Nocturia - Enuresis - Overactive Bladder
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Nocturia - Enuresis - Overactive Bladder
NIH - Medical Encyclopedia Urination - excessive at night
"Normally, urine decreases in amount and become more concentrated at night. That means, most people can sleep 6 to 8 hours without having to urinate. But, persons with nocturia get up more than once during the night to urinate. Because of this, those who have excessive urination at night often have disrupted sleep cycles. Common Causes • Benign prostatic hyperplasia • Certain drugs including diuretics, cardiac glycosides, demeclocycline, lithium, methoxyflurane, phenytoin, propoxyphene, and excessive vitamin D • Chronic or recurrent urinary tract infection • Chronic renal failure • Congestive heart failure • Cystitis • Diabetes • Drinking too much fluid before bedtime, particularly coffee, caffeinated beverages, or alcohol • Obstructive sleep apnea and other sleeping disorders"
NIH - Medical Encyclopedia Bedwetting
"Bedwetting is involuntary urination in children over 5 to 6 years old. It may occur at any time of the day or night. This article focuses on nighttime bedwetting. … Children who have never been consistently dry at night have primary enuresis. This usually occurs when the body makes more urine overnight than the bladder can hold and the child does not wake up when the bladder is full. The child's brain has not learned to respond to the signal that the bladder is full. It is not the child's or the parent's fault. Physical causes are rare, but may include lower spinal cord lesions, congenital malformations of the genitourinary tract, infections of the urinary tract, or diabetes. Bedwetting runs strongly in families. More than 5 million children in the U.S. wet the bed. About 9% of boys and 6% of girls still wet the bed at age 7. The numbers drop slightly by age 10. Although the problem goes away over time, many children and even a small number of adults continue to have bedwetting episodes."
Highlighted Articles
Me and My Kegels; Doing pelvic exercises the right way can pay off in the bathroom—and the bedroom.
"Two years after giving birth, I still can’t control my bladder. I’m one of 25 million Americans, the majority of them women, with incontinence. More than half of healthy women ages 42 to 50—I’m 45—have some form of chronic-peeing problem, usually linked to pregnancy and childbirth, coughing, constipation, heavy lifting, or hormonal changes. Yet, incredibly, 90 percent of us never seek treatment."
"Kegel exercises strengthen some of the muscles that control the flow of urine. Doctors often prescribe Kegel exercises for people who have bladder control problems (urinary incontinence). Kegel exercises are also called pelvic floor exercises because they treat and prevent pelvic floor weakness "
Effects of walking exercise on nocturia in the elderly.
(Biomed Res. 2007) "The daytime urinary frequency, blood pressure, body weight, body fat ratio, edema ratio, serum catecholamines, triglycerides, and total cholesterol were also decreased. After 8 weeks of exercise, 20 of the subjects (67%) stated that sleep was deeper than before exercise. Assessment of the overall improvement showed that excellent or good results were obtained in 18 patients (60%). The main factor related to the influence of walking exercise on nocturia was that sleep became deeper, which increased the arousal threshold bladder volume. Walking exercise may also have a preventive effect on lifestyle-related diseases."
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Nocturia, Enuresis and Overactive Bladder
General Information
NEWS:
Drinking less reduces overactive bladder symptoms “For people with overactive bladder problems, cutting fluid intake by 25 percent can improves symptoms substantially, new research from the UK shows. An overactive bladder causes a person to urinate frequently, often urgently. There may or may not be some leakage because of the urgency. Bladder infections, bladder cancer and bladder stones can produce the same symptoms, Dr. Hashim Hashim, one of the study's authors, told Reuters Health, so these conditions must be ruled out before a diagnosis of overactive bladder can be made. … The standard recommendation for fluid intake for a 70 kilogram (150 pound) person is 1.6 liters (54 ounces), Hashim said, but many people forget that fruit and vegetables contain a substantial amount of water; people typically take in 300 to 500 milliliters (10 to 17 ounces) of liquid from food daily. People with overactive bladder who are drinking more than a liter of fluids may want to try reducing their fluid intake by 25 percent, he advised, but anyone who is drinking less than a liter should not. Drinking too little can cause the urine to become overly concentrated, he explained, which can also be irritating to the bladder.”
ARTICLES:
Bed-wetting: What Causes It? “Though children naturally gain bladder control at night, they do so at different ages. From 5 to 7 million kids wet the bed some or most nights -- with twice as many boys wetting their bed as girls. After age 5, about 15% of children continue to wet the bed, and by age 10, 95% of children are dry at night.”
JOURNAL ARTICLES:
An exploration of children's views of bed-wetting at 9 years. (Child Care Health Dev. 2008) “CONCLUSION: Bed-wetting, which is construed as a social issue, tends to be rated as a major difficulty for children, increasingly so for boys and those who suffer from nocturnal enuresis.”
An overview of nocturia and the syndrome of nocturnal polyuria in the elderly. (Nat Clin Pract Nephrol. 2008)
Depressive Symptoms Increase the Incidence of Nocturia: Tampere Aging Male Urologic Study (TAMUS) (The Journal of Urology 2008) “Our findings show a unidirectional effect of depressive symptoms on the incidence of moderate or severe nocturia. Untreated depressive symptoms may cause nocturia. “
Does increased urination frequency protect against bladder cancer? (Int J Cancer. 2008) “Our findings suggest a strong protective effect of nocturia on bladder cancer risk, providing evidence in humans that bladder cancer risk is related to the contact time of the urothelium with carcinogens in urine. Increased urination frequency, coupled with possible dilution of the urine from increased water intake, may diminish the effect of urinary carcinogens on bladder cancer risk.”
Enuresis Is a Common and Persistent Problem Among Children and Young Adults with Sickle Cell Anemia. (Urology. 2008)
Enuresis nocturna and sleep quality. (Pediatr Nephrol. 2008)
Investigating the Associations Between Nocturia and Sleep Disorders in Perimenopausal Women. (J Urol. 2008)
Nocturia among women aged 60 or older in Taiwan. (Aust N Z J Obstet Gynaecol. 2008) “Age, diabetes mellitus, hypertension, prior drug allergy and urinary incontinence significantly increased the risk of nocturia. CONCLUSIONS: Although the pathophysiologies of nocturia are still not all known, it is a common condition among Taiwanese women.”
Nocturia and associated morbidity in a Danish population of men and women aged 60-80 years. (BJU Int. 2008)
Nocturia in Spanish patients with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH). (Curr Med Res Opin. 2008) “CONCLUSION: This study shows a high prevalence of nocturia in Spanish LUTS/BPH patients. Nocturia negatively impacts on the QoL of LUTS/BPH patients, which is reflected in worse sleep, reduced energy levels and increased bother and concern.”
Nocturia, nocturnal incontinence prevalence, and response to anticholinergic and behavioral therapy. (Int Urogynecol J Pelvic Floor Dysfunct. 2008)
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