In general, we go to the toilet six or seven times during the day, and then go to the toilet again before going to bed at night. Generally, I don't get up at night, but if I get up more times all night, it will affect my sleep. First of all, consider whether you have diabetes, because diabetics go to the toilet more frequently. So the method of 1 is to take the elderly to check whether they are unwell.
Then the second way is to buy an chamber pot for the elderly and put it in their bedroom. When people reach a certain age, it is inconvenient to walk, especially at night. It is enough to buy an chamber pot for the elderly and clean it up in time in the morning. The third way is to tell the elderly to drink as little water as possible before going to bed. Because drinking water before going to bed is easy to go to the toilet about an hour before going to bed. Not only the elderly, but also the young, so try to avoid drinking water before going to bed. You can drink water an hour before going to bed. When we say that we need 8 glasses of water every day, we actually need to allocate the time from getting up in the morning to going to bed at night. The water you drink at night can't be concentrated completely, and your kidneys can't stand it. Always getting up to go to the toilet at night will really affect sleep.
Uncle Zhang, 64, has been troubled by nocturia for many years. He always gets up at night, sometimes two or three times, sometimes five or six times. "I have to get up so many times every night and feel very nervous. It's unbearable! " Uncle Zhang sighed.
In fact, there are not a few people like Uncle Zhang who get up frequently at night and urinate frequently at night, especially the elderly. Nocturnal urine can be said to be a grinding "sleep killer", no matter how sleepy you are, it can keep you awake. Not only does it affect sleep, but it may also bring unexpected dangers.
Urine from 8 pm to 8 am the next day is called nocturia. Normal people urinate 0~2 times at night, and the amount of urination usually does not exceed 300~400 ml. If the number of urination at night reaches more than 3 times or the amount of urination at night exceeds 750 ml, it is medically called nocturia.
The increase of nocturia can be roughly divided into two situations: one is frequent urination, but the total amount is not much, which is called "frequent urination"; The other is frequent urination, and the amount of urine increases each time, which is called "polyuria".
Many people think that the increase of nocturia is a sign of kidney deficiency. In fact, there are many reasons for the increase of nocturia, which cannot be simply judged as kidney deficiency by the increase of nocturia.
1, physiological factors
If you drink plenty of water before going to bed, take diuretics, or take too many diuretics such as coffee and alcohol, it can lead to an increase in nocturia; Secondly, during pregnancy, women's nocturia will also increase due to uterine compression and bladder stimulation. In addition, people with cold climate, high mental stress and frequent insomnia will also have more urination at night.
For such patients, it is suggested to change their living habits and avoid drinking a lot of water half an hour before going to bed. At the same time, we should exercise properly on weekdays, actively adjust our mentality and maintain an optimistic mood.
2. Prostate diseases
Prostatic hyperplasia is one of the most common causes of increased nocturia in men. There will be increased urination at night in the early stage, and salivation and drops of urine symptoms will appear in the later stage.
For such patients, drugs such as Qianliekang and Tamsulosin can be taken to relieve symptoms. If the condition is serious and drug treatment is ineffective, surgery can be considered.
3. Renal insufficiency
Increased urine output at night is often the earliest symptom of renal insufficiency. Hypertension, diabetes, chronic nephritis, urinary calculi, etc. It is the cause of kidney damage, which will lead to the decrease of kidney concentration function and increase nocturia.
Such patients should actively treat the primary disease to delay the progress of the disease. At the same time, patients with hypertension and diabetes should actively control blood pressure and blood sugar.
4. Incomplete mental faculties
Many patients with hypertension or heart disease should be alert to the possibility of chronic heart failure when nocturnal urine increases.
For this kind of patients, first of all, we should actively control blood pressure, delay the damage to the heart caused by high blood pressure as much as possible, improve heart function and delay the progress of the disease.
5, hypercalcemia
Patients with hyperparathyroidism or multiple myeloma, due to the increase of blood calcium, damage to renal tubules, so that their reabsorption function decreased, thus showing polyuria.
Such patients should also actively treat the primary disease to alleviate the phenomenon of increased nocturia.
6. Diabetes insipidus
Diabetes insipidus patients are caused by hormonal imbalance in the body, which affects the absorption of water and causes symptoms of polyuria.
To treat nocturia, we must first find out the potential causes, and pay attention to exclude and treat the basic diseases that can cause nocturia. Only symptomatic treatment can get twice the result with half the effort!
1, levator ani movement
The levator ani exercise is helpful to strengthen pelvic floor muscles and improve bladder control ability, thus better improving urine control at night. The specific method is as follows: while inhaling, the anus is firmly sucked upwards for 3 seconds, and then exhales for 3 seconds, each time for 5~ 10 minutes, once in the morning and once in the evening.
2. Acupoint massage
Massage Yongquan (65438+ 0/3 before the midline of the foot) and Zusanli (about four fingers on the lower edge of the lateral patella of the calf) for 2-3 minutes before going to bed, which can relieve nocturia to some extent.
First of all, human urine is the excretion product after water metabolism in the body. Normal people urinate about 5 times during the day, while the number of urination at night is between 0 and 2 times. When the number of urination increases for no reason, on the one hand, it is because of drinking a lot of water, but also because of mental stimulation, but the most important thing is that some diseases in the urinary system will also lead to the symptoms of increased nocturia.
For everyone, what are the factors that lead to the increase of nocturia in the elderly?
1, frequent urination is on the one hand an increase in water intake every day. Drink plenty of water, drink alcohol, eat fruits with high water content, etc. The increase of water in the body will lead to the accelerated metabolism of some organs in the urinary system, which will lead to the increase of urination frequency and urine volume.
2. The frequency of urination increases, with frequent urination, urgency, urinary incontinence and other symptoms. Sometimes the urine volume is more or less, but the frequency of urination is more. Mainly because the urinary system is infected by bacteria, acute cystitis, urethritis, pyelonephritis, prostatitis, prostatic hyperplasia, prostatic calcification, etc. may also cause frequent urination. Under inflammation and some nerve stimulation, it is easy to have symptoms of increased nocturia.
3, heart disease and kidney disease can also lead to an increase in nocturia, mainly due to water retention in the body, especially when the heart function is not full. After lying flat at night, the blood flow back to the heart increases, and so does the blood flow to the kidneys. There is also kidney damage caused by various reasons, which reduces renal function. The kidney can't completely excrete the metabolites in the body during the day, so it needs to continue to excrete at night, which leads to an increase in nocturia.
Normal adult males generally have 0- 1 time at night. If it exceeds this range, it will increase. When there are stiff and hardened tissues in the prostate, the elasticity of the prostate will decrease and the nerves will be damaged. There will be uncontrollable urination, frequent urination at night and other symptoms, and may also be accompanied by symptoms such as equal urine, endless urine, urinary weakness, thin urine line and bifurcated urine. At this time, it is very important to do a B-ultrasound examination of prostate, because the increase of nocturia is not only caused by benign prostatic hyperplasia, but also caused by simple prostatitis, prostatic atrophy, prostatic cyst and prostatic calcification.
If it is an elderly person under 60 years old, it is generally recommended to use Chinese medicine for conditioning. The medicine belongs to one person and needs to be confirmed by B-ultrasound.
If the elderly are over 60 years old, the demand for sexual function may not be so strong and important at this time. Then if the B-ultrasound is more serious, you can also consider removing some hyperplastic glands. Of course, this method does not mean that surgery must be performed when necessary. The first choice is conservative treatment with drugs, because excision is also the removal of some hyperplastic glands, and it may be longer.
In addition, it is recommended that the elderly should not drink water 2 hours before going to bed, so as not to aggravate the symptoms of nocturia.
The proportion of nocturia in men over 50 years old is half, and that in men over 70 years old is 2-3 times a night. If they get up twice or more at night, it will affect their sleep, making nocturia a a major cause of sleep disorders for the elderly, especially elderly men.
There are several reasons for nocturia, which may coexist, including prostatic hypertrophy, sleep apnea, nocturnal fluid release, diabetes and heart disease, drugs and so on.
One way to solve nocturia is not to drink coffee or tea or drink alcohol at night, because these will stimulate urination.
The second is to limit the intake of dinner water, drink more water during the day, drink less water at night, eat less dilute food and drink less soup at dinner.
The third is to raise your feet when watching TV at night, so that your body can discharge excess water.
Fourth, consult a doctor to see if you can adjust the drug and change it to a drug with little side effects of urination.
Nocturnal urine can not be completely solved, especially for patients with chronic diseases, neither the symptoms of the disease itself nor the side effects of drugs can be completely avoided. The purpose of taking the above measures is to reduce the frequency of nocturia, first to twice a night, then to once, and finally to no nocturia every night.
If you can't reduce it as soon as possible, you should give priority to sleep, go to bed early, try to fall asleep as soon as possible after getting up and urinating at night, don't bring your mobile phone into the bedroom, adjust the temperature of the bedroom to a lower level, and keep the bedroom quiet and dark.
It is painful to get up at night. I slept soundly and was awakened by urine, which seriously disturbed the quality of sleep throughout the night. Nocturia has a high incidence in the elderly. Epidemiological studies show that the frequency of nocturia increases with the age of the elderly, and the prevalence rate has nothing to do with gender. Prolonged nocturia will seriously endanger the health of the elderly, reduce their quality of life, and increase the risk of cardiovascular events and falls.
Nocturnal urine, as its name implies, is urine discharged at night. The frequency of nocturia in normal people is 0 ~ 2 times, and the urine volume is 300 ~ 400 ml. Nocturnal urine increase means that the amount of nocturia exceeds the amount of urine during the day or the amount of nocturia increases for more than 750ml. Normal people eat and drink less after dinner, and their metabolic rate is also significantly reduced after falling asleep, and they rarely urinate at night.
What is the reason for the increase of nocturia?
The elderly are at high risk of nocturia. The common causes of nocturia are: 1. Physiological factors: such as drinking a lot of water before going to bed, drinking a lot of coffee, diuretics and so on. Will lead to an increase in nocturia. 2. Mental factors lead to an increase in nocturia: this situation is mainly manifested in normal urine volume, but the number of nocturia increases significantly. 3. Prostatic hyperplasia, renal insufficiency, cardiac insufficiency and other diseases may lead to an increase in nocturia. Many elderly people have increased urine output, but even their families think that this is a normal physiological phenomenon of the elderly, and they don't know enough about its harm, which is easy to delay treatment. To treat nocturia, the most important thing is to make clear the cause. Don't mistake yourself for kidney deficiency. You can treat it by eating food that nourishes the kidney. Many diseases may lead to an increase in nocturia, so for friends who have this problem, it is recommended to go to the hospital for examination first, and then make clear the cause before treatment.
The symptoms of nocturia with decreased effective bladder capacity at night mainly include urinary system tumor, bladder outlet obstruction, cystitis and so on. It belongs to urinary system diseases and should be treated in urology. For nocturnal polyuria, if you have less urine during the day, more urine at night, gain weight in a short time, and have no symptoms such as dysuria, you should be alert to congestive heart failure.
Hello, there are many reasons why the elderly urinate frequently at night. It is best to go to the hospital to check the specific reasons, and then carry out targeted conditioning;
The common causes are diabetes, prostatitis, prostatic hyperplasia, renal insufficiency and urinary system diseases (such as urinary calculi, urinary tract infection and cystitis). ).
Need to go to the hospital for further detailed examination, clear reasons and effective treatment.
Drink less water before meals and sleep well all night.
Do more fitness exercises.
With the growth of age, people exercise less and less. Natural perspiration is much less, so you don't need to drink too much water to replenish your body. Reduce the amount of water in the afternoon, and the number of urination at night will naturally decrease. Moreover, if you eat dinner in advance, you will almost urinate when you sleep, so you don't have to go to the fields at night.