What Is the Meaning of Nocturia?
Nocturia is an abnormal frequency of urination, which is indicative of several diseases, including kidney disorders and heart problems. In worst-case scenario, nocturia induces unbearable effects of sleep deprivation that may hinder daily activities. Management of nocturia involves diagnosis and treatment of the underlying condition, which reduces your ability to control voiding. Normally, a lifestyle change is required, such as reducing your alcohol intake, to treat nocturia effectively.
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Definition
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Nocturia is a symptom of many possible diseases---usually related to the kidney, heart and urinary tract---that is characterized by frequent voiding (urinating) at night. The other terms referring to nocturia are nycturia and nighttime urination. The occurrence of nocturia increases as you age because of the decreased ability to control your bladder; this is a "wear-and-tear" effect that is true for men and women.
Causes
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Nocturia, as stated in the Merck Manuals, Online Medical Library, "may occur in the early stages of many kidney disorders." In other words, kidney problems may induce nocturia. Diseases such as diabetes, liver disorder and heart failure may also cause nocturia. Furthermore, drinking large amounts of fluids such as coffee, tea and beer before bedtime induces frequent urination.
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Effects
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Due to frequent urination, your normal "body clock" is altered. Nocturia, as concluded by the National Association for Continence, "can be a debilitating problem ...because of the negative effects of chronic sleep impairment." Some of the negative effects of nocturia include fatigue and feeling cold during the daytime. In addition, nocturia may lead to dehydration and body fluid imbalance due to the significant loss of water and electrolytes.
Diagnosis
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As with the diagnosis for other diseases, your physician will ask for a detailed medical history including meals, routines and other conditions related to your nighttime urination. Physical tests such as pelvic, abdominal and genital examination are conducted to differentiate the possible reasons for your frequent urination. Finally, urinalysis is performed to assess the amount and components of your urine.
Management
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The management of nocturia depends on its underlying cause. Generally, you will have to control fluid intake before bedtime and avoid drinking too much alcohol and caffeinated beverages. If you are currently under medical treatment, check and ensure that the medications given to you are not diuretics--drugs that induce urination--by consulting your physician for optional treatments or drug regimens.
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