Nocturia in women and men: treatment, causes, signs
In the daytime the human body produces more urine than during the night. Nocturia is a common symptom of disruption of the urinary system and kidneys. The pathological process is characterized by frequent desire to go to the toilet in night watch. The affected in most cases, children under two years of age, and adults more than 50 years. Nocturia is diagnosed equally in men and women, and the reasons for its emergence can be varied. To pathological deviation cause of deviation of the heart or kidneys, therefore, distinguish between cardiac and renal nycturia. When noticeably more frequent trips to the bathroom at night, you should consult a doctor and find out the root cause of the deviation. Sometimes nocturia evidence of such severe diseases: cirrhosis, anemia, diabetes.
Nocturia is not an independent disease, but only symptom that indicates serious disease of the kidneys or deviations in the work of the heart vessels. The pathological process occurs also due to disturbed water regime or on the background of frequent stress. In a healthy person the night there is a desire to urinate once.
If before bed drinking tea, juice or alcoholic drink, the number of trips to the bathroom at night may slightly increase.
In the case where a person often experiences the desire to urinate at night, and during the day the secretion of urine is reduced, then the doctors say about nocturia. When there is a problem, the person worried about insomnia, there is a General weakness and rapid fatigability. Urination, usually played with a small amount of urine, but the person still continues to feel the overflow in the bladder.
During pregnancy often have nocturia, because in this period the uterus increases and puts pressure on the bladder. In this case special treatment is not applied, such as when carrying a child is normal. Should report the symptom to your doctor, if he think fit, to have more tests to exclude the presence of disease.
Doctors klassificeret this pathology in several types. Depending on what influenced the emergence of pathology, nicturia distinguish between temporary and permanent. In the first case the problem occurs on the background of different diseases. Constant nocturia indicates lesions of the internal organs or glands. Given the nature of the pathological process, the doctors there are the following types:
In the first case, the daily amount of urine secreted is not reduced, and in the night the patient has oliguria. In humans, there is a significant reduction, and sometimes missing in urine with oliguria. But the patient still does not cease to disturb the feeling of full bladder. When intermittent nocturia showed a significant increase in the quantity of urine at night, while during daytime is allocated the same amount of fluid as before.
If night trips to the toilet did not stop, but more frequent, you should immediately seek medical help, because this fact shows active progression of disease. Biggest concern is the absence of nocturia during cardiovascular diseases and the presence of edema. In this case, fluid accumulates in the body, which is fraught with dangerous complications. Pathology requires urgent medical intervention.
The main causes of nocturia
The main source of nocturia lies in hormonal imbalances and problems that arise when disruption of the structure of the bladder. Impaired renal function, namely its reduction, often leads to the problem. This is due to the fact that when their dysfunction to spend more time on the exchange process. The causes of nocturia in women and men may differ, the latter is much more common this problem.
Pathology in men
The disease process often seen in men. Doctors fix that after the age of 50 years treated with this problem about 70% of men. The most common cause of nocturnal urine is malfunction of the kidneys and the presence of pyelonephritis, glomerulonephritis, or other pathologies. Reasons for nocturia include:
- pathology of the heart;
- diabetes, which produces less diuretic hormone;
- the diuretics for a long period;
- inflammatory processes in the prostate.
Often in men at the age of nocturia is observed on the background of prostatitis, as a result of the deviation increases, the prostate and the outflow of urine is made difficult. With the night urination in the toilet male complains of lack of sleep, fatigue, weakness throughout the body. Often, these symptoms indicate prostate cancer.
Pathology in women
Due to the fact that women have a special structure of the urogenital system, they are more vulnerable to infection and penetration into the body of harmful bacteria. The most common cause of the nocturnal urine in women is cystitis, in acute or chronic form. There are other sources that provoke nicturia in women:
- renal disease, which is dysfunction;
- frequent use of diuretics;
- the presence of diabetes;
- fibrosis or malignancy in the bladder, which is accompanied by a reduction in its capacity;
- menopause, leading to reduction of estrogen;
- the decline of performance of the pelvic floor muscles;
- cardiovascular disease.
In the latter case decreases the amount of allocation of urine, in the daytime, which then kompensiruet night trips to the bathroom. This is due to the fact that because of heart problems in kidney impaired blood supply. The reason for the nocturnal urine is often a common polyuria, which is characterized by increased production of urine as a result of disorders in the endocrine system.
Increasing the amount of urine at night is associated not only with impaired renal function, but often indicate heart failure. Daytime physical activity is higher, which increases the load on the heart. The cardiovascular pathologies of the myocardium does not have time to shrink, which leads to venous stagnation and formation of edema in the tissues. Night-time physical activity and stress on the heart is reduced, and is the outflow vein, resulting in the decrease of edema and heart re-pumps blood normally.
Sometimes nocturia in cardiovascular diseases disappears, which indicates greater progression of disease. In humans, edema and increased heart failure. Most often nocturnal diuresis occurs in older people because with age the function of the myocardium.
Nocturia in children
Most often night urination occurs in children under two years of age. Nocturia often occurs in children aged 2 to 7 years. In rare cases, the problem persists until the age of 15, doctors allocate 5% of such children. The younger children often have nocturia, combined with enuresis (incontinence of urine). The main reasons for doctors include:
- Underdeveloped bladder in children younger than 1 year. In infants not yet fully formed internal organs and parasympathetic nervous system, and urination takes place on a reflex level.
- Unstable bladder in children up to 2 years. In the period from one to two years the child is just learning how to control the process of urinating so often at night, this process is not controlled.
- A good night’s sleep.
- The cool temperature in the room (the kidneys begin to work hard and are observed in the night urination).
A stressful situation in childhood provoke involuntary excretory function, resulting in unplanned urination.
In addition to the above sources, which are harmless for the health of the child, nocturia occurs more and more serious reasons. So, for night urination in the toilet in children result in inflammation, congenital abnormalities of the kidneys or heart defects. If you have diabetes in childhood, it is often observed that nocturia.
The main signs
If nocturia is inhibited the concentration function of the kidneys. The doctors diagnose the disturbed water-salt balance in the body. The main symptoms is the frequent urge to the toilet at night. After urination a person feels relief, even with a slight secretion of urine. In most cases, nocturia accompanied by another disorder, such as polyuria. At last there is a constant desire to go to the toilet in the daytime at night, while the daily amount of urine increases.
The main difference from nocturia cystitis that at last, there are painful sensation when urinating. When night-time diuresis is the process of release of urine is painless. But still the problem prevents a quiet life, because of the disruption of normal night sleep. As a result, the patient feels constantly tired, easily irritated and often worries. In some cases, doctors observe the perception of reality.
In the case of frequent urination at night, should immediately contact a urologist. Because nocturia in women and men indicates complex disease. The doctor first asked how long ago had the problem and accompanying symptoms. To find out the cause of a pathological process, appoint the following tests:
- General analysis of urine;
- bacterial inoculation;
- diary management-making process of urine (the woman keeps a diary for 4 days and the male for 3 days);
- ultrasound of bladder and kidneys.
For a precise definition of nocturia doctors prescribe to take the analysis of urine by zimnitskiy, which determines its daily volume. Collect liquid during the day: daytime and night time. During the day, do not eat food which creates a thirst, and we should also refrain from taking diuretics. Every three hours it is necessary to collect the liquid in a plastic container. Just a day you get 8 containers with urine. Then the doctor will evaluate the ratio of day and night and establish a diagnosis.
Treatment: drugs and techniques
Given the fact that nocturia is a sign of another disease, diagnose and act on the center of disease. When the problem of an infectious nature prescribe drugs that have antibacterial effects. If nocturia occurred against a background of hormonal disorders, the doctor prescribes tools that restore hormonal balance.
In most cases, when night-time diuresis is assigned antimuscarinic drugs.
Because of nocturia, the patient disturbed sleep, and problems with the nervous system, it is recommended taking anti-depressants and sleeping pills. If men pathology occurred due to the inflammation of the prostate, prescribe drugs, which help relax the muscles of the prostate gland. If they do not have the desired effect, surgery is carried out.
Treatment of folk remedies
In folk medicine there are many recipes that are used in the suppression of nocturnal diuresis. It is worth remembering that medicinal herbs can not be used without the advice of a doctor. When inflammation in the genitourinary system is recommended to prepare the decoction on the basis of black currant leaves. Use 150 grams of product which is poured boiling water. Once the broth configure themselves, its filter and take during the day.
To combat inflammation healers suggest using parsley, which is poured hot milk. Prepare the medicament in a water bath until the amount of milk was not significantly reduced. After that, the tool is ready for use. A treatment use psyllium, pumpkin seeds, birch leaves. Should not forget about proper nutrition and vitamins. It is recommended to eat fresh fruits and vegetables. Useful millet porridge. It is recommended to stick to a diet and reduce, better yet eliminate, foods that cause thirst (salinity, sweets, spicy food).
To prevent nicturia and to avoid treatment of pathological processes, it is necessary to take preventive measures. The first is to abstain from drinking before bedtime. It is not recommended to use fluid after 18:00. As a prevention, drink cranberry juice often. Should monitor their health and do not SuperCool the body.
Inflammation should immediately consult a specialist and to apply proper treatment. If the disease exist, should undergo regular examination by a urologist, because many diseases are asymptomatic for a long time. For normal operation of the kidney should eat right and lead an active lifestyle.