Any experiences of nocturia?

Cpap-Resmed · Post by **Cpap-Resmed** » Wed Jun 15, 2005 2:14 pm

I had OSA for around 10 years before being diagnosed. One of the symptoms that was consistent thru the whole thing was frequent night time urination. Has anybody else experienced this, and why does id occur? It stopped as soon as I started CPAP.

FairSpirit · Post by **FairSpirit** » Wed Jun 15, 2005 4:09 pm

Well frequent urination is something I've suffered with all my life. Oh, I hate it. Course I believe a small bladder is my problem. CPAP or not (so far), I can RARELY go 1.5 - 2 hours without having to go to the restroom. Even all through the night. If it were not bad enough already, I am on a fluid pill to help with high blood pressure and during the day I may as well just sit constantly on the toilet. Frequent urination is something that has and I suppose always will burdern me heavily. I was however hoping that CPAP may reduce my restroom visits during the night somewhat. My sleep Doc said it might. I've been on CPAP, well, tonight will make a week, and so far there has been no difference in that area.

I do think however I am sleeping more deeply. There was never a time the alarm clock didn't wake me, but now there have been several days this past week in which it hasn't. I guess that good, right??? LOL! I am so happy to have my CPAP now and am hoping for continued good results the longer I go with it.

Hmm, I was no help at all, was I? LoL! Well, thought I'd share my experience about that. I wish you all the luck in the world! I FEEL bigtime for people who have frequent urination.

IWannaSleep · Post by **IWannaSleep** » Wed Jun 15, 2005 6:33 pm

I was up 3 or 4 times in the night. After being diagnosed with Type II Diabetes 2.5 years ago, and getting that under control, my need to get up reduced to about once a night. Now with XPAP therapy I rarely have a need to get up. I almost always sleep 6 straight hours now with no interuptions.

In both cases my doctors told me to expect the need to get up in the night to go away or decrease. I'm not sure why it happens, but I'm glad I no longer have the need

Ron

Janelle · Post by **Janelle** » Fri Jun 17, 2005 2:50 pm

the main reason for this is reduced oxygen intake at night caused by the OSA. The less body your oxygen has to get rid of the toxins in the body, it has to find another way, and that way is by increased urine production. Once your body is getting better oxygenation at night through CPAP, it is able to deal with the toxins in a normal manner.

I noticed in about 2 months that I hardly went to the bathroom at night anymore. you will also find that you can usually go all night if you sleep all night and will wake up without even that full bladder feeling, but when you do, you find out it is.

Also, people with OSA have very fragmented sleep with frequent complete awakenings. Your body says, "well, since we're awake, let's make a trip to the John", and you usually say, "Sure, why not, and why not drink another glass of water while we're at it."

tomjax · Post by **tomjax** » Fri Jun 17, 2005 3:42 pm

The best explanation for nocturia disappearing after successful PAP treatment is the effect of Naturetic hormone/ Antidiuretic hormone.
When a person is in deep level sleep, adh is increased and stops the production of urine.
In OSA, a person is awakened and there is a disruption of the stage 3/4 sleep.
There is a corresponding increase in the production of urine and nocturia.
I have brought this to the attentio of several urology folks and suggest that too many of their male patients are being misdiagnosed with BPH- benign prostatic hyperplasia. They have osa- NOT BPH.

GERD or reflux also miraculously goes away with PAP treatmen-
no more zantac- tagamet.
Of course, those on the PPI- nexium, prevacid, prilosec, have one hell of a problem that is not advertised. Rebound reflux- It turns out the PPI's are causing the problem once they have been taken for a time. a catch 22.
Can't get off the purple pill- A perfect drug for the companies-
go figure.

ozij · Post by **ozij** » Fri Jun 17, 2005 11:15 pm

Me too.

O.

cktan · Post by **cktan** » Sat Jun 18, 2005 12:57 am

tomjax wrote: I have brought this to the attentio of several urology folks and suggest that too many of their male patients are being misdiagnosed with BPH- benign prostatic hyperplasia. They have osa- NOT BPH.
GERD or reflux also miraculously goes away with PAP treatmen-

ADH is the culprit.

1. The urologist should be educated that Sleep Apnea, besides prostate problem, is also an important differential diagnosis of nocturia.

There are growing evidence that sleep apnea also cause Erectile Dysfunction. (Impotence)

2. Drug company selling PPI is the one that "hate" PAP treatment.

3. When hypertension(High blood pressure) first diagnosed, Sleep apnea should be ruled-out too.

Hope that one day, when people come to a clinic with nocturia(man), acid reflux or high blood pressure, every doctor will know to ask " Do you snore while sleeping?"

bman · Post by **bman** » Sat Jun 18, 2005 12:59 am

I am exactly like tomjax, after my cpap

1. no weeing every few hrs

2. no trace of heartburn; it was so bad that I choked on my acid and choked on my breathing too

I suspect these are symptoms for more severe sufferrers

ahujudybear · Post by **ahujudybear** » Sat Jun 18, 2005 8:10 am

I am loving my doctor more and more!

The very first time I saw him (to get a Rx for high blood pressure), he wrote a Rx for a PFT (I had just had a sleep study, but we wouldn't be getting the results for several more months)!!! What a smart doc!!!

I had to turn around and go back into his office when I remebered that he had not given me anything to controll my BP - at least until everything else could e gotten under control.

- JB

ozij · Post by **ozij** » Sat Jun 18, 2005 8:49 am

What's a PFT?
O.

ahujudybear · Post by **ahujudybear** » Sat Jun 18, 2005 9:19 am

PFT = Pulmonary Function Test. There are several (many?) different ones. The two I had were for VLC (Vital Lung Capacity) with an added test for muscle strength. [Note: I have seen since that these were to be done both in an upright posture and while lying down. they were only done while upright, but I was told that they were only to test the capacity of a person's lungs. Nothing else.]

The second one was the "Metho-something Challenge" where they periodically introduce an inhalant that will trigger and asthmatic response, in five increasing increments. If you have a reaction, you have some degree of asthma. (I did not.)

In each instance I dislocated a rib trying to comply with the directions of the therapist.

But my lung capacity was normal. (Muscles were weak.)

- JB

Sleeping With The Enemy · Post by **Sleeping With The Enemy** » Sat Jun 18, 2005 9:41 am

Before my sleep study in January, I was waking up to go to the bathroom literally 8 times a night, every night; not just tinkeling.... I really had a full bladder.

I am now 5 months into treatment with a wonderful Remstar Auto with C-Flex and sometimes I wake once a night to go.

I love it, more sleep makes Heidi a happy girl!!

FairSpirit · Post by **FairSpirit** » Sat Jun 18, 2005 11:40 am

[quote="Sleeping With The Enemy"]Before my sleep study in January, I was waking up to go to the bathroom literally 8 times a night, every night; not just tinkeling.... I really had a full bladder.

I am now 5 months into treatment with a wonderful Remstar Auto with C-Flex and sometimes I wake once a night to go.

I love it, more sleep makes Heidi a happy girl!!

Wulfman · Post by **Wulfman** » Tue Mar 21, 2006 9:33 am

Another informative thread dug out of the archives by the spammers.....

Ya gotta hand it to 'em, they're finding some interesting stuff.

krousseau · Post by **krousseau** » Tue Mar 21, 2006 11:11 pm

Another explanation I've heard is that urination is one of the first parts of the fight or flight reaction that occurs when you can't breath.

And a related explanation is that when you obstruct you have that fight or flight reaction (even if you are not fully awake)-adrenalin floods your system-your heart races-thus sending more blood to the kidneys-and they put out more urine.

But Janell's explanation is the one I favor-I'm awake...I may as well go to the BR so if I get back to sleep I won't have to wake up to go again.

Whatever the cause-CPAP has fixed it.

Any experiences of nocturia?

Any experiences of nocturia?

nocturia

Re: nocturia