top of page

If you're like most people, a good night's sleep is crucial to your overall health and wellbeing. But if you suffer from nocturia, you know that getting a whole night's rest can be next to impossible. Nocturia is a condition that causes you to wake up multiple times during the night to urinate, and it can be extremely disruptive to your sleep cycle.


Man Cries Out in the Night: Is Nocturia Robbing You of Your Sleep?

Is Frequent Urination at Night (Nocturia) Keeping You Up?


Nocturia can be a pesky problem that keeps you up. It affects both men and women equally. According to studies and surveys, 69 % of men and 76 % of women over the age of 40 get up at least once per night to use the restroom.


If you are experiencing nocturia, you may not get a good night's sleep as you have to go to the bathroom several times during the night. It can be caused by many factors. Understanding the situation better can assist you in determining the best treatment option.


5 Common Causes of Nocturia


You wake up in the middle of the night. Again. You’re tired and just want to sleep, but you have to go to the bathroom. If this sounds like you, you may be wondering what’s causing your nocturia and what you can do about it.


1. Polyuria

One common cause of nocturia is polyuria, which is the excessive production of urine. Polyuria can be caused by many different things, including diabetes, drinking too much fluid, and taking certain medications.


Sometimes it can be caused by poor kidney function. When the kidneys are not functioning properly, they are unable to retain fluid, resulting in an excessive loss of fluid in the form of urine.


If the nocturia's cause is due to poor kidney function, then treatment involves improving renal function through medications and lifestyle changes.


Prostate enlargement and nocturia

2. Prostate enlargement

Nocturia is a very common and disruptive symptom of BPH or an enlarged prostate in men.


Because the prostate is enlarged, additional pressure is placed on the urethra (the tube through which urine flows from the bladder and out of the body) and urine is retained in the bladder. Sufferers may need to urinate more frequently or urgently, including at night.


There are a few different ways to treat prostate enlargement. One is by taking a supplement with saw palmetto extract & pumpkin seed oil. This helps to shrink the prostate and make it easier to urinate. Another option is surgery. This is usually only done if the enlargement is severe and causes problems such as urinary retention or obstruction. Medication may also be prescribed to help relieve symptoms.


3. Urinary tract infection (UTI) or bladder infection

UTIs are a common cause of nocturia, especially in women. When a UTI develops, the bacteria can spread to the bladder and cause inflammation and irritation. This can lead to an increase in the frequency of urination, as well as leakage of urine during the night.


If your nocturia is caused by a UTI, you may need to see your doctor for antibiotics.



4. Overactive bladder

When the bladder becomes overactive, it sends signals to the brain that make people feel the need to urinate even when their bladder isn't full. This can lead to frequent trips to the bathroom at night, which can disrupt sleep and cause fatigue during the day.


There are a number of things that can help relieve symptoms of overactive bladder, including lifestyle changes like reducing fluid intake before bed and avoiding caffeine and alcohol. There are also medications available that can help relax the bladder muscles and reduce the frequency of trips to the bathroom.


In a small study, researchers administered 500 to 1,000 milligrammes of pumpkin seed oil to participants. The participants' symptoms of overactive bladder improved dramatically.


5. On certain medications/ supplements

Some common medications that can cause increased urination include diuretics and blood pressure medications. Additionally, some supplements, such as celery extract, can also lead to more frequent trips to the bathroom.


Consult your doctor if you experience frequent urination after starting certain medications or supplements.


Are Nocturia and Painful Urination Related?


Painful urination, also known as dysuria, is a common symptom that can have a variety of causes and is not always related to nocturia.


The most common cause is a urinary tract infection, but other causes include prostate problems, sexually transmitted infections, and kidney stones.


Does Sleep Position Affect Nocturia?

Does Sleep Position Affect Nocturia?


There is currently little research into the best sleeping position for nocturia. As a general rule, choose one that is both comfortable for you, promotes restful sleep, and does not contribute to pain upon waking.


According to some studies, sleep apnea has been linked to OAB symptoms in both men and women. This could be due to the effects of apnea episodes, which can cause low tissue oxygen levels throughout the body, including the urinary system.


Sleeping on your side may help if you have sleep apnea and OAB. It is estimated that switching from back to side sleeping can eliminate sleep apnea symptoms in about 20% of people.


How Can You Prevent Having Urgent Urination at Night?


There are a few things you can do to help prevent having urgent urination at night:

  • Limit your fluid intake at night. Drink plenty of fluids (especially water) during the day, but limit fluids 2-4 hours before going to bed.

  • Control your use of diuretics.

  • Raise your legs or wear compression socks.

  • Take advantage of afternoon naps.


Take Away


In conclusion, nocturia can be a major cause of sleep deprivation and should be taken seriously. There are several causes of nocturia, and treatment varies depending on the cause. One can experiment with lifestyle changes such as limiting fluid intake before going to bed. If the urgency of urination is caused by prostate enlargement, take supplements to reduce prostate inflammation.


The best course of action is to consult with your doctor to identify and discuss treatment options.



Related read:





You're lying comfortably in bed when you feel that pressure in your bladder. You get up and go to the bathroom, but only a small amount of urine comes out. You've woken up three more times to urinate before you realise it.


Does this sound familiar? You are not by yourself. According to research, approximately 65 per cent of people aged 55 and older reported getting up several times during the night to use the washroom.


If you're concerned about your nightly urinary patterns, here's some information to help you distinguish what's normal and when you should seek medical attention.


What is considered normal?


A study published in the Journal of Urology in 2010 looked at the prevalence and incidence of nocturia (urination at night). It was discovered that up to one-third of men aged 20 to 40 had at least one nightly urination. The figure for women was slightly higher—up to 43 per cent. Fewer than one in every five men and women in that age group reported urinating at night on two or more occasions.


It's a different storey for people over the age of 70. Over two-thirds of men and women over the age of 70 urinate at least once per night, and up to 60% urinate twice or more.


In a nutshell, the study found that most people wake up once a night and that it becomes more common as you get older.


Why we can't control and need to pee at night?


Most people are unaffected by nighttime urination. However, if this interferes with your sleep or productivity the next day, you should seek medical attention. You should see a doctor confirm the underlying habits for your nocturia is caused by some other medical conditions, such as:

  • Prostate enlargement: Men with an enlarged prostate may have difficulty completely emptying their bladder, resulting in urinary retention. Any small increase in urine in the bladder during the night may cause a heightened desire to use the restroom. These symptoms can be evaluated by your primary care physician or urologist.

  • Overactive bladder: This can occur as a result of nerve problems, medications, or lifestyle choices that cause the muscles in your bladder to work overtime.

  • Excessive fluid consumption: If you drink fluids right before bed, especially caffeinated or alcoholic beverages, you may wake up to urinate because your kidneys will filter this fluid out while you sleep. Limit your intake three hours before bedtime, and your symptoms may improve.

  • Uncontrolled Diabetes: Elevated blood sugar levels can cause an increase in urine production. Many new diabetes diagnoses are made when patients present with excessive daytime or nighttime urinary frequency. Better sugar control may be beneficial in this situation.

  • Medications: Certain diuretics, or blood pressure medications, can lower your blood pressure by removing excess fluid from your body. These medications may cause increased urine output and nocturia if taken at night. Request that your doctor reviews your medications to see if you can take them during the day to avoid nighttime nocturia.

  • Stress: Stress has been linked to a variety of medical issues, including heart disease, obesity, depression, and gastrointestinal issues. Stress can cause you to stay awake and increase your nocturia.

Many people wake up at night to urinate, but you can improve your nightly symptoms by changing your habits, medications, or overall health. However, nighttime urination could be your body's way of alerting you to another underlying issue, so consult your doctor if you have any concerns.


Related read:

bottom of page