Nocturia is the condition in which there is frequent urge of urination in the night or at times wetting of the bed. There are several types and causes of nocturia.


  • Some of the known causes of Nocturia:
  • Frequent urine production in the body.
  • Greater than the normal amount of urine production. (greater than 2ltrs).
  • Lower nocturnal bladder capacity.
  • Mixed noturia: Nocturnal polyuria and low nocturnal bladder capacity.
  • Poor sleep.
  • Family history of diabetes/ bladder infections.

Types & Causes:

  • Polyuria: Frequent and over production of urea.
  • High intake of fluid.
  • Untreated type 1/ type 2 diabetes.
  • Occurrence during pregnancy gestational diabetes.
  • Diabetes insipidus.
  • Nocturnal Polyuria: Frequent and over production of urea at night.
  • Sudden stop/ interrupted breathing at night.
  • Heart failure ie congestive.
  • Edema of legs.
  • Side effects of diurectic drugs containing glycosides, excessive vitamin D, demeclocycline, propoxyphene, lithium, methoxyflurane, phenytoin.
  • High intake of fluid/ coffee/ alcohol, etc before bedtime.
  • Low Nocturnal Bladder Capacity: Urine holding capacity of bladder reduces at night.
  • Obstruction/ inflammation/aching in bladder.
  • Overactivity observed in the bladder.
  • Recurrent UTI.
  • Bladder pain known as interstitial cystitis.
  • Non cancerous malignancy of the bladder.

When to approach your doctor?:

  • Frequent wetting of bed.
  • Having to wake up twice or more times at night to urinate.
  • Reduced production of urine.

Diagnosis Tests:

  • Urine culture.
  • Maintaning & studying a bladder void diary.
  • Fluid deprivation test.
  • Blood sugar test.
  • Blood urea test.

Nocturia Treatment:

  • Cause Specific Medications:
  • Reduce the over reactive bladder, Urinary incontinence: tolterodine, anticholinergic, oxybutynin, solifenacin, antimuscarinic agents.
  • Regulate urine production: diurectis like bumetanide, furosemide.
  • Reduce urine production at the kidneys: desmopressin ( side effect in old age/ high risk patients-dilutional hyponatremia- ie risk of maintaining appropriate serum sodium concentration levels)
  • Surgery: For overreactive bladder
  • Surgery for the correction of a pelvic organ prolapse.
    Cystoplasty of clam.
  • Detrusr myectomy.
  • Scaral nerve stimulation.

Patient’s Participation:

  • Wear water compression stalking.
  • Avoid high fluid intake before bedtime. (water, caffiene, and alcohol).
  • Timely intake of prescribed medicines. (take mid- to late afternoon, six hours before bedtime).
  • Take afternoon naps.
  • As an exercise, tme and again, elevate the legs (helps prevent fluid accumulation).
  • Healthy, nutritious lifestyle.

How Does Nocturia Affect the Daily Life?:

  • Irritability, increased intolerance levels due to sleep deprivation.
  • Fatigue and reduced stamina.
  • Dullness and sleepiness throughout the day negatively impacting the productivity.
  • Cognitive dysfunction.
  • High risk of accidents due to reduced levels of alertness and awareness.
  • Life span reduction.
  • Healthy balanced meals.

Prevention & Precaution is Better than Cure:

  • Healthy balanced meals.
  • Avoid fatty foods.
  • High intake of fibrous foods.

All above, treatments are finalized taking into consideration the overall health, severity, age and other ailments of the patient.