谢邀！ Nocturnal polyuria currently, take finasteride, tamsulosin, prostate capsules and so on, these drugs are relatively effective, but must also be judged according to the actual situation, different patients have different clinical manifestations, sometimes purely medication is not any efficacy.

First of all, to find out the cause of nocturia is very necessary, for older men, a large part of the possibility is caused by prostate hyperplasia, but some women nocturia, then this need to improve the relevant examination, do not rule out some of the circumstances such as urinary tract infections. The fact is, men can't completely rule out the possibility of not having a urinary tract infection.

So for the increase in nocturia, this situation is best to do a routine urine test, and then a urinary ultrasound test to clarify what kind of disease state, so that after the cause is clear, in order to better carry out the relevant treatment.

The second is for the relevant diagnosis for treatment, if it is simple prostate hyperplasia, then this time you can take oral medication, such as the drugs I mentioned above, to achieve a relative reduction in his hyperplasia or shrinking of the purpose of the prostate. But the reality of the clinic some people ate effective, some people ate ineffective, it depends on the specific situation, because each person's disease state is different, some have a smile then can continue to use, and some ineffective, but also need to consider prostate electrocution treatment, in order to solve the problem of the fundamental nature of the problem.

Another important thing is that prostate enlargement also needs to be identified with prostate cancer, especially for those patients with prostate enlargement who have taken medication that is not effective, must be vigilant that it is not prostate cancer, and if it is prostate cancer, then further surgical treatment is needed, not just as simple as electrocision.

Then for the urinary tract infection, then you need to drink more water and urinate more, promote the circulation of the urinary tract, and the appropriate application of relevant antibiotics to treat urinary tract infections, of course, must also pay attention to, there may be urinary tuberculosis problems, this also can not be completely ruled out, so this case also need to be given a perfect examination, especially for the patients who have not been healed for a long time, be sure to clarify the specific diagnosis. Specific diagnosis, there are many diseases it is hidden under the other diseases, not to special circumstances can not be detected, so do not use the concept of a disease to fully explain the physical symptoms.

The last is to pay attention to their own physiological habits, do not drink so much water before going to bed at night, moderate can, pay attention to their dietary needs. This can at least psychologically improve the situation of their nighttime urination, but also need to improve sleep, there are many cases it is not an increase in nighttime urination of a situation, but the quality of sleep is very poor, a little wake up to feel suffocated after the situation to go to the toilet. So these problems must be viewed in a comprehensive manner to find the root cause, which is not only the doctor's problem, but also the patient and the patient's family to work together.

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Nocturia is a clinical symptom, not a disease, so for nocturia we should first analyze what exactly causes nocturia.

In the clinical increase in the number of night urination is the manifestation of a variety of diseases, the most common is prostate hyperplasia this kind of disease, prostate hyperplasia occurs in men, which to the middle-aged and elderly men, because when the male age of 45 years old and above, the prostate glands will have more or less hyperplasia or hypertrophy.

To say what medications for prostate enlargement can effectively relieve and cure, Kirk mainly has the following views:

1. α-blocker: clinically commonly used drugs on behalf of the main terazosin, prazosin, tamsulosin and other drugs, its main role is to effectively relax the smooth muscle of the urethra, which can play a role in relieving the bladder outlet obstruction.

2.5 Alpha Reductase Inhibitors: Clinical representative drugs are mainly Finasteride and Dutasteride, the main effect is to reduce the level of testosterone in the prostate, so that the original hyperplasia or hypertrophy of the prostate gland gradually shrink smaller, so as to achieve relief of the symptoms.

3.M receptor antagonist: the clinical representative of the drug is mainly to Oxybutynin, Tolterodine, etc., this kind of drug is mainly can effectively relieve the bladder than the urinary urgency to over-contraction, so as to reduce the sensitivity of the bladder, and effectively score to improve the frequency of urination, urinary urgency, urination difficulties in patients with prostate hyperplasia.

4. In addition to the above three kinds of Western medicine, clinically for prostate hyperplasia, but also more commonly used proprietary Chinese medicines, such as prostate Shutong, prostate Kang and other drugs, such drugs are mainly to play an auxiliary therapeutic role, such as patients in the use of the above three kinds of medicines, together with the proprietary Chinese medicines, will be able to more effectively go to alleviate the symptoms of prostate hyperplasia.

And for the selection of these drugs above, Xiao Ke think need to be taken under the professional guidance of the doctor, such as terazosin, prazosin, can also be used for the treatment of hypertension so when taking should be alert to whether there will be dizziness, headache and other symptoms, and like finasteride, dutasteride, in addition to reducing the size of the prostate, for seborrheic alopecia also has a good effect.

Although the above drugs are able to go as a prostate enlargement drug treatment, but clinically, for the more serious prostate enlargement disease, such as a long time to take medication can not effectively relieve the symptoms, urinary difficulties symptoms obvious, and even have urine retention situation, this time should go to consider surgical treatment.

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　　What is the most effective medicine for excessive nocturia? First of all, we must understand what factors lead to excessive night urination, do not take medication without knowing the cause.

　　It is normal for adults to urinate an average of 4-6 times during the day and 0-2 times at night after going to bed. For men, the most common cause of nocturia is benign prostatic hyperplasia, which is characterized by frequent nocturia at first, and with the aggravation of men's nocturia, frequent urination can occur day and night.

　　Frequent night urination at first 2-3 times / night, gradually to 5-6 times / night, seriously affecting sleep; when the prostate hyperplasia condition develops to a certain extent, it will also oppress the urethra or block the outlet of the bladder, resulting in urinary difficulties, men with frequent urination at night and even urine can not come out of the seriousness of the urine.

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Frequent urination, nocturia, is a very annoying life of a disease, sitting in the car to the toilet is very annoying, urine is also a serious impact on sleep, many people will intuitively think that it is a kidney deficiency, in fact, it is some of the advertising campaigns of some of the misleading, Chinese medicine believes that frequent urination is caused by a number of reasons, can not be simply attributed to the category of kidney deficiency.

Of course, kidney deficiency is also an important factor, especially the deficiency of kidney yang, yang qi is not solid, can not fix the urine, resulting in frequent urination at night, the child is often manifested as enuresis, older manifested as frequent urination at night, the deficiency of kidney qi caused by nocturia is manifested as clear urine, no obvious urinary pain, accompanied by cold and fear of cold, abdominal distension, lumbar and knee soreness and weakness and other symptoms. Treatment of frequent nocturia caused by kidney deficiency, the clinical use of shrinking spring, Jin Gui kidney qi, sang cuttlebone powder and other prescription treatment plus subtraction.

Some frequent urination is due to yin deficiency and internal heat or dampness-heat condensation, mostly manifested as yellow urine, or more or less accompanied by urinary urgency, painful urination, burning sensation of urine and other symptoms, usually more upset and irritable, dry mouth, bitter mouth, upset and insomnia, corresponding to the Western medical conditions, some urethritis, cystitis, urinary stones, mostly belong to this type, the treatment of nourishing yin and clearing away heat and dampness and diuresis is the main, the manifestation of the yin deficiency is obvious more than the use of dihuang pills or The main medicine is the Er Zhi Pill and so on, and if the dampness and heat are obvious, the Bazheng San and other additions and subtractions will be used.

Some frequent urination and prostate hyperplasia stimulation has a relationship, more accompanied by abdominal distension pain, urination, more will also appear testicular pain, chest distension and pain, etc., the treatment should pay attention to the liver and qi, qi activation and blood stasis, you can use the blood to chase blood stasis soup with subtractions, the clinic is also more with the orange kernel, neem, wang bu liu xing, curcuminoids and other drugs.

Therefore, the clinical symptoms of frequent urination can not be simply attributed to kidney deficiency, but a comprehensive dialectic, in order to achieve better results.

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Under normal circumstances, nocturia is no more than once, but some people can urinate up to two times or even more, which not only reduces the quality of sleep, but also may cause depression, cognitive dysfunction and other concomitant diseases, and frequent nocturia in the elderly may also increase the risk of falling, so the increase in nocturia needs to be actively treated. So, what kind of medicine is good for night urination? Next, Medical Senlution will analyze it for you.

Increased nocturia is related to a variety of factors, increased water consumption before going to bed to increase urine production, when the bladder urine storage capacity reaches 300 milliliters will produce the desire to urinate; if you drink a diuretic drink before going to bed, even if the amount of water consumed is relatively small, it may also cause an increase in nocturia, common diuretic beverages are strong tea, coffee, alcoholic beverages, etc.; if you do not have enough warmth at night, the body is cold, after the contraction of peripheral vessels If the body is not warm enough at night, the peripheral blood vessels contract when the body is cold, the distribution of blood to the skin decreases, and the blood filtered through the kidneys increases, which can also cause an increase in nocturia; people with sleep disorders or disorders, when tossing and turning at night, the bladder will produce the desire to urinate, which can also cause an increase in the number of nighttime urination. These people usually do not need medication for increased nocturia, and lifestyle changes can reduce nocturia. Limiting water intake and emptying the bladder before bedtime can help reduce nocturia; avoiding strong tea, coffee and alcoholic beverages is also an important measure to reduce nocturia; and increasing warmth at night and improving the quality of sleep can also help reduce nocturia.

Increased nocturia is not only related to the factors mentioned above, but also to a decrease in hormone secretion. The human body will produce antidiuretic hormone to reduce urine production, the synthesis of this hormone reaches its peak at night, which is why the amount of urine at night is lower than during the day, if the rhythm of hormone secretion is abnormal, the secretion of antidiuretic hormone decreases at night, which will lead to an increase in nocturnal urine production. Another disease that can also cause a decrease in antidiuretic hormone secretion is uremic syndrome, which can also present with irritable thirst and drinking, dry mouth, and an increase in nocturnal urine along with an increase in daytime urine production. Increased nocturia caused by decreased secretion of antidiuretic hormone can be helped to reduce nocturia by supplementation with antidiuretic hormone, and the drug of choice is desmopressin. Another hormone-related increase in nocturia is diabetes mellitus. Diabetic patients due to insulin resistance or insulin secretion is reduced, blood glucose gradually increased, blood glucose increases at the same time will cause an increase in glucose in the urine, which produces osmotic diuresis, resulting in increased nocturia, at the same time may be accompanied by increased water intake, eating more, weight loss and other symptoms, through the use of hypoglycemic drugs to control blood glucose to meet the standard, it will help to reduce nocturia.

As urine is mainly generated in the kidneys, so the lesions in the kidneys can also cause an increase in nocturia, such as chronic renal failure patients, due to the renal concentration dysfunction, the reabsorption of water is reduced, which leads to an increase in the production of urine, and may urinate more frequently at night, but with the progression of the disease, patients with chronic renal failure, the amount of urine will gradually decrease or even no urine. After urine is produced by the kidneys, it is mainly stored in the bladder and then excreted from the body. Therefore, lesions of the bladder or obstruction of urine excretion may also cause increased nocturia. Bladder diseases such as overactive bladder due to the relative decrease in bladder capacity, may appear frequent urination, urinary urgency, increased nocturia and other symptoms, can be used to inhibit overactivity of the urethra muscle, such as Solynacin, Tolterodine and other drugs to reduce the urgency of urination to increase the capacity of the bladder; the rest of the bladder diseases, such as interstitial cystitis, neurogenic bladder, bladder pain syndrome and so on, can also reduce the capacity of the bladder, resulting in an increase in nocturia. In addition to bladder diseases, if there is prostatic hypertrophy, only a small amount of urine can be excreted at a time due to the obstruction of urinary drainage, but the production of urine will continue at night, and when the bladder fills up, it will produce urination again, so increased nocturia can also occur. Tamsulosin, doxazosin, terazosin and other medications can be used in this group of patients to reduce nocturia.

In addition to the above mentioned diseases, other systemic diseases such as heart failure, chronic obstructive pulmonary disease, obstructive sleep apnea and other diseases can also cause increased nocturia, and this group of people can help to reduce nocturia by treating the primary disease. It should be noted that, although the above mentioned drugs can reduce nocturia, different drugs may have adverse reactions, such as desmopressin may cause hyponatremia, solinacin, tolterodine can cause dry mouth, constipation and other adverse reactions, tamsulosin, doxazosin, terazosin and other drugs can cause low blood pressure, vertigo and other adverse reactions, and these drugs have contraindications to the use of some patients can not be taken! The use of these drugs is contraindicated, and some patients are not allowed to take them. Therefore, people with increased nocturia need to be careful with medication, after the increase in nocturia, first of all, we should change the lifestyle, to identify the causes of increased nocturia, it is recommended that under the guidance of specialists in the treatment of the cause, rational use of medication, in order to control nocturia as soon as possible, to improve the quality of life.

In summary, increased water consumption before bedtime can cause increased nocturia, citing coffee, strong tea, alcoholic beverages, etc. before bedtime can cause increased nocturia, cold and sleep disorders of the population will also increase nocturia, it is recommended to limit the water consumption before bedtime, to avoid drinking strong tea, coffee, alcoholic beverages, etc., pay attention to warmth, adjust the sleep, etc., can help to reduce the nocturia. Antidiuretic hormone, insulin secretion can also cause increased nocturia, taking desmopressin can improve the decreased secretion of antidiuretic hormone caused by increased nocturia, the use of glucose-lowering drugs to control blood glucose to reach the standard can reduce diabetes-induced nocturia; overactive bladder disease and other diseases caused by increased nocturia, the use of solinacin, tolterodine and other drugs to increase the capacity of the bladder, which reduces the nocturia; the enlarged prostate can be used to increase nocturia. Patients with prostate hypertrophy can use drugs such as tamsulosin, doxazosin and terazosin to reduce nocturia. In the presence of heart failure, chronic obstructive pulmonary disease, obstructive sleep apnea and other diseases, treatment of the primary disease is the main measure to reduce nocturia. Because of the contraindications and adverse effects of the above medications, people with increased nocturia should consult a specialist to identify the cause of the condition and have the medication plan developed by the specialist, and unauthorized use of the medication is not recommended.

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Night urination is really annoying, especially the cold days of the urine suffocation wake up, get up to the toilet is really difficult, in addition to the increase in night urination because you drink too much, generally speaking, elderly men night urination is considered more common. Otherwise there will not be night pots this antique product of the emergence of the elderly prostate hyperplasia is one of the causes of night urination. So for night urination want to effectively deal with, but also have to find the causes of night urination targeted treatment, a come up to you to point out what to eat medicine people, ill-intentioned well!

When it comes to excessive nighttime urination, it's important to understand how the process of urination works. Excessive nighttime urination may be a problem in one of these processes

First of all, urination itself is a natural process, under normal circumstances you eat and drink a lot, naturally more, through the urine descending body metabolism end products, excess salts, toxic substances and drugs out of the body, at the same time can regulate the water, electrolyte and acid-base balance, to maintain the stability of the environment within the human body.

Among them, the kidney is the organ that produces urine, which filters some metabolites out of the blood into urine, and sends the urine to the bladder for storage through the ureter. When the urine is stored to a certain amount, it stimulates the detrusor receptors in the bladder wall, and the excitatory impulses are transmitted along the pelvic nerves to the voiding centers in the spinal cord, and also uploaded to reach the higher centers of the brain's voiding reflexes to produce the desire to urinate. If conditions permit, the voiding reflex proceeds and urine is expelled from the body through the urethra. If conditions do not permit, the micturition reflex is inhibited. For small children, due to the development of the brain is not yet perfect, the control of urination is weak, and the emergence of pediatric urination more often, prone to the phenomenon of nocturnal enuresis.

Causes of excessive nocturia

According to the mechanism of urination, the main reasons that lead to urinate a lot are one, in a lot, so naturally have to go out a lot; two kidney filtration problem, originally should not be filtered are filtered into urine, so more urine; three, the pool for storing urine is out of order, could have been filled with a lot of, but the result is because of some reasons, such as the bladder is compressed or the inside of the growth of something, the urine accumulates to a certain amount of urinary desire, or Bladder irritation sign, some inflammatory infections can also lead to bladder irritation sensitivity and frequent urination.

The above can basically categorize the causes of most nocturnal urination:

(i) acute renal insufficiency; (ii) polyuria in diabetes mellitus; (iii) urolithiasis; (iv) hypernatremia; (v) hypokalemia; (vi) dehydration

How to deal with excessive nighttime urination

If it is caused by disease, you should not be obsessed with what medicine to take, this needs to be symptomatic, it is best to go to the hospital to find a doctor, in general, disease caused by may be accompanied by other symptoms, including pain or that the urine during the day and night will be more. As well as already have the underlying disease, so this kind of urine more should be systematic treatment.

There is also a situation because of taking diuretic drugs, such as some antihypertensive drugs, which have a diuretic effect. Care should be taken to consult a doctor for relevant preventive treatment, and the key is to preserve potassium.

Of course, there could also be a problem with your eating habits. If you drink too much water before going to bed, you will definitely urinate more at night as well. So you should pay attention to drinking less water before going to bed as well as going to the bathroom before going to bed.

Next is the discharge of the above problems after the thought of treatment, urinary tract infection caused by increased nocturia can take some baking soda tablets to alkalize the urine, which is conducive to reducing bladder irritation syndrome caused by increased urination.

Cold is also a cause of increased nocturia, we pass more urine on cold days than on hot days. So one can raise the room temperature of the bedroom to reduce the frequency of nocturia, and the other can eat some of the ingredients that enhance our circulation or medicinal drugs to promote our body circulation, so that our body temperature rises a bit, which is also helpful in reducing nocturia. Or appropriate exercise to promote the body's circulation for nocturia is also a certain improvement.

summarize

For the general increase in nocturia, can not be anxious to eat what can be improved, mainly lies in a clear cause of nocturia for targeted treatment, because sometimes nocturia may be a precursor to certain diseases or the manifestation of some diseases, need to pay attention to. Of course, generally speaking, most of the cold weather, as well as the age problem, one is too small difficult to control urination, one is older, prostate hyperplasia related, do not worry too much.

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Clinically, getting up twice or more every night to urinate is called nocturia, which is what we usually call nocturia, nocturia is one of the common lower urinary tract symptoms, the prevalence of which increases with age, and is most common in middle-aged and elderly people, which can seriously affect the sleep and quality of life, and is prone to cause depression, mood disorders, cognitive disorders, falls and other complications, in addition to the age factor, smoking, obesity, high blood pressure and diabetes. In addition to age, smoking, obesity, hypertension and diabetes are also high risk factors for nocturia.

The etiology of nocturia is complex, such as diabetes mellitus, uremic patients with increased daytime and nighttime urine volume can cause nocturia, benign prostatic hyperplasia, overactive bladder disease, interstitial cystitis patients with a reduced bladder capacity can also cause nocturia, in addition, antidiuretic hormone secretion disorders, sleep disorders or sleep disorders, as well as thyroxine, antidepressant, anti-epileptic drugs and other drug factors, can cause nocturia.

For the treatment of nocturia, we firstly emphasize the change of life and behavior, such as at night, especially before bedtime, do not drink too much water, avoid drinking alcohol and coffee, ensure a comfortable sleeping environment, improve the quality of sleep, moderate physical exercise, elevate the lower limbs to reduce water retention, etc. If after the above ways still can not improve the nocturia, you can be guided by the doctor for drug treatment, the main treatment The main treatments are:

• M receptor antagonists: commonly used drugs in the clinic are tolterodine and solinacin, these drugs mainly act on the cholinergic M receptors that mediate bladder contraction, by inhibiting the overactivity of the bladder's detrusor muscle, thus reducing the urgency of urination, increasing the bladder capacity, and relieving the symptoms of nocturnal polyuria, which is especially suitable for patients with prostate hyperplasia, overactive bladder disease, and other patients with a decrease in the capacity of the bladder.
• α-adrenergic receptor blockers: commonly used drugs in the clinic are doxazosin, terazosin, tamsulosin, etc. These drugs selectively block the α1-adrenergic receptor, relax the smooth muscle of the prostate, reduce the resistance of the bladder outlet, and reduce the amount of residual urine and the frequency of urination, which is suitable for patients with nocturia combined with bladder outlet obstruction.
• Antidiuretic hormone: commonly used drugs in the clinic are 1-deamino-D-arginine pressin, a synthetic antidiuretic hormone, which can significantly reduce the total amount of nocturnal urine and the number of nocturnal urination, and prolong the time of the first nocturnal urination, which is suitable for patients with all types of nocturia, especially for patients with BPH who have an increase in nocturnal enuresis.
• Others: Diuretics such as hydrochlorothiazide and furosemide can also be used to treat nocturia and should be taken in the morning; non-steroidal anti-inflammatory drugs such as celecoxib and loxoprofen are suitable for patients with refractory nocturia associated with benign prostatic hyperplasia; and melatonin, such as melatonin, may be used to combat nocturia.

References:

Chinese expert consensus on clinical diagnosis and treatment of nocturia (2018)

Nocturia is like a goblin, a night tormented you can not sleep peacefully, the next day also with 2 panda eyes, let a person listless, tired and sleepy. Some people just can't stand the plague of night urination, in order to slow down the symptoms of night urination, everywhere inquiring about what drugs can be effective treatment, what drugs are the most effective for night urination. In fact, I want to tell you is that the night urine is not necessarily caused by disease, does not necessarily need to take medication, we first need to find out what is the cause of the night urine, so that we can target the treatment. Here I'll talk to you about this.

First, let's understand the concept of nocturnal enuresis

Because some people may think that getting up twice a night to urinate at night is considered nocturia, but in fact it is not. Generally speaking, for a normal person, a night is normal not to urinate once, get up to urinate once is also normal, or even a night to urinate twice is also normal, these cases are not nocturia. However, if the number of times you get up to urinate at night is more than 2 times, sometimes 5 times, sometimes 6 times, or even up to more than 10 times, then this belongs to increased nocturia. It feels like running to the bathroom all night, and then getting up to urinate again not long after lying down, which is the case of increased nocturia.

Here, one thing we have to differentiate is that increased nocturia and polyuria are not the same concepts and we should not confuse them. The occurrence of increased nocturia urine volume can be caused by normal urine volume or polyuria. Polyuria simply means that the amount of urine produced in 24 hours a day exceeds 2500ml, but it does not necessarily mean that increased nocturia occurs. Of course, most polyuria patients are also prone to increased nocturia, after all, more urine, especially some patients a day's urine volume of 8000ml or more, naturally, no matter during the day or at night there will be an increase in the number of urination.

So if you have a lot of nighttime urination, do you need to take medication to treat it?

Here we must first distinguish between night urination in the end what causes, if it is caused by physiological reasons, generally do not need to take medication, only need to pay attention to these situations can effectively improve the occurrence of night urination; and pathological causes of night urination, but also need to distinguish which disease is caused by, and then targeted treatment, so that there will be a better effect.

●1. Physiological causes of excessive nocturia are mainly these:

The first is to drink a lot of water before going to bed, there are some people like to drink some coffee or strong tea before going to bed, or before going to bed with friends to eat a late night snack, drink a lot of beer, these situations will lead to the production of a large amount of urine while we sleep, the bladder area is more urine, naturally, will prompt us to get up at night to urinate.

Secondly, taking some diuretic drugs. For some patients with high blood pressure, they often take some diuretic antihypertensive drugs before going to bed, which will result in faster production of urine during sleep, the bladder has more urine, naturally, there is a desire to urinate, which will result in many times to get up and urinate at night.

Third, due to senile degeneration. People are old, the body's organs and tissues will naturally slowly aging degeneration, this is a fact that can not be changed, like the kidneys, with the growing age of the elderly, the glomerulus and renal tubules will undergo degenerative changes, which will result in the concentration of the kidneys function decreases, then the urine can not be well concentrated, the urine naturally more, a lot of natural need to urinate. Coupled with the elderly bladder of the urethral muscle will also atrophy, easy to urine residue, can not once over the urine empty, there will be a situation of urine, which causes the desire to urinate, so naturally there is an increase in nocturnal enuresis occurs.

Therefore, there is no need to take medication for physiological causes of increased nocturia because it is not caused by certain diseases per se. We only need to avoid drinking too much water before going to bed, especially avoiding diuretic beverages such as strong tea, coffee, beer, etc., so as to improve the situation of increased nocturia.

2. Pathologic causes of increased nocturia are mainly the following：

First, prostate hyperplasia. Many middle-aged and older people to the age of about 45 years old, prostate hyperplasia hypertrophy will appear in different degrees of hyperplasia hypertrophy, which hyperplasia hypertrophy of the prostate will produce pressure on the neck of the bladder, easy to make the urethra is not smooth, but also often stimulate the bladder, thus appearing frequent urination, with the aggravation of the condition will also appear urinary urgency, urinary pain symptoms, urination will also slowly increase the number of times, may be from the beginning of the night to get up 2 ~ 3 times to urinate, to 5 ~ 6 times a night, when the prostate to obstruct the urethra, will cause urine can not come out. The frequency of urination will also slowly increase, may be from the initial night up 2 ~ 3 times to urinate, developed to 5 ~ 6 times a night, when the prostate enlargement hypertrophy to obstruct the urethra, will cause urine can not be discharged.

If the enlargement of the prostate gland causes increased nocturia, you can take medications under the direction of your doctor, such as alpha-blockers and 5-alpha-reductase inhibitors, and even surgery if the enlargement is severe.

:: Second, urinary tract infections. We should all know that when there is a urinary system infection, there are often symptoms of frequent urination, urinary urgency, urinary pain, this is because under the action of inflammatory stimulation, it will make us often have the urge to urinate, which will cause the night often get up to urinate. For example, if we suffer from urethritis, acute cystitis, or pyelonephritis, chronic glomerulonephritis, chronic interstitial nephritis, etc., we are prone to nocturia.

If the urinary system infection caused by increased nocturia, then we should actively carry out anti-infection treatment, you can take some antibiotic drugs under the guidance of the doctor for treatment, as long as the urinary system infection is treated well, then the situation of nocturia will be effectively improved.

● Third, increased nocturia caused by stones. The presence of stones in the urinary tract, bladder stones, etc. can also constantly stimulate us to urinate, which can lead to the occurrence of excessive nighttime urination.

If it is stones caused by increased nocturia, then the urinary tract stones or bladder stones for treatment, you can take some of the role of the elimination of stone Chinese medicine, or in the case of traditional Chinese medicine doctors to identify the prescription, take some of the traditional Chinese medicine can be removed, if the stones are serious, and even also need to carry out minimally invasive surgical treatment.

Fourth, diabetes causes excessive nocturia. Diabetic patients because of long-term high blood sugar, easy to make the blood in the blood of the hypertonic, high viscosity state, which will continue to produce damage to the kidney microvessels, and in the end affect the dilution and concentration function of the kidneys, and ultimately lead to impaired renal function, resulting in an increase in nocturia, which will also occur at night urination occurs more often.

If the excessive nocturia is caused by diabetes mellitus, then besides avoiding drinking water before going to bed, you should also take active treatment for diabetes mellitus, take some hypoglycemic drugs to control the blood sugar in the ideal range and avoid the continuous damage to the kidneys caused by high blood sugar, so that the symptoms of increased nocturia can be relieved.

Fifth, increased nocturia caused by kidney qi deficiency and kidney yang deficiency. When there is kidney qi deficiency and kidney yang deficiency, the bladder's qi and chemical ability is insufficient, then the body's water can't be reabsorbed in the climate, then it is easy to produce urine accumulation in the bladder. And at night time is even more yin and yang micro, which will aggravate the kidney qi deficiency and kidney yang deficiency, then the nocturia will increase even more.

How is the kidney qi deficiency kidney yang deficiency caused by increased nocturia, then you can take under the guidance of the doctor of traditional Chinese medicine, some of the benefits of essence, kidney, yang tonic medicines, such as the Golden Chamber Kidney qi pills, the right return pill, gui shi dihuangwan, gold locks to solidify the essence of the pill, etc., but also in the ordinary life of some of the food with the medicinal and dietary food, such as chives, sea cucumbers, turtle, gold cherry, yams, bajia tian, fenzhi, and so on.

In general, when you find yourself with the symptoms of increased nocturia, do not always think of what medication to take, first of all, you need to distinguish the kind of cause of increased nocturia, so that the use of drugs will have a more obvious effect. Especially by the physiological causes of increased night urination, there is no need to take drugs, if the blind use of drugs, then there may be counterproductive, but not good for the body.

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Nocturia, frequent nighttime trips to the bathroom.Severe sleep disruptionwhich causes lack of energy, fatigue and sleepiness the next day and, over time, lowered immunity.Increased risk of various diseases, especially cardiovascular diseases。

What is increased nocturia?

When the body goes to sleep, the body's metabolic rate decreases, blood flow is slow, the blood flow through the kidneys is also reduced, so the final urine into the bladder at night is only about 1/3 to half of the daytime, the volume of urine is 300 to 400 milliliters.Urination is usually 0 to 2 times, if it is more than that, it is a sign of excessive nocturia.

In fact, urinary abnormalities can be broadly categorized into two conditions:

• one type ofUrinating a lot, but not a lot in totalThe term is "frequent urination".
• another.Peeing a lot and urinating really heavilyIt is called "polyuria".

The reasons for the two situations are not the same.

Root causes of increased nocturia

(1) Drinking too much water

For example, drinking too much soup or thin porridge for dinner or drinking a lot of water, tea or coffee before going to bed.

(2) Ageing

With age, the body's organs function in the gradual decline, the kidneys are no exception, which is more important to the reabsorption function of the renal tubules aging significantly.

When the kidneys reabsorb less, urine increases, especially at night.When a person reaches the age of 60, the amount of urine produced during the day and at night is almost equal, which is considered to be an increase in urine output, and this is a physiological condition rather than a disease.。

However, middle-aged and older men should be very wary ofprostate enlargement, by way of example:

Mr. Zhang is 68 years old and has been urinating frequently at night for several years, often interrupting his sleep due to frequent urination. At first he didn't take it seriously, but then he went to the hospital for a checkup at his son's urging and found that prostate enlargement was very serious.

Having undergone the appropriate surgery under the care of Dr.Nocturia disappeared and sleep improved significantlyI've been in a much better state of mind than I was before.

(3) Diabetes

The distinguishing feature of diabetes is that it is characterized by "three more and one less", that is to sayEat more, drink more, urinate more, lose weight, increased urination is one of them.

(4) Urinary tract infections

When stimulated by inflammation, such asCystitis or urethritisWhen the patient feels "frequent urination, urgency and pain in urination", no matter during the day or at night, the patient will want to go to the toilet once in a while, and there is a tingling sensation in the process of urination.

In fact, in addition to these factors, there are some rare causes of excessive nocturia, such as central or renal dysuria.

Treatment of increased nocturia

(1) In daily life, you should pay attention to some scientific lifestyle, which can effectively prevent frequent nocturia.

• Drink less water, no tea or coffee, and avoid alcohol 2 hours before bedtime.
• Avoid cold and chilly foods before dinner, such as sorbet, winter melon, white radish, and loofah.
• Avoid emotionally arousing recreational activities before going to bed.

(2) In terms of medication, diuretics, etc. should be used with caution before going to bed. Usually eat moreNourishes the spleen and kidneys, nourishes the heart and calms the mindfoods, such as walnuts, black sesame seeds, and yam and lotus seed porridge.

(3) Acupressure, moxibustion and other methods can be taken to assist in the treatment, rubbing the palms of the hands before going to sleepYongquan acupoint and Foot SanliThe most important points are the Guanyuan, Ashigaru, and Yongquan points, each of which is usually moxibued for 5 to 7 minutes.

(4) Treatment of underlying diseases. If there is a confirmed diagnosis of a disease such asDiseases of urinary tract infections, prostate enlargement, kidney stones and other organs, to be treated aggressively under a doctor's supervision.

Nocturia is a common clinical condition, and it is recommended that you seek prompt medical attention to clarify the cause of the condition to avoid delays.

Life Road Public Health believes that nocturia is generally related to the opening and closing of the kidneys, as well as the excretion of the liver has a relationship. It is the relationship between sealing and excretion that is often referred to in traditional Chinese medicine. Sometimes kidney qi and kidney yang insufficiency, there may be more nocturnal urination, the warmth of the kidneys to regulate the ability to open and close the decline in the kidneys. Liver excretion function is not good, may also appear night urination, like sometimes sleep is not good, there is always go to the toilet to urinate.

It is best to go to the hospital to see a traditional Chinese medicine, identification of drugs, may be more effective, generally on the kidney yang deficiency, such as the emergence of can use jisheng kidney qi pill to try, the effect is still possible. When the liver's detachment is affected, it is necessary to recognize the symptoms and use medication.