What medicine do you take for nocturia? What are the side effects?

<> urinary tract infection recurrent urinary tract infection with increased urine output, in addition to increased urine output, there may be symptoms of urgency and pain, these are some of the symptoms that the elderly are most likely to have, especially some elderly female patients with repeated urinary tract infections, it may increase the risk of nephritis, so at this time you need to check the urine routine, if there are different degrees of white blood cells and red blood cells in the urine, you need to consider the indicators of inflammation, and you need to reduce inflammation**.

Prostatitis, prostatic hyperplasia, some of the most common symptoms of some elderly male patients will also appear increased urine output, in addition to increased urine output, there may be unclean urine, unformed urine flow interruption, some patients with prostatic hyperplasia, may have repeated frequent urination urgency, painful urination, difficulty urinating, at this time may be related to a senile prostate infection, need timely anti-inflammatory**.

Diabetes insipidus is one of the most common hidden diseases in endocrinology, due to the unstable hormone level of urine, the body lacks consideration of urine hormones, and the urine output increases, which is not only increased nocturia, but also frequent urine output in 24 hours, so it is necessary to use some vasopressin, which may have a good effect.

Generally, the number of normal people's urination is 4 6 times a day, 0 2 times at night, this is normal, if it exceeds this range, it is necessary to rule out whether there are any of the above reasons, so the elderly frequent urination at night or increased urine output is a physiological or primary manifestation of a special symptom of an organic disease.

It is normal for the elderly to have nocturia because when the elderly are older, their kidney function will decline, so they will have nocturia, and they should drink less water when they sleep, soak their feet in hot water, and insist on running every day, which can restore our kidney function some, and there is no need to take medicine. If you take medicine, it is very harmful to the body, and it will also harm the liver and kidneys, which will become more and more serious.

It is necessary to take Chinese medicine to nourish the kidney and invigorate qi to be useful, and the resulting *** is to feel some pain and fatigue.

Nocturia is mostly called nocturia in medicine, is one of the common lower urinary tract symptoms, refers to getting up twice or more every night, for the purpose of urination, its incidence is related to age, about more than half of the middle-aged people are troubled by nocturia, which seriously affects the quality of life, can lead to mood disorders, depression, cognitive dysfunction, falls and other complications, in addition to age factors, obesity, smoking, hypertension and diabetes are also risk factors for nocturia, nocturia is rarely taken seriously, most people feel old, Nocturia is normal, but it is not, and studies have found that the more nocturia, the higher the risk of death.

Nocturia** and complex pathological mechanisms, such as excessive water intake (diabetes, diabetes insipidus), drinking water before bedtime, intake of beverages containing alcohol and caffeine, taking diuretics such as hydrochlorothiazide and other factors lead to increased nocturnal urine output, causing nocturia, overactive bladder, benign prostatic hyperplasia, interstitial cystitis, bladder wall fibrosis, bladder stones, bladder cancer and other diseases lead to a decrease in bladder capacity, can also cause nocturia, in addition, sleep disorders, sleep disorders, antidiuretic hormone secretion disorders, thyroxine, Drug factors such as antiepileptic drugs and antidepressants can cause nocturia.

Nocturia should first improve your lifestyle, such as restricting water intake, not drinking too much water before going to bed, especially alcohol and coffee, ensuring a comfortable sleeping environment, improving sleep quality, paying attention to keeping warm, increasing **blood**, reducing nocturia production, moderate exercise, elevating the lower limbs, reducing fluid retention, emptying the bladder as much as possible before going to bed, etc., if necessary, you can start medication under the guidance of a doctor**, effective **drugs include:

1.- Adrenergic receptor blockers: commonly used drugs include tamsulosin, psilodosin, doxazosin, terazosin, etc., which selectively block 1 receptors, relax prostate smooth muscle, reduce bladder outlet resistance, reduce residual urine volume, reduce the frequency of urination, and are recommended for nocturia patients with bladder outlet obstruction.

Receptor blockers: commonly used drugs are tolterodine and solifenacin, which mainly act on cholinergic M receptors that mediate bladder contraction, and reduce urinary urgency and increase functional bladder capacity by inhibiting the excessive activity of detrusor muscles, and are recommended for patients with nocturia with reduced bladder capacity such as benign prostatic hyperplasia and overactive bladder.

3.Antidiuretic hormone: commonly used drugs are 1-deamino-d-arginine vasopressin, which is a synthetic antidiuretic hormone, which can significantly reduce the total amount of urine at night, reduce the number of urination at night, prolong the time of first urination at night, reduce the proportion of nocturia, and is recommended for adult patients with Chinese New Year's Eve with increased nocturia, reduced bladder capacity and increased urination frequency, especially for patients with benign prostatic hyperplasia with nocturia.

4.Other drugs: melatonin such as melatonin, which can increase endogenous melatonin levels and is suitable for the prevention and treatment of nocturia.

Nonsteroidal anti-inflammatory drugs such as celecoxib and loxoprofen are indicated for patients with refractory nocturia with benign prostatic hyperplasia. Diuretics such as hydrochlorothiazide and furosemide are taken in the morning to help empty the bladder and can be used as an optional drug for nocturia.

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.

The first factor of frequent waking up at night: physiological factors.

This is a common and universal situation for all of us. We drink a lot of water before going to bed, or drink porridge, coffee, tea, etc., or eat diuretic fruits such as watermelon, which causes us to wake up too often at night.

If it is due to this reason, then we don't have to worry, at this time to sleep at night, this is a normal physiological urination phenomenon, therefore, if we want to avoid this, we take care not to drink a lot of water, nor drink a lot of drinks, and we should pay more attention before going to bed, we can't eat a lot of fruits or food, because these foods are obviously the ones that can help you urinate, so this situation can be completely avoided, just pay attention to the small details of life.

The second factor of frequent waking up at night: the psychological factor.

The effects of nighttime psychology are a very special condition of physiological sleep.

Mental factors lead to frequent waking up at night, which is caused by excessive poor mental state, which is related to mental stress, excessive work pressure, excessive life stress, and excessive mental long-term excitement before sleep.

If we want to avoid frequent waking up at night in this situation, we should be in good spirits. Relax and don't exercise too much before going to bed, so that our body muscles can maintain a calm state, so that we can avoid sleep deprivation caused by mental factors.

The third major factor of frequent nighttime wake-ups: pathological factors.

Pathological frequent waking up at night, as the name suggests, is that people have a lot of physical problems, which are caused by lack of sleep and illness. This is a situation that requires our close attention.

Diseases that commonly cause sleep and nocturnal illness include, but are not limited to, renal insufficiency, prostatic hyperplasia, diabetes, diabetes insipidus, cardiac insufficiency, and more.

What is the cause of frequent urination in the elderly? Some elderly people have the habit of waking up at night, especially in winter, when they get up more often. Going to the toilet at night will affect the rest, and it is easy to catch a cold if you don't pay attention to it in winter, so what is the problem of frequent urination in the elderly? Let's find out.

What is the cause of frequent urination in the elderly?

The physiological function of the elderly declines, the elasticity of the bladder is reduced, so that the amount of urine storage is limited, and the cold climate in winter, the soft tissues of the human body (** and blood vessels) in order to keep out the cold, in a state of contraction, at this time it is more likely to appear nocturia.

If the elderly do not drink a lot of water and get up frequently at night, it is generally a deficiency of kidney qi and a deficiency of kidney yang. Traditional Chinese medicine theory believes that yang turns into qi and yin takes shape. The water that enters the body can only be absorbed and utilized by the body when it is transformed into "qi".

The kidney is the main water, and if the kidney yang is insufficient, the water cannot be turned into qi, so it is directly discharged from the body. Because the night is yin, the body's yang qi is weak, so there is a lot of urine at night, and the kidney yang should be warmed and replenished.

In fact, frequent nocturia is often associated with the weakening of kidney function. Traditional Chinese medicine believes that "the kidneys are the main water, and the division opens and closes", and the production and excretion of urine are dominated by the kidneys.

The reabsorption process of water by the kidney is like a distiller, only by heating the distiller, the water can be vaporized and transported to various tissues and organs, and the heat source for heating the distiller is the kidney yang and the essence in the kidney. If the kidney yang is insufficient and the kidney essence is lost, the water cannot be vaporized and reabsorbed by transpiration, and can only be retained for a long time, resulting in increased urine.

Many middle-aged and elderly people have the problem of frequent urination at night. Normal people may get up once or twice a night, and if they exceed this number of times, they will have frequent nocturia. Waking up at night many times not only affects the quality of sleep at night, but also brings mental tension.