How to manage the symptoms of nocturia

Nocturia is a condition affecting the bladder, in which an individual needs to get up one or more times in the night in order to urinate. People suffering from severe nocturia often have to wake up to urinate more that two or three times each night.

The two main causes of nocturia involve hormone imbalances or issues with bladder storage.


People suffering from severe nocturia often wake up to urinate more that two or three times each night. Photo © / Adobe Stock.

Two hormones, the atrial natriuretic hormone (ANH) and the arginine vasopressin hormone (AVP), can affect water regulation in the body, and an imbalance of one or other of them can lead to excessive night-time urination.

Bladder storage disorders, while not directly impacting the amount of urine produced, tend to result in smaller, but more frequent expulsions of urine.

Fortunately, while there’s no easy fix for patients suffering from nocturia, there are a number of ways to treat its symptoms, offering greater comfort and more of a possibility of sleeping through the night.

Changes to lifestyle

There are many things you can do to manage the symptoms of nocturia.

Reduction or cessation of alcohol and caffeine intake has been beneficial to many individuals, as has the wearing of compression stockings during the day, in order to prevent the accumulation of fluid in the legs.

A common method of prevention is to not consume any liquids for two hours prior to bedtime, although this is not a recommended action among the elderly.


If a patient’s nocturia is diagnosed to have been caused by an overactive bladder or obstruction to their prostate, it might be advisable to seek out surgery.

There are a number of operations that could conceivably assist in alleviating the condition, including an incision to the prostate to correct a prolapse of the pelvic organ, stimulation of the sacral nerve, detrusor myectomy and clam cystoplasty.

Naturally, the ideal surgical route will depend upon the specific condition.


Studies have demonstrated the prescription antidiuretic drug desmopressin offers some benefits to adults who suffer from night time urination, although it comes with its own risks among certain patients, including those suffering from dilutional hyponatremia (low levels of sodium in the blood).

If you believe you are suffering from nocturia, we recommend that you consult your doctor.

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