Frequent Night Urination

Last reviewed by Dr.Mary on August 7th, 2018.

What is the cause of Night urination?

Night urination is referred to by the medical term of nocturia. There are numerous probable causes, from simple problems to severe medical conditions so this is a condition where the individual needs to seek prompt medical advice. The physician will need to determine the reason for frequent night urination and the underlying problem needs to be treated or managed.


Frequent Night Urination Causes

The majority of individuals can sleep for 6 hours to 8 hours during the night without the need to pass urine. But this is not the case for individuals suffering from nocturia. Individuals with nocturia repeatedly are awakened during the night because of this need to urinate. There are several broad areas of causes for these symptoms and they include:

Production of Urine

As individual’s age, the body starts producing less of the antidiuretic hormone, thus making the kidneys’ urine production much slower.

Shrinking Bladder

As individual’s age, the bladder also shrinks considerably in size, making it that much more necessary to empty the bladder more frequently.

Prostate Gland

In men, an enlarged prostate gland is a very common cause of frequent night urination.

Medications

Various drugs can cause nocturia to occur as well. Diuretics are drugs which help to assist the body with elimination of excessive fluids. Drugs used to treat some cardiac-related ailments and bipolar disorder also can lead to this symptom.

Too Much Fluids

Too much liquid before bedtime or drinking a lot of caffeine or alcohol before bedtime causes nocturia.

Kidney or Bladder Condition

Nocturia can be a warning sign of problems with either the kidneys or bladder. For instance kidney stones, overactive bladder or urinary tract infection.

The following are causes which are very common and are medical diseases or medical conditions which affect more than 10 million people in the US:

  • Diabetes mellitus
  • Urinary incontinence
  • Insomnia

The following are causes which are conditions or diseases which affect more than 1 million individuals in the US:

  • Cystitis
  • Congestive heart failure
  • Heart failure – fluid retained in the legs is reabsorbed when lying down and must be excreted
  • Urinary tract infection
  • Prostate disorders

Following causes are very rare and appear in the population at a rate of substantially less than 200,000 individuals per year in the US:

  • Diabetes insipidus

The following are a list of 14 medical problems or conditions which could possibly cause Frequent Night Urination or Nocturia. These need to be discussed with your physicians.

  • Diuretic use
  • Benign prostatic hyperplasia
  • Obstructive sleep apnoea
  • Excessive fluid intake before bedtime
  • Excessive caffeine
  • Alcohol intake
  • Chronic heart failure
  • Lithium
  • Diuretics
  • Hypercalcemic nephropathy
  • Acute pyelonephritis
  • Chronic renal failure
  • Kidney failure
  • Chronic kidney failure

Following medications, drugs, toxins or substances possibly cause Frequent Night Urination or Nocturia as a side effect. This list is not complete as there are various other substances or drugs which can cause these symptoms. An individual should always check with their physician about any medications or treatments they might be using, including over-the-counter, prescription, herbal or alternative treatments as well as supplements.

  • Catapres
  • Apo-Clonidine
  • Catapresan-100
  • Dixarit
  • Clonidine
  • Novo-Clonidine
  • Nu-Clonidin

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