Having a good night sleep makes you feel refreshed in the morning, ready for another day. Interrupted sleep with urination occasionally occurs at night making a good night sleep difficult to achieve. If you wake up more than twice during the night due to the urge of urination, you are probably suffering from a condition called Nocturia. This is not the same with Enuresis commonly called ‘bedwetting’.

In simple terms, frequent urination means having an urge to urinate often than usual which can disrupt one’s usual routine. You can urinate 6 or 7 times in 24 hours and when it is more often than this, it is known as frequency but this vary with individuals. This may not be a concern but it becomes a problem when it affects one’s quality of life.

 

What cause frequent urination at night?

The cause is related to a range of process that affects the urinary system.

Aging

Contributes to nighttime urination. To explain further, the body produces less of anti diuretic hormone that helps to retain fluid, this leads to increased urine production especially at night. The muscles of the bladder also becomes weak over time, with the bladder difficult to hold urine.

Lifestyle Causes

Drinking a lot of fluid or beverages that contain high amounts of caffeine may contribute to your frequent urination during the night. If you avoid taking fluids late into the night, or drink all sorts of beverages earlier in the day, you can reduce or eliminate the problem. Women often feel the need to urinate at night in early pregnancy due to hormonal influence. There are increased levels of progesterone. So, when you urinate frequently, it could be a sign that you’re pregnant.

Medications

Certain medications such as diuretics affect the bladder and can increase the number of times you urinate.

Medical Conditions

With acute and severe urinary tract infection (UTI), some people urinate more frequently at night. Other symptoms that can suggest urinary tract infection include passing small urine at a time, painful urination, bloody urine, foul smelling urine among others. Frequent urination at night can also be caused by the presence of bladder stones in the urinary tract, which causes a blockage in your ureters or bladder.

 

Common Risk Factors for Frequent Urination

Related factors that causes your frequent urination may include

  • Medications, that make you urinate fluid from your body such as diuretics
  • Certain food and drinks that acts as diuretics
  • Anxiety
  • Urinary tract infection
  • Inflammation of the bladder wall
  • Bladder or kidney stones
  • Pelvic tumor or mass
  • Sexually transmitted infection

 

Symptoms

Common symptoms that can suggest frequent urination include

  • Urinating frequently
  • Need to urinate more at night, disrupting your sleep cycle.
  • You need a physician attention when you experience
  • Pain while urinating
  • Bloody urine
  • Loss of bladder control
  • Discharge from the penis or vagina
  • Fever or chills

 

 

Diagnosis

  • Your doctor will carry out a thorough history and physical examination. You may need to give information on current medications, pattern of frequent urination, how much fluid you consume, changes in the color and smell of the urine, how much alcohol you consume.
  • Investigations such as

– Urinalysis to detect abnormality in the urine

– Ultrasound to view your kidneys

– Microscopic culture tests for STIs

– Neurological tests

 

Treatment

This depends on the underlying cause and it is individualized. After thorough history taking and examination, your doctor defines your treatment modality to eliminate the cause and improve your condition.

If the cause is diabetes mellitus, your blood sugar levels needs to be kept under control

For a kidney infection, course of treatment is with antibiotics and pain killers

For an overactive bladder, anticholinergic medication is prescribed.

For lifestyle related courses, you will be advised accordingly.

Bladder training and exercises are recommended and this includes:

Bladder training: Training your bladder to hold urine longer, usually for about 2 to 3 months

Kegel exercises. This gives support to the muscles of the pelvis and urethra, also support the bladder.

Monitoring fluid intake. You may need to reduce your fluid intake at certain time of the day.

 

Prevention

  • Limit alcohol and caffeine intake
  • Eat a balanced diet
  • Regular exercise and physical activity.