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Experiencing frequent urination at night is miserable. Learn what you can do about nocturia.

DATA:
https://www.urotoday.com/recent-abstracts/pelvic-health-reconstruction/nocturia/68660-age-nocturnal-polyuria-metabolic-syndrome-and-sleep-disturbances-play-a-role-in-nocturia-in-men-beyond-the-abstract-by-hasan-s-saglam-md.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3547179/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238249/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684373/
https://pubmed.ncbi.nlm.nih.gov/24281936/
https://pubmed.ncbi.nlm.nih.gov/885607/

0:00 Introduction: Frequent urination at night (nocturia)
0:27 Nocturia explained 
1:13 Frequent urination causes  
4:10 What causes high insulin before bed? 
4:50 What you can do for nocturia 

In this video, let’s talk about what you can do if you experience frequent urination at night, also called nocturia. Urinary frequency is not a problem with the bladder. It’s a dietary problem. 

Nocturia can lead to:
• Fatigue 
• Blood sugar problems 
• Carb cravings 
• Increased cortisol (which affects your mood)
• Issues with your cognitive function 

This problem happens equally in men and women. Frequent urination in women is often thought to be caused by a urinary tract infection, and frequent urination in men is often thought to be caused by an enlarged prostate. But, while these could be factors, there is something else that is more common. 

Diabetics nearly always have problems with urinary frequency. People who have diabetes have high blood sugar levels and high levels of insulin (unless they have type 1 diabetes). In a study related to dogs, it was found that when insulin was administered to the dogs, they had significant urine output. Insulin inhibits the adrenal hormones that hold urine. High levels of insulin are also nearly always found in people who have overactive bladder syndrome. 

Doctors never seem to test insulin levels. But, I believe the most likely situation that causes urinary frequency is high levels of insulin. 

Snacking at night is a big cause of high insulin throughout the night. Even a low-carb snack will raise insulin. 

What you can do for nocturia:
• Stop snacking at night (don’t eat or drink after 6:30 pm)
• Consume less than 30g of carbs per day (Healthy Keto diet) 
• Do intermittent fasting 

Dr. Eric Berg DC Bio:
Dr. Berg, age 57, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the author of the best-selling book The Healthy Keto Plan, and is the Director of Dr. Berg Nutritionals. He no longer practices, but focuses on health education through social media.

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Disclaimer:
Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients so he can focus on educating people as a full time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.

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Thanks for watching! Try these tips to help stop frequent urination at night (nocturia).
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Dr. Blaivas explains that getting up in the middle of the night to urinate is called nocturia. Reasons for nocturia include the bladder not holding enough to allow the patient to sleep through the night, and the patient’s kidney potentially making more urine than the bladder can hold. Nocturnal polyuria is when too much urine is produced overnight, therefore causing the patient to get up in the middle of the night to urinate.

Jerry Blaivas, MD: Getting up in the middle of the night to urinate is called nocturia. Nocturia is very very common, in fact most people get up once or twice at night to urinate starting in the teenage years even.

If you think about it, there is only two possible reasons why someone would get up in the middle of the night to urinate. One is that their bladder does not comfortably hold enough to allow them to sleep through the night, and, two, you make more urine, that it is to say your kidney is making more urine then your bladder cannot comfortably hold overnight.

The second condition, we called nocturnal polyuria. The nocturnal means nighttime and poly means too much and uria means urine. So nocturnal polyuria means that you make too much urine overnight and that is probably the commonest cause of nocturia.

The most common cause of that even is just drinking too much before you go to sleep. So if you have a couple of beers or you have wine before dinner and then you take a glass of water with some pills, all of that fluid that you ingest will then overnight be converted by the kidneys to urine and then if you make more urine overnight than your bladder can hold, then of course you have to get up to urinate.

So nocturnal polyuria is the commonest cause and the other cause, the bladder not holding enough urine, has many many many causes. Probably the most common one is, temporary problem is, urinary tract infection. It can be caused by blockages by the prostate. It can be caused by bladder cancer, by all kinds of other irritable kind of conditions so thinking back then we have these two different causes, making too much urine at night or the bladder not holding enough at night. So, then what to do about it.

Well the first thing you need to do about it is to diagnose it. How do we diagnose it? Very – very simply! We have you keep a bladder diary, that is to say you record the time and amount of urine, time and amount of each urination that you make in a 24-hour period, then we simply see how much you urinate at night, how much you urinate for the 24-hours and through some mathematical formula, we can figure out if you are making too much urine at night.

Generally, people make less than a third of their urine during sleep hours. If you make more than that then you have this nocturnal polyuria and we look for the causes of that. I briefly alluded to what they were in the beginning but now to get more complete, the most common cause is simply drinking too much.

Probably the second most common cause is people that take medications at night that can have a diuretic like effect. Another cause is anything that causes your legs to swell up, so people with varicose veins or from prior surgery, if your leg swell up during the day that the swelling is actually fluid and when you lie down at night, your body resorbs that fluid, that fluid gets into your system and the kidneys make more urine.

Another common cause is something called sleep apnea, people who snore, best diagnosed by going to a sleep lab and if you have sleep apnea, then that is what causes the problem and the treatment of the sleep apnea is the problem.

The bladders that do not hold enough urine, again we first determine that by the bladder diary and then we look for the common causes, common causes of urinary tract infection, prostatic obstruction, dropped bladder in women, overactive bladder, sometimes bladder cancer, bladder stones, no matter what they cause though, once the diagnosis is clearly understood then treatment of the underlying condition that is causing the nocturia is very often effective, it is usually effective.

However, just having nocturia, just getting up at night to urinate by itself does not demand any treatment.

So if you get up once or twice at night or three times and you are not bothered by it, there is no need for any treatment at all. If there is a need for treatment, if you are bothered by it, rest assured there just about always an effective treatment.

Learn more about Dr. Blaivas: http://www.urologysite.com/Meet_Our_Doctors/Dr_Blaivas

This information should not be relied upon as a substitute for personal medical advice, diagnosis or treatment. Use the information provided on this site solely at your own risk.  If you have any concerns about your health, please consult with a physician.

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Nocturia is defined by the International Continence Society (ICS) as “the complaint that the individual has to wake at night one or more times for voiding (i.e. to urinate).” The term is derived from Latin nox, night, and Greek [τα] ούρα, urine. Causes are varied and can be difficult to discern.[Although not every patient needs treatment, most people seek treatment for severe nocturia, waking up to void more than 2–3 times per night.

If you have any concerns regarding any urological problems or symptoms, please get in touch with us at https://urology.co.za/

Stop your bladder waking you up to pee at night (nocturia) with Pelvic Floor Physiotherapist tips from Michelle from https://www.pelvicexercises.com.au These home self treatment strategies stop bladder frequency at night and improve bladder storage to help you sleep and feel well rested when you wake.

Nocturia is defined as needing to wake to empty the bladder more than once after going to sleep. This condition can affect your quality of life and performance by making you tired, irritable and lacking concentration when you’re awake. Nocturia often occurs with overactive bladder problems including daytime bladder urgency and frequent urination.

Fortunately there area number of natural self treatment strategies that don’t involve taking medication to help you manage and overcome nocturia.

Home treatment strategies include:
* Avoiding drinking before bedtime
* Appropriate diet choices (food and drink)
* Timed medication schedule
* Body positioning
* Daytime bladder control training

This nocturia treatment video is the final episode in your Overactive Bladder Treatment Series

Here’s the complete Overactive Bladder Training Program
* Episode 1 My Overactive Bladder Confession https://youtu.be/CI9o_LRUpKk
* Episode 2 How to Start Overactive Bladder Training https://youtu.be/w3tSpvsWd80
* Episode 3 How to Stop Bladder Frequency https://youtu.be/tKuWVSxQoT0
* Episode 4 6 Secret Ways to Stop Bladder Urgency Fast

Music by Aiden Kenway: https://www.youtube.com/channel/UCEeJ… Lights by Sappheiros https://soundcloud.com/sappheirosmusic Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: https://bit.ly/LightsSappheiros Music promoted by Audio Library https://youtu.be/-lbbHQbZNKg

#nocturia #overactivebladder #bladdercontroltraining

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The information provided in this video is intended as general information and not a substitute for individual medical advice regarding your medical condition. To the extent permitted by law, neither Healthy Fit Solutions Pty Ltd, as trustee for the P & M Kenway Family Trust (“we”), nor any of our officers, employees, agents or related bodies corporate will be liable in any way (including for negligence) for any loss, damage, costs or expenses suffered by you or claims made against you through your use of, or in connection with, this video or information supplied or offered to be supplied on this video. Although we use our best efforts to provide accurate information and other materials on this video, the video is provided “as-is”. To the extent permitted by law, all warranties, conditions and representations provided about or by this video are excluded.

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