Excessive night urination

i read somewhere that this can be an effect of untreated OSA. Recently I wake up 4-5 times to pee. I have not been able to use my cpap for quite some time. Anyone else have a problem with this? I'm only 34 and don't have any other major heath problems. It's quite frustrating waking up so often. I'm trying to get back on my cpap, but it's damn hard.

alpha752 wrote: Recently I wake up 4-5 times to pee.

It's called nocturia. You won't find many people here who have it because our sleep apnea is successfully treated with CPAP. But many of us had nocturia before we started CPAP.

For an explanation of why sleep apnea causes nocturia see http://doctorstevenpark.com/too-many-ba ... ctor-first

alpha752 wrote:I'm trying to get back on my cpap, but it's damn hard.

Talk to us about what kind of problems you are having. There is a lot of experience and expertise among the members to help you. Most of us had problems with CPAP that we had to overcome to be successful.

Nocturia is a common side effect from untreated OSA. When the body experiences an apnea event it puts stress on the body and especially the heart and then the heart produces a stress hormone called ANP (Atrial natriuretic peptide) and this hormone goes through the blood stream to the kidneys and when the kidneys get the stress hormone they tend to kick into overdrive in terms of their work load and we all know that when kidneys work hard excess urine is the result.

I had this happen to me pre cpap treatment and in fact the cessation of the nocturia was one of the first signs that my therapy was working and to be honest, if it had been the only sign of the therapy working it would have been worth it. I was getting up to pee about every 60 to 90 minutes with a painfully full bladder and that was after withholding fluids for a few hours before bedtime.
So it's quite common for nocturia to be caused by sleep apnea and have it improve with optimal therapy.

Of course there are other known causes for nocturia but with someone who has a known diagnosis of sleep apnea and they aren't using their cpap machine....it's the first suspect.

Perhaps we could help sort out why cpap is so hard for you. You know you need to make it work for any number of reasons and I am here to tell you that not having to get up a gazillion times a night to pee (or have those dreams where you have to pee and can't ever find a spot or get relief) is totally worth it.
I have never had the burst of energy I feel like a new woman thing from cpap...but I don't have to pee during the night and I don't wake up with a killer headache and while I may not feel like running the marathon in terms of energy levels, I at least don't feel like I just ran one.

Nocturia is especially unhandy if you are unable to roll to the edge of the lilypad and piddle in the pond.

I have to agree with the other posts. I was up 2-3 times per night and it was getting old. I wasn't sure what it was and I even saw my doctor about it. He wasn't sure either. He thought it was my fluid pill. I stopped taking it, but it didn't help. It took me a little research to figure it out.

The first night I went on cpap, I did not get up to use the bathroom even once. It's been that way now for over a month! It's so nice to be able to stay in bed all night. No bathroom trips.

What is so difficult about getting back to cpap? It's my life saver. I would fight someone for mine. Do you actually have the machine or do you mean that you have a motivation issue?

I had nocturia before being diagnosed with OSA (AHI 102), getting up 4-5 times per night. I first sought treatment from a urologist who ordered all kinds of tests to make sure all the plumbing and kidneys were normal...which they were. I was prescribed DDAVP (Desmopressin which is used to control the amount of urine your kidneys make). My trips to the bathroom were reduced to 2, maybe 3 times/night. Better, but not perfect. 1 time per night was rare.

And then the magic happened! I began CPAP treatment in late May and I've had to go to the bathroom only 2 nights since. What a miracle! Even as SunnyBeBe said, I too on my very first night of treatment didn't get up. This, along with no longer needing to take naps, not feeling like falling asleep driving and not constantly having the feeling of exhaustion have been the biggest changes since therapy began. I'm doing well (still trying to find the perfect mask) but scoring high numbers on Resmed's "MyAir" site. I learned a lot from this site and wanted to pass along that nocturia is DEFINITELY related to OSA. I'm living proof.

alpha752...Do all you can and work hard to get back on CPAP. It's a miracle cure and it's only more air...no surgery, no drugs and nothing invasive. Good luck!

You also should be tested for diabetes, just to be sure that isn't the problem.

wherewillugo wrote:You also should be tested for diabetes, just to be sure that isn't the problem.

I agree, I was going to say that diabetes can causes this.

Are you on your feet much of the day? Do you get puffy ankles and lower legs towards the end of the day? Can you leave a thumbprint indentation in your skin when you press your ankle? That is excess fluid in the tissues, and when one lies down at night, much of that excess interstitial fluid makes it way back into the vascular system. The kidneys get the message about extra fluid on board and make more urine. Very common situation.

Possible ways to improve this without extra diuretics... legs up in a recliner for several hours before going to bed, or wearing support hose that keeps the legs compressed and prevents the interstitial fluid accumulation in the first place.

You come here with a diagnosis of sleep apnea and science shows that sleep apnea causes nocturia.

So now you are told you have diabetes and excess fluid in the tissues because you work on your feet.

lol

Thanks for the input all. I have been tested for diabeties which is negative. I do work on my feet but have no edema, so I don't think that's it. The OSA makes sense. I managed to actually wear my cpap for the last two nights, and lo and behold, no peeing! Now if I can just find a way to be regularly compliment... The mask hunt continues.

Well, I'm glad the last two nights have been good, but just in case (or for other males out there): I've had good luck with Flowmax (generic tamsulosin). Talk to your doctor, get your prostate checked out and to see if it's something that might help you. Another thing to check out is your cortisol levels at night... a simple test can rule out overactive adrenal glands.

Granny: There are lots of medical conditions that cause excessive urination; I don't know how you came to your simple conclusion.

RobertS975 wrote: . . .
Do you get puffy ankles and lower legs towards the end of the day? Can you leave a thumbprint indentation in your skin when you press your ankle? That is excess fluid in the tissues, . . .

OK, the OP does not have this, but to any others . . .
If you have this symptom, please see a doctor!
Edema can be reversed/controlled if caught early enough; but if ignored, it can cripple.

Sir NoddinOff wrote:Well, I'm glad the last two nights have been good, but just in case (or for other males out there): I've had good luck with Flowmax (generic tamsulosin). Talk to your doctor, get your prostate checked out and to see if it's something that might help you. Another thing to check out is your cortisol levels at night... a simple test can rule out overactive adrenal glands.

Granny: There are lots of medical conditions that cause excessive urination; I don't know how you came to your simple conclusion.

You don't know, Sir? Well I don't know why you recommend he talk to his doctor about his prostate, your Flomax and overactive adrenal glands.

He is 34 years old, he had nocturia when he did not use CPAP, he used CPAP for two nights and these two nights there was no nocturia - all very certain signs that his nocturia is strictly caused by sleep apnea.

Plus, he posted no complaints about frequent peeing during the day. If he had either one of the other conditions you brought up, he would have had problems not only at night, but also during the day.

It's a common theme here - someone comes up and is not using CPAP. But many people, not just you, tell them to check for all kinds of other health problems. Usually, the person doing the warning is warning about the health problem they themselves have. The I-have-it-you-are-likely-to-have-it syndrome.

Someone smarter than me once posted, "You come here thinking you have sleep apnea and after a few hours of comments, you have been scared to think you also have a dozen other health problems."

It's OK though. I'm fairly certain the OP is ignoring your alarms.

ChicagoNanny wrote:

Sir NoddinOff wrote:Granny: There are lots of medical conditions that cause excessive urination; I don't know how you came to your simple conclusion.

You don't know, Sir? Well I don't know why you recommend he talk to his doctor about his prostate, your Flomax and overactive adrenal glands.

He is 34 years old, he had nocturia when he did not use CPAP, he used CPAP for two nights and these two nights there was no nocturia - all very certain signs that his nocturia is strictly caused by sleep apnea.

Plus, he posted no complaints about frequent peeing during the day. If he had either one of the other conditions you brought up, he would have had problems not only at night, but also during the day.

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