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[anonfan1432]

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[Julie]

Why don't you just get your MD to do a PSA test?

And then have them refer you to get help for anxiety - Cpap is not your problem, your anxiety is.

[cnaumann]

What does your urologist say?

[JDS74]

Here's what the Cleveland Clinic has to say.

http://my.clevelandclinic.org/health/di ... c_nocturia

If issues of caffeine or drinking too much fluid are ruled out then sounds as if you should have a conversation with your PCP and discuss the issue.

[anonfan1432]

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[Wulfman...]

THe main reason i sought treatment for sleep apnea was for my nocturia.

i am starting to think my nocturia is not OSA related. It's been about a month of consistent treatment, with an average nightly AHI of about .4

Last night, I went to sleep at like 12 am and woke up at 4 am to void. My AHI in that period was like .2.

Is it still possible sleep apnea is causing noctura?

Of course.
You're just barely getting started with your therapy and we have no clue what your bathroom trips were like BEFORE you started therapy......or, how much you drank last evening or anything else about your life.

A four-hour period before your bathroom trip isn't that bad.

You're comparing apples to oranges and over-thinking EVERYTHING about your CPAP therapy.


Den

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[kaiasgram]

i do have anxiety, but that's more of a mental issue, not really physical.
I went to a psychiatrist, but all they do is prescribe me paxil, which i refuse to take

Hi alex -- The mind/body (or mental/physical) relationship is pretty complex. Mental health issues can affect bodily functions just as physical health conditions can bring about psychological symptoms. A brief Google search turns up links to medical websites and research articles concerning the relationship between depression/anxiety and nocturia. Here's one example: http://www.ncbi.nlm.nih.gov/pubmed/23680309 . This particular review found stronger associations with depression than anxiety, but clinically it's unusual to see someone with anxiety who doesn't also have a measure of depression along with it.

There are some non-medication ways to work on anxiety -- which doesn't mean you shouldn't go back to your doctor/urologist to rule out other causes of the nocturia.

[palerider]

Why don't you just get your MD to do a PSA test?

And then have them refer you to get help for anxiety - Cpap is not your problem, your anxiety is.

i do have anxiety, but that's more of a mental issue, not really physical.
I went to a psychiatrist, but all they do is prescribe me paxil, which i refuse to take

What does your urologist say?

The urologist was the first person i went to. They said that i was too young for prostate issues, and referred me to the sleep doctor.
I guess now i will go back to the urologist lol

http://www.diabetes.co.uk/Diabetes-and-Nocturia.html

and I agree with what you julie said that you dismissed.

[TyroneShoes]

Whether it is a cause of not, especially in your individual case, is still probably not definitive.

But I would guess it is a likely agravator.

I was making a midnite trip to the loo every single night for 5 years, and the very first night I was in CPAP therapy, that ceased completely.

Bottom line, while not a cure, CPAP therapy probably only can help with the condition.

[Guest]

Why don't you just get your MD to do a PSA test?

And then have them refer you to get help for anxiety - Cpap is not your problem, your anxiety is.

i do have anxiety, but that's more of a mental issue, not really physical.
I went to a psychiatrist, but all they do is prescribe me paxil, which i refuse to take

What does your urologist say?

The urologist was the first person i went to. They said that i was too young for prostate issues, and referred me to the sleep doctor.
I guess now i will go back to the urologist lol

Did the doc say that without a PSA test? What age is too young?

What is your fluid intake like during the 4 hrs before bed?

.

[Julie]

Just re-read your first note here Alex, and you apparently only got up once on that night, but who knows what could have been the cause - I won't assume it was too much beer but some food and other drinks might have been responsible, and once is ... once, not something to get excited about. If you were to still get up 3 x a night on good therapy then I'd want testing, but you probably don't need it after all. You need to relax!

[kteague]

Someone can correct me if I'm wrong, but even with only a few apneas a night, can't those apneas trigger the need-to-pee response? Do you have any problems with edema? When I'm retaining fluid, once I lay dawn and sleep a little while the swelling in my legs starts to go down, and that fluid has to go somewhere. While getting up once a night most nights isn't my preference, I'm just glad it's not every several minutes like it once was. All we can do is rule out medical causes needing treatment, do what we can to help ourselves, then live with what's left.

[Guest]

Yea when you lay down any fluids will re-distribute.

Meds can cause fluids to leave too.

[Sludge]

http://nocturia.elsevierresource.com/ar ... 0/fulltext

[tan]

THe main reason i sought treatment for sleep apnea was for my nocturia.

i am starting to think my nocturia is not OSA related. It's been about a month of consistent treatment, with an average nightly AHI of about .4

Last night, I went to sleep at like 12 am and woke up at 4 am to void. My AHI in that period was like .2.

Is it still possible sleep apnea is causing noctura?

Do you feel rested in the morning? Low AHI is not an indicator of good CPAP treatment. In other words, if AHI is high, then treatment is not good for sure. If it is low and you still have symptoms, you may have something else, like UARS, which may cause nocturia.