Therapy for nocturia (nocturnal urination) depends on the cause: for example, optimizing medication for heart failure (cardiac insufficiency). General measures Low amounts of fluids in the evening (including alcohol restriction/avoidance) reduce nighttime urine production Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Limited caffeine consumption (max … Nocturnal Urination (Nocturia): Therapy
Medical history (history of illness) represents an important component in the diagnosis of nocturia (nocturnal urination). Family history What is the general health of your relatives? Are there any diseases in your family that are common? Social history What is your profession? Is there any evidence of psychosocial stress or strain due to your family … Nocturnal Urination (Nocturia): Medical History
Blood, blood-forming organs-immune system (D50-D90). Anemia (anemia) Sickle cell anemia (med.: drepanocytosis; also sickle cell anemia, sickle cell anemia) – genetic disease of erythrocytes (red blood cells); it belongs to the group of hemoglobinopathies (disorders of hemoglobin; formation of an irregular hemoglobin called sickle cell hemoglobin, HbS). Endocrine, nutritional, and metabolic diseases (E00-E90). Obesity (obesity) … Nocturnal Urination (Nocturia): Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Inspection of the entire body with special attention to central and peripheral signs of congestion. Neck vein congestion? Edema … Nocturnal Urination (Nocturia): Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, blood), sediment. Urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity/resistance). Laboratory parameters 2nd order – depending on the results of the history, physical examination and the obligatory laboratory parameters – … Nocturnal Urination (Nocturia): Test and Diagnosis
Therapeutic target Sleeping through the night without urinating. Therapy recommendations You prioritize under “Further Therapy” If necessary, desmopressin (antidiuretic) for nocturnal polyuria (increased urination) in adults: Nasal therapy in the U.S. Oral 0.2 mg (max. 0.4 mg) before bedtime (Germany oral therapy only) Active ingredients (main indication) ADH (vasopressin) Active ingredient Dosage Special features Desmopressin … Nocturnal Urination (Nocturia): Drug Therapy
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Renal sonography (ultrasound examination of the kidneys; including the urinary tract) [bladder wall thickness (mechanical cause in BPH, also thickened in certain neurogenic causes), residual urine]. Cystoscopy (urinary bladder … Nocturnal Urination (Nocturia): Diagnostic Tests
The following symptoms and complaints may occur together with pathological nocturia (nocturnal urination): Leading symptoms Increased urine production during the night, so that the affected person has to go to the toilet several times during the night. Associated symptoms Ankle edema – water retention in the ankle area. Pollakiuria – urge to urinate frequently without … Nocturnal Urination (Nocturia): Symptoms, Complaints, Signs
