Peeing all Night

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Sleeping With The Enemy
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Peeing all Night

Post by Sleeping With The Enemy » Sun Feb 06, 2005 5:24 pm

Just wondering, for those of you who have had this as one of your symptoms, when does it get better??????

I pee more during the night than I do during the day, its crazy!!!

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Liam1965
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Post by Liam1965 » Sun Feb 06, 2005 6:36 pm

Peeing All Night? Have you had your prostate checked?

Seriously, I have the same problem. I was told by my sleep doctor (when we were just treating the insomnia, and hadn't yet done the sleep study) that there is some initial data indicating that the body takes the opportunity on waking to rid itself...

He said that it's less likely that having to urinate was waking me up, and far more likely that the disruptions in my REM sleep was causing my body to have the "While I'm up, let's pee" response.

In fact, as I recall, it was that discussion that led to deciding to try the sleep study and see if Apnea was involved.

Liam, who'll be back in a bit, he kinda has to pee.

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LDuyer
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Peeing

Post by LDuyer » Sun Feb 06, 2005 6:46 pm

Funny you should mention the doctor's thoughts about waking up assuming you need to pee.

Before diagnosis, I was waking up quite frequently, not knowing why. At first I assumed it was a need for the bathroom (I had had some problems in that area occasionally). But after MANY MANY such wake ups and trips to the bathroom, I soon realized that wasn't it! I eventually stopped the trips, but kept wondering why I was waking up and why I wasn't anxious to lie back down and sleep. My body was telling me something, only I wasn't listening. Haha.

Linda

Sleeping With The Enemy
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It couldn't be my prostate

Post by Sleeping With The Enemy » Sun Feb 06, 2005 6:52 pm

There is no way it could be my prostate, I don't have one!!

I'm a female, silly!!!

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Liam1965
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Re: It couldn't be my prostate

Post by Liam1965 » Sun Feb 06, 2005 7:04 pm

hhunt wrote:I'm a female, silly!!!
I know, I assumed everyone did. I thought that made the prostate joke funnier.

Liam, who's pretty sure he's figured out that whole "differences between male and female" thing.

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Marie
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Visits to the bathroom

Post by Marie » Sun Feb 06, 2005 8:44 pm

I also was getting up to go to the bathroom 3 times every night.My doctor told me I shouldn't be doing that,but that was before it was discovered that I had OSA.
Every time I got up,I took a sip of water,so I suppose I contributed to the bathroom visits.

This stopped with my first night on cpap. I can sleep 4 to 5 hours without a bathroom break now.I just wish I could sleep the 6 to 7 hours that I should be sleeping. Sometimes I sleep as little as 3,but catch it up on the next night because I am tired.But it is not the same tiredness I felt before,because I am getting better sleep.

Marie

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MartiniLover
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Post by MartiniLover » Sun Feb 06, 2005 8:56 pm

Don't forget to check your meds.

One of my BP meds that I had been taking at night, was the cause. I found it by relooking at my meds on WebMD.com. I switched it to mornings and stopped the night time trips, and now do them in the morning. Very seldom do I get up now, and I am male, age 62.

The med I had a problem with was Bisoprol/hctz Tab (Ziac)

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Lana
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Post by Lana » Sun Feb 06, 2005 9:12 pm

I have heard from somebody (sorry memory lapse) bathroom trips while on Cpap are contributed to air being "pumped" into our bodies and further preassure being put on our stomack organs. This is simple and logical explanation and I'll go with it since I have no prostate nor had any frequent nightly bathroom trips in the past.
Sometimes, all I need is the air that I breathe!

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Clarification

Post by Sleeping With The Enemy » Sun Feb 06, 2005 9:22 pm

These nightly visits are about every 2 hours to pee. Maybe when I start feeling better, getting more sleep, this too will improve?

I'm not on any meds that would cause this. I don't have any other medical conditions.

My doctor says its from having had 4 children, not sure I believe that because 3 were c-sections, if that makes a difference.....

Heidi

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Liam1965
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Post by Liam1965 » Sun Feb 06, 2005 11:25 pm

Well, I've had two children, and they never affected my peeing. Then again, my ex-wife actually gestated them, so perhaps that's why.

And Lana, while that may be so, I got the sense that for HHUNT (and certainly for me) the many trips to the bathroom far predate the CPAP.

For a long time, I thought they were part of the problem, part of why I never got enough sleep.

I had not heard of the converse, of it getting WORSE after starting CPAP. Only better.

Liam, who appreciates a good pee as much as anyone.... but only one a night.

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peeing

Post by jw » Mon Feb 07, 2005 12:11 am

i was peeing a lot and thought iwas becoming diabetic, this quit when i started cpap.

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Post by NapsWithRabbits » Mon Feb 07, 2005 12:39 am

I have been annoyed for years by having to get up once, twice, even three times a night to pee.
On CPAP (which I've been using for just over a month, still not sleeping well with it) I've had only a few nights where I've gotten up even once. Don't know why... it certainly isn't because I'm sleeping though the night!

After I read in a book about the 'while I'm up, let's pee' thing, I actually found myself getting up less. The power of suggestion is a funny thing...

Oh, and I (female) have many times complained that it's my prostate. I think I'm extremely funny , but usually people don't get it.

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Dave Hargett
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Post by Dave Hargett » Mon Feb 07, 2005 1:01 am

Pre-diagnosis, I was up almost hourly. I was convinced I had a bladder or a prostate problem.

The first night on CPAP, I put my mask on and fell asleep. Five hours later I woke up for the first time that night and went to the bathroom.

The nocturia problem went away my first night on CPAP. Ten years later, I can still sleep through the night for 8 hours, even on occasion 10, and not have to get out of bed, even though I have a habit of drinking caffeine free Diet Coke within an hour or so of going to bed.

Someone at my workplace was referred to me as an apnea patient to get some support. Walking to lunch after meeting for the first time, I casually asked him "How many times do you pee each night?" His head whipped around and he growled at me "Who told you about that!" in an angry voice. He had no idea it was related to his apnea.

From a press report on a study about apnea and nocturia, here is a fairly simple explanation that I like (the bold emphasis is mine):

How Apnea Causes Nocturia

Umlauf explains that during episodes of sleep apnea, the soft structures in the throat relax and close off the airway, setting into motion a chain of physiological events. "Oxygen decreases, carbon dioxide increases, the blood becomes more acidic, the heart rate drops and blood vessels in the lung constrict," says Umlauf. "The body is alerted that something is very wrong. The sleeper must wake enough to reopen the airway. By this time, the heart is racing and experiences a false signal of fluid overload. The heart excretes a hormone-like protein that tells the body to get rid of sodium and water, resulting in nocturia."

Obviously it can be related to other issues, but quite often nocturia is related to sleep apnea or other sleep disorders. Here is the conclusion from an abstract of a study in the Archives of Internal Medicine from 1996:

CONCLUSION: Most awakenings from sleep attributed by our patients to pressure to urinate were instead a result of sleep disorders, particularly sleep apnea. The fact that patients do urinate once awake likely contributed to faulty post hoc reasoning and might have limited further inquiry by patients and their physicians in clinical settings into the actual sources of awakening from sleep. Even in those patients with well-known medical reasons for noctruria, Sleep disorders were still found to be the source of almost all awakenings from sleep. Patients were extremely poor judges of the reasons they awoke from sleep. The diagnosis of a sleep disorder should be seriously considered whenever a patient reports frequent awakenings from sleep to urinate.

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rested gal
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Post by rested gal » Mon Feb 07, 2005 1:56 am

Excellent information, Dave. Thanks!

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Post by happeegirlee » Mon Feb 07, 2005 8:58 pm

oh my goodness, i too was so relieved when the respirologist explained the "while awake, might as well pee..." side-affect. 'til i was diagnosed my family physician claimed that amount of urges at night was normal. i thought i might have an overactive bladder because i wasn't peeing volumes, just peeing frequently. funny she (dr) didn't clue into apnea as a cause then. it took one car accident (i hit a sleep apnea sufferer too!) and a substitute (resident of all peope!) doctor while my doctor was on vacation, to finally suspect and send me for a sleep study. until the results confirmed apnea my dr was still preaching a meds issue. thank goodness for modern medicine.
oh yeah, and i also thought (prediagnosis) that i might be suffering from some kind of leg/arm jerking syndrome that kept waking me up. turns out that i was doing it the normal night-time amount but because of the "wakeful sleep" i was alerted to it more than non-apnea patients would be.