What is the disease caused by staying up at night?

Frequent waking up at night may be related to physiological factors or urinary system diseases. Common causes include excessive drinking before bed, prostatic hyperplasia, overactive bladder, urinary tract infection, diabetes, etc.

1. Drinking too much water before going to bed:

Increased urination at night is most commonly caused by consuming too much fluid before bed, especially diuretic drinks such as coffee, tea, or alcohol. This kind of situation is a physiological reaction, and the symptoms can be relieved by reducing the amount of water you drink at night and avoiding irritating drinks. It is recommended to control the amount of water you drink within 200ml 2 hours after dinner.

2. Prostatic hyperplasia:

Middle-aged and elderly men with increased nocturia should be alert to benign prostatic hyperplasia. Enlarged glands compress the urethra, which can lead to poor urination and frequent urination, often accompanied by symptoms such as thinning of the urine line and difficulty in urinating. It can be relieved by drugs such as finasteride and tamsulosin. In severe cases, surgery may be required to remove part of the glands.

3. Overactive bladder:

Abnormal contraction of the bladder muscles can cause urinary urgency and frequency, and the patient may suddenly wake up at night with an urgent need to urinate. The disease is related to abnormal neuroregulation. Commonly used drugs include tolterodine, mirabegron, etc., which can improve symptoms when combined with bladder training.

4. Urinary tract infection:

Cystitis or urethritis caused by bacterial infection can stimulate frequent urination, accompanied by symptoms such as burning pain during urination and cloudy urine. Routine urine examination is required for diagnosis and treatment with commonly used antibiotics such as levofloxacin and cefixime. Nocturia can be reduced after the infection is controlled.

5. Diabetes:

When blood sugar is too high, the kidneys eliminate excess sugar through increased urination, leading to increased polyuria and nocturia. Patients often suffer from symptoms such as polydipsia and dry mouth, and need to test blood sugar for diagnosis. Controlling blood sugar is the key to improving symptoms, and using antidiabetic drugs when necessary.

To improve the problem of nocturia, it is necessary to deal with the underlying disease in a targeted manner and adjust living habits at the same time. Avoid high-salt meals at dinner to prevent thirst, and empty your bladder before bed ； Limit alcohol and caffeine intake ； Maintain moderate exercise to improve blood circulation. Middle-aged and elderly people can perform pelvic floor muscle training to enhance their urinary control ability. If symptoms persist for more than 2 weeks or are accompanied by hematuria, fever, etc., they should see a urology department in time to check for organic diseases. Nighttime urination records help doctors judge the condition. The records include urination time, urine volume and accompanying symptoms.