Does sleeping position affect urination?

Lying down can actually contribute to increased urination. Research from 2009 on people with nocturia found that fluid accumulation in the legs during the day is associated with increased urine volume at night.

healthline.com - Best Sleeping Positions for an Overactive Bladder - Healthline

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Overactive bladder (OAB) refers to a group of urinary symptoms, the most prominent of which is a sudden, urgent need to urinate. Research has estimated that its prevalence in the United States is between 16.5 and 35.6 percent. OAB happens when your bladder muscles involuntarily contract when your bladder isn’t full. While the exact cause is unknown, this may happen due to improper signaling between your brain and bladder. It may also be caused by bladder muscles that are too active. Living with OAB can greatly impact your quality of life since it may be hard to do daily activities without frequent trips to the bathroom. Because OAB can come on suddenly, you may also feel anxious if you’re not close to a bathroom. Sleep can also be affected. It’s estimated that 85.6 percent of people with OAB have nocturia, which is when you wake up multiple times at night to urinate. Poor sleep can have negative consequences on both your physical and mental health. If you have OAB, you may be wondering if certain sleep positions may help reduce your need to urinate at night. Keep reading as we explore this topic and other ways to promote a good night’s sleep with OAB. Can you prevent having to pee at night? There are several things that you can do to help prevent having to pee at night due to OAB. These include: Reduce fluids in the evening . While it’s important to stay hydrated during the day, limit your intake of fluids, especially ones that contain alcohol and caffeine, in the 2 to 4 hours before you go to bed. . While it’s important to stay hydrated during the day, limit your intake of fluids, especially ones that contain alcohol and caffeine, in the 2 to 4 hours before you go to bed. Double void before bed. Some people with OAB have trouble fully emptying their bladder. Double voiding, or emptying your bladder twice, can help. Before going to bed, empty your bladder once, wait several minutes, and then try again. Some people with OAB have trouble fully emptying their bladder. Double voiding, or emptying your bladder twice, can help. Before going to bed, empty your bladder once, wait several minutes, and then try again. Avoid triggers. Some foods and drinks can irritate the bladder and may increase your need to urinate. Some that you may want to avoid, especially later in the day, are: alcohol coffee tea soda and other carbonated drinks beverages made with artificial sweeteners chocolate acidic foods, like citrus fruits and tomatoes spicy foods Some foods and drinks can irritate the bladder and may increase your need to urinate. Some that you may want to avoid, especially later in the day, are: Since coping with nocturia due to OAB can be stressful, it’s also a good idea to make sure your bedroom is an environment that promotes sleep. A few things to consider include: setting up a sleep schedule and a relaxing bedtime routine that you can stick to

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making sure that your bedroom is dark, quiet, and a comfortable temperature

limiting or avoiding the use of TVs, cell phones, and computers or tablets in your bedroom making sure the path to the bathroom is clear, in case you need to get up to urinate Treating overactive bladder If you have OAB, there are various treatments that can help. These include both medical treatments and things you can do at home. Sticking to your OAB treatment plan can help prevent frequent trips to the bathroom, both during the day and at night. Let’s take a look at some of the treatment options for OAB now. At-home remedies Some of the steps that you can take at home to manage OAB include: Reduce fluid intake. Reducing fluid intake to 6 to 8 glasses of water per day can reduce the amount of urine you produce. However, it’s important to stay hydrated, so follow your doctor’s instructions on fluid intake carefully. Also consider not drinking too much water close to bedtime. Reducing fluid intake to per day can reduce the amount of urine you produce. However, it’s important to stay hydrated, so follow your doctor’s instructions on fluid intake carefully. Also consider not drinking too much water close to bedtime. Avoid triggers. As we mentioned above, certain foods and drinks can irritate your bladder and make your symptoms worse. Consider limiting or avoiding these triggers. As we mentioned above, certain foods and drinks can irritate your bladder and make your symptoms worse. Consider limiting or avoiding these triggers. Avoid smoking. Smoking cigarettes increases your risk for many health conditions and can irritate your bladder. If you currently smoke, consider speaking with a doctor about developing a quit plan that you can stick to. This is often difficult, but a doctor can help create a plan that works for you. Smoking cigarettes increases your risk for many health conditions and can irritate your bladder. If you currently smoke, consider speaking with a doctor about developing a quit plan that you can stick to. This is often difficult, but a doctor can help create a plan that works for you. Bladder training. Bladder training involves urinating on a regular schedule and can help increase the capacity of your bladder. You’ll usually start with a short interval, such as 30 minutes, and gradually increase the time between trips to the bathroom, sometimes up to several hours. Bladder training involves urinating on a regular schedule and can help increase the capacity of your bladder. You’ll usually start with a short interval, such as 30 minutes, and gradually increase the time between trips to the bathroom, sometimes up to several hours. Pelvic floor exercises. Pelvic floor exercises, like Kegels, can strengthen your pelvic floor muscles. This can help you better hold in urine and suppress urinary urgency. Ask your doctor about physical therapists that specialize in pelvic floor therapy. Tracking when you need to urinate with a bladder diary can also give you more information on how factors like fluid intake and foods impact your symptoms. It can also help you track the progress of bladder training. Medical treatments There are prescription medications that are available to help with OAB. A doctor may recommend them when at-home care isn’t helping to manage your symptoms. Medications for OAB may be given as a pill, gel, or transdermal patch. These include: antimuscarinics, like oxybutynin (Ditropan) and tolterodine (Detrol)

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beta-3 agonists, like mirabegron (Myrbetriq) These medications work by blocking certain types of nerve impulses to the bladder muscles. This can prevent these muscles from contracting when they shouldn’t. If at-home care and the use of medications don’t lead to improvement, other potential medical treatments for OAB include: Botox injections into the bladder muscle

stimulation of the nerve pathways that serve the bladder

surgery to increase bladder capacity or reroute the flow of urine

When to see a doctor Sleep is important for both your physical and mental health. Poor sleep can impact your alertness and memory, increase your stress levels, and raise your risk of health conditions like heart disease, diabetes, and obesity. Make an appointment with a doctor if you find that your OAB symptoms cause you to frequently get up to use the bathroom at night. They can recommend methods to help reduce your urinary frequency. It’s also a good idea to talk with a doctor if the strategies you’re currently using to prevent nocturia become less effective or stop working. It’s possible that your OAB treatment plan may need to be adjusted.

healthline.com - Best Sleeping Positions for an Overactive Bladder - Healthline

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