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Urinating more at night

Nocturia

Normally, the amount of urine your body produces decreases at night. This allows most people to sleep 6 to 8 hours without having to urinate.

Some people wake up from sleep more often to urinate during the night. This can disrupt sleep cycles.

Images

Female urinary tract
Male urinary tract

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Causes

Drinking too much fluid during the evening can cause you to urinate more often during the night. Caffeine and alcohol after dinner can also lead to this problem.

Other common causes of urination at night include:

Other conditions that can lead to the problem include:

Waking often during the night to urinate can also be linked to obstructive sleep apnea and other sleeping disorders. Nocturia may go away when the sleeping problem is under control. Stress and restlessness can also cause you to wake up at night.

Home Care

To monitor the problem:

When to Contact a Medical Professional

Call your health care provider if:

What to Expect at Your Office Visit

Your provider will perform a physical exam and ask questions such as:

Tests that may be performed include:

Treatment depends on the cause. If excessive nighttime urination is due to diuretic medicines, you may be told to take your medicine earlier in the day.

Related Information

Frequent or urgent urination

References

Carter C. Urinary tract disorders. In: Rakel RE, Rakel DP, eds. Textbook of Family Medicine. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 40.

Gerber GS, Brendler CB. Evaluation of the urologic patient: history, physical examination, and urinalysis. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 1.

Landry DW, Bazari H. Approach to the patient with renal disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 114.

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Review Date: 8/26/2017  

Reviewed By: Jennifer Sobol, DO, Urologist with the Michigan Institute of Urology, West Bloomfield, MI. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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