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Do You Have To Go A Lot? Nocturia, Incontinence, And Sleep Apnea
If you’re one of the millions of men and women who have to go the the bathroom far too often, or have embarrassing leaks of urine once in a while, here’s some important information that you should know. The New York Times (Feb. 3) reported on an article from the New England Journal of Medicine which revealed that postmenopausal women with urinary incontinence issues had significant improvement after losing weight. They also benefitted in other areas such as improvements in their blood pressure, lipids, sleep and libido.
Another article in this month’s Journal SLEEP reported that OSA is associated with overactive bladder in men with or without urinary incontinence. The worse the severity of OSA, the worse the level of urinary problems. Not too surprisingly, nocturia (getting up at night to go to the bathroom frequently at night) is a known complication of obstructive sleep apnea.
Most people with these issues end up seeing a urologist initially and are placed on various medications that work to various degrees. However, a recent study suggests why you should see a sleep doctor instead—people who wake up in the middle of the night to go to the bathroom do so not because their bladders were full, but rather because they stopped breathing and then realized that they had a full bladder. OSA has also been shown to increase atrial natriuretic peptide (ANP), which is produced by the heart when it gets too much blood due to the sudden rush of blood after a lack of blood flow during an apnea episode. ANP causes you to make more urine to get rid of the excess fluid.
Something new to think about for all our senior citizens (and young adults too).
Another article in this month’s Journal SLEEP reported that OSA is associated with overactive bladder in men with or without urinary incontinence. The worse the severity of OSA, the worse the level of urinary problems. Not too surprisingly, nocturia (getting up at night to go to the bathroom frequently at night) is a known complication of obstructive sleep apnea.
Most people with these issues end up seeing a urologist initially and are placed on various medications that work to various degrees. However, a recent study suggests why you should see a sleep doctor instead—people who wake up in the middle of the night to go to the bathroom do so not because their bladders were full, but rather because they stopped breathing and then realized that they had a full bladder. OSA has also been shown to increase atrial natriuretic peptide (ANP), which is produced by the heart when it gets too much blood due to the sudden rush of blood after a lack of blood flow during an apnea episode. ANP causes you to make more urine to get rid of the excess fluid.
Something new to think about for all our senior citizens (and young adults too).
Views: 842
Replies to This Discussion
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Permalink Reply by sleepycarol on
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Interesting article.
I know I am one of those that nothing has helped with my nighttime bathroom trips. From the time I was a young child, I have never slept all night without getting up at least once (rarely) or more (usually 2 to 4 times) to go to the bathroom.
For all those that are able to avoid the nighttime ritual I am envious!!
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Permalink Reply by Henning on
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For some time before my treatment with CPAP, I had problems with an over active bladder and nocturia.
I was seen by an urologist and had a lot of examinations, including ultrasonic of my bladder and prostate. I also had a fiberscope examination. But they found nothing.
Only a short time after I started my treatment with CPAP, these problems was gone, and I have never experienced this again.
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Permalink Reply by Melodie on
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I have noticed that since receiving my new Bi-PAP Auto SV unit, I don't get up as often to use the restroom during the night. I am sleeping a minimum of 4-5 hours and lots of nights I get 6-8 hours sleep without waking for any reason. I usually wake up when the water chamber is nearing empty on my heated humidifier, as I start getting dried out. I am soooooo thankful that my physician realized that the C-PAP wasn't the right machine for me when he did. Since the last sleep study and receiving the Bi-PAP Auto SV, my sleep has improved greatly and my oxygen levels are improving when at the pulmonologist's office also.
I only wake to use the restroom if I take in too many liquids too close to bedtime these days. I have learned about when to stop taking in fluids to keep from waking up during the night.
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Permalink Reply by The Dreamer on
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For years I've struggled with the inconvenience of having to get up repeatedly to go to the bathroom at night. I'd avoid fluids and deliberately go to bed dying for thirst....but I would still have to get up and go.... It might be 2-3 hours of sleep at a time, other nights once I got up, it was like every hour or more often....
I've mentioned this on more than one occasion to my doctors....but nothing further would happen. I had pretty much just gone with it as being normal for me.
Somewhere along the way with CPAP therapy....I now often make it through the night without having to go, and there's no longer that major rush to go first thing when I get out of bed.
And, I don't have to struggle with whether I should drink something before going to bed (well, usually I don't...except I definitely watch what I drink when I'm visiting my parents....nothing like having your mother tell you how many times you went to the bathroom during the night....)
The Dreamer
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Permalink Reply by Karen on
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I have just completed my first week on cpap. Strangely enough it seems to have the opposite effect on me, I have to get up and go to the bathroom where I used to sleep through the night. I had the same problem at the sleep lab too.
Anyway I usually have lots of lower extremity swelling and maybe that is is.
Karen C.
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Permalink Reply by Judy Sharp on
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Everything that you explained is me I get up a couple of times a night to go, and when I'm out I'm running to the restroom
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Permalink Reply by Glen England on
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I have never had severe problems with this, though I do often get up once or twice a night. I find that since CPAP, I often wait too long as I lay and sleep a bit lighter when I have awoke and need to use the bathroom. I usually make it to about 4am though.
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Permalink Reply by Edwin B. Scott on
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I am taking a prescription hydrochlorthiazide 25 mg , I take 1/2 a tablet daily this causes me to urinate frequently I am also on a cpap machine and I only get about 3 or 4 hrs sleep then I awaken and my only excuse is thats when I urinate how do I cure this problem, do I need to take sleep medicine or not?? To answer this please use my Gmail to answer. My gmail address is edmaryscott@gmail.com>
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Permalink Reply by RockRpsgt on
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Henning is there anything that you have not had done yet? LOL
Henning said:For some time before my treatment with CPAP, I had problems with an over active bladder and nocturia.
I was seen by an urologist and had a lot of examinations, including ultrasonic of my bladder and prostate. I also had a fiberscope examination. But they found nothing.
Only a short time after I started my treatment with CPAP, these problems was gone, and I have never experienced this again.
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Permalink Reply by susan mccord on
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Dr. Park, once again I'm here to thank you for this information about bathroom trips during the night. As one who's moving in the direction of being a senior citizen, (I DO get discounts!!!), I've just assumed it was part of the aging process.
Now I've found, and you've confirmed it!, that being on CPAP has decreased this problem for me to nearly NO trips at night!! Who would have thought??????????????
It may seem like a small thing to celebrate, but it really has an impact on not only the quality of my sleep, but on my sense of myself as a still-fully-functioning person. So THANKS!! I got a lot of bang out of THIS buck of yours!!!
Susan McCord :-p)
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Permalink Reply by RD on
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I suspected the effect(s) apnea has on nocuria symptoms for a couple weeks now after having read several articles. I started using my CPAP last Wednesday night (9/30/09) and have journaled not having to go during the night for the last two nights. I wake up feeling pretty good and with no urgency to run off to the bathroom first thing in the morning. It'll be interesting to read back on all this at the end of one month to see what changes are happening including my BP, and number of naps I "have" to take during the day because I'm feeling out of gas.
Thanks for the relevent and affirming information.
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