Cause Of Nocturia: High Blood Pressure
According to a 2019 study presented at the annual Scientific Meeting of the Japanese Circulation Society, people who woke up at least once per night to use the bathroom were 40 percent more likely to have high blood pressure. And those who woke up multiple times each night had an even greater likelihood of it.
Of course, this doesn’t mean that your nightly bathroom visits are a sure-fire sign that you have high blood pressure. But if you have no idea whether your blood pressure is normal or not, you should get it checked. Especially if you’re at risk of hypertension. Many factors can put you at risk a short list includes having diabetes, eating too much sodium and too little potassium, not being physically active, having extra weight, smoking, having a family history of hypertension, and overdrinking alcohol.
If you’re at risk of hypertension and you’re waking up several times a night to urinate, it’s worth discussing with a doctor.
What Else Might Cause Peeing While Sleeping
There are other external factors that may contribute to bedwetting, such as bladder irritants. These include alcohol and caffeine, and some medications such as those for insomnia.
These products can stimulate the muscles of your bladder, called detrusor muscles. The detrusor muscles, when overactive, cause your bladder to contract more frequently, which in turn causes the urethra to open.
You can discuss concerns about bladder irritants you may be taking in your medicine with your doctor or other healthcare providers.
Additionally, several medical issues can sometimes cause bedwetting in adults, such as urinary tract infections, diabetes, and prostate cancer.
Tests for these medical conditions involve simple urine analysis, so dont hesitate to discuss getting tested with your doctor if you believe that they could be a cause.
Its also possible that your bedwetting is related to psychological factors, such as stress and anxiety. Stress during the day, including stress about wetting the bed, can lead to dreaming of wetting the bed, which can trick your bladder into contracting.
Taking steps to manage your daily stress can have the additional side effect of reducing your nighttime bedwetting.
There Are Home Exercises That Can Strengthen Your Bladder
Usually, the question why do I keep peeing myself isnt asked alone – its typically followed up with how can I stop. The best option is always to consult with your doctor to come up with a treatment plan, but you may be wondering what steps you can take at home. According to this information page from the U.S. Office of Womens Health, some good steps include:
- Kegel Exercises: Since one of the main causes of urine leakage is weak pelvic floor muscles, it makes sense that an exercise strengthening those muscles is a great solution. To perform a kegel, squeeze your pelvic muscles to replicate the feeling of trying to stop a flow of urine. Hold for three seconds, relax, and repeat – 3 sets of 10 kegels each day is a good place to start.
- Bladder Training: Whereas kegels address the root cause of stress incontinence, training your bladder by setting times to go to the bathroom can help with urge incontinence. By intentionally going at the same times each day, even if you dont feel the urge, your bladder can begin to hold more urine before signalling the need to pee.
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Pharmaceutical Treatment For Sleep Enuresis
While no magic pill exists to totally eliminate nocturnal enuresis, there are medications available that might provide relief. When used in conjunction with behavioral modifications the positive effects of medication are more effective.
Desmopressin. By mimicking ADH or vasopressin, the kidney produces less urine.
Imipramine. Boasts a 40% success rate but also has a fine line between an effective dose and toxic dose.
Anticholinergic Medications. These prescription medications are effective for treating enuresis with detrusor overactivity, demonstrating success in 5-40% of cases. The main side effects with anticholinergic medications are dry mouth, dizziness, and blurred vision.
Darifenacin. This medication relieves bladder spasms and treats overactive bladder.
Oxybutynin. Relaxes the detrusor muscle of the bladder.
Tolterodine. This medication is an antimuscarinic and functions much like oxybutynin.
Trospium Chloride. Treats an unstable bladder by blocking cholinergic receptors that are found on muscle cells in the wall of the bladder. Once the receptors are blocked, the bladder then can relax so overactivity does not occur.
Solifenacin. This is a recently introduced anticholinergic that is a more selective antimuscarinic agent with fewer anticholinergic side-effects.
You’re Drinking Too Much Water Before Bed
Yes, this is super obvious. But Wexler says some people don’t realize just how much H2O they’re swallowing in the hours before bedand how that fluid can disrupt their sleep. “I tell patients to stop drinking water two hours before bed,” he says. Also, hit the bathroom before you hop in the sack. If you follow these instructions and you’re still waking up to pee, it’s time to see a doctor.
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How To Stop Bedwetting
Addressing a bedwetting problem may seem daunting at first, but its often much less complicated than it seems. There are a wide variety of actions you can take to help get to the root of most bedwetting issues. Try items on the list below to help your child reduce their bedwetting.
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Why You May Have Bladder Leaks At Night
Often times, bladder leakage at night is a form of overflow incontinence. If you experience overflow incontinence, the involuntary release of urine from an overly full bladder, you likely experience urine leaks â a lot! Even at night. You naturally have to use the bathroom less while youâre sleeping than when youâre awake. This is because your body produces a hormone called ADH â anti diuretic hormone â that signals to your kidneys to produce less urine. However, some people donât produce the appropriate amount of ADH at night, leading to too much urine production.
Alternatively, even if your body produces enough ADH, your kidneys may not respond to the hormone. This means that your body will still produce too much urine, leading to maximum bladder capacity and leakage at night.
Often times, bedwetting in adults is genetic. If one of your parents wets the bed, you have a 40 percent chance of wetting the bed at some point in your adult life as well.
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Could It Be Something Else
See a doctor if you’ve tried to control the problem but it’s not getting better. Other medical issues can cause your bladder to hold less than it should. These include:
- Bladder tumor
Conditions that can cause your body to make too much urine include:
- Liver failure
- Neurologic diseases like multiple sclerosis, Alzheimerâs and Parkinsonâs
If you have an underlying health issue and you get it treated, that may stop the nighttime peeing problem. But you may need medication to help with that, too.
What Causes Bedwetting In Children
Nighttime wetting is often related to slow physical development, a family history of bedwetting, or making too much urine at night. In many cases, there is more than one cause. Children almost never wet the bed on purposeand most children who wet the bed are physically and emotionally normal.
Sometimes a health condition can lead to bedwetting, such as diabetes or constipation.
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Causes Of Bedwetting In Adults
There are two types of bedwetting:
- Persistant primary nocturnal enuresis is a condition that begins in childhood and is when someone hasnt experienced nighttime dryness for longer than 6 months. There is evidence to show that this kind of bedwetting is hereditary.
- Adult-onset secondary enuresis is for people who have experienced dryness but then experience a recurrence later in life.
According to Dr. Margaret Stearn, if youve just started bedwetting after a long period of being dry, some of the underlying causes could be:
- A urinary tract infection, which can make it difficult for the bladder to hold urine
- Alcohol, coffee or diuretic medicines, which all cause production of more urine and can irritate the bladder
- Sleeping tablets Sometimes these cause sleep so deep the body doesnt wake up when it recognizes that it needs to go
- Diabetes Lots of urine can be a symptom of diabetes. If the diabetes is treated, this problem goes away
- Stress and anxiety
- A spinal cord injury
What Causes Bedwetting
There are many causes of bedwetting and others remain unclear. Usually people produce less urine when they are sleeping. However, some people produce larger amounts of urine during the night, which may explain why the bladder needs emptying then.
So why dont you wake up when you need to go to the toilet? Unfortunately, there is no clear cut answer to this question.
Research has shown that nocturnal enuresis can occur due to a genetic link. Though this is not true for everyone, evidence has shown that bedwetting is hereditary. One study showed that someone with two bedwetting parents has a 77% chance of also becoming a bedwetter. When one parent wet the bed as a child, then their child was found to have a 40% chance of becoming a bedwetter.
Another cause put forward for primary nocturnal enuresis is a smaller than average bladder. This does not mean that the actual size of the bladder is smaller in nocturnal enuresis patients, rather that their functional bladder capacity is a smaller volume. The FBC is the amount of urine the bladder holds before sending a signal to the brain to indicate the need to void. The overactivity of the detrusor muscle indicates that the muscle is never fully relaxed during the filling phase and therefore the bladder capacity is not as large.
An infection in the urine can sometimes cause bed wetting. Stress or anxiety can also cause the problem, which might last long after the stress has gone.
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What Causes Enuresis
Doctors don’t always know the exact cause of nocturnal enuresis. But they think that these things may play a role:
- Hormonal problems. A hormone called antidiuretic hormone, or ADH, causes the body to make less pee at night. But some people’s bodies don’t make enough ADH, which means their bodies may make too much urine while they’re sleeping.
- Bladder problems. In some people with enuresis, too many muscle spasms can prevent the bladder from holding a normal amount of pee. Some teens and adults also have relatively small bladders that can’t hold a lot of urine.
- Genetics. Teens with enuresis often have a parent who had the same problem at about the same age. Scientists have identified specific genes that cause enuresis.
- Sleep problems. Some teens may sleep so deeply that they don’t wake up when they need to pee.
- Caffeine. Using caffeine causes a person to pee more.
- Medical conditions. Medical conditions that can trigger secondary enuresis include diabetes, urinary tract abnormalities , constipation, and urinary tract infections .
- Psychological problems. Some experts believe that stress can be linked to enuresis.
Doctors don’t know exactly why, but more than twice as many guys as girls have enuresis. It is often seen in combination with ADHD.
When To See A Doctor
Bedwetting is normal for young children, who will usually grow out of it. Home treatments and training may be enough to prevent bedwetting.
People can talk to their doctor if they have any concerns about the well-being of a child, or if the child:
- did not wet the bed for 6 months but then started to again
- has additional symptoms that could indicate a UTI or underlying condition
- is wetting themselves in the daytime
- is emotionally affected by bedwetting
Adults should see a doctor about bedwetting, as this can indicate an underlying health condition.
The doctor will take a full medical history, assess the symptoms, and carry out a physical exam. They may also carry out urine tests and take X-rays to look at the health of the urinary tract and kidneys.
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When Is Bedwetting A Problem
Bedwetting can be expected in young children, but it becomes less common and less frequent with age. Rates of bedwetting in children generally drop noticeably around age five, with only 1% of this group wetting the bed nightly. Twenty percent of five-year-olds wet the bed at least once per month, even after they are otherwise potty trained. By adulthood, less than one percent of all people wet the bed at least once per month.
Since each child matures and hits developmental milestones at a different pace, different children stop wetting the bed at different ages. Generally, occasional bedwetting is considered normal in childhood and is nothing to worry about.
- In rare cases, bedwetting indicates an underlying problem. Parents might want to explore medical testing if their children experience any of the following issues:
- Sudden onset of bedwetting episodes in older children or teenagers after a long period of dry sleeping
- Painful urination
- Bowel movement issues, such as constipation or a lack of bowel control
- Sleep issues, such as being unable to be woken up
- Excessive thirst
Cause Of Nocturia: Not
Alcohol is a diuretic, which increases your urine production, so drinking it late in the day could lead to excessive nighttime urination. Drinking too many fluids at night, regardless of what type, can also lead to nocturia.
Jason M. Phillips, M.D., a urologist with North Coast Urology, recommends cutting out all fluids two to four hours before bed and steering clear of alcohol in the evening to prevent late-night bathroom trips if you’ve been bothered my nighttime peeing.
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What Natural Remedies Can Treat Bedwetting At Home
Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful.
- Reduce evening fluid intake. The child should try to not take excessive fluids, chocolate, caffeine, carbonated drinks, or citrus after 3 p.m. Routine fluids with dinner are appropriate.
- The child should urinate in the toilet before bedtime.
- Set a goal for the child of getting up at night to use the toilet. Instead of focusing on making it through the night dry, help the child understand that it is more important to wake up every night to use the toilet.
- A system of sticker charts and rewards works for some children. The child gets a sticker on the chart for every night of remaining dry. Collecting a certain number of stickers earns a reward. For younger children, such a motivational approach has been shown to provide significant improvement in most children with a low relapse rate .
- Make sure the child has safe and easy access to the toilet. Clear the path from his or her bed to the toilet and install night-lights. Provide a portable toilet if necessary.
- Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet. Others argue that pull-ups help the child feel more independent and confident. Many parents limit their use to camping trips or sleepovers.
The parents’ attitude toward the bedwetting is all-important in motivating the child.
Cause Of Nocturia: An Enlarged Prostate
As men grow older, something called benign prostatic hyperplasiaor an enlargement of the walnut-shaped prostate glandcan occur. This can be due to changing levels of hormones, including less testosterone production or an accumulation of dihydrotestosterone.
An enlarged prostate gland can cause pressure on your bladder, making you think it needs emptying more often than it does, says Dr. Phillips. A bigger-than-usual prostate can also cause other urinary symptoms, like issues starting or stopping your flow, a weak stream, or the feeling you didn’t complete empty your bladder after peeing.
An enlarged prostate can be treated with drugs like Flomax, Myrbetriq or anticholinergics that relax the bladder muscles, as well as the UroLift procedure.
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Why Do Adults Wet The Bed
Disclaimer: There are affiliate links in this post. At no cost to you, I get commissions for purchases made through links in this post.
Did you know that around 5,000,000 adults, or 1 in 100, have to deal with the embarrassing, hard to talk about problem of adult bedwetting? Even if you do, you might not realise that the causes of adult bedwetting are completely different to what causes a 5 year old to wet the bed. But why do adults wet the bed?
An adult might have this problem for many reasons, and it can come absolutely out of nowhere, taking us by surprise. Its entirely possible for someone who has never experienced this problem, or even considered it, to one night wake up to an unpleasant surprise. That means it could even happen to you. So right now youre probably asking yourself why this happens and what can we do about it? Read on to find out the causes and the steps you can make to deal with this problem and prevent it happening in the future.
Causes Of Bed Wetting In Teenagers And Adults
Q: I am 16 years old girl. I usually clean and shave my vagina daily. Now it became reddish and paining a lot. While sleeping I was peeing. What happened?-By Sheela
Pain and redness in the area indicate that there is a probability of some infection. Read about proper shaving techniques of the vaginal area.
May be you have some kind of urinary tract infection. Do you have any other symptom like urge to urinate, increased frequency or pain during urinating?
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