Nocturia

[izzyb]

I haven't been on here in a long time so, Hi everyone! I was diagnosed with sleep apnea in 2006 and have been compliant since. An added bonus to being able to sleep was not getting up several times a night to go to the bathroom. I wasn't aware of this phenomenon until it happened to me, so I googled it and discovered what was happening. So for 10 years I have been bathroom free at night. Until recently. Probably around 6 months ago (or less) I started waking up to go to the bathroom during the night. Not as often as before, but maybe twice at the most. I am not happy about this.

I am wondering if this means my pressure needs to be raised. I gained some significant weight about 2 1/2 years ago (lost a little of it since) which could account for my pressure being off, but wouldn't I have start the nocturia back when I gained the weight and not a couple of years later?

[Pugsy]

It might be possible that your pressure needs have changed for some reason or other and apnea events are happening now that were prevented in the past.
It is also very possible that something else is going on to cause the nocturia in terms of your overall health.
Sleep apnea isn't the only cause for nocturia out there.
Diabetes comes to mind but it isn't the only health issue that can cause nocturia.

Are you still using the same machine as you started with? Nothing is showing up in your profile in terms of machine use.
If you had a full data machine we could evaluate pressure needs by looking at any apneas flagged but if you are still using your first machine...probably not any data available.

[izzyb]

Pugsy, I just had a physical with blood work. No diabetes so far. I probably need to see my sleep doc. I don't go to him very often as it is a waste of time, but the last time (before this problem) he did offer for me to have a new titration. I have only had one since my initial one. I guess it's time.

[Pugsy]

Well the other potential culprit I usually think of is the prostate and since I see the "F" for gender I doubt we can blame it on the prostate.

If your machine was a full data machine we could maybe get an idea what is going on by using the data available from the machine.
Pressure needs can change over the years even without any huge outward physical changes.

If the nocturia is pretty much a nightly occurrence now and you have ruled out any other potential culprits then probably a visit to the sleep doctor might be in order if your machine can't offer anything to help you out. Now if you have a newer machine...maybe it can offer something...just depends on what it is.

[izzyb]

I have all my equipment listed, but none is showing up but my mask. ?????

[Pugsy]

It's because the links to your equipment are broken. Happens when the products are no longer offered for sale at cpap.com (which is what those equipment choices are tied to).
Just manually add them in your comments section of your profile like I have my additional comments.

[Goofproof]

Did they do a A1C in your blood tests, it's a long term measure of glucose. Have you been using a water pill, like Lasix. Jim

A XPAP machine that collects full data and uses software, can make another sleep study uncessary for most. That was you can follow your own treatment.

[Guest]

Probably around 6 months ago (or less) I started waking up to go to the bathaoom during the night

Have you been consuming liquids close to bed time? Coffee, soda, alcohol?

As the body gets older things do change.
Any men are reading this should think about their prostate too.

[Okie bipap]

When I mentioned nocturia to my previous doctor, he immediately decided it must be BPH, so he put me on medication for that even though my PSA test was always well within the normal range. Turned out I had sleep apnea which was causing the nocturia. I quit taking the medication and now use a bipap machine and normaly sleep through the night, unless I drink a lot of liquids late in the day.

[Guest]

When I mentioned nocturia to my previous doctor, he immediately decided it must be BPH, so he put me on medication for that even though my PSA test was always well within the normal range

afaik - PSA is to test for prostate cancer, BPH is when the prostate in enlarged and happens before the cancer stage and may not lead to cancer.

Primary docs often don't know the symptoms of OSA, I know mine admitted he didn't believe in OSA even tho I thought he was a very good primary.

[chunkyfrog]

No doubt the only females with prostates would be trans.
The surgeons leave that in.

[Lucyhere]

No doubt the only females with prostates would be trans.
The surgeons leave that in.

You are soooo close to 22,000 posts. Congratulations to you!


.

[Guest]

When I mentioned nocturia to my previous doctor, he immediately decided it must be BPH, so he put me on medication for that even though my PSA test was always well within the normal range

afaik - PSA is to test for prostate cancer, BPH is when the prostate in enlarged and happens before the cancer stage and may not lead to cancer.

Primary docs often don't know the symptoms of OSA, I know mine admitted he didn't believe in OSA even tho I thought he was a very good primary.

==================

PSA is a questionable test that may correlate some with cancer
You need to sample the tissue for a true prostate cancer test

[Guest]

PSA is a questionable test that may correlate some with cancer
You need to sample the tissue for a true prostate cancer test

You are talking about a biopsy. PSA is used to determine whether one should have a prostate biopsy.
IMO PSA is only questioned by those who have never had a biopsy and I certainly would not want to have a biopsy as often as I've had a PSA.

In case you are not aware following the treatment on prostate cancer you need to have tests to determine if the treatment was successful.
Again you do NOT want that to be a biopsy.

Stop drinking the PSA is questionable Kool-Aid and get the PSA (a simple blood test) and the DRE.

[Guest]

Not sure who felt the need to delete this and other posts?
Disagree if you want but just cuz you don't agree doesn't make it spam.

If you know another "painless" way to check for Prostate cancer do tell what it is. Certainly the biopsy is the gold standard but as mentioned the PSA is used to determine if the biopsy is necessary.

PSA is a questionable test that may correlate some with cancer
You need to sample the tissue for a true prostate cancer test

You are talking about a biopsy. PSA is used to determine whether one should have a prostate biopsy.
IMO PSA is only questioned by those who have never had a biopsy and I certainly would not want to have a biopsy as often as I've had a PSA.

In case you are not aware following the treatment on prostate cancer you need to have tests to determine if the treatment was successful.
Again you do NOT want that to be a biopsy.

Stop drinking the PSA is questionable Kool-Aid and get the PSA (a simple blood test) and the DRE.