What causes nocturia in the elderly? What is the cause of excessive nocturia in older women?

Many elderly people have the experience of going to the toilet several times a night. Why do elderly people have more nocturia?

Normal adults urinate up to 2 times a day at night, and many people don't urinate at night, which is normal. A normal person's urine output at night usually does not exceed 300 400 milliliters, which is equivalent to only 1 3 or 1 4 of the total urine output throughout the day. If the amount of urine produced at night exceeds 300 400 ml, it is called nocturia.

Is nocturia a disease? It must be analyzed on a case-by-case basis, some people have more nocturia because they are sick, and some people have more nocturia that is not considered a disease. But in any case, nocturia in older people is often a sign of reduced kidney function.

Everyone has two kidneys, each with more than a million glomeruli and tubules. The degree of their activity reflects the condition of kidney function.

After the age of 40, the kidneys begin to age, the glomeruli and renal tubules undergo degenerative changes one after another, the number begins to decrease, the blood vessels passing through the kidneys also begin to harden, the kidneys atrophy, and kidney function begins to decline. For people over 65 years of age, the degeneration of the renal tubules is particularly noticeable. At this time, the renal tubules cannot effectively absorb the water filtered by the glomeruli into the blood, that is, the concentration function of urine is reduced, resulting in the disorder of diurnal urination regularity, which causes the elderly to have more nocturia.

In general, kidney function declines with age in older people. The older you get, the more likely you are to have nocturia. However, studies have found that people have different physiques and different situations:

1 3 percent of people over the age of 65 have the same kidney function as young people, so they don't have nocturia.

There are also some elderly people who have nocturia due to certain diseases, and the common diseases are:1Prostatic hyperplasia.

2.Chronic pyelonephritis. 3.

Inflammation of the bladder and urethra. 4.Later stages of primary glomerular disease.

5.Chronic interstitial nephritis. 6.

Severe potassium deficiency due to chronic diarrhea. 7.Diabetes.

8.Hypercalcemia. 9.

Hypokalemic nephropathy. 10.Hyperuricemia.

11.Sjogren's syndrome. 12.

Polycystic kidney disease. 13.Renal arteriolar sclerosis.

If the elderly have nocturia, they should be vigilant enough for the above diseases and go to the hospital for examination in time.

In fact, there is a lot of nocturia, and getting up often at night may not be a habit that everyone has developed by themselves, but because of the abnormality of the body. Nocturia is just a signal from the body that gets our attention. Many people think that the increase in nocturia is caused by kidney deficiency, so is it really that simple?

What are the causes of nocturia, frequent waking up at night?

Kidney deficiency may indeed cause frequent urination, after all, the urine in our human body is produced and excreted by the kidneys. Not only is it caused by kidney deficiency, but there are many other reasons that need to be analyzed.

For example, if a person's bladder is inflamed, it may also numb the relevant nerves in their body and lose their due sensitivity, resulting in the feeling of wanting to urinate all the time, and frequent urination is prone to occur, and increased nocturia is also a significant feature of bladder inflammation.

As we age, certain organs of the body will also age and atrophy, for example, our detrusor muscles will atrophy as the body ages. As a result, the capacity of your bladder will become smaller, and the place where you can store urine will become smaller and smaller, so it will naturally be easier to urinate more often, and it will be easier to wake up at night.

Many middle-aged and elderly men have prostatic hyperplasia, which is also a reason for excessive nocturia and frequent waking up at night. Because once a man's prostate gland is hyperplasia, it is likely to compress his urethra, causing difficulty in defecation. The increase in nocturia in middle-aged and elderly women may be due to the prolapse of their uterus, which leads to relaxation around the neck of their bladder, and the bladder is more likely to distend and produce urine.

That being the case, how can we alleviate the problem of nocturia?

First of all, it is best not to drink too much water before going to bed at night to avoid the burden on the kidneys and bladder. If you add too much water at night, the body cannot excrete this water from the body in a very short period of time, and can only accumulate in the bladder, so it is very likely to be awakened by urine when you sleep, resulting in increased nocturia and frequent wake-up at night.

The second is to reduce salt intake, you must know that eating too salty will often feel thirsty, after all, the body is short of water, so it is easy to drink too much water, resulting in too much water in your body, the formation of urine will increase, and the frequency of nocturia will slowly increase.

Finally, it is recommended that you can wear a pair of socks when you sleep, which can not only avoid your feet from getting cold, but also prevent the fluid in your body from accumulating in your legs, reducing the pressure on your bladder, so as to reduce the frequency of getting up at night invisibly.

What medicine do you take for the elderly and women in nocturia.

Female elderly people with nocturia are likely to be caused by kidney deficiency, and they can take Mengxiong Dan to nourish the kidney, nourish and strengthen the body, regulate the system, and nourish qi and blood.

Condition analysis: Hello is especially easy to fall asleep at night, frequent nocturia when awake Opinion suggestion: If there are no symptoms, women are more likely to have stress urinary incontinence, which is caused by increased abdominal pressure. This is related to the short urethra in women, the lack of corresponding sphincter, etc.

If there is urinary frequency, urgency, and pain, it is generally the cause of urethritis and can also cause urinary incontinence. Neurologic incontinence may also be present.

The elderly woman is 68 years old. Recently, after 12 o'clock in the evening, the urgency and frequency of urination, an average of once an hour, the amount of urine is not much. What's the situation? How**? Thank you.

In general, only getting up two or more times at night because of urination can be called nocturia, and getting up at night for other reasons does not belong to the scope of nocturia. In fact, nocturia is a very common symptom, most middle-aged people have this problem, and the older you get, the more common this symptom is. Many people think that it is normal to have this symptom when they are older, but there is currently no evidence that healthy elderly people wake up more often at night.

Therefore, it is important to pay attention to the symptom of getting up more often, because it does not represent health.

We can try to change our lifestyle and behavior first, such as drinking as little water as possible when sleeping, especially before going to bed, and drinking water during the day. The second is to avoid alcohol, coffee and other drinks, and there are also dietary requirements. Then try to eliminate other factors that affect the quality of sleep, such as sound, light, etc.

Keeping a voiding diary is also very effective for relieving nocturia, which is a good way to understand the impact of life or behavior on urination, you only need to have a container that can be used to measure the volume of liquid, and there is a mark for every 100 milliliters. When urinating, you can record the time of urination, urine output, whether it is accompanied by urgency and other discomforts. In addition to recording urination, it is also necessary to record the daily water intake, such as drinking water or other beverages every day, including porridge, soup, etc., and record the time and approximate amount.

In short, the above are the causes of nocturia, and the way to alleviate it, according to the record of the urination diary, you can see if the nocturia has improved by adjusting your lifestyle, and you can find the best factors; But if the adjustment effect is not good after a period of time, please take the diary to the doctor, which can be beneficial to the doctor's diagnosis and treatment, and finally, I hope everyone can sleep until dawn.

Many elderly people in life have the problem of getting up at night, finally falling asleep, and then being awakened by urine for a while, so repeatedly, the sleep of the elderly has a great impact, and the quality of sleep is seriously weakened, so how to alleviate the situation of the elderly with more nocturia? Let's take a look.

1. Empty urine before going to bed:Empty your bladder completely before, after and before bedtime.

Setting a urination schedule, every two hours during the day and every four hours at night, and training the time to urinate regularly through the schedule is of great help to the function of the bladder.

3. Drink less water after dinnerDrink 200-250cc of fluids before 8 p.m. and try to drink as little water as possible after dinner.

4. Avoid diuretic foodsReduce your intake of foods with diuretic effects, such as coffee, tea, cola and alcoholic beverages.

5. Reduce sleeping medicationsSleep restants, tranquilizers, and alcohol should be used sparingly because they can reduce the urge to urinate and increase the likelihood of urinary incontinence, especially at night.

6. Strengthen pelvic floor musclesExercises that strengthen the pelvic muscles in women can help support the bladder.

In older people, kidney function declines, and the body cannot store much water. Drink too much water before going to bed, so I always wake up at night. Drinking too much porridge at dinner caused a lot of water in the stomach.

It may be caused by urethritis, which will have this situation of frequent urine tests, and the elderly are also very easy to get, so they should go to the hospital to see.

The function of the kidneys is weakened, and when people get old, all organs in the body are also declining, and they can't control it, so they often go to the toilet at night.

Nocturia in the elderly may be physiological or pathological factors, such as urinary system diseases, prostate diseases, bladder dysfunction, hypertension, etc.

1.Physiological factors: such as drinking too much water before bedtime, which can lead to excessive nocturia, or drinking coffee and strong tea, can make people get excited and can also promote urination, which can lead to excessive nocturia.

2.Urinary tract diseases: such as urinary tract infection, patients may have frequent urination, urgency, and painful urination, causing nocturia.

3.Prostate disease: such as prostatic hyperplasia, symptoms such as difficulty urinating, urine waiting, etc., when the bladder detrusor muscle is in a state of overload for a long time, it will cause an increase in the frequency of urination at night and a decrease in urine output.

4.Bladder dysfunction: As we age, the pelvic floor muscles become relaxed, and if accompanied by bladder prolapse, it can lead to incomplete bladder emptying, resulting in excess residual urine and nocturia.

5.High blood pressure: Long-term high blood pressure causes kidney damage, and the concentrated dilution function of the kidneys is impaired, resulting in nocturia.

If the elderly have a lot of nocturia and daily life conditioning cannot be improved, go to the hospital in time to clarify the cause and then carry out the corresponding **.

There are often several reasons for nocturia in the elderly:

1. Combined with internal diseases: such as diabetes, hypertension, taking some diuretic antihypertensive drugs, diabetes insipidus, due to these internal diseases, so nocturia will be more.

2. Nocturia with reduced bladder functional capacity: The elderly have a lot of nocturia, which we call nocturia with reduced bladder functional capacity. This type of nocturia may be due to prostatitis and prostatic hyperplasia in men, and cystitis or overactive bladder in women, resulting in not much urine in the bladder, so they get old at night.

This type is characterized by the fact that the amount of urine may not be large, mainly because of the high frequency. In addition, there is nocturnal nocturia, which is mainly characterized by the fact that the amount of urine produced at night may exceed that of the day, accounting for more than 1 3 of the whole day. At this time, the diagnosis of nocturnal nocturia is mainly due to the varying degrees of disturbance in the secretion of hormones that control the rhythm of urination.

Nocturia in the elderly may be related to drinking too much water before bedtime, which can generally be relieved by correcting their bad habits. In addition, it may also be related to disease **, which may also lead to nocturia, and it is necessary to apply relevant drugs under the guidance of a doctor and actively carry out **. For example:

1. Bladder space-occupying diseases: such as bladder stones, bladder tumors, etc., can cause bladder capacity reduction, resulting in nocturia in the elderly, often accompanied by urinary urgency, painful urination and other symptoms. ** should be actively to the cause, symptom **, such as for patients with bladder stones, should be actively treated with stone dissolution, potassium hydrogen citrate sodium can be used to alkalize urine; For patients with bladder tumors, disease progression should be confirmed by imaging examination as soon as possible, and surgery should be performed in a timely manner**, and if necessary, radiotherapy and chemotherapy can be used;

2. Renal insufficiency: If the elderly have renal insufficiency, it can lead to the weakening of the concentrating function of the kidneys, the symptoms of nocturia, and often accompanied by uncomfortable symptoms such as fatigue and backache. Usually, it is necessary to actively ** the primary disease, control blood pressure, blood sugar, etc., at this time, you can use drugs according to the doctor's instructions to relieve the abnormal urination;

3. Sleep disorders: If the elderly have sleep disorders, the bladder and urinary system may not be damaged, but there will be abnormal mental conditions such as anxiety and depression, and nocturia will be induced due to anxiety and restlessness.

4. Diabetes: The elderly with diabetes generally have the typical symptoms of polyuria, polydipsia and polyphagia, which can lead to nocturia. ** Actively control blood sugar and take hypoglycemic drugs as prescribed. In daily life, it is necessary to control the diet and avoid the intake of high-sugar foods.