Rockledge, Florida

Marja Sprock, M.D., FACOG, FPMRS Board Certified
Fellowship Trained Urogynecologist

Now Accepting New Patients

info@CFUroGyn.com      Phone:  321-806-3929

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Previously Published by Category

URINARY ISSUES

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All Published Articles

Nighttime Urination
By Marja Sprock, M.D. FACOG, FPMRS Board Certified

Nocturia or waking up to void, which is followed by going back to sleep, occurs more frequently when we get older.

It is definitely a source of significant bother to the patient, partner and what I was not aware of the dog. One of my patients presented because her dog Milly had become annoyed by the amount of time she was woken up by her owner. Milly’s owner is 72, still very actively involved in the workforce and her lack of sleep did initially not make her seek help. What made her present was the realization that it was even too much for her dog. Currently Milly is much happier with her boss, since some medications did the trick.

Among 18 to 49 year olds, more women than men have nocturia; Men after 60 years of age win the nocturia battle. The prevalence of twice nightly or greater nocturia among men between 70 and 79 is nearly 50 percent.

When you have to get up twice or more at night it starts to become a problem at least for women.

Nocturia can be attributed to any disorder or condition that causes one of the following

  • Low volume bladder void
  • Increased volume of nighttime urinary output
  • Sleep disturbance

It is very important to differentiate between the different reasons for nocturia, since the treatment is very different. If Milly were barking the entire night, she would wake up her boss, who may then decide to go to the bathroom. Sleep apnea or having a male partner, who gets up to go to the bathroom and wakes you up in the process, would be another reason for a sleep disturbance. This is not related to a bladder issue. On the other hand the bladder may be overactive or have a reduced capacity. There are different treatments for this from bladder and muscle training to medications by mouth or in the bladder like Botox® or nerve stimulation, either temporary or more permanent. The owner of Milly has been helped very much by a medication to treat her overactive bladder. The medication may worsen the condition if the bladder empties incompletely, so a proper diagnosis is paramount

Nocturia can be attributed to any disorder or condition that causes one of the following

  • Low volume bladder void

  • Increased volume of nighttime urinary output

  • Sleep disturbance

If the production of urine is increased at night the treatment is different again. Diseases like Parkinsonism, diabetes mellitus, nephrotic syndrome and heart failure can increase the nighttime urine production. Medications like diuretics if taken between 1-4 PM will have a better effect on diminishing the edema or swelling and will not interfere with your night time sleeping. Also if you tend to drink a lot of fluids, they will have to come out some time. Drinking a large glass of water right before you get into bed may taste good, but is not recommended if you’d like to be asleep for a longer time. In addition remember that more fluid intake does not make you live longer or better. There is no advantage to your health to drink excessive amounts of water and it may dilute your electrolytes leading to fatigue and dizziness.

Also one of the peptide hormones which naturally diminish your nighttime urine production is lower in aging adults. And let’s not forget if your bladder is prolapsed and prevents it from emptying well during the day, it can cause not only sleepless nights but also bladder infections.

With all these reasons to not be able to sleep at night I may have overwhelmed you or put you to sleep. It may be a good idea to schedule an appointment with Central Florida UroGynecology and have us figure out what is preventing you from getting a good night’s rest. One thing is for sure, when we get adequate sleep, we all feel better, even the dog.

Marja Sprock M.D. at Central Florida UroGynecology in Rockledge is OB/GYN and Female Pelvic Medicine and Reconstructive Pelvic Surgery (Urogynecology) board certified and can be reached at 321-806-3929 or check us out at www.CFUroGyn.com

"Central Florida UroGynecology where high tech and common sense meet"


Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

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updated:  January 11, 2016