Night time polyuria11/6/2023 ![]() Examples include those with an overactive bladder or a stiff bladder that does not stretch to hold more urine (poorly compliant bladder). A bladder that does not store urine properly can also cause patients to wake up with bladder urgency.This is seen in patients with an underactive bladder or in men with obstruction from an enlarged prostate ( see benign prostatic hyperplasia). A bladder that does not empty properly, does not take long to fill up again and provoke a desire to void.Individuals can wake up multiple times at night due to a bladder that either does not empty or does not store properly.Those who are woken by the bladder are classified into those with bladder problems and those with high urine output (polyuria). The former group goes to the toilet because they are awake and are not bothered by any bladder urgency. A distinction must be made between those who wake up because of sleep disturbances (e.g., sleep apnoea) or psychological factors (stress, anxiety) and those who are woken up by a desire to pass urine. In the elderly, this is a common cause of falls as they make their way to the toilet with poor lighting or level of alertness. ![]() ![]() It can result in insufficient rest and tiredness during the day. Nocturia (waking up more than once to pass urine) is a very common complaint. These symptoms include waking up once or more overnight to urinate (nocturia) and incontinence. Patients may experience bladder symptoms that only happen or are worse at night.
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