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Robert asked...

For many weeks now I have been experiencing disturbed sleep due to the need to urinate in the night...

Hi, For many weeks now I have been experiencing disturbed sleep due to the need to urinate in the night. Some nights recently I have been waking up 3-4 times to urinate. I have tried various things like not drinking 2 hours before bed and sleep routines etc but i am having no luck and I am not sleeping enough which is taking a major toll. I am finding myself exhausted and stressed out of my mind. What do you thin could be the cause? I am planning to see my gp as soon as I can get an appointment but I am not having much luck at the moment Kind regards, Robert Parfitt

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The answer

Thank you for your question.

Many people can have periodic issues with having to frequently pass urine overnight. This condition is called Nocturia. There can be many reasons for this to occur, and I shall highlight some within this response.

It is understandable that this is an issue for you as it is now affecting your sleep pattern, which can make one feel exhausted.

We notice that you have mentioned that you have already tried to reduce your fluid levels for a time prior to retiring for the night, but from what you have said, this has not helped.

Many people can have periodic issues with having to frequently pass urine overnight. This condition is called Nocturia. There can be many reasons for this to occur, and I shall highlight some within this response.

With regards to the cause of more frequent urination at night, it could be related to Urinary Tract Infection (UTI), Irritated Bladder, or in the case of males, a Prostate issue.

As you have stated that you have had this problem for a number of weeks, it would be recommended that you see your GP regarding this. They will be able to take a full assessment of the situation, examine and discuss possible further investigations that they would recommend.

  • In the case of Urinary Infection, there is usually a more frequent need to pass urine during the day as well as at night; there are usually other symptoms which may include urgency to pass urine, passing smaller amounts than usual, and a burning or stinging sensation when urinating. In this case, your GP will ask you for a urine sample to send for analysis (testing), and start a treatment course of oral Antibiotics, which should resolve the situation.
  • With enlarged Prostate issues, there are many investigations that your GP may want to discuss with you after your initial assessment. You may be required to have a physical examination with the GP to determine if this is the issue, and your GP may suggest blood tests and further investigations which may result into a referral to a Specialist Urologist if necessary, to investigate further.
  • Your GP may also discuss with you possible oral medication treatments which they may feel appropriate to reduce the need to pass urine overnight. These may include medicines which help to reduce the amount of urine produced by the kidneys, hence reducing the need to get up regularly in the night.

With any of the symptoms that you have described, it is always recommended that you visit your GP to discuss. We have included a link to some information which you may find useful.

We hope this has been of some help.

Prostate disease - NHS

Answered by the Health at Hand nurses