Nocturia and drug treatment

[palerider]

Fine, I absolutely agree we shouldn't do things on a one-size-fits-all all the time... but in real life people with either kidney and/or urinary problems are much better off to err on the side of too much until told otherwise by their doctor. I don't agree that some chart on the net with lurid colors is a great way to get medical advice.

Certainly better than "drink as much water as ... you can",

[palerider]

. I drink at most a total of around 1 litre during and within the hour or so after my morning exercise, which is fairly intense stuff like boxing and weight lifting where I'm doing a lot of sweating. I then probably drink (at most) another 500ml throughout the day. As mentioned in my first post, I drink almost nothing after about 6pm. I promise you that I could drink practically nothing all day and would still pee more than other people I know and would still wake 2-3 times a night. I don't believe water intake to be the issue, but thank you for taking the time to comment.

You're either greatly underestimating your intake, or you're overstating your urine production.

The two just don't add up.

Average bladder capacity is somewhere around 500ml, even if you pee at half that, that's only 6 times a day for what you say you're drinking.

Beer, wine, soup, etc all count for liquid intake.

[Hang Fire]

You're either greatly underestimating your intake, or you're overstating your urine production.

The two just don't add up.

Average bladder capacity is somewhere around 500ml, even if you pee at half that, that's only 6 times a day for what you say you're drinking.

Yes, something is wrong with Leebee's observations.

BTW, I use the urine color chart as a matter of routine. If it starts to turn dark, I drink 500 ml. Drinking too much can be counterproductive.

[ChicagoGranny]

I don't agree that some chart on the net with lurid colors is a great way to get medical advice.

Wow, as someone who claims to have once been a medical professional, you sure get things wrong. Urine color charts are commonly used in nursing homes as a tool to estimate hydration - https://www.ncbi.nlm.nih.gov/pubmed/16552947

[grumpygit]

I drink as much as i feel is right yes apnea can make you pee but the advice of health persons is sometimes reactionary you get water through food and hell a lot of people haven't even penciled that into the equation .We also all have different mass .Do we all need the same amount of food ...no so water well no .the 1,9 ltrs is made up its in no way scientific .Also water is in tea coffee etc Some people barely touch water as they are so full of vegetable juice and fruit juice herbals teas and everything else ...are they going to dehydrate no ...Unless maybe they jog and sweat take too much salt alcohol or stress their body they and you will most probably be fine with the odd glass .
This isnt so much advice to the first poster as to anyone worried and forcing the water in when not thirsty ,Its actually not a healthy thing to drink too much water- just watch your overall liquid content doesn't get too low

[chunkyfrog]

The amount of liquid you need to consume should be proportional to your weight.
I find that if I keep a bottle of cold water handy as often as possible,
my urine is lighter colored than when I don't.
I also notice that my blood sugar is more easily controlled when I get enough fluids.
Some health conditions may affect your ideal intake.

[leebee]

I thought I would give an update on this - in my follow up appointment with my doctor, we discussed overactive bladder. Given all my previous blood tests were fine, plus the fact that even when I did take heavy duty sleeping pills I was still waking up, and my overall water/liquid intake, he believes I am definitely exhibiting signs of overactive bladder.

He gave me a script for Ditropan which is a slightly lower dose of the same thing that Scruffles mentioned in a previous comment. I am arranging a follow up with a urologist so that we can get to the heart of the matter, rather than just medicating. But I have to say that so far, I'm sleeping deeper and waking less since starting these pills 3 days ago. My mouth is pretty dry, that's one of the side effects, but at least now I know that it's more than likely this condition. Incidentally, doc was somewhat shocked when I told him that the sleep specialist had prescribed Stilnox and Nuvigil. I felt terrible on these - wired but exhausted and like a vice was tightening around my heart and chest. It was hideous so I have ditched those (an expensive experiment!)

The other interesting thing I thought I would mention is impact on stress levels. I have a Garmin Vivosmart 3 wrist monitor (heart rate, calorie burn, steps etc) and it has a physiological stress monitor as well. Of course stress can be good and bad and this wearables technology is in early days, but overall my stress level readings have been extremely high since I got the Garmin a few months ago. I'm a pretty zen person and I don't get too worked up about things, I meditate on a daily basis too, so it has been concerning me that this stress reading is showing medium to high all day every day, including nighttime when I'm sleeping. In general, my body would be lucky to go into rest mode for more than about 1-5 minutes in a 24 hour period. Since starting the Ditropan I'm dropping into rest mode for at least 45 minutes in the last two nights, and I'm very hopeful this trend will continue and get better. So perhaps there's something in that as well. My uneducated guess is that the relaxing of the bladder is helping my whole body to relax a little more during the night. Anyway, just something I thought I would throw in there. Thanks to all for comments and suggestions.

[ChicagoGranny]

water well no .the 1,9 ltrs is made up its in no way scientific .

+1

Here is a good article, including link to scientific studies, that debunks the myths about needing to drink a lot of water - https://www.nytimes.com/2015/08/25/upsh ... a-day.html

[scruffies]

Thanks for the update Leebee. Sounds like you’re on your way!

[leebee]

Thanks for the update Leebee. Sounds like you’re on your way!

Thanks to you too! It seems to be getting better each night, I'm super grateful for your feedback

[Chalkie]

I kept waking in the night and sometimes sleeping on through the urge to urinate, which is actually exhausting and is making my sleep problems worse.

I felt something may be going on with my prostate and I was right.

I had a scan done and I have Benign Enlarged Prostate syndrome. I went to see a urologist last month and he gave me some pills (Diffundox).

I have yet to take them as I am wary of the s/x (including sleepiness) but after reading this I am going to try them. If it helps my sleep and I feel better overall it's worth it.

Nocturia is definitely an issue that can make the fatigue of apnea worse IMO. Anyone who suspects it is a problem for them should get it checked out.

[zoocrewphoto]

Fine, I absolutely agree we shouldn't do things on a one-size-fits-all all the time... but in real life people with either kidney and/or urinary problems are much better off to err on the side of too much until told otherwise by their doctor. I don't agree that some chart on the net with lurid colors is a great way to get medical advice.

I can tell you that just because the urine is pale, does NOT mean you are well hydrated. I do NOT drink enough water. I am always being told I need to drink more water. I go to the bathroom frequently, and my urine is usually very pale. It only gets darker if I have to hold it longer than normal.

I am much better at night with cpap. Only one bathroom trip, maybe none. Otherwise, 3 is more normal. Before cpap, when I would stay i a hotel, I would be up every hour. Seemed like a reasonable amount too. Yet, I never drank any more than normal, which is not enough.

When I get sick, I have to try very hard to drink extra water so that I don't get too dehydrated.

[ChicagoGranny]

I can tell you that just because the urine is pale, does NOT mean you are well hydrated. I do NOT drink enough water. I am always being told I need to drink more water.

What test is used to show that you are not well hydrated?

[zoocrewphoto]

I can tell you that just because the urine is pale, does NOT mean you are well hydrated. I do NOT drink enough water. I am always being told I need to drink more water.

What test is used to show that you are not well hydrated?

NO tests, just pretty obvious. I drink about 2 cups of water per day, maybe 3. And 2-3 cups of pop. That's it. And that is way better than I used to do. Nothing close to the recommended amount of water per day. When I am sick, it is sometimes even more obvious, as I can push the skin on my arm and see the "dent" as it refills too slowly.

Do you think anybody who drinks less than 6 cups of liquid per day is fully hydrated? Especially one who goes to the bathroom super frequently?

[leebee]

I kept waking in the night and sometimes sleeping on through the urge to urinate, which is actually exhausting and is making my sleep problems worse.

I felt something may be going on with my prostate and I was right.

I had a scan done and I have Benign Enlarged Prostate syndrome. I went to see a urologist last month and he gave me some pills (Diffundox).

I have yet to take them as I am wary of the s/x (including sleepiness) but after reading this I am going to try them. If it helps my sleep and I feel better overall it's worth it.

Nocturia is definitely an issue that can make the fatigue of apnea worse IMO. Anyone who suspects it is a problem for them should get it checked out.

Good luck with your treatment Chalkie - I feel for you, it's exhausting and frustrating to do so well with cpap but still wake up and not feel rested! Being female my issue is not prostate but still, those waterworks issues are a dog! I was delighted to find that I woke at 5.40am this morning, after falling asleep at 11pm - a new record for me!!