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What is nocturia? How is this condition treated? Can nocturia be treated with antibiotics? How long does treatment take? Which specialist should you go to? The question is answered by the drug. Paweł Żmuda-Trzebiatowski.
What is nocturia?
Hello. This is Janusz from Sanok, I am 51 years old. For less than a year, I wake up twice a night to urinate. Initially, I didn’t pay attention to it at all. I thought everyone had to pee at night every now and then. However, after a few weeks of getting up like this, I realized that something was wrong here. At first I assumed it was a bladder cold. I work as a foreman and am often outside during the year. I thought everything would be back to normal at any moment.
However, after a few weeks of these nightly trips to the toilets, I also noticed that I sometimes wet my bed or had a problem with keeping urine in the hallway. What’s more, the stream of urine has become somewhat irregular – sometimes it gives more of it, sometimes less. I spoke to a doctor friend recently and he told me it was probably nocturia. I would like some information on what is nocturia and how to treat it. Can it be cured with antibiotics? How long does it take to treat nocturia and what specialist should I go to to make sure I have it? Thank you for your help. Regards.
The doctor explains what nocturia is all about
Dear Mr. Janusz, a lot stands out causes of nocturia. At the very beginning, I would like to point out that nocturia is a symptom, not a disease. The term nocturia means that you need to urinate more often during the night. One-time night urination is considered the norm.
Most often, nocturia is due to an increased production of urine at night, but it may also be due to abnormalities in the urinary tract.
The most common causes of nocturia are diseases affecting the entire body, such as kidney disease, including glomerulonephritis, diabetes, heart failure, especially right ventricular, high blood calcium (hypercalcemia) and diabetes insipidus (vasopressin deficiency). Apart from systemic diseases, nocturia is also caused by diseases related to the urinary system itself, especially the urinary bladder and prostate in men.
These include prostatic hyperplasia, affecting elderly men. Prostate hypertrophy manifested by frequent urination of small amounts of urine, also at night. Urinary incontinence or dysfunction of the detrusor muscle of the bladder can also manifest with nocturia. Common situations such as excessive fluid intake at bedtime, taking diuretics (diuretics) and excessive alcohol consumption are often overlooked, which can also lead to more frequent urination during the night.
As you can see treatment of nocturia is to treat the underlying disease. Antibiotic therapy won’t do much good here, unless it is bacterial cystitis. There are so many reasons for nocturia that I will not tell you which specific doctor you should go to. First, you should go to your family doctor, who will collect your interview and ask for all the details needed to determine which direction the diagnosis of your condition should go in. The family doctor, of course, can order basic laboratory tests that may facilitate or even enable the diagnosis. Most often, however, the patient is referred to a given specialist.
– Lek. Paweł Żmuda-Trzebiatowski
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