Men's "nocturia" may increase the risk of fractures and death! Doctor: Doing "1 exercise" before going to bed can help relieve bladder sensitivity
If men have to go to the bathroom every night, don’t think it is a minor problem. It may be a sign of a specific disease. You should seek professional help as soon as possible! Taiwan Ministry of Health and Welfare, Food and Drug Administration and Department of Urology Dr. Dai Ding’en said that there are many causes of nocturia in men. Finding out the causes and prescribing the right medicine can help to get rid of the problem of nocturia, and sleeping until dawn is no longer a luxury. .
Male nocturia is not only related to aging? Heart failure and sleep apnea are also culprits?
Dr. Dai Dingen pointed out that if you wake up to urinate after falling asleep because you want to go to the toilet, it meets the definition of “nocturia”. There are three common causes of nocturia: first, urinary tract-related problems; second, water retention caused by heart failure. When lying down, water reflux increases the amount of urine produced by the kidneys; third, sleep apnea stimulates the body to secrete atrial natriuretic hormone. Increase urine output. During treatment, you must first determine the cause of nocturia and treat the cause to effectively improve it.
Nocturia caused by urinary tract-related problems is mostly related to male prostate hypertrophy, nocturnal overactive bladder, nocturnal polyuria, etc. Prostate hypertrophy can cause urinary tract obstruction, irregular urination or bladder sensitivity, which can lead to nocturia. Overactive bladder refers to over-sensitivity of the bladder. When a person lies down and rests, the stimulation caused by the surrounding environment is weak. On the contrary, it is easier to detect the sensation in the bladder, making the urge to urinate stronger. Nocturnal polyuria is caused by changes in the biological clock caused by aging, causing the kidneys to produce more urine at night. If the urine output at night reaches one-third of the whole day, it is nocturnal polyuria.
How to treat nocturia problem? Doctors recommend prescribing appropriate medicines for “3 conditions”
For nocturia problems caused by over-sensitive bladder due to prostate hypertrophy, alpha sympathetic nerve blockers such as tamsulosin can be used to help relax the prostate and dilate the urethra, allowing smooth urination and reducing bladder sensitivity. A common side effect of this type of medicine is postural hypotension, which requires special attention when changing or moving the body posture. It may also lead to retrograde ejaculation. The patient feels ejaculation during sexual intercourse but the semen flows back into the bladder and cannot be discharged. However, this phenomenon does not No physical harm will be caused.
Dr. Dai Dingen said that when overactive bladder is treated, bladder relaxing drugs will be used, including Beta-3 adrenoceptor agonist drugs, such as “mirabegron” or anti-muscarinic drugs. . Common side effects of anti-acetylcholine receptor drugs include dry mouth, dry eyes, slowed gastrointestinal motility leading to flatulence, etc. It should be noted that they may increase intraocular pressure, worsen glaucoma, or affect the condition of patients with dementia.
As for nocturnal polyuria, it can be treated with antidiuretic hormone. Dr. Dai Dingen said that the use of antidiuretic hormone requires special caution, because it will reduce water excretion, which will aggravate the edema problem, and may lead to low blood sodium ions, which in turn may cause neurological symptoms such as confusion or confusion, which is very serious. Danger.
When using antidiuretic hormone drugs, doctors will first determine the sodium ion content in the patient’s body or ask the patient to cooperate in supplementing salt. They should not be used on patients with heart failure. The Taiwan Food and Drug Administration reminds that when faced with nocturia, you should seek treatment from a professional doctor, which can not only help men have a good night’s sleep, but also help the body recover as soon as possible.
Is it possible to lose your life if your nocturia problem is not treated? Do “1 exercise” before going to bed to relieve bladder sensitivity
Many elderly people over the age of 65 have nocturia problems, and they often take it for granted and are unaware of the seriousness of nocturia. Dr. Dai Dingen pointed out that nocturia has been proven to increase mortality and fracture rates. Frequent getting up to urinate at night can easily lead to falls and fractures. If you have difficulty moving and need to stay in bed, your mobility will decrease and your physical function will also decrease, increasing mortality. In addition, nocturia will affect sleep quality, make you lack energy during the day, and affect the body’s endocrine system.
Dr. Dai Dingen reminded that in addition to finding the cause of nocturia and taking medication to help, the most important thing is living habits! It is recommended that you try not to drink water 3 hours before going to bed and avoid coffee and tea after 12 noon. Caffeine has a diuretic effect and will increase bladder sensitivity. In addition, both men and women can do Kegel exercises to practice contraction and relaxation of the pelvic floor muscles to help reduce the oversensitivity of the bladder sensory nerves.
The Taiwan Food and Drug Administration reminds people that when receiving drugs to treat nocturia, they must describe their current medication status to their doctors in detail and take the medicines according to the doctor’s instructions. If they have any questions about taking medicines, they can also consult a pharmacist to reduce the occurrence of side effects and maximize the efficacy of the medicines.
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