Home About Shands For Healthcare Professionals Newsroom ShandsConnect Index
Search:


Female urinary tract
Female urinary tract
Male urinary tract
Male urinary tract


Urination - excessive at night

Alternative Names:
Nocturia

Home Care:

Keep a diary of how much fluid you drink, how often you urinate, and urine output. Record your body weight at the same times and on the same scale daily.



Call your health care provider if:
  • Excessive nighttime urination continues over several days, and is not explained by medications or increase of fluids before bedtime.
  • You are bothered by the number of times you must urinate during the night.


What to expect at your health care provider's office:

Your health care provider will perform a physical examination and ask questions about your nighttime urination, such as:

  • When did it start?
  • How many times does this occur each night?
  • Has there been a change in the volume of urine produced?
  • Do you ever have "accidents" or bed wetting?
  • How much urine is voided each time?
  • What makes the problem worse? Better?
  • How much fluid do you drink before bedtime? Have you tried restricting fluids before bedtime?
  • What other symptoms are also present? Do you have increased thirst, pain or burning on urination, fever, abdominal pain, or back pain?
  • What medications are being taken?
  • How much caffeine do you consume each day?
  • Have you had any bladder infections in the past?
  • Is there a family history of diabetes?
  • Does nighttime urination interfere with adequate sleep and rest?
  • Do you drink alcoholic beverages and, if so, how much each day?
  • Have you changed your diet recently?

Electrolytes and fluids will be monitored over a period of time.

Diagnostic tests that may be performed include:

TREATMENT

Treatment depends on the cause. If excessive nighttime urination is due to diuretic medications, you may be told to take your medication earlier in the day.



References:

Asplund R. Nocturia, nocturnal polyuria, and sleep quality in the elderly. J Psychosom Res. 2004 May;56(5):517-25.




Review Date: 6/30/2005
Reviewed By: A.D.A.M. editorial. Scott M. Gilbert, M.D., Department of Urology, Columbia-Presbyterian Medical Center, New York, NY. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

Illustrated Health Encyclopedia

En Español

Pregnancy Health Center

Shands Careguides

Surgeries and Procedures

Shands HealthCast