Why You Pee At Night - The Most Overlooked Reason
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- čas přidán 25. 07. 2024
- In this video, I argue that sleep-breathing problems such as obstructive sleep apnea and upper airway resistance syndrome should be the first reason to think about when you suffer from this nighttime urination. Nocturia (nighttime urination) is a widespread condition as you get older, but it’s also common in children as well as younger adults. There are many explanations for nocturia by experts, but obstructive sleep apnea is rarely mentioned. I also explain which hormone from the heart is made due to apneas to make you pee more at night, as well as frightening statistics on much higher death rates for people with nocturia.
Download the transcript PDF
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✅ VIDEO TIMELINE
00:00 Introduction
00:52 Common causes for nocturia by experts on CZcams
01:27 The one condition commonly ignored that can cause nocturia
02:10 Medical complications of obstructive sleep apnea
02:54 Upper airway resistance syndrome (UARS)
03:30 What happens during apnea
04:32 Sleep apnea vs. UARS
04:45 Dr. Guilleminault’s landmark UARS paper
05:00 Atrial natriuretic peptide from the heart to kidneys
07:00 Why you wake up at 3 AM
07:33 Why nocturia can be deadly
08:15 7 steps to stop nocturia
09:52 Melatonin’s surprising health benefit
✅ LINKS MENTIONED IN VIDEO
How to Fix Urination Frequency at Night (Nocturia) for Good
• No More Sleepless Nigh...
6 Ways to STOP NOCTURIA For a Good Night's Sleep | Overactive Bladder 101
• 6 Ways to STOP NOCTURI...
Urge To Urinate In The Middle of the Night: Expert Urologist Explains
• Urge To Urinate In The...
8 TIPS to stop FREQUENT URINATION AT NIGHT | Nocturia (2021)
• 8 TIPS to stop FREQUEN...
How to Stop Waking Up to Pee | Chris Masterjohn Lite
• How to Stop Waking Up ...
Why Do Men Frequently Pee at Night?
• Why Do Men Frequently ...
Prevalence of obstructive sleep apnea in the general population: A systematic review
tinyurl.com/yseyyshp
Obstructive sleep apnea: Role in the risk and severity of diabetes
tinyurl.com/6jm4a6z3
A Cause of Excessive Daytime Sleepiness: The Upper Airway Resistance Syndrome
tinyurl.com/yz9p2rsj
Nocturia: A Rarely Recognized Symptom of Sleep Apnea and Other Occult Sleep Disorders
jamanetwork.com/journals/jama...
Association of Nocturia and Mortality: Results From the Third National Health and Nutrition Examination Survey
ginegap.com/materiales-cursos...
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Here's a study showing that in patients with sleep apnea and nighttime urination, 79% of awakenings at night were due to obstructed breathing, rather than from a distended bladder. jamanetwork.com/journals/jamainternalmedicine/article-abstract/621682.
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I have sleep apnea and also have nighttime urination. Is it possible that my bladder is more susceptible to being irritated by what I eat and drink?
I'm asking, if my bladder can be irritated by foods and drink because of sleep apnea?
@@Curtis_George I'm no expert but I'm pretty sure I came to understand from a Dr. Berg video that "what and when" you eat can affect your insulin at night and an insulin problem can cause or make Sleep Apnea worse. Eating too much salty foods or alcohol irritates the bladder. I like beer a lot....I definitely notice that if I drink 2-3 beers even if its in the first half of the day...my Nocturia is worse that night. I'd recommend trying to make your dinner a spinach salad w Garbanzo beans (my new favorite) or pan fried broccoli w olive oil. You will definitely feel that your bladder feels good and not get up at night as much. I'm not telling you to go vegan... I personally can't do this.....just go vegan for dinner. Try it.....see if it it makes a difference. Also try not to eat or drink 2-3 hours before bed...and not snack in the middle of the night. Eat enough also.........regardless if you skip breakfast or not. I usually skip breakfast myself. If you have obstructive sleep apnea....your solution is getting diagnosed then get one of those machines I would think. Drink lemon water also. This definitely good for the bladder.
@@Curtis_George What do you think? Use common sense, the answer is there. Cultivate it, son.
I always thought it was because of the gallon of water i drank during the day then a 6 pack of beer in the evening lol.
Waking up to pee at night is still a lot better than not waking up!
HAHAHAHAHAHAHA !!!! So true .
Yeah, you bet!
No
And the more you wake up, the more you know that you're still kicking
@@jerryharanczyk You should wake up in the morning, after 6-8 hours sleep. Not in the night!
Great video, very well explained and easy to understand.
I love your approach to different ailments….
Simple explanation for everyone to understand thx🙏
Nice job doctor; very well presented; thank you so much; i've seen about sixty medical specialists and not one came near your explanation for my OSA.
Thank Doc for detailed & simple explanation
He is one of the few you tube doctors who is damn right.
😊 eye-opening! Thanks for the information
Very interesting thanks for sharing 🙏❤
THANK YOU SO MUCH DR. PARK ❤ VERY HELPFULL AND EYE OPENING VIDEO FOR MANY .
Thank you Doc for this valuable information
Thanks for sharing your great advice 👍
Good intel. Thank you.
Bravo Doctor Steven. I get up many times, and when I arise in the morning am filled with nasal congestion and post nasal drip.
Great teaching Doc. !
Dr. Parker, thank you for sharing valuable helpful TIPS.
Glad you like them!
Excellent information !!!
Your video is very good. This is from a person who has been diagnosed with sleep apnea more than 20 years ago.
Hello from London, UK... This is a very interesting and well-explained video thank you Steven 🥸
Good info Doc.thank you
Thanks for your lessons learned to us ...very happy with it ❣️❣️❤️❤️
Well done. Thank you.
Thank you dearly. Very helpful and acknowlege that it is time for me to attend to my symptoms.
Dr Park your presentation on nocturnal urination was VERY enlightening . Thanks for your knowledge . I am awaiting results from a Veterans Affairs sleep study with much more 'awareness ' .
Very very informative video and thank you so much, I'm a new subscriber.
You are a real doctor, Dr. Park!
GREAT VIDEO, and an honest one for now pushing drugs.
Interesting, thanks!
1 time - usually, around 4 am. Thanks for the video
Very well presented. Thank you.
You're very welcome!
Thank you Doctor Park thumbs up I will re-watch again as I'm shutting down for the night.
God bless 🙏🏽
Thank you for your sharing 🪻
Dr. This video has given me an answer to my situation have had for over 30 years
Dr. Park, thank you for sharing your video. It's valuable & helpful. Looking forward for more videos to come ahead.
Thanks doctor for your lecture I am 42 years old and I have realized that I urinate close to 7-10 times at night. Then I also discovered that my BP used to be 165/95 this days but with your recommendations I am now aware of the cause. Thanks I really appreciate
Hi, thanks for your help
My pleasure. Please keep us updated on your progress.
There are nights when I urinate frequently and some nights when I don't...I thought it was because I drink more water during the evening...I usually sleep on my back or start sleeping on my back but sometimes find myself sleeping on the sides when I wake up... or change position to the sides as I sleep...I have stuffy nose at other times as I sleep... I'm glad to have watched your videos as they're very informative... it's just that you tend to talk faster at times in the middle of your talk and the words sound mumbled...anyhow, thanks for sharing your knowledge with us.
Well said perfect
Very interesting
Best answer I ever heard. I been trying to understand my body. But since I knew little your video has answered my concern. It so logical
Thank you it was very helpful.
I sleep on my back.
What position do you recommend.
I have subscribed & rung the black bell.
Thanks for your interesting knowledge. Your honesty is very refreshing. I wake up if I’m too warm . Not sure if it’s a thing or just that I’m over 60. Best wishes 🙏
Thanks so much Dr, you are a life saver. I’ve suffered from sleep Apnea for years, I’ve been diagnosed with type 2 diabetes. Today I’ll talk to my doctor about frequent ruination waking up 3 or more times per night.
Thank you for putting out this information
Glad it was helpful!
My pleasure!
You are 100% right. I’ve had this habit night urination for EVERY single night at 3am for the last 15 years maybe. I was diagnosed with sleep apnea and 7 days ago I started using my CPAP machine and the night urination habit/issue disappeared immediately on the first night using the CPAP therapy machine.
I hope I get the same relief when I see my sleep doctor in 2 weeks time
What is it like sleeping with a mask on ?
@@jeansweet2706 its awful, I can't even use mine
I am çoeliac and as my health deteriorated I woke more during the night. This condition is a killer and yet it was not mentioned in your ten minute informative talk. Many of the problems it causes are in the list you gave us. Please add coeliac disease to your list and encourage people to get tested before serious damage is done. I was sixty two and unable to digest anything properly before I found a diagnostic program that gave me possible things to test for, yet for years I had been visiting my GP with gastric problems and worsening symtoms, high blood pressure heart palpitations alongside weakness and tiredness. The tendency is to treat one symptom instead of looking for an underlying cause. I was told for years that I had irritable bowel syndrome. This is not a diagnosis but a description of what was happening to me from an irritant that ruined my life.
still get up at 76 ounce but sleep apnea now treated saved me thanks you
Thank you Dr Park. After nodding off while driving and barely avoiding what would have been a fatal accident, a week later by amazing luck your video popped up on my logarithm and put all the pieces together for why I'm always so tired. I didn't know the connection to frequent urination at night and sleep apnea and now I have an appointment for a sleep study. Once again, thanks!
Thank u 😪
thank you
Hi Doctor
Thank u sooo much good information my A1C 5.6 I get up4 or 5 times at night I will have to talk to my doctor farther about this .
Thank you so much Sir ❤️
So nice of you
@@doctorstevenpark Yes Sir, thank you for your kind words, please take care and have a great weekend.😁🌺💙🌹
Thank you, very helpful. I'm going to check for sleep apnea with an oximeter.
Great to hear. An oximeter is a good first step, but you can stop breathing multiple times every hour and still test negative for sleep apnea. It's because the sleep test only counts episodes lasting more than 10 seconds, so your oxygen levels don't drop too much. Even then, you can still make atrial natriuretic peptide, which creates more urine than usual while you sleep. This is called upper airway resistance syndrome (UARS). I have other videos on UARS.
Dr Stevens, I’m so appreciative of your video! I’ve slept through the night only twice since I had children 30 ago. On a good night I pee twice, on a bad one 4-5 times.I’ve talked w my Drs, and not one of them have given me this clear and through information. While I do a lot of your recommendations, you’ve given more to try and I am grateful. I feel hopeful. Thank you!
Got both my kids mewing. I mew as well; but not sure how much this will help me; but also do the Buyteko breathing which helps a lot. So many parents need to have information on how to prevent these issues in their kids. This is great info. It is so common and so overlooked.
your kids must visit an orthodentist specialized in airway too (not a normal one, some orthos like teeth extractions which is theorized to be linked to sleep problems when adult). They can identify problems with palate and fix it. Its pretty easy to fix anatomical problems on kids but way difficult when adults
@@Deadmachine2012 They are both grown now. But my son does see an excellent ortho.
Thank you much...I've noticed that I wake up once to urinate during the night after I drink water before going to bed. I did not know that drinking liquids leads to urination; I learn something new each day.
so whats the treatment for nocturia if i may ask
Do you test at a sleep clinic for the upper airway problem?
Dr. Park what are tongue exercises?
Very enlightening , & too the point , 100% right try to sort your sleep 🛌 1st , before loads of meds ,. Don’t drink loads b4 bed 😎👍
Thank you! It's amazing how sleep apnea is ignored by doctors both in diagnosis and after. I have severe untreatable sleep apnea and they act like it's a bummer I'll eventually get used to and stop complaining about it. 😂
Untreatable? I have sleep apnea and it seems like even with the mask, I've been having more events. Can it get to the point where a machine won't work?
Thank you for this advice it is the best reason I have seen yet .
Best video I've ever seen on my (non sleeping habit.) You may have saved a lot of people who don't know, as I did. Thanks for helping many. I generally wake 3-4 times nightly.
Wow, thanks!
Good job,,!!
I have sleep apnea which I have been treated for. 40 min into sleep I have to pee sometimes 3 times a night! I’m going to restrict water in the evening. Great video thanks
Me too, find a solution, email me Please!
I drink 1glass or so of water at night and some more water all day during the daytime .
I try not to drink before bed. Thank you for sharing.
You're right ! I think you're the only one who's talking about this issue ! I believe that this is my first time to hear about it .Very worrying some !! I didn't know either ,that breathing thru mouth/ throat during sleep is damaging to heart !! 😱💜🥁🐉🎤🎶💞
Thank you for this video, Doctor Park. I had been waking up to urinate 3 to 5 times a night for about 3 years now. I followed your suggestion to have myself tested for sleep apnea recently. I had been using my CPAP machine for almost a week now and my nocturnia stopped on the very first night. I have also been getting more sun exposure, losing some weight, etc., as you have suggested in this video. Thank you again.
Yes, for me 3-4 times dreadful!
6 or more
I'm happy to hear your results. I'm hoping to have the same relief.....
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Same results for me. The last 4 years I've gotten up once , that .25 nocturia ( peeing at night) per year. Before CPAP I was around 1200 nocturia per year.
Can I use daily Aleve (220 mg per day) to resolve my overactive bladder issues?
I had a hip replacement, and I was told I would have problems with my bowel motion, this also affects my urinating. ..After 6 years and a half, my bowel motion starts becoming normal again, and easier urinating is now more consistent. I am 81, so I expect aging side effects. Writing this has taken me much less time than the duration of your video.
When I suffered from Endocarditis, I woke up almost constantly at night and had to pee. So that can certainly be a reason for the problem as well.
Anything that irritates the heart will make the same hormone (atrial natriuretic peptide) that's also caused by sleep apnea.
@@doctorstevenpark Thanks. I had a leaky heart valve, which I reckon was caused by Sleep Apnea in the first place, so it all goes round in circles, I suppose. My father too suffered from Sleep Apnea and had to sleep with a mask next to a machine of some kind. Unfortunately it only worsened his condition in the long run. I avoided that thanks to emplolying the Butayko Method for breathing etc., particularly the principle of taping one's mouth over with surgical tape at night. If you are not aware of this solution to Sleep Apnea, I will strongly encourage you to look into it. Some medical professionals have their doubts about it (though Butayko, who invented it, was in fact a high-ranking doctor himself), and one night when I was at hospital there was a nurse who woke me up and told me to remove the tape. Luckily for me, she had a young doctor with her, who said, "No, no, no, this is a great thing to do." He had some personal, very positive experience with the method and even tossed me a roll of surgical tape when he left (the nurse had to accept his decition, of course). I still mouthtape at night, but I do have a small worry in regard to the glue on the tape and whether it might be somewhat toxid, as you place it across the lips. I know there are dedicated tapes made for this specific purpose, but I can't find the brands around where I live (South West Ireland), and the sellers I found on German Amazon, who stock them, won't post out of their own country, and buying from amazon.co.uk. isn't worth the trouble since Brexit. To cut a long story short, I wonder if you might have a comment on the subject of the possible toxidity of the tape.
Thank you Dr Park. I'm a retired but active, 75 year old New Zealander and have been having nocturia for about 10 years. I have had high blood pressure for about 18 years, but I have been listed as marginal all my adult life. Bedtime is usually 10.30-11pm and I wake for a full pee around 12.30pm. I then wake 90 minutes later at 2.00am for an extra dribble. The next one is usually at 4am and a final one at 6.00am, both of these are annoying dribbles that keep you half-awake if you don't see to it. I have slept right through on occasions when I have had a hard day's exercise and/or a super comfortable bed at a hotel/motel. But sleep apnea seems a high probability. Thank you.
Honestly go and get a sleep apnea check ASAP.. I did and got severe sleep apnea.. Now fully treated with a ResMed air way machine.. Feel 1000% better..
Why not get a super comfortable bed at home?
This is my experience also. Used to get up 1, 2, sometimes 3 times a night. After getting more comfortable with CPAP (it took several months), I rarely get up even once.
Did you have frequent urination during the day too? I'm just start CPAP treatment. Thank you
Melatonin makes me want to pee frequently just figured that out yay. Sleeping much better. Consult in a couple weeks for sleep apnea due to atrial fib
Helpful and informative...but worrying. At 64, I feel there's so much out there to get me.
I was prediabetic last summer. No longer have an elevated A1C. However, I had read that the A1C test isn't always correct, that it can miss detecting prediabetes or diabetes.
I have nocturia,but all my labs are normal. Haven't been worked up for any other conditions. I do have peripheral neuropathy. My primary says I'm OK.
I have moderate bilateral pitting edema to ankles, which improvesovernightwithelevationbothlegs. No Shortness of breath.
Do I just leave it be and keep monitoring symptoms?
Thanks!
usually I wake up during my sleep twice. You said it is still normal? Thank you, doctor.
Yes this is exactly right. Get checked, or at least get a cpap, you can buy one without a doctor and there are tons of good videos on youtube to learn how to use it.
My Oura ring shows fragmented sleep and the sleep cycle app records my snoring & strangulated breathing. I wake up 2-3 times to pee, though I also drink too many liquids. I have self-diagnosed UARS which I attribute to menopause + hypermobility (lax tissues). Working at it by correcting my oral posture (back of the tongue on the palate) and doing exercises to tone and expand the upper airway. I’m convinced I can resolve this and prevent full-blown OSA. Appreciate your channel!
Smooth pursuit, it sounds like you're doing all the right things. I'll be doing videos on topics related to menopause and sleep-breathing problems in the future. Stay tuned.
@@stevenpark5218 good to know, thank you!
Like watching thanks .
Very interesting video.
I wake up 5 to 6 times every night! I have severe sleep apnea, but have side effects using CPAP. Thank you for your video.
I have been using CPAP for 20 or more years. Over the years, pressure has required increase. Lately, I am getting up 4 to 5 times a night to urinate. Does this indicate a required increase in pressure again?
very good
I use to go to the bathroom 2-3 times per night for years. I started taking 500mg of B1 and no more waking up to use the bathroom.
Do you take it before bed or in the morning?
B1?
I do have lots urine when I wake up to pee in the night. Usually once but recently twice especially after I started on HRT. I wonder if there’s any connection.
A couple of years ago I went to a sleep clinic and had an overnight test. I had sleep apnea. They recommended a C-pap machine. THE first night I noticed that I only got up once or twice a night to pee. No one at the clinic mentioned that this may happen. I had been getting up 4-6 times a night. It was a nice surprise, and SO noticeable that I immediately recognized the connection. I then asked my doctor and he said that, yes, there is a connection.
Instead of the noisy machine try taping your mouth closed at nite. There’s a certain tape for this. Forces u to breathe thru nose. Good luck
Once I lost weight and no longer consume sugar or Alcohol my sleep apnea reversed
Scam !!!!! My sleep study I was awake the entire time not one second of sleep. My results showed I had 84 apnea events and it was highly recommended that I purchase a machine!!!!
I told them all to FO!
@@Newclear3386😅0
@@Newclear3386Bingo. 3M micropore tape.
I've had this issue ever since I was I young kid. It's just been a normal part of my life.
I have obstructive sleep apnea, and use a CPAP every night. I also wake 2-3 times a night to P. I also have daytime problem with urgent urination needs.
Good explanation, Dr. However does it make it worse if you are sleeping on your Sides, changing left to right.
In theory, nighttime urination is worse sleeping on your back. Side is always better, and you can experiment to see which side you prefer. If you keep going onto your back, there are sleep positioning devices that you can find online. Good luck!
I thought maybe that I drink too much , I sleep well . But a had to also watch an advertisement before viewing your video .
You have very correctly described the whole nocturia situation and I have using sleep apnea treatment (CPAP) have seen a remarkable change as described by you. Although I still get up approximately 4 hours after first falling asleep around the times you have stated .Very good video!
Ranges from once to three times. The first times normally 2 to 2.5 hours after sleep. The more restless I am , the more times I pee. You have a point there though I think age and old bodies play a part.
You gotta be kidding me. My body has been in use for 68 years and what I have done to the outside does not bear thinking about but what I have put into it over those years has given me some wonderful times. It stands to reason with that amount of abuse somethings are not going to work as they once did. After several visits to my doctors and specialists over the past 10 years or so I have come to the conclusion I just don't care any more. I am going to go out as I want to enjoying what I want to and if she don't like it tough luck.
If I need to go twice a night so be it. If I got to go more that means my bladder is working. It's not worth the hassle going to a doctor every 5 minutes to find out why so and so is not working. I have had a marvellous life so far and what is happening now is okay.
Yeah I mostly don’t think it’s that. I think it’s a lot of other stuff iron overload, high acid levels, many other things that can be correlated with age but not necessarily and larger and larger numbers of the young are afflicted with issues so I mostly don’t feel like it’s age it’s environmental poisons and other things or that’s my best bet right now. It’s a mix of reduced good increased bad in lifestyle and environment and invisible toxins that people mostly don’t notice.
Thank you Dr Park I was recently diagnosed with sleep apnea I am see a sleep specialist in 2 weeks time - I’ve been on a bit of a health journey the last 9 months losing 60 pounds and close to reversing my DT2
Interesting, but I'm wondering what causes what in the first place?
THANK YOU - I have gone the whole gambit with 3 procedures and 4 Urologist and then was put on Elavil. He then said to have a sleep study which showed I did not have sleep apnea. When I got the results to my GP the said it was insomnia and he had a pill for that.
I call the clinic to see if I could see the results she said on the phone I need the $4000.00 sleep test to validate what you have described to me here. Thank you so much.
Very good morning Gnuida
Every 2hrs all..... night long . On a bad night every hour to one & a half hrs. Will try some of your tips , Thanks
Best of luck!
I have a similar problem. anything worked for u?.its a night mare
Does high b12 cause frequent urination? Because I do it every night 3 times urination untill morning
I used to wake up an average of three times a night just to urinate, I would later be diagnosed with severe sleep apnea and was prescribed the top of the line cpap machine. I've been using this machine for almost a year now and boy has it changed my life for the better. Not knowing that my sleep apnea had any correlation to my frequent washroom breaks at night but after watching this video, it made me realize ever since I started using the cpap machine those washroom breaks at night had stopped completely where now when I need to urinate, its only once after a nights rest and woke ready to start my day.
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