Suffer Frequent Urination Only At Nights. What To Do?

Posted on Wed, 31 Jul 2013

Question: ok will try. i have a condition that has stumped several doctors. i dont pee much during the day only at night.i dont have a enlarged postrate. water pills dont work except to make me pee more at night. sometimes i will get up every 45 minutes at night to pee and i will lose about 12 to 20 ounces at a time. i had one doctor that volonteered his time and the cost of several tests only to conclude what he thought was a very real but rare possibility that i had a tumor attached to a kidney that produced a chemical that would keep me from pissing during my waking hours.it also would drain potassium from my body. well what do you think

Answered by Dr. Dr. P. T. Patil (3 hours later)

Hello
Thanks for your query.Based on the facts that you have posted it appears that you have what is called as Nocturnal Polyuria and have ruled out enlarged prostate ,one of the main cause of polyuria at this age.

I shall be happy if you can post me few more details and positive findings of tests you have undergone and about the tumour of the kidney that you have mentioned

In majority of cases of polyuria the cause of the urine to be formed more at night is due to retention of fluid in the body especially in legs that happens in Congestive heart disease.The other causes being sleep apnea,venous insufficiency,excessive fluid intake,use of diuretics etc.

Following general measure will help in reducing the urine formation at night and to reduce the symptoms to some extent.
1)Please keep record of intake and output with timings
2)Try to restrict fluids after 7 P.M.
3)Elevate your legs while sleeping
4) Avoid coffee or alcohol beverages at night.
5) Take Frucemide9Lasix) in small dosage at 4 pm so that you will pass more urine up to 7P.M.

Hope I have answered your query. If you have any more questions please feel free to ask me I shall be happy to help you
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (16 hours later)

Thanks Dr XXXXXXX The condition you called Noctural Polyuria. Can it be caused by my medicine that i take for hypertension which is procardia at 90 mg a day.Normally i am in bed by 7 pm and i always try to keep track or my fluid intake and seldom drink anything after 6 pm.The medicine you referred me to lasik isnt it hard on the kidneys. and is this condition fatal.Also years ago 20 years ago when i started taking procardia i read in a doctors magazine about taking calcium channel blockers and how over time they can cause hardening of the arteries.Is this a rule of thumb or is it something that can happen.Thanks

Answered by Dr. Dr. P. T. Patil (7 hours later)

Hello
Thanks for follow up.
You have been taking Nefidipine since many years .It relaxes the walls of the vessels so as to have smooth blood flow.
Nocturnal polyuria can not be due to side effect of Procardia.and hardening of the arterial walls is a ageing process and ,not due to any drug,

If you are retiring at 7 P.M. restrict your fluid intake from 4 P.M only.
Lasix in small doses taken early afternoon helps in formation of more urine by evening so that less is formed during night.Please have atrial for 2 weeks.
Thanks and regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (14 hours later)

hi its XXXXXXX again where do i get a trial of lasix

Answered by Dr. Dr. P. T. Patil (41 minutes later)

Hello
Lasix is a diuretic drug and you can get it on prescription from your family physician.
Just take it in a small dose at 4 P.M and observe the the frequency of micturition at night,
You can have a trial of this drug for 10 days and if you find any noticeable improvements in symptoms you can continue taking it as a routine.
Thanks and Regards.
Dr XXXXXXX

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar