Presentation
If present, treatment of SDB can ameliorate voiding symptoms. [ncbi.nlm.nih.gov]
Up to three visits within a 12-month period from the time of presenting were reviewed. [tandfonline.com]
Many men diagnosed with an enlarged prostate/BPH present with nocturia as a main symptom. Your doctor will recommend the appropriate treatment for your enlarged prostate, which will alleviate your urinary symptoms including nocturia. [urologynashville.com]
Entire Body System
- Inflammation
It can also be caused by a bladder infection or inflammation. [urologyaustin.com]
[…] excessive vitamin D Drinking too much fluid before bedtime, especially coffee, caffeinated beverages, or alcohol Causes of low nocturnal bladder capacity Bladder obstruction Bladder overactivity Bladder infection or recurrent urinary tract infection Bladder inflammation [my.clevelandclinic.org]
It is often associated with outflow obstruction, diabetes mellitus, or bladder inflammation (cystitis) ICD-9-CM Volume 2 Index entries containing back-references to 788.43 : [icd9data.com]
It is often associated with outflow obstruction, diabetes mellitus, or bladder inflammation (cystitis). http://lookfordiagnosis.com/mesh_info.php?term=nocturia&lang... [proz.com]
- Swelling
depending on the type: Causes of polyuria High fluid intake Untreated diabetes (Type 1 and Type 2) Diabetes insipidus, gestational diabetes (occurs during pregnancy) Causes of nocturnal polyuria Congestive heart failure Edema of lower extremities (swelling [my.clevelandclinic.org]
Swelling or puffiness in the ankles is usually maximal in the evening and least in the morning. Overnight the fluid in the tissues that causes the swelling is reabsorbed into the bloodstream and converted into urine. [urineincontinence.com.au]
Other times, we will tell patients to keep their legs elevated in the afternoon to mobilize the fluid and minimize the amount of swelling in their extremities. [urocenterofnewyork.com]
- Recurrent Urinary Tract Infection
[…] or recurrent urinary tract infection Bladder inflammation (swelling) Interstitial cystitis (pain in the bladder) Bladder malignancy Benign prostatic hyperplasia (men), a non-cancerous overgrowth of the prostate that obstructs the flow of urine Possible [my.clevelandclinic.org]
Common problems that can affect storage include: Benign prostatic hyperplasia (enlarged prostate) Overactive bladder Recurrent Urinary Tract Infections (UTIs) Bladder inflammation including Interstitial Cystitis (chronic pelvic pain) Bladder tumor or [urologyaustin.com]
Any recurrent urinary tract infections In addition, note any other symptoms that accompany nocturia When it comes time to meet with your doctor, it's helpful to be prepared to supply this information and details related to personal and family medical [beaumont.edu]
- Disability
Please enable JS and disable any ad blocker [urologytimes.com]
Google Scholar German, P.S. ( 1981 ) " Measuring functional disability in the older population ." Amer. J. of Public Health 71: 1197 - 1199. [doi.org]
Image copyright NICOLA OATES Image caption Thomas developed a head-turn to see more clearly "It can be very disabling, it can affect someone's whole life which could be 80 to 90 years, their working life, families and future generations." [bbc.com]
- Leg Swelling
Pressure stockings are helpful to minimize fluid accumulation during the day if you have leg swelling. Stockings similar to those managed by Sigvaris can help and can often be found at the local pharmacy. [metrovanurology.com]
[…] syndrome Edema in the lower limbs, or leg swelling Interstitial cystitis Reduced bladder capacity Nocturnal polyuria (when your body produces too much urine at night for your bladder to hold) Often, several of these issues may be going on at once. [urologyhealth.org]
Cardiovascular
- Hypertension
Hg in men with treated uncontrolled hypertension than those with untreated hypertension. [ahajournals.org]
METHODS: A literature search was conducted using the keywords 'nocturia,' 'nocturnal polyuria,' 'sleep,' and 'hypertension.' [ncbi.nlm.nih.gov]
Friedman O, Bradley TD, Chan CT, Parkes R, Logan AG (2010) Relationship between overnight rostral fluid shift and obstructive sleep apnea in drug-resistant hypertension. Hypertension 56: 1077–1082. View Article Google Scholar 37. [doi.org]
CASE SCENARIOS Case 1: An 82-year-old man with fatigue An 82-year-old obese white man with a history of hypertension, diabetes, and benign prostatic hyperplasia comes in to see his primary care provider, complaining of fatigue. [mdedge.com]
Jaw & Teeth
- Xerostomia
Xerostomia and hyposalivation. Adv Dent Res 2000; 14: 48–56. PubMed Google Scholar 46. Ikebe K, Nokubi T, Sajima H, Kobayashi S, Hata K, Ono T, Ettinger RL. Perception of dry mouth in a sample of community-dwelling older adults in Japan. [link.springer.com]
Reported side effects included constipation (n = 1) and xerostomia (n = 2) and urinary retention (n = 1). [onlinelibrary.wiley.com]
Musculoskeletal
- Restless Legs Syndrome
Such conditions include: Diabetes mellitus Diabetes insipidus High blood pressure Heart disease Congestive heart failure Vascular disease Restless leg syndrome Sleep disorders Insomnia TREATMENT OPTIONS As with many incontinence issues it makes sense [nafc.org]
leg syndrome, bladder or prostate tumors, interstitial cystitis, liver failure, neurologic diseases like Alzheimer’s and Parkinson’s, or sleep disorders such as insomnia or sleep apnea. [meridienresearch.net]
Heart disease, vascular disorders, diabetes, high blood pressure, restless leg syndrome, Parkinson's disease, multiple sclerosis, and sleep apnea also often result in frequent urination at night. [verywellhealth.com]
- Muscle Spasm
A class of drugs called anticholinergics can relax muscle spasms in the bladder. They can also reduce the need to urinate more frequently. If you experience bed-wetting, some anticholinergics can reduce this. [healthline.com]
Eyes
- Prolapse
Arthritis, asthma, diabetes, heart disease, inflammatory bowel disease, bladder infection, uterine prolapse, hysterectomy and menopausal status were all significantly associated with nocturia ≥ 2 in women. [ncbi.nlm.nih.gov]
Bladder prolapse and pelvic organ prolapse in women, particularly after pregnancy, put additional pressure on the urinary tract, making women wake up during the night to urinate. [verywellhealth.com]
Women generally experience nocturia as a consequence of childbirth, menopause, and/or pelvic organ prolapse. In men, nocturia can be directly attributed to benign prostatic hyperplasia (BPH), also known as enlarged prostate. [nafc.org]
This is caused by decreased nocturnal bladder capacity, more irritative symptoms, and comorbid conditions such as overactive bladder, pelvic floor laxity resulting in pelvic organ prolapse, and, in men, benign prostatic hyperplasia. [mdedge.com]
- Blurred Vision
The main side effects with anticholinergic medications are dry mouth, dizziness, and blurred vision. Darifenacin - This medication relieves bladder spasms and treats overactive bladder. [nafc.org]
However, these medications can cause side effects such as dry mouth, dizziness, and blurred vision. Some doctors recommend taking a diuretic that encourages urination earlier in the day. This can reduce the amount of urine in your bladder at night. [healthline.com]
The main side effects with anticholinergic medications are dry mouth, dizziness, and blurred vision. Darifenacin – This medication relieves bladder spasms and treats overactive bladder. [atlanticurologyclinics.com]
Psychiatrical
- Suggestibility
Important symptoms and signs are: Abnormal gait or spasticity, suggesting upper motor neurone lesions. [patient.info]
OBJECTIVES: Describe current shortcomings in clinical research on the treatment of nocturia in adults, and suggest new directions for future studies in this field. [ncbi.nlm.nih.gov]
Urogenital
- Nocturia
Being in bed but not asleep, does not constitute night time. 1 The impact of nocturia on quality of life Nocturia has a profound impact on quality of life, being comparable to gout, hypertension, diabetes and angina in terms of disease burden 2 Nocturia [racgp.org.au]
In addition to helping you find options to help cure nocturia, it is also important to see a healthcare provider to rule out any other serious problems that may cause nocturia as a side effect. [nafc.org]
[…] adults, nocturia is the norm rather than the exception. [mdedge.com]
Causes Of Nocturia Although nocturia often has a urologic basis, that is not always the case. Therefore, it is important to seek the underlying cause to effectively treat nocturia. [curejoy.com]
- Incontinence
CONCLUSIONS: Although the number of nocturia episodes was not significantly different between the continent and incontinent patients after surgery, the Nocturia Quality of Life questionnaire score was significantly worse in incontinent patients. [ncbi.nlm.nih.gov]
Neural inputs to the bladder can also be impaired, as in patients who have diabetes mellitus or spinal stenosis, leading to chronic urinary retention, detrusor dysfunction, nocturia, and incontinence. [mdedge.com]
The neurology may cause retention of urine, which either results in frequency and true nocturia, or leads to overflow incontinence, which may be misinterpreted as nocturia. [patient.info]
Goldman, Surgical treatment of post‐prostatectomy stress urinary incontinence in adult men: Report from the 6th International Consultation on Incontinence, Neurourology and Urodynamics, 38, 1, (398-406), (2018). [doi.org]
- Urinary Incontinence
On multivariate analysis, nocturnal urinary frequency (P = 0.01) and urinary incontinence (P = 0.005) were significantly associated with nocturia-specific quality of life. [ncbi.nlm.nih.gov]
Goldman, Surgical treatment of post‐prostatectomy stress urinary incontinence in adult men: Report from the 6th International Consultation on Incontinence, Neurourology and Urodynamics, 38, 1, (398-406), (2018). [doi.org]
urinary frequency ( R35.0 ) urinary hesitancy ( R39.11 ) urinary incontinence ( N39.4- ) urinary obstruction ( N13.8 ) urinary retention ( R33.8 ) urinary urgency ( R39.15 ) weak urinary stream ( R39.12 ) Micturition nocturnal R35.1 Nocturia R35.1 [icd10data.com]
Introduction: Fecal and urinary incontinence are common disorders in children. [vbn.aau.dk]
Bladder obstruction Overactive bladder (urinary incontinence) Urinary tract infection (UTI) Treating Nocturia Once your doctor determines the cause of your nocturia, treatment options will be specifically tailored to any urologic condition you may have [urologynashville.com]
- Bladder Spasm
Darifenacin - This medication relieves bladder spasms and treats overactive bladder. Oxybutynin - This medication relaxes the detrusor muscle of the bladder. Tolterodine - This medication is an antimuscarinic and functions much like oxybutynin. [nafc.org]
There are a number of medications on the market that your doctor can prescribe to help, no matter what is causing your nocturia – anticholergenic medications can prevent bladder spasms and help you better control when you need to go to the toilet, desmopressin [kegel8.co.uk]
Darifenacin – This medication relieves bladder spasms and treats overactive bladder. Oxybutynin – This medication relaxes the detrusor muscle of the bladder. Tolterodine – This medication is an antimuscarinic and functions much like oxybutynin. [atlanticurologyclinics.com]
- Oliguria
R35.1 R31.29 Other microscopic hematuria R31.9 Hematuria, unspecified R32 Unspecified urinary incontinence R33 Retention of urine R33.0 Drug induced retention of urine R33.8 Other retention of urine R33.9 Retention of urine, unspecified R34 Anuria and oliguria [icd10data.com]
In cases of rapid growth in the trigone area, oliguria, bladder irritation, and renal failure can be the initial presenting signs [ 6 ]. [casesjournal.biomedcentral.com]
Workup
… The editors have compiled chapters that characterize nocturia, review its clinical workup, and outline its consequences. … The book is most suitable for urologists who encounter a significant number of patients with nocturia in their daily practice [amazon.com]
Article Addressing Nocturia in Seniors, Vital Link ; 2007 Spring/Summer Naturopathic Assessment An appropriate workup to investigate the common causes nocturia is required to initiate proper treatment. [ndhealthfacts.org]
[…] and/or detrusor overactivity, as demonstrated in urodynamic investigations.[5] Other causes may contribute to reduced nocturnal bladder capacity, such as bladder outflow obstruction, most often resulting from prostate enlargement, and therefore the workup [movementdisorders.org]
Serum
- Hyperglycemia
Uncontrolled diabetes mellitus with hyperglycemia and glycosuria is the classic endogenous solute diuresis. Increased urea excretion with polyuria occurs in hypercatabolic states. [ncbi.nlm.nih.gov]
Thus, it is logical to hypothesize that the association between the effects of hyperglycemia may, at least in part, affect the occurrence of nocturia. [scielo.br]
Treatment
Efficacy of desmopressin in the treatment of nocturia: a double-blind placebo-controlled study in men. BJU Int 2002;89:855–62. Appell RA, Sand PK. Nocturia: etiology, diagnosis, and treatment. Neurourol Urodyn 2008;27:34–9. [racgp.org.au]
(such as TURP- transurethral resection of the prostate) Treatment of Overactive Bladder Syndrome (OAB) with Medications Posterior tibial nerve stimulation Botulinum toxin bladder injections Sacral Neuromodulation Treatment of neurological bladder problems [urineincontinence.com.au]
This information can help a healthcare provider determine the cause of the problem and the appropriate treatment. [nafc.org]
[…] management of nocturia is to set reasonable goals for treatment. [ncbi.nlm.nih.gov]
Prognosis
It is now clear that, apart from peripheral BP, central hemodynamic parameters are important for cardiovascular prognosis. [ncbi.nlm.nih.gov]
This disease typically carries a poor prognosis, often due to extensive spread at the time of diagnosis. Conclusion PSRCC of urinary bladder is a rare entity with a very poor prognosis. [casesjournal.biomedcentral.com]
Several lifestyle factors have been discussed as potential parameters with an impact on prostate cancer risk and prognosis. These have largely been developed based on two robust and impactful recent systematic reviews by the ESOU 1,2 Read more ... [urotoday.com]
Verdecchia P et al. (1994) Ambulatory blood pressure: an independent predictor of prognosis in essential hypertension. Hypertension 24 : 793–801 57. [doi.org]
Etiology
These data confirm that the etiology of nocturia is multifactorial and in many instances unrelated to the underlying urologic condition. [ncbi.nlm.nih.gov]
Nocturia has been poorly studied and, only recently, has been classified according to its etiology and pathogenesis. [doi.org]
Nocturia: Etiology, Pathology, Risk Factors, Treatment and Emerging Therapy includes the background, prevalence, etiology, risk factors, adverse effects and morbidity, as well as current and emerging treatments related to nocturia. [elsevier.com]
Epidemiology
RESULTS: Evidence review and consensus recommendations were made in the areas of epidemiology, pathophysiology, assessment, and treatment. [ncbi.nlm.nih.gov]
In an epidemiologic study in Sweden, 6 the death rate was as much as twice as high in both men and women who had three or more nocturnal voids, even after taking into account the influence of cardiac disease, diabetes mellitus, and stroke. [mdedge.com]
Steinar Hunskaar, Epidemiology of nocturia, BJU International, 96, (4-7), (2005). Natalie L. Drake, Michael K. Flynn, Audrey A. Romero, Alison C. Weidner and Cindy L. [doi.org]
Previous epidemiological work relying on self-reported sleep has described the negative relationship between subjective sleep quality and nocturia, as well as the common occurrence of nocturia in older individuals. [aasmnet.org]
Pathophysiology
This review covers the various aspects of pathophysiology and impact of nocturia, as well as the treatment of nocturia. [ncbi.nlm.nih.gov]
Prevention
The prostate presses on the tube called the urethra and prevents the bladder from emptying completely – hence the need for more frequent trips to the toilet. However, recent studies have shown that many older women also suffer from the same problem. [netdoctor.co.uk]
This can prevent the bladder from emptying properly, causing it to retain some urine. I know from personal experience that this can be a very frustrating symptom of MS. [ms.about.com]
[…] especially alcoholic and caffeinated beverages Don't take certain medications such as diuretics right before bedtime to avoid excess fluid build-up Take afternoon naps to help with daytime fatigue Elevate the legs throughout the day and evening, which helps prevent [urologynashville.com]
Kidney Diseases Precautions for Healthy Person Precautions for Kidney Patients Prevention of Acute Kidney Failure Prevention of Polycystic Kidney Disease Precautions for Single Kidney Patients Prevention of Kidney Stone Disease Prevention of Urinary [kidneyeducation.com]