Urination refers to the physiological process by which the human body excretes waste metabolites or excess water produced in the body through organs such as the kidneys, ureters, bladder, and urethra.
The kidneys are important organs for excreting waste, filtering, absorbing and secreting blood in the body through the glomeruli and renal tubules, excreting metabolites and excess water.
The urine produced by the kidneys is transported to the bladder through the ureter, and after the urine enters the bladder, the bladder muscles contract without urinating, thus storing urine.
When the bladder is filled to a certain extent, the bladder muscles begin to contract, pushing urine to the urethra and flowing to the outside world, the normal urination process requires the cooperation of various organs, if there is a problem with any of the organs, it may cause adverse symptoms such as difficulty urinating.
01
How many times is it normal to "get up late" at night?
The number of nights you get up at night varies from person to person, and may be 1-2 times within the normal range.
However, some people may often need to stay up late because of age, gender, illness, use of certain medications, or eating habits.
For example, the elderly, women, people with conditions such as frequent urination, overactive bladder, cystitis, or drinking a lot of water, coffee or tea may need to get up more often at night.
If you often feel the need to get up overnight, it is advisable to consult your doctor to rule out any underlying health problems or seek appropriate treatment.
In addition, changing eating and drinking habits, controlling the intake of irritating substances such as caffeine or tea in the diet, strengthening bladder training, and adhering to regular lifestyle habits can help reduce the frequency of nocturia.
02
Which is healthier, a person who "wakes up late at night" or "does not stay late"? The doctor speaks the answer
There are some studies that suggest that people who stay up at night may be healthier.
For example, one study in the elderly found that people who did not have frequent urination at night for a long time had a relatively lower risk of chronic diseases such as cardiovascular disease and abnormal blood sugar, and another study also found that people who did not stay up at night were more likely to have better sleep quality.
However, not in all cases waking up at night indicates a health problem, and studies have also found that some people may get up multiple times at night, but it does not affect their physical health.
For example, older people, people who produce more urine, or people who smoke and drink often get up at night many times, but this does not mean that they necessarily have a health problem.
However, if nocturia is frequent, it may be a manifestation of a disease or symptom, such as cystitis, prostatitis, urinary tract infection, or diabetes insipidus, etc., it is recommended to consult a doctor.
03
There are many factors that increase nocturia, if it recurs, or these 5 diseases have come to the door!
1. Prostatic hyperplasia:
The reason prostatic hyperplasia increases nocturia is that prostatic hyperplasia causes prostatic tissue to thicken, compresses the urethra, and causes the urine flow to slow down, which makes urination require more force to complete and also takes more time to empty the bladder.
In addition, the increased size of the prostate cyst glands stimulates a faster feeling of bladder fullness, causing the bladder to overfill, which in turn stimulates the bladder muscles to contract, resulting in multiple urination overnight. As a result, patients with prostatic hyperplasia often experience increased nocturia.
2. Urinary tract infection:
The main reason why urinary tract infections increase the number of nocturia is because the infection causes inflammation such as cystitis and urethritis, which cause the bladder to be irritated and feel pain and discomfort, and patients often feel that the bladder is full but the amount of urine is small, and frequent urination is required to reduce discomfort.
At the same time, urinary tract infections can also cause swelling of the urethra, resulting in difficulty urinating and increased urination time, making patients need more time to empty the bladder, thereby increasing the number of nocturia. As a result, people with urinary tract infections tend to have symptoms of increased nocturia.
3. Bladder irritation syndrome:
Irritable bladder syndrome is a condition in which bladder pain, frequent urge to urinate, and urgency are the main clinical manifestations, and patients often need to urinate frequently to reduce bladder pain or discomfort.
The mechanism by which bladder irritation syndrome occurs is not fully understood, but research suggests that it may be related to factors such as neurological, immune, and inflammatory.
The patient's bladder is usually hypersensitive, with increased sensitivity to pressurine pressure or full of sensation, and particularly sensitive urine infusion, which results in abnormal, unpredictable urine discharge.
At night, because the body is at rest, the amount of urine is low, and the increased sensitivity of the bladder at this time often leads to the patient feeling the need to urinate abnormally during sleep, resulting in an increase in the frequency of nocturia.
4. Diabetes:
Diabetes is a chronic disease characterized by poor blood sugar control, and people with diabetes experience a variety of symptoms, including increased nocturia.
The main reason for the increase in nocturia caused by diabetes mellitus is increased renal filtration rate due to hyperglycemia and overload of the glomerular filtration function. Due to the overload of the filtration function of the kidneys, urine production increases, and urine excretion increases at night, resulting in an increase in the frequency of nocturia.
In addition, diabetics are also prone to urinary tract infections, and when urinary tract infections occur, inflammation can irritate the nerves of the bladder, causing symptoms such as frequent urination and increased nocturia.
In short, the increase in nocturia caused by diabetes is mainly due to factors such as hyperglycemia leading to overload of the renal filtration function and urinary tract infections. Controlling blood sugar levels and preventing urinary tract infections are key to helping diabetics relieve nocturia.
5. High blood pressure:
Hypertension is also a common chronic condition characterized by a persistent increase in arterial blood pressure, and patients with hypertension often experience increased nocturia.
The main reason for the increase in nocturia in hypertensive patients is that the filtering capacity of the kidneys is reduced by vasoconstrictors, which affects the ability of urine to concentrate.
In addition, hypertensive patients are also prone to increased water and sodium load of the heart due to excessive cardiac burden, which is easy to cause edema and affect the excretion of urine at night, resulting in an increase in the frequency of nocturia.
In addition, people with high blood pressure may also have other conditions, such as diabetes and prostatic hyperplasia, which may also cause increased nocturia.
In general, the cause of increased nocturia in hypertensive patients may be due to decreased renal filtration capacity, increased cardiac water and sodium burden, or related to other diseases, and controlling blood pressure levels and strengthening the treatment of cardiovascular disease are key to preventing increased nocturia.
04
Do these 6 things often to reduce the number of night rises
1. Make sure to drink enough water during the day, reduce water intake after dinner, and avoid drinking water within 1-2 hours before going to bed.
2. Avoid drinking, especially before going to bed, because alcohol can stimulate the bladder and affect sleep quality.
3. Avoid drinking caffeinated beverages such as tea and coffee, because caffeine will stimulate the bladder and promote urination.
4. Establish regular urination habits, such as going to the toilet every few hours or at a certain point in time, and ensure that the bladder is completely emptied.
5. Avoid wearing tight clothing, pants and other clothing that will compress the bladder.
6. Exercise pelvic floor muscles, such as bladder training, pelvic floor muscle training, etc., to enhance bladder control.