Nocturia
Frequent urinations in a night span carry the name a nocturia.
Nocturia: reasons, features, diagnosis
At a nocturia dominance of night volume of urine over day is noted. It is obvious that process is followed by regular disturbance of a night dream. As a result patients have a chronic fatigue, increased fatigue, decrease in working capacity, etc.
At the healthy person the nocturia can turn out to be consequence of the use of kofeinsoderzhashchy drinks in the evening. All the loved teas, coffee, and also alcohol have visible diuretic effect. It is considered that one campaign in a toilet in a night is norm option. If the need for an urination arises two and more times, then it is a signal of need of medical examination.
The nocturia as symptom, testifies to set of a number of diseases. So, its emergence can accompany inability of kidneys to sufficiently concentrate urine. The diabetes mellitus, liver or heart failure can also declare themselves the need for frequent night urinations.
The course of treatment a number of drugs can be followed by a nocturia too. Still it accompanies a bladder hyperactivity.
Increase in a prostate at men of advanced age interferes with a full-fledged urination. A part of urine comes back in a bladder and further leads to development of a nocturia.
In the presence of the corresponding complaints from the patient for the purpose of diagnosis appoint the analysis of urine across Zimnitsky. Its essence consists that each three hours within a day the patient urinates in separate ware. Then in laboratory day and night urine is compared on the volume and specific weight. At a nocturia of night urine it is more (about 2/3 daily allowances of volume), and it insufficiently concentrated.
At specification of the diagnosis at people of advanced age the level of antidiuretic hormone which function consists in reduction of night amount of urine, as a rule, is without fail investigated. With age production of such hormone an organism decreases therefore the nocturia can develop.
Valuable information for the medical analysis is given by the diary which is recommended to keep to patients with a nocturia. In it the drinking mode and the mode of urinations is fixed.
A number of the serious medical researches conducted in Japan and the USA convincingly proves that existence of a nocturia can seriously increase risks for health of the patient, up to a lethal outcome. That is mortality at owners of this symptom is higher, than at people with similar basic diseases, but without nocturia. Certainly, the given fact not a reason for panic, but the basis for the timely address to the specialist.
Nocturia at women
If prostate adenoma is the most frequent reason of a nocturia at men, then the nocturia at women quite often develops owing to cystitis. Also the urine incontience (in particular because of an atrophy of muscles of a pelvic bottom) can become the reason of its emergence.
Treatment of a nocturia
Signal for the address to the doctor are frequent (two and more) campaigns in a toilet in the absence of a large amount of the liquid drunk in the evening at night.
At confirmation of symptomatology in the laboratory way start treatment of a nocturia. In fact, it represents diagnosis and therapy of a basic disease.
For treatment of a nocturia at a bladder hyperactivity successfully use various antimuskarinovy drugs, for example, Solifenantsin.
Also to patients with a nocturia, especially to women of advanced age, recommend to train systematically muscles of a pelvic bottom and to exclude plentiful drink in the evening.
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