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Urine Retention (nocturia): Why am I producing so much urine at night?
Hello,
Per my doctor, I am an otherwise healthy 40 something year old male who was been diagnosed with urine retention and voiding dysfunction (approximately six weeks ago). I've had a cystoscopy, which confirmed I have a very tight external urethral sphincter muscle and a hypertrophic bladder. I was doing self-catherization for over a month and pelvic floor stretches. I opted to have a foley catheter for the next month to relax the sphincter and bladder. I am awaiting a urodynamic study for further details, but its over two months out.
I am drinking 100 ounces of water or more each day per my urologist. I drink over half of the total in the mornings, and taper off through the afternoon. I stop drinking fluids at 6pm.
However, I noticed I am producing more than half of my daily output of urine between 11PM - 5AM, even though I empty myself before bed. When I was self cathing, I would void 300-400 ml on my own and cath another 400-700ml at night! When I wake up with my foley cath, I consistently have over 1000ml in my nigh bag. I asked my urologist and doctor why my urine output is so high at night and they do not know.
WHY am I producing so much urine at night?
Prior to the urine retention problem, I would get up once at night to pee 2-4 times a week, and my prostate is fine. I occasionally snore and my wife has not noticed any issues with breathing during sleep. I was tested for sleep apnea three years ago and it was negative. I exercise at least five days a week and was in the best shape of my life prior to the retention issues.
Could this be hormonal or neurological? Does the fact I worked a swing shift for fourteen years (off at midnight-ish) influence this?
How can I get my urine production to increase during the day and decrease at night?
Please help! I'd like some type of guidance so I can get my life back on track...
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That's a good question. I've got a feeling that most people never look at the instructions that come with almost every medication that have all that good information 🙃 I was one of them and my original prescribing doctor was long gone as I get a new resident PCP every two years or so. After the pharmacist told me I should be taking them at night, I confirmed it with my PCP and was happy that it improved my nightly wake up calls.
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2 ReactionsHave you tried D-manoose? I think it is a miracle We like the NOW brand from amazon
I have recently noticed that I have begun urinating 4-5 times st night. It is also interfering with my sleep. What could I do to reduce it as I will be sharing a room with another person on a Pilgrimage soon
@mariserodriguez, I moved your question about urinating often at night to this existing discussion:
- Urine Retention (nocturia): Why am I producing so much urine at night? https://connect.mayoclinic.org/discussion/urine-retention-high-night-time-urine-production/ -
I did this so you can read the previous post and connect with other members experiencing the same thing.
You might find this article from Mayo Clinic helpful:
- Frequent Urination - Causes: https://www.mayoclinic.org/symptoms/frequent-urination/basics/causes/sym-20050712
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2 Reactionsquite often i experience acid reflux before i urinate mostly at night when im in bed
I am 90 year old male. I might add the AR goes a way after i urinate
Hi @omta, I moved your discussion and combined it with an existing discussion titled: "Urine Retention (nocturia): Why am I producing so much urine at night?" - https://connect.mayoclinic.org/discussion/urine-retention-high-night-time-urine-production/
I did this so you could meet other members talking about nocturia like @rndexter, @terwifwoods, and @sbwitte have discussed nocturia.
@omta, have you discussed the onset of acid reflux with your nocturia with your provider and how it is relieved after you use the bathroom?
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1 ReactionNo i guess i learned to live with it
i have a primary care appointment this Thursday and i will mention it
Hey, Howard. Are you still following this blog?
If so, how are things now around 2½ years on?
I had a stone surgically removed from my bladder, too, and expected my frequency -- especially overnight -- to end. But it didn't.
I also subsequently thought that ADT for my prostate cancer would shrink the prostate and alleviate the urinary problems. I don't know if it did shrink the prostate or not, but it certainly didn't alleviate the problems. (Though I do have fewer overnight urgencies, that may be due to more careful attention to avoiding late-in-the-day liquids consumption, and switching Flomax from at bedtime to around breakfast time.)
Has what you've done solved your urinary problems?
Joe:
I am 77 (now) and ve been fighting the bladder to "regulate" itself to the point of little water coming thru. I think that the only pill help you can get now is Gentesa. I have been taking Gentesa for about three months and it has prevented me (it took the whole 3 months to get to the point where it will work, but it seems to be working efficiently.
However, I use men's panties every night and other urine leakage prevention devices to aid me just in case. I want to have them ... to ensure the best possible overnight protection. I purchase the men's adult panties from a very reliable company - NorthShore - in the Chicago area (800-563-0161) or NorthShore.com/2140. They are a bit more expensive than the supermarket variety but their products work the way they say they should. I use their Medium, Go-Supreme Lite "scheduled" for keeping dry for 6 hours at nite, but I sometimes I need the same kind of panties for 8 hours and during the day, also. And I use their extra and complementary guard that you add to the mix at night, fitted easily at nite. The customer service department, if you haven't used these protective panties, blocks, and guards will give the help you might need.
Let me know if anyone out at the Mayo Clinic has found anything better for activities we do during the day - or evening, traveling on planes, trains, attending the theater, restaurants, etc. It's simply embarrassing to have to walk around or sit in a movie theater ... wet, as we all know.
Keep dry and keep me posted on something really essential that might surface in the Mayo Clinic discussion group.
H.J. Scheiber, PhDHoward69 Colton CircleWest Orange, NJ Tel. 973.219.7716
I also self Catherine and empty my bladder right before bed time and still have to get up at least once per night and empty again. I think it is easier for your kidneys to function with your feet elevated at night as gravity tends to pool the blood in the lower extremities during the day, because your feet aren’t elevated! That’s my theory, as I am not a doctor!