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Is peeing 4 times at night normal?

If you need to get up to urinate more than one time during the night, you may have an overactive bladder at night. This condition is called nocturia, and it's not the same as overactive bladder (OAB).

healthline.com - Nocturia: Causes, Treatments, and Prevention - Healthline

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What is nocturia? Nocturia, or nocturnal polyuria, is the medical term for excessive urination at night. During sleep time, your body produces less urine that is more concentrated. This means that most people don’t need to wake up during the night to urinate and can sleep uninterrupted for 6 to 8 hours. If you need to wake up two times or more per night to urinate, you may have nocturia. Besides being disruptive to your sleep, nocturia can also be a sign of an underlying medical condition.

How it’s diagnosed Diagnosing the cause of nocturia can be difficult. Your doctor will need to ask a variety of questions. It can be useful to maintain a diary for a few days to record what you drink and how much, along with how often you need to urinate. Questions your doctor may ask you include: When did the nocturia start?

How many times per night do you have to urinate?

Are you producing less urine than you did before?

Do you have accidents or have you wet the bed?

Does anything make the problem worse?

Do you have any other symptoms?

What medications are you taking?

Do you have a family history of bladder problems or diabetes? They may also have you undergo testing such as: blood sugar test to check for diabetes

other blood tests for blood counts and blood chemistry

urinalysis

urine culture

fluid deprivation test

imaging tests, such as ultrasounds or CT scans

urological tests, like cystoscopy

Treatments If your nocturia is caused by a medication, taking the medication earlier in the day may help Treatment for nocturia can sometimes include medication, such as: anticholinergic drugs, which help lessen the symptoms of an overactive bladder desmopressin, which causes your kidneys to produce less urine at night Nocturia can be a symptom of a more serious condition, such as diabetes or a UTI that could worsen or spread if left untreated. Nocturia due to an underlying condition will usually stop when the condition is successfully treated. Read more: How to treat an overactive bladder at night » How to prevent it There are steps you can take to lessen the impact of nocturia on your life. Reducing the amount you drink 2 to 4 hours before going to bed can help prevent you from needing to urinate at night. Avoiding drinks that contain alcohol and caffeine may also help, as can urinating before you go to bed. Some food items can be bladder irritants, such as chocolate, spicy foods, acidic foods, and artificial sweeteners. Kegel exercises and pelvic floor physical therapy can help strengthen your pelvic muscles and improve bladder control. Pay close attention to what makes your symptoms worse so you can try to modify your habits accordingly. Some people find it helpful to keep a diary of what they drink and when.

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How long do prostate tablets take to work?

You may notice an improvement a little while after you start taking finasteride. However, for an enlarged prostate it can take up to 6 months for this medicine to take full effect. For hair loss, you can expect to see some improvement after 3 to 6 months. You will usually take finasteride for a long time.

nhs.uk - Finasteride: a medicine used to treat benign prostate enlargement ... - NHS

Finasteride is used to treat men with an enlarged prostate (benign prostate enlargement). It can help ease your symptoms if:

it's difficult to start peeing

you need to pee urgently or frequently more often

it's difficult to empty your bladder completely

Finasteride comes as tablets. It's available on prescription only.

It can also be used to treat men for hair loss (male pattern baldness). However, for hair loss you can only get finasteride on a private prescription. This means you'll need to pay the full cost of the medicine. It's not available on the NHS. This medicine is generally not recommended for women. It might be prescribed by a specialist doctor only in very rare cases.

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