Question: My husband gets up at night three to four times to urinate. Should I be concerned? He says it is normal for men his age. He is 58 years old. — Becky
Thank you for your question, Becky.
Waking up at night to urinate is called nocturia, from the medical standpoint. There can be various potential reasons for this condition. Drinking large amounts of liquids before bedtime, use of caffeine/alcohol, use of certain medications, urinary tract infection, certain other conditions like high blood sugar or diabetes, congestive heart failure, leg swelling, sleep disorders, obstructive sleep apnea and enlarged prostate gland.
Generally, it is not normal to wake up at night three to four times to urinate. But as you can see, the majority of these medical conditions develop as people get older and these symptoms seem to be normal.
Seeing your doctor and exploring medical history is the place to begin. Questions to explore include how often you wake up, amount of urine, how much inconvenience it is causing, whether you’re able to get back to sleep after urination, reviewing your medications, having a physical examination and also examination of the prostate would help identify any potential causes.
Based on the findings, you may need additional blood and urine tests or be referred to a specialist.
If no serious condition is noted, there are certain medications and lifestyle changes which could help to alleviate the symptoms. Also, many people get used to the symptoms over the period of time and it becomes part of their daily night routine.
Dr. Anil K. Muddada, Nephrologist, Bon Secours Mercy Health, Lima