Waking up in the middle of the night to go to the bathroom is not a good experience. Once you get to sleep, the last thing you need is a full bladder waking you up. For some people, these awakenings may even make it difficult to fall back asleep, and this may be a symptom ofinsomnia.
How can you decrease the need to urinate at night? Fortunately, there are a few changes that you can make that will help you to stay asleep and, if you do awaken, fall back asleep more easily. First, however, it’s a good idea to track down the cause.
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Causes
There are a number of reasons why you might wake up frequently at night to urinate. The causes may be dependent on your age, personal habits you have at night, or medical conditions including diabetes, bladder infections, and cystitis. With any of these, it is best to talk to your healthcare provider about any concerns you have.
19 Reasons for Peeing Too Much
Children
It is uncommon for younger people to get up in the night to pee. Children may have enuresis or bedwetting, but they typically outgrow this. There are also a number of effectivebehavioral treatmentsand medications that can help.
If your child is making frequent trips to the bathroom, it could be a sign of another medical condition or even a sleep disorder such assleep apnea.
Nocturia as You Age
As we age, our ability to concentrate urine overnight declines. This means that the bladder fills more quickly, which prompts a trip to the bathroom. When urination occurs during the night, it is callednocturia.
In particular, men who are middle-aged or older may develop urinary frequency as part of benign prostate enlargement. Nocturia may also be part of medical conditions such as diabetes, chronic kidney disease, or heart failure.
Nocturia is also a common side effect of taking diuretic blood pressure medications. These are sometimes called “water pills” and include Lasix (furosemide).
Sleep Apnea
It is also important totreat sleep apneabecause this can also lead to nocturia. There are two major reasons for this.
Sleep apnea leads to fragmented sleep. You may experience periods of interrupted breathing while you sleep which can disrupt deeper stages of sleep lending to spending more time in light sleep. In these lighter stages, you will naturally become more aware of how full your bladder is. In addition, research suggests that sleep apnea itself triggers the release of hormones that increase the need to urinate at night, particularly as we age.
Nighttime Habits
There are some causes of nighttime urination that can be controlled. Drinking an excessive amount of water before going to bed will increase the likelihood of having to urinate during the night. Caffeine, which works as a stimulant, is also a mild diuretic that can increase urination.
The best thing you can do is to reduce how much you drink at night. This is especially true in the four to six hours before bedtime.
How to Get Back to Sleep
If you do wake during the night to urinate, try to minimize the amount of light that you expose yourself to. By using a small nightlight in the bathroom rather than turning on the main light, it can be easier to fall back asleep.
A Word From Verywell
By decreasing the frequency of trips to the bathroom to pee, you can get a better night’s sleep. Do your best to change any nighttime habits that may be causing it and keep any stimuli low that may prevent you from falling back asleep. If you have or suspect a medical condition may be provoking it, speak with your healthcare provider because changes in your treatment may help as well.
6 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Leslie SW, D’Andrea V, Sajjad H.Nocturia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.Bliwise DL, Wagg A, Sand PK.Nocturia: A Highly Prevalent Disorder With Multifaceted Consequences.Urology. 2019;133:3-13. doi:10.1016/j.urology.2019.07.005Heron J, Grzeda MT, von Gontard A, Wright A, Joinson C.Trajectories of urinary incontinence in childhood and bladder and bowel symptoms in adolescence: prospective cohort study.BMJ Open. 2017;7(3):e014238. Published 2017 Mar 14. doi:10.1136/bmjopen-2016-014238Kujubu DA, Aboseif SR.An overview of nocturia and the syndrome of nocturnal polyuria in the elderly.Nature Clinical Practice Nephrology. 2008;4(8):426-435. doi:10.1038/ncpneph0856Raheem OA, Orosco RK, Davidson TM, Lakin C.Clinical predictors of nocturia in the sleep apnea population.Urol Ann. 2014;6(1):31–35. doi:10.4103/0974-7796.127019Park HK, Kim HG.Current evaluation and treatment of nocturia.Korean J Urol. 2013;54(8):492–498. doi:10.4111/kju.2013.54.8.492
6 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Leslie SW, D’Andrea V, Sajjad H.Nocturia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.Bliwise DL, Wagg A, Sand PK.Nocturia: A Highly Prevalent Disorder With Multifaceted Consequences.Urology. 2019;133:3-13. doi:10.1016/j.urology.2019.07.005Heron J, Grzeda MT, von Gontard A, Wright A, Joinson C.Trajectories of urinary incontinence in childhood and bladder and bowel symptoms in adolescence: prospective cohort study.BMJ Open. 2017;7(3):e014238. Published 2017 Mar 14. doi:10.1136/bmjopen-2016-014238Kujubu DA, Aboseif SR.An overview of nocturia and the syndrome of nocturnal polyuria in the elderly.Nature Clinical Practice Nephrology. 2008;4(8):426-435. doi:10.1038/ncpneph0856Raheem OA, Orosco RK, Davidson TM, Lakin C.Clinical predictors of nocturia in the sleep apnea population.Urol Ann. 2014;6(1):31–35. doi:10.4103/0974-7796.127019Park HK, Kim HG.Current evaluation and treatment of nocturia.Korean J Urol. 2013;54(8):492–498. doi:10.4111/kju.2013.54.8.492
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Leslie SW, D’Andrea V, Sajjad H.Nocturia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.Bliwise DL, Wagg A, Sand PK.Nocturia: A Highly Prevalent Disorder With Multifaceted Consequences.Urology. 2019;133:3-13. doi:10.1016/j.urology.2019.07.005Heron J, Grzeda MT, von Gontard A, Wright A, Joinson C.Trajectories of urinary incontinence in childhood and bladder and bowel symptoms in adolescence: prospective cohort study.BMJ Open. 2017;7(3):e014238. Published 2017 Mar 14. doi:10.1136/bmjopen-2016-014238Kujubu DA, Aboseif SR.An overview of nocturia and the syndrome of nocturnal polyuria in the elderly.Nature Clinical Practice Nephrology. 2008;4(8):426-435. doi:10.1038/ncpneph0856Raheem OA, Orosco RK, Davidson TM, Lakin C.Clinical predictors of nocturia in the sleep apnea population.Urol Ann. 2014;6(1):31–35. doi:10.4103/0974-7796.127019Park HK, Kim HG.Current evaluation and treatment of nocturia.Korean J Urol. 2013;54(8):492–498. doi:10.4111/kju.2013.54.8.492
Leslie SW, D’Andrea V, Sajjad H.Nocturia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.
Bliwise DL, Wagg A, Sand PK.Nocturia: A Highly Prevalent Disorder With Multifaceted Consequences.Urology. 2019;133:3-13. doi:10.1016/j.urology.2019.07.005
Heron J, Grzeda MT, von Gontard A, Wright A, Joinson C.Trajectories of urinary incontinence in childhood and bladder and bowel symptoms in adolescence: prospective cohort study.BMJ Open. 2017;7(3):e014238. Published 2017 Mar 14. doi:10.1136/bmjopen-2016-014238
Kujubu DA, Aboseif SR.An overview of nocturia and the syndrome of nocturnal polyuria in the elderly.Nature Clinical Practice Nephrology. 2008;4(8):426-435. doi:10.1038/ncpneph0856
Raheem OA, Orosco RK, Davidson TM, Lakin C.Clinical predictors of nocturia in the sleep apnea population.Urol Ann. 2014;6(1):31–35. doi:10.4103/0974-7796.127019
Park HK, Kim HG.Current evaluation and treatment of nocturia.Korean J Urol. 2013;54(8):492–498. doi:10.4111/kju.2013.54.8.492
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