Nocturia in people can be related to medical problems that may have an effect on the bladder. Certain conditions like pregnancy, diabetes mellitus or diuretic drugs intake can lead to frequent urination at night. Disease conditions like a tumour of the bladder or prostate, disorders affecting sphincter control, heart failure, liver failure or diabetes insipidus are also associated with Nocturia. Patients with fractures of hip and accidental falls can have this problem. So next time, we come across such an individual with Nocturia, we need to surely advice him to visit a Specialist, to find out the exact cause and get medical aid.
When Nocturia is related to a medical condition, the symptom will be reducing only after being treated for the underlying cause. Likewise, keeping the sugar levels in control can help to get rid of the symptom of Nocturia in case of diabetes mellitus. If it is associated with the normal aging process, we can at least help ourselves to cope up with it by some simple measures. We need to keep our room dark at night to stimulate more Melatonin production. Melatonin is a naturally occurring hormone in our body that regulates our sleep cycle. Its production is controlled by light exposure.
We can limit our normal intake of liquid towards night time but need to do so earlier in the day. Caffeinated drinks like coffee or tea and alcohol is needed to be cut down completely for at least 2-3 hours before we go to bed as these can stimulate urine production. Some people believe that hypnosis or acupuncture can be helpful but there are no scientific bases so far. Some people keep the television on to fall asleep or relax at the end of the day. But this is not useful as television can actually stimulate the mind; reduce Melatonin production because of the light rather than helping us. People with oedema (fluid retention) can wear compression stockings to reduce the fluid retention. Keeping legs elevated whenever relaxing can help in further retention of fluid in the daytime. As mentioned earlier, aging loosens the bladder holding capacity in both elderly men and post menopausal women. This can contribute to frequent urination at night. In that case, bladder training exercises are required with or without bladder relaxant drugs. Moreover, nowadays people are more prone to stress or worries. If we make a consistent effort to unwind ourselves from our stress and worries, relax comfortably in our bed at night, we are sure to get a good night sleep.
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