  • @jessegentry9699
    @jessegentry9699 4 ปีที่แล้ว +7

    Thanks, wonderful, to the point and helpful video.

  • @roncarpenter7240
    @roncarpenter7240 5 ปีที่แล้ว +396

    It's not the getting up that's my problem, it's that I cannot go back to sleep.

    • @anarchyxtra7795
      @anarchyxtra7795 4 ปีที่แล้ว +6

      Ron Carpenter I have the same issues have you found a resolution?

    • @aik9lifestyle589
      @aik9lifestyle589 4 ปีที่แล้ว +11

      @@anarchyxtra7795 hello . when you get up to relieve yourself use lighting that's not led / but Amber orange yellow low watts .
      As the light will keep you from falling back to sleep. Hope this helps

    • @anarchyxtra7795
      @anarchyxtra7795 4 ปีที่แล้ว +8

      @@aik9lifestyle589 that doesn't help unfortunately

    • @Antares8491
      @Antares8491 4 ปีที่แล้ว +9

      @@anarchyxtra7795 & Ron Carpenter >> " _I have the same issues have you found a resolution?_ "

    • @anarchyxtra7795
      @anarchyxtra7795 4 ปีที่แล้ว +4

      @@Antares8491 ok but it's my urination issue that makes me get up if I could solve that then I would probably be ok

  • @eddiemoore6962
    @eddiemoore6962 2 ปีที่แล้ว +4

    I'm 40 years old and have to get up to pee about 25 times in a period of 8 hours. I'm literally getting up every 15-20 minutes. I'm guessing that's to much?

  • @pilarrusso2171
    @pilarrusso2171 3 ปีที่แล้ว +7

    Thanks good explanation, it does Vader me BECOUSE interrump my sleep.

  • @dietmarventzke5327
    @dietmarventzke5327 3 ปีที่แล้ว +10

    I am T2Diabetic . I go 3 or 4 times at night. What the good Doctor did not say is most people in USA are diabetic and the kidneys are trying to get rid of the high blood sugar . So you need to pee a lot. The other one is enlarged prostate . The bladder never gets empty,only partly. So you go more often .

    • @woodroofguy
      @woodroofguy 3 ปีที่แล้ว +2

      I am 62yo and have been experiencing the exact same issue. Five weeks ago I started a strict Keto diet. Sleeping much better and only peeing once through the night. Amazing transformation!!! Reduced prostate issues as well. I highly recommend ketosis as a lifestyle.

    • @ioodyssey3740
      @ioodyssey3740 2 ปีที่แล้ว

      @@woodroofguy same here. it's too much sugar/carbs and stop drinking liquds in the evening. hydration hysteria is silly.

    • @REACHJ
      @REACHJ 2 ปีที่แล้ว

      I am so suprised that this doctor never once mentioned the word Diabetes. Diabetes or Pre Diabetes is the #1 cause or insulin/ Sugar issues. Yet he never mentions that at all.

  • @SH-kn7ut
    @SH-kn7ut 3 ปีที่แล้ว +3

    Lower back injury (to the spine) can also cause it.

  • @harrok38
    @harrok38 4 ปีที่แล้ว +8

    Thank you. Very informative.

  • @thetruthful9805
    @thetruthful9805 4 ปีที่แล้ว +5

    DOCTOR thank you very much for your time and valuable information.

  • @maryloudelossantos1624
    @maryloudelossantos1624 ปีที่แล้ว

    Thank you for sharing valuable helpful TIPS. I appreciate your precious time greatly!

  • @frankblangeard8865
    @frankblangeard8865 3 ปีที่แล้ว +2

    If you don't need to get up once in the middle of the night to urinate then you have a problem and should see a doctor. Can you imagine going eight hours at work without needing to urinate?

  • @AnxietyMentor
    @AnxietyMentor 4 ปีที่แล้ว +22

    I dealt with this for years and no longer experience it. For me it was anxiety related. If your symptoms are anxiety related they will go away once you reduce your anxiety, reduce your stress and learn to under react and even embrace the symptoms.

    • @AnxietyMentor
      @AnxietyMentor 4 ปีที่แล้ว +2

      @Jibon Sarkar At my worst I was going about 40-50 times a day.

    • @AnxietyMentor
      @AnxietyMentor 4 ปีที่แล้ว

      @Jibon Sarkar I did make a video about this a while ago. It's on my channel.

    • @AnxietyMentor
      @AnxietyMentor 4 ปีที่แล้ว

      @Jibon Sarkar You're welcome.

    • @edthomas141
      @edthomas141 3 ปีที่แล้ว

      Eswryokm.

  • @farshimelt
    @farshimelt 3 ปีที่แล้ว +14

    Whenever I have to get up at night to pee, I get up and pee.

    • @johnwunder3521
      @johnwunder3521 3 ปีที่แล้ว

      same

    • @garycooper8652
      @garycooper8652 2 ปีที่แล้ว

      It's better to get up and pee,
      Than pee and get up . . . . .

    • @beakytwitch7905
      @beakytwitch7905 2 ปีที่แล้ว

      Enlightening ! ;-)

    • @hugostiglitz8855
      @hugostiglitz8855 2 ปีที่แล้ว

      @Eli Peraza. my wife’s prostrate must be swollen too

  • @HisaLight2mypath
    @HisaLight2mypath 4 ปีที่แล้ว +17

    No mine is all day and during the night

  • @tonybarfridge4369
    @tonybarfridge4369 ปีที่แล้ว +2

    If we're not bothered by it, there's no need to do anything about it? There is an underlying cause, which needs addressing, and can worsen, such as with diabetes related causes.

  • @jenethdsouza
    @jenethdsouza 3 ปีที่แล้ว +2

    Thankyou, lots of information. God bless 😊

  • @archietyler6759
    @archietyler6759 3 ปีที่แล้ว +7

    Thank you doctor that was so helpful. I was so worried cuz every test I took came back negative. You explained it so well. Thank you again!

  • @guillerminabentil-owusu737
    @guillerminabentil-owusu737 6 ปีที่แล้ว +17

    Thank you Dr., very valuable information, greeting you from Accra, Ghana, West Africa

    • @gsrao9282
      @gsrao9282 4 ปีที่แล้ว

      buu
      6

    • @vasudevakolar4091
      @vasudevakolar4091 4 ปีที่แล้ว

      Thank god even ghamand pissing frequently proves frequent pissing is an universal phenomena hail the frequent pissers

  • @jnorris32
    @jnorris32 6 หลายเดือนก่อน

    If you’re getting up 3 times a night and you’re not bothered by it… That’s not ok. It affects your sleep and that’s one of the most important factors in health.

  • @abrooke999
    @abrooke999 7 ปีที่แล้ว +12

    I don't drink water before I go sleep,in fact I don't drink much water even during the day,but I get up during the night three four times

    • @jessicasmith-wh4dq
      @jessicasmith-wh4dq 7 ปีที่แล้ว +1

      Do you drink pop that causes it too stay away from alchol in caffeine too drink milk or capri suns

    • @nathaliegrieves3859
      @nathaliegrieves3859 7 ปีที่แล้ว +3

      A B u should drink water during the day

  • @davidgabrie1302
    @davidgabrie1302 3 ปีที่แล้ว +19

    Last night was bad... after urinating I would need to go 12 minutes later and that happened several times. Finally got a huge jar and put by bed... luckily I fell asleep and now I’m trying to figure it out.

  • @mohammedthufail7146
    @mohammedthufail7146 4 ปีที่แล้ว +1

    There are several tips for ways to treat bladder control issues
    Use Kegel exercises- which involve flexing the same muscles you use to stop the urinary flow.
    Consider using losing weight if you are overweight excess

  • @italiagorino6358
    @italiagorino6358 4 ปีที่แล้ว +2

    Thank you very much.I take care of several oldsters and now I have answers.

  • @nathanhunter8740
    @nathanhunter8740 4 ปีที่แล้ว +29

    Not long ago I had a problem where I had to get up constantly to pee. Several time ~ night in fact. The doctors did several tests and couldn't find any problems. But the problem even got worse where I was literally falling asleep while STANDING. This happened twice and the last time i busted up my knee pretty good so i had no alternative but to force their hands. So I found another doctor soon after that and he prescribed a drug called Desmopressin. He told me to try it and it was safe. That used to prescribe it to young kids who peed the bed. So I tried it and the very first night I was able to sleep through the entire night without getting up to pee. That Doctor literally saved my life. It works if you know anyone with the problem. It comes in pill form or as an inhaler and both were equally good.

    • @johnnyjohnston9535
      @johnnyjohnston9535 3 ปีที่แล้ว +4

      Mr. Hunter, the minute I read this, I felt a glimmer of hope. Ty! For sharing! I'm going to enquire about this drug.

    • @Bodiedbyjane
      @Bodiedbyjane 2 ปีที่แล้ว +2

      Thanks for sharing, I will discuss this with my doctor

    • @muhammadrafiq4210
      @muhammadrafiq4210 ปีที่แล้ว

      For how long does one have to take desmopressin?

  • @carlosdyer5868
    @carlosdyer5868 4 ปีที่แล้ว +1

    Thank you doctor, that was right on time for me. Wish you were in eastern North Carolina.

  • @137bob3d
    @137bob3d 4 ปีที่แล้ว +14

    up to pee 1 to 3 times a night has been ongoing for the last 12+ years. and has been
    adapted to. a 'plus' is that the urge always follows a dream. so dreaming is not
    interfered with. so this means it'll be an hour or more before feeling sleepy again.
    thus the up-time , after taking a leak, is used in some manner that is productive.
    along the way i come across videos like this one. that give a person ideas .
    like watching your water intake and when. just yesterday i cut back from 3 x 500 ml
    bottles of water/ day to just two. and none after 6 PM. and last night , for the first time
    all month , did not wake during the night to pee.

    • @wataboutya9310
      @wataboutya9310 2 ปีที่แล้ว

      How much would that be in fluid ounces?

  • @notwrkn2mch
    @notwrkn2mch 2 ปีที่แล้ว

    Your advice on many issues sure helps out

  • @hon747
    @hon747 3 ปีที่แล้ว +1

    Brilliant analysis. Thank you.

  • @myrgo1648
    @myrgo1648 2 ปีที่แล้ว +3

    Sleep apnea can cause nocturia. I had to do a lot of my own research to figure out that’s what I have.

  • @johngallagher912
    @johngallagher912 4 ปีที่แล้ว +4

    Last night was a bad night. I had to get up to urinate every 15 minutes for at least two hours. Then 4 times the rest of the night.

  • @mohdahmed8400
    @mohdahmed8400 2 ปีที่แล้ว

    Thank you for sharing this valuable vedio

  • @terracotta1483
    @terracotta1483 3 ปีที่แล้ว +9

    Thank you Doc. Well explained.

  • @kokiishaq6715
    @kokiishaq6715 4 ปีที่แล้ว +6

    Thanks a lot, you are really the Best Doctor.

  • @teckhohng3870
    @teckhohng3870 4 ปีที่แล้ว +7

    Good information from medical expert.What medicine can one take to overcome the problem of the bladder not holding enough urine to disturb the night's sleep?

  • @frankdeenproject
    @frankdeenproject 4 ปีที่แล้ว +4

    thank you Doctor for the info

  • @jagathfernando6433
    @jagathfernando6433 ปีที่แล้ว

    Very well explained.Thank You Doctor.👏

  • @ronwells8806
    @ronwells8806 4 ปีที่แล้ว +2

    Thanks good information 👍

  • @02chevyguy
    @02chevyguy 3 ปีที่แล้ว +5

    The reason for my constant urination is due to the fact that I'm an idiot. I have Type 2 diabetes and continue to swill soda excessively.

  • @sastryugk2816
    @sastryugk2816 11 หลายเดือนก่อน

    Tks for your article Doc.I am a 73 yr old male with BPH and would like to seek your view reg PAE procedure .
    Is this a proven way to get rid of prostate enlargement and has wide and proven efficacy of combating the above problem? Will be obliged yo seek your view on this.
    Tks

  • @phubblewubbphubblewubb
    @phubblewubbphubblewubb 4 ปีที่แล้ว +2

    How about the 3rd cause then doctor? Eating too much sugar; the body is trying to flush it out in desperation.

  • @A.K2287
    @A.K2287 4 ปีที่แล้ว +1

    My sister urine at night without her knowledge, she tried not to sleep ,cry bitterly. I want happiness in her eyes, I cannot see her unhappy like that. She is avoided not to go in relatives houses, or picnic etc etc etc etc etc.

    • @Corduroy66
      @Corduroy66 4 ปีที่แล้ว +1

      Adult diapers for women is what she can find at any pharmacy or dollar store.

  • @shanmuga9745
    @shanmuga9745 ปีที่แล้ว

    Thanks for the valuable information

  • @noel888
    @noel888 3 ปีที่แล้ว +6

    I have always avoided any liguid after 5:30 pm during dinner for the very purpose to avoid getting up at night. So why do i still have to get up at least once during the night? Sometimes it just ruins getting back to sleep.

    • @crayfish7542
      @crayfish7542 3 ปีที่แล้ว +1

      If someone has trouble sleeping, then eat something, Before you go to sleep !
      Even " Cortege Cheese " works well " once your body starts " assimilating it " !
      Failing THAT / Have you heard of Melatonin ?
      [ Your body creates it, and it's sold over the counter ].

    • @keepwatching.3962
      @keepwatching.3962 3 ปีที่แล้ว

      It could be inflammation of bladder. For this there is urine in the blood. The diagnosis called intestial cystitis.

    • @dorothywalston3076
      @dorothywalston3076 3 ปีที่แล้ว

      @@crayfish7542 park 50thI

  • @nicholassheehan2070
    @nicholassheehan2070 4 ปีที่แล้ว +6

    I get up five to eight times every night. I have inspire therapy inserted for sleep apnea, it continues. I have had green laser treatment on my prostate. I am careful not to drink liquids after 7:00 PM. What do you think the problem is

    • @nicholassheehan2070
      @nicholassheehan2070 4 ปีที่แล้ว

      I have type two diabetes however I have an A1C of 6.0 to 6.2.

    • @vincentconti3633
      @vincentconti3633 4 ปีที่แล้ว +1

      My father used to say that he could sleep all night and day if he didn't have to pee. He died young at 92. I remember when I would visit him after my mother died we were both getting up at the same time every night to pee. At first I thought he was waking me up. But I often got up just before he did. I am now 68 and get up three or four times a night. The only thing that might be related in my case is that I was told from childhood that I have an enlarged spleen.

    • @vincentconti3633
      @vincentconti3633 4 ปีที่แล้ว

      Overweight? I was!

  • @MrDaiseymay
    @MrDaiseymay 4 ปีที่แล้ว +8

    I FOUND THAT BY NOT DRINKING LATE AT NIGHT, I GET CRAMPS IN MY LEGS DURING THE NIGHT

    • @vegyburger4588
      @vegyburger4588 4 ปีที่แล้ว

      Could try improving your diet, so less processed and fatty foods may help.

    • @AquarianRevolution
      @AquarianRevolution 4 ปีที่แล้ว +2

      You need magnesium and potassium. Take supplements. Look into a drink called "Calm".

  • @Evertruth28
    @Evertruth28 3 ปีที่แล้ว +3

    I ate Dark Chocolate 73%-100% Cocoa and stop urinating frequently in 2 weeks.
    I used to urinate 12 times a night 6 months ago.
    Doctor recommended.
    No drugs. No side effects.
    Low carb diets and fasting will cause me to urinate frequently especially during the night. Over 60 FYI.
    There are different reasons for this problem but I tried this one first. It worked!

    • @thomasjames8498
      @thomasjames8498 2 ปีที่แล้ว +1

      At what time did you eat the chocolate?

    • @jamesechevarria6177
      @jamesechevarria6177 2 ปีที่แล้ว

      Time?

    • @thomasjames8498
      @thomasjames8498 2 ปีที่แล้ว

      At what time of time of night did you eat the chocolate?
      How long before your went to Bed..one hour ..2 hours...5 minutes.?.. Thanks

  • @sarathdassanaike7594
    @sarathdassanaike7594 ปีที่แล้ว +2

    sometimes unable to holdup until go to a wash room
    may urinate urgently

  • @garrycampbell9845
    @garrycampbell9845 3 ปีที่แล้ว +1

    I had the operation to prostrate no change 3 months later turns out weak bladder due to diabetes doc still brought new car

  • @ihearfireworks
    @ihearfireworks 3 ปีที่แล้ว +3

    This is the second video on this topic that mentions varicose veins which I have. I am going to try compression stockings. Even if they just help with the aching legs it will be worth a try. Maybe I'll even get a good nights sleep. See also Michelle Kenways' video.

    • @praba991ify
      @praba991ify 2 ปีที่แล้ว

      did it help

    • @ihearfireworks
      @ihearfireworks 2 ปีที่แล้ว

      @@praba991ify too soon to tell; will check back in a week or so.

  • @semsemeini7905
    @semsemeini7905 ปีที่แล้ว

    I wish I had a Doctor like you.

  • @loverofthemilf
    @loverofthemilf 4 ปีที่แล้ว +18

    Peeing in the middle of the night is more normal than abnormal. If you go eight to nine hours without peeing, you are going to develop bladder problems.

  • @thephenomenon6258
    @thephenomenon6258 4 ปีที่แล้ว +2

    Thanks Doc very helpful informative greeting from Somalia 🇸🇴

  • @elliotportner8020
    @elliotportner8020 3 ปีที่แล้ว +1

    Nighttime ups and downs are common and to be dealt with

  • @goedelite
    @goedelite 4 ปีที่แล้ว +1

    Dr Blaivas did not explain, more than eight years ago, why he included prostate blockage with the bladder's not holding enough urine. They seem to be independent. If the exit from the bladder is blocked, the bladder could be normal and adequate and the problem would still exist. I don't think there is a treatment for nocturia caused by leg swelling due to venous insufficiency. Treatments for prostate blockage are problematical, despite glowing claims by their advocates. Some problems have no complete or lasting answers.

  • @speakingthetruthinlove9895
    @speakingthetruthinlove9895 2 ปีที่แล้ว +2

    I get up 4 times a night to pee. I've tried Vesicare and Myrbetrique combined, all to no avail. One urologist examined me and said I have a flabby bladder. So with a flabby bladder, I wouldn't think Vesicare and/or Myrbetrique would work, as they are bladder relaxants.

  • @kollurirajender364
    @kollurirajender364 3 ปีที่แล้ว

    great advice sir. thank you

  • @alvinlittlefield2878
    @alvinlittlefield2878 7 ปีที่แล้ว +110

    I notice he left out the possibility of Diabetes as a cause for night or day for that fact frequent urination !!

    • @neerjabhushan6175
      @neerjabhushan6175 6 ปีที่แล้ว

      Alvin Littlefield mqw

    • @donellwright6810
      @donellwright6810 6 ปีที่แล้ว

      How to treat hip pain

    • @pecilaable
      @pecilaable 6 ปีที่แล้ว +5

      fake doctor lol

    • @sport-lk2cx
      @sport-lk2cx 5 ปีที่แล้ว +6

      When i became a diabetic started wetting the bed so yes this is a big reason for me.

    • @nilsabenitez2774
      @nilsabenitez2774 5 ปีที่แล้ว +11

      I have diabetes and i go 5 or 6 times a night and i dont drink nothing before bed.

  • @yddub111
    @yddub111 3 ปีที่แล้ว +11

    this is great to know. i was prediabetic and i think i have that under control with diet change and exercise, but i was still peeing three or four times a night. i stopped drinking a lot of water too late and i got to one or two times a night but i was not sure if that was normal. this is a great informative vid. thanks!

  • @eifionphillips3004
    @eifionphillips3004 5 ปีที่แล้ว +2

    Candida can also cause diabetes type 2 and infections like urine infections, this is why i kept on weeing frequently because of urine infection.

  • @deliaschwartz667
    @deliaschwartz667 4 ปีที่แล้ว

    One thing was not mention is a probability of a bacteria, infection on the uretra, that causes pain before and after urination.

  • @ranae8609
    @ranae8609 4 ปีที่แล้ว +33

    It happens more-so while I’m trying to sleep, and the feeling never stops and keeps making it hard for me to sleep.

    • @a.b6889
      @a.b6889 4 ปีที่แล้ว +1

      I hear you, I never get any rest 😣

    • @jamdum2290
      @jamdum2290 4 ปีที่แล้ว +2

      My body is drain am not getting no sleep☹

    • @lessalazar9068
      @lessalazar9068 4 ปีที่แล้ว +1

      I've had the same problem for about two weeks now, went to the urologist yesterday and was diagnosed with prostatitis. Started taking my antibiotic yesterday and already see a huge difference.

    • @alicekaplanova2918
      @alicekaplanova2918 4 ปีที่แล้ว +1

      Jamdum22 me too 😔

    • @jamdum2290
      @jamdum2290 4 ปีที่แล้ว +1

      @@alicekaplanova2918 Sorry to hear. I am tired of going to different doctors. Same results, this problem started in twenties and i am now in my forties and its only gotten worst. I have no social life. It's that bad..

  • @ruh465
    @ruh465 4 ปีที่แล้ว +13

    How about the possibility of diabetes that you haven't mentioned?

  • @wishbone103
    @wishbone103 2 ปีที่แล้ว +1

    I have found that not drinking after 7:30 pm and drinking a half a glass of milk or eating 1/4 th cup of cottage cheese before bed calms my bladder and I last much longer. I seem to have a 3 to 4 hour bladder but with the milk I last longer.

  • @lbbradley55
    @lbbradley55 4 ปีที่แล้ว +7

    What about the NERVE that gives us the URGE to go being over active ? & When you do go you don't have much to pee but it still happening many times per night. STRESS & ANXIETY DISORDER ! my father & I have this problem. His is worse now that he has been diagnosed with Lung Cancer. His Stress =
    NERVES has him up & down all night with this. !

  • @Pimp-Master
    @Pimp-Master 6 ปีที่แล้ว +6

    So if you have bladder cancer, and it’s not bothering you, then there’s no need to seek treatment!

    • @LUREDADDY52
      @LUREDADDY52 5 ปีที่แล้ว +4

      + powergirl901 Bladder cancer, not bothering you, no need to seek treatment. Just let it get to the stage where treatment will not help, now your bladder is fucked & you leek urine all the time. So now, you have to be catheterise with a bag strapped to your leg to collect your urine 24/7, it's not fun. It in packs on every thing in your life from what clothes you can wear, going to a pool/beach, your sex life or just trying to get a good nights sleep. Mine was prostate cancer but with the treatment (radiation) it also destroyed my bladder my left kidney which has been removed, so now my right one is over worked & can not process all the fluid which then goes back in to the body, & with gravity it goes to down to your feet & legs. Fluid may also collect around your heart, which can bring on a heart attack, fluid in your lungs makes it hard for you to breathe. I had this happen a year ago now, my breathing became so ragged, I went to emergency at the hospital & they drained the fluid & I lost 7 kgs in 5 days. I was told twice that I didn't have prostate cancer with the finger up the bum test. They found it a year later when I went in for a bladder stone, by then the cancer was right through my prostate & was stopped before it was able to spread.

  • @deepaksood3234
    @deepaksood3234 ปีที่แล้ว

    The major reason for excessive urination at night is low AHD. Anti deuretic hormone also known as Vassopressin. In old age either the Hypothalamus doesn't produce this hormone enough or the pituitary gland, where it is stored doesn't secrete it enough. I'm trying to find a way to resolve this problem for my father but hasn't got any answer. Not sure if this method will work.

    • @MikeNewland
      @MikeNewland 2 หลายเดือนก่อน

      First person to mention this don't docs know?? I found a reference somewhere to flax seed increasing vasopresin secretion, I think there is a medication but probable side effects.

  • @andrewhanson5942
    @andrewhanson5942 9 หลายเดือนก่อน

    So, how about an enlarged prostate as a contributor?

  • @princeicio
    @princeicio 2 ปีที่แล้ว +1

    I literally woke up +10 times to urniate. It's getting worse with the cold weather. Even if I don't drink anything for 2 days I still urinate!!!!!!

    • @AngelinaX23
      @AngelinaX23 2 ปีที่แล้ว

      Same here. Waking up during the night makes me anxious. Anxiety makes me have to pee.

    • @simonpepper9721
      @simonpepper9721 2 ปีที่แล้ว

      Lay off the sugar and carbs and take zinc tabs. Watch the difference

  • @hassanmusa6375
    @hassanmusa6375 4 ปีที่แล้ว +12

    Weak pelvic muscles leads to inability to hold urination longer, I have tried Kegel exercise and it helped alot. D problem is I am lazy to do d exercise routinely.

  • @BigEightiesNewWave
    @BigEightiesNewWave 2 ปีที่แล้ว +1

    It ruins my sleep. Feel tired all day.

  • @wr.neutel1276
    @wr.neutel1276 4 ปีที่แล้ว +4

    My 'problem' but saves me a lot of sleepingtime. God Bless it and you all

  • @hashimraza4383
    @hashimraza4383 6 ปีที่แล้ว +1

    A good inforation, thank you Best doctors

  • @meshell1399
    @meshell1399 ปีที่แล้ว +1

    This happened to me one time..I was up 10 15 times...over and over..it was a only a little pee..but I was back in forth not even 10 minute's. it was driving me crazy 😧
    I think I had a over active bladder!

  • @dkithore
    @dkithore 7 ปีที่แล้ว +6

    Very clear presentation. thanks.

  • @robertmeyer403
    @robertmeyer403 3 ปีที่แล้ว +1

    My major cause is due to my having inherited gout! My back disks have dissolved to the point that I am three inches shorter than I used to be! The omly place that I can give in is my bladder itself! So that's where I have space to give up..in fact I believe that my bladder has even folded over as everytime I urinate when I seem to be finished I always wait a few seconds and a little more comes out as the upper (folded over) part as it finally drains itself.

  • @bmc2562
    @bmc2562 4 ปีที่แล้ว +4

    I notice after drinking those cheap 'soup in a cup' products in the day,I have to get up in the night-the more I drank ,the more I got up.Now avoid them-maybe there is an additive that is contributing to the problem.

  • @viviennetaylor108
    @viviennetaylor108 3 ปีที่แล้ว +1

    Hi doc I was diagnosed with fibroids an The doctor says it sit on my bladder so that cause me to pee very often sometimes four times I have to get up to pee am really tired of this I can't get a good night sleep cause I have to go to the bathroom can u help me

  • @nonyourbuz5805
    @nonyourbuz5805 3 ปีที่แล้ว

    ...I agree that diabetes insipidus might have been mentioned....

  • @fariborzjamaspesfandiary2998
    @fariborzjamaspesfandiary2998 2 ปีที่แล้ว

    how can i empty my bladder get help with any pills with no said effect thank you

  • @scottjackson163
    @scottjackson163 ปีที่แล้ว +1

    Some internet guy claims that eating two boiled eggs just before bedtime is the cure for nocturia. I’m giving it a try.

  • @jotarokujo3216
    @jotarokujo3216 2 ปีที่แล้ว +1

    I feel this problem whenever I slept on my back rather than side sleeping

  • @TheHandsomeman
    @TheHandsomeman 2 ปีที่แล้ว

    Also, food is around 9o% water.

  • @cvcoco
    @cvcoco 3 ปีที่แล้ว +3

    Im not a Dr but just observing myself and others. If youre an older man you have a steadily enlarging prostate and thats going to pinch the line which slows the ability of the bladder to fully empty. This means more frequent urination. Laying down on your back or on one side or the other definitely affects this too. For some, sleeping on the right side reduces the urge. Also, people who urinate frequently at night HAVE had nights where they slept the whole way through and didnt pee at all, regardless of whether they drank a lot before sleep, and didnt know why. So, if you are an older man and have have no prostate exams, its time. And that might be the problem. Im not a Dr, just observing actions!

  • @fisenknan3981
    @fisenknan3981 3 ปีที่แล้ว +5

    I sleep with Airconditioning turned up very cold. I notice if I sleep without aircon, ie room is warm with fans, I don't urinate at night. So the room temperature affects how much your urine is produced. Also if I take meat for dinner, seems I dont urinate at night. Perhaps high protein with more salts is better, as I took rice high carbohydrate mostly at dinner. Makes sense?