nocturnal micturation

[Dr Jon Rees]

Hi

passing urine at night (nocturia) is a common problem and can be very difficult to sort out, mainly because there are so many different reasons for it. The simplest reason is obviously drinking fluid, especially tea or coffee during the later part of the evening, and as you have done, it is worth 'fluid restricting' after about 6 or 7pm.

If you have urgency and daytime frequent urination also, you may have a degree of bladder overactivity and this could be treated with medication alongside your BPH treatment.

I would do a bladder diary - record for 2 or 3 24hr periods every time you go to the toilet and measure the volume you passed using a cheap plastic meassuring jug. If you pass more than 1/3 of your total daily urine output during the night (this includes the first time you pass urine in the morning) then you have what is called 'nocturnal polyuria' - this can sometimes be treated with a diuretic (furosemide) taken at 4pm to make you pass the urine during the evening rather than nighttime.

CVheck you don't take a medication called amlodipine - this can cause nocturia and is a commonly used blood pressure drug. Also, if you are overweight and have excessive daytime sleepiness do an online Epworth or STOP BANG questionnaire to see if you might have obstructive sleep apnoea which can also cause nocturia...

Lots to think about!

[Ali Rooke]

Hi,

I've nothing further to add from the information Jon has given to you, but you may find Prostate Cancer UK's information for men with an enlarged prostate gland useful to read:

http://prostatecanceruk.org/media/41599 ... ooklet.pdf

Alternatively if you wish to talk to one of the Specialist Nurse's at Prostate Cancer UK, please call 0800 074 8383. They are free to take your call till 8pm tonight.

Regards,
Ali.

[john wickens]

Dear Dr Rees and Ali Rooke,

Many thanks for your helpful comments and I will carry ou the advice you have given

Sincerely,

John Wickens