How many times is too much to pee at night?

Normally, you should be able to sleep six to eight hours during the night without having to get up to go to the bathroom. People who have nocturia wake up more than once a night to urinate.

my.clevelandclinic.org - Nocturia: Causes, Symptoms, Diagnosis & Treatment

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Nocturia is a condition that causes you to wake up during the night to urinate. This can be thought of as nocturnal urinary frequency — having to urinate more often at night. This condition becomes more common as people age and occurs in both men and women, sometimes for different reasons. It can be common for most people to wake up once during the night to urinate, but urinating more frequently may be a sign of something else going on. Nocturia can be associated with daytime urinary frequency or occur by itself. It’s important to distinguish nocturia (urinating too frequently) from polyuria (urinating too much volume).

Symptoms and Causes

What are the causes of nocturia?

There are many possible causes of nocturia, depending on the type. The types of nocturia include:

Polyuria.

Nocturnal polyuria.

Nocturnal urinary frequency.

Polyuria

People with polyuria urinate >3,000mL in 24 hours. This is usually caused by there being too much water filtered by the kidneys. It can also happen if something is in the urine, pulling the extra water out, such as sugar (glucose).

The causes of polyuria can include:

High fluid intake.

Untreated diabetes (Type 1 and Type 2).

Diabetes insipidus, gestational diabetes (occurs during pregnancy).

Nocturnal polyuria

Those with nocturnal polyuria experience a high urine volume only at night. Their urine volume during the day is normal or reduced. This is usually due to fluid retention during the day that often accumulated in the feet or legs. Once you lie down to sleep, gravity no longer holds the fluid in your legs. It can re-enter your veins and be filtered by your kidneys, producing urine.

The causes of nocturnal polyuria can include:

Congestive heart failure.

Edema of lower extremities (swelling of the legs).

Sleeping disorders, such as obstructive sleep apnea (breathing is interrupted or stops many times during sleep). Certain drugs, including diuretics (water pills), cardiac glycosides, demeclocycline, lithium, methoxyflurane, phenytoin, propoxyphene, and excessive vitamin D.

Drinking too much fluid before bedtime, especially coffee, caffeinated beverages or alcohol.

Having a diet that’s high in sodium.

Nocturnal urinary frequency

If you have nocturnal urinary frequency, you may urinate in small amounts or urinate more frequently. The total amount of urine produced is not elevated. This is usually due to an inability of the bladder to fully empty (this is why it fills up faster) or the inability of the bladder to fill completely before developing the urge to urinate (low bladder volume). This can also occur due to difficulty sleeping — you may wake up for one reason, but then go to the bathroom while you’re awake, which will make you think that you woke up because you had to urinate.

The causes of an inability to fully empty your bladder can include:

Bladder obstruction.

Benign prostatic hyperplasia (men), a non-cancerous overgrowth of the prostate that obstructs the flow of urine. The causes of an inability of the bladder to fully fill can include:

Bladder overactivity (bladder spasms).

Bladder infection or recurrent urinary tract infection.

Bladder inflammation (swelling).

Interstitial cystitis (pain in the bladder).

Bladder malignancy.

Obstructive sleep apnea.

What are the symptoms of nocturia?

Normally, you should be able to sleep six to eight hours during the night without having to get up to go to the bathroom. People who have nocturia wake up more than once a night to urinate. This can cause disruptions in a normal sleep cycle.

Symptoms of nocturia can include:

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Are tomatoes good for men's prostate?

In the Health Professionals Follow-up Study, a two-serving per week increase in tomato sauce intake was associated with a 20% reduction in risk of prostate cancer progression (mostly biochemical recurrence).

urology.ucsf.edu - Tomatoes! | UCSF Department of Urology

Based on the American Cancer Society’s recommendation of 5 or more servings of vegetables and fruit each day, as well as the potential benefit of tomato intake for men with prostate cancer, we recommend that men consume 2 or more servings per week of cooked tomatoes, such as sauteed or roasted tomatoes, marinara sauce, tomato soup, etc. Some epidemiologic studies suggest that greater intake of tomatoes, especially cooked tomatoes (i.e. tomato sauce) after prostate cancer diagnosis reduces risk of prostate cancer progression. In the Health Professionals Follow-up Study, a two-serving per week increase in tomato sauce intake was associated with a 20% reduction in risk of prostate cancer progression (mostly biochemical recurrence). Tomatoes are a good source of the antioxidant, lycopene, which neutralizes free radicals and reduces oxidative damage to cells. Cooking tomatoes in a little oil increases the absorption of lycopene compared to raw tomatoes or tomato juice, which is why we recommend consuming cooked tomato products at least two times per week. Healthy unsaturated oils, such as canola or olive oil, may also be beneficial for men with prostate cancer and thus cooking tomatoes in small amounts of these healthy fats is a win-win! More information from clinical trials is needed to prove whether consuming lycopene-rich foods prevents progression of prostate cancer. Until these definitive studies are completed, we recommend obtaining lycopene through a healthy diet rich in vegetables and fruits, such as cooked tomato products, rather than supplements. Consuming excessive amounts of any one nutrient is rarely beneficial, and may actually be harmful, so it is best to achieve good nutrition through dietary choices.

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