How to cure nocturia?

The article was professionally consulted by Specialist Doctor I Nguyen Hung - Department of Medical Examination & Internal Medicine - Vinmec Danang International Hospital. With over 36 years of experience in the profession, the doctor has experience in treating endocrine - diabetes and kidney diseases.

Nocturia is a common symptom in both men and women, especially in the elderly. Patients have to wake up to urinate many times in the middle of the night, disrupting sleep, causing fatigue and affecting quality of life. So is nocturia dangerous and nocturia to take a lot of medicine to get rid of it?

Normally, a healthy person will urinate about 8 times a day, including 7 times during the day and 1 time at night with a urine volume equivalent to 300 ml each time. If frequent urination at night disrupts sleep, as opposed to bedwetting in children, it is called nocturia.
There are many causes of nocturia, one of which is a group of pathological causes, or entities. In order to have an effective treatment method, the doctor needs to examine and evaluate the results of subclinical tests to find out exactly what disease is the cause of the nocturia symptoms.
When there are signs of difficulty urinating, patients should see a doctor for timely diagnosis and thorough treatment of urinary tract infections, or other chronic diseases such as kidney failure, diabetes, fibroadenoma. prostate, ureteral stones, uterine prolapse or diseases related to nerve function.
For fibroids that enlarge the prostate, the patient needs to see a doctor to see the specific extent of the disease in order to have the right treatment both internally and externally. Annual prostate screening is a way to help men > 40 years old to detect disease early and especially to prevent malignant tumors.

2.1. Diet To limit nocturia in the evening due to function (other than pathology), first the patient needs to change and adjust the diet to be more suitable, namely:
Quit the habit used to drink a lot of water, alcohol, coffee or tea in the evening; Reduce the consumption of soups with diuretic ingredients such as vegetables, melon, gourd... at dinner; Increase green vegetables and fiber; Do not eat too much meat or eat too salty; Limit eating fruits containing a lot of water such as watermelon, grapefruit, orange... before going to bed. 2.2. Psychological factors Frequent nocturia due to unstable psychological factors can be found in both young and old people. Therefore, around the problem of nocturia and its treatment, it should be noted:
Avoid anxiety, excessive stress leading to insomnia; Concentrate on working so as not to notice the need to urinate; Make it a habit to urinate before going to bed and at the same time of the day; Keeping the mind relaxed, happy, preventing stress... Improving mental health and building a reasonable menu not only helps to overcome nocturnal polyuria, but also has a positive impact on Patient has dysuria or dysuria.
2.3. Some other causes The group of causes of nocturia outside the pathology also includes:
Effects of diuretics; Placental secretions and uterus compressing the bladder during pregnancy; Decreased urine concentrating function of the kidneys in the elderly; Nerve reflexes that control the bladder are disturbed. The cases of nocturia due to functional causes as above can be overcome by not taking diuretics or antihypertensive drugs (calcium channel blockers) in the evening. Massage or soak the anal area with warm water is also a suggestion to help improve this condition.
Besides, when you wake up to urinate in the middle of the night, you need to sit calmly and slowly, wait until you are fully awake, then get out of bed to avoid a cerebrovascular accident. In rural areas, it is advisable to prepare a potty for the elderly to urinate at night, if there is no toilet in the house, they should not go outside to urinate in the middle of the night.

Doctors recommend that it is necessary to determine the exact cause of nocturia in order to improve this condition. For the group of organic causes of nocturia, the specialist will treat the disease to relieve the symptoms of nocturia. In case nocturia is due to functional impairment, patients should actively adjust their living habits under the guidance of a medical professional.
When nocturia is a nuisance to life and cannot be improved by home remedies, you should go to Vinmec International General Hospital for a diagnosis to determine the cause and treatment intervention. The leading urologists at Vinmec will perform the necessary examination methods to find the cause of the nocturia syndrome and give the most effective treatment advice, helping the patient to return to life soon. normal activities, improve quality of life.