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Is urinating every two hours at night normal?

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.

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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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What happens if you have an enlarged prostate?

Not everyone with an enlarged prostate get symptoms. But as the prostate grows, it can press on the outside of the urethra, causing the urethra to become narrow. This can slow down or sometimes even stop the flow of urine when you try to urinate. About 1 in 3 men over the age of 50 have urinary symptoms.

prostatecanceruk.org - Enlarged prostate

An enlarged prostate is an increase in the size of the prostate. It isn’t caused by cancer. The medical term for an enlarged prostate is benign prostatic enlargement (BPE).

Benign – not cancer.

– not cancer. Prostatic – to do with the prostate.

– to do with the prostate. Enlargement – an increase in size.

You might also hear it called benign prostatic hyperplasia (BPH). Hyperplasia means an increase in the number of cells. It is this increase in cells that makes the prostate grow bigger (see diagram below). In our information, we use the words 'enlarged prostate' to describe both BPE and BPH. An enlarged prostate is very common in men over the age of about 50. It can affect younger men too, although this is uncommon. Not everyone with an enlarged prostate get symptoms. But as the prostate grows, it can press on the outside of the urethra, causing the urethra to become narrow. This can slow down or sometimes even stop the flow of urine when you try to urinate. About 1 in 3 men over the age of 50 have urinary symptoms. The most common cause of these symptoms is an enlarged prostate.

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