a personal question..

Brenpbb11150 · Post by **Brenpbb11150** » Mon Mar 15, 2010 5:55 pm

Hello,
I have been on Cpap for 5 weeks now and am doing pretty well...but my question is before I started Cpap I was getting up 3 times a night to go to the bathroom...now I can go all night without going to the bathroom..Is frequent urination a symptom of OSA? If so how is it related...Maybe this is a dumb question. My concern is I only have one kidney and I thought oh gosh maybe it is not doing what it is supposed to do, but I seem fine. Everything normal just not having to get up at night anymore.
Any feed back is appreciated.
Thanks
Bren

BlackSpinner · Post by **BlackSpinner** » Mon Mar 15, 2010 5:58 pm

Yep that is one of those hidden blessings of cpap. There are some threads on it. It is called nocturnia, and it has to do with the apneas effects on the body.

DoriC · Post by **DoriC** » Mon Mar 15, 2010 6:03 pm

BTW, that's not a personal question on this forum. It's one of the many benefits of cpap therapy that many experience. My husband used to get up at least 4x/night and took medication for an enlarged prostate but has discontinued it and now gets up 1x. His periodic limb movements have also stopped for the most part. You're doing fine.

Brenpbb11150 · Post by **Brenpbb11150** » Mon Mar 15, 2010 6:10 pm

Thank-You so much for answering my question so timely. You have stopped my worry on this matter.
Thanks so much
Bren

Muse-Inc · Post by **Muse-Inc** » Mon Mar 15, 2010 6:58 pm

I used to pee 8-10 times a night; first night on CPAP, no pee trips and I haven't had to get up to pee at night since...wonderful!!! All those apnea events & desaturations cause your BP to skyrocket. The body panics if the BP gets ridiculously high & tells the kidneys to dump fluid to reduce the blood volume & thus the pressure. Make sense now? So with 1 kidney getting your apnea under control is a VERY GOOD THING

JohnBFisher · Post by **JohnBFisher** » Mon Mar 15, 2010 7:16 pm

Brenpbb11150 wrote:... now I can go all night without going to the bathroom .. Is frequent urination a symptom of OSA? ...

Bren, if you ever wondered why some of us insist that CPAP is really important, read the medical reason (in layman's terms) of why obstructive sleep apnea causes the need to frequently urinate during the night (called "nocturia"). The following is from:

http://www.sleepapnea.org/resources/pubs/noct.html

Why does sleep apnea sometimes lead to frequent urination at night?

from the August-September 1996 issue of WAKE-UP Call
Nocturia, or nocturnal urination, is sometimes a symptom of sleep apnea. In fact, nocturia among younger individuals--who are less likely to have other medical causes of nocturia--is a strong indicator of sleep apnea. While the precise relationship has not been thoroughly studied, it appears that the most likely reason patients with untreated sleep apnea have more frequent urination at night is related to the increased pressure in the right side of the heart. This increased pressure is usually the result of low oxygen levels in the bloodstream caused by the apnea events: when oxygen levels fall, the heart works harder to get oxygen to the brain.

An increased pressure in the heart is a sign that there is too much liquid in the body: when the heart receives the stimulus of the increased pressure, higher levels of a hormone called atrial natriuretic peptide (ANP) are secreted. ANP is a diuretic that is associated with the increased need to urinate.

When sleep apnea is effectively treated, nighttime urination is also reduced. Studies have shown that ANP levels in patients with untreated sleep apnea are increased and levels reduced in patients using CPAP effectively. Remember, not all causes of frequent urination are related to untreated sleep apnea; prostrate problems, for example, may cause increased need for urination. Discuss any concerns you may have with your doctor.

Patrick J. Strollo, Jr., MD is the Medical Director of the Pulmonary Sleep Evaluation Laboratory at the University of Pittsburgh Medical School.

Over time that increased pressure within the heart causes SERIOUS problems with your heart and your blood vessels. It *IS* a big deal.

Brenpbb11150 · Post by **Brenpbb11150** » Mon Mar 15, 2010 7:21 pm

John,
Thank'You so much for this great information...you are so informative!
Best Regards
Bren

pdean44 · Post by **pdean44** » Mon Mar 15, 2010 8:01 pm

I have also experienced a huge reduction in bathroom trips. This has been a welcome improvement to my sleep habits.

snoregirl · Post by **snoregirl** » Mon Mar 15, 2010 8:18 pm

While there may well be science on additional urine volume due to apnea, my personal situation does not seem to be thus. While I also got up multiple times during the night pre-cpap, I excreted very little in the way of volume on these trips. My theory for myself is that just that fact that I woke and was semi awake, caused me to decide that I really should go to the bathroom to avoid needing to get up later.

So no matter what the reason, I agree that reduced trips to the bathroom is a great sidebenefit of CPAP.

JohnBFisher · Post by **JohnBFisher** » Mon Mar 15, 2010 8:45 pm

So, snoregirl, based on what you typed and did, I assume you adhere to the advice from King George V of the UK:

Always go to the bathroom when you have a chance.

Proving mothers everywhere that there is a right time: Now!

DreamOn · Post by **DreamOn** » Mon Mar 15, 2010 11:21 pm

My nightly bathroom trips stopped exactly one month after starting CPAP. I haven't had to get up since.

mrvn159 · Post by **mrvn159** » Tue Mar 16, 2010 12:15 am

Funny thing is I never got up during the night to go to the bathroom, but my husband did... 2 - 3 times every night. When I started my CPAP, he stopped. It's been 2 months, and no more waking up to go to to the bathroom for him! He also said that my first night on CPAP was the best night of sleep HE had in a long time!

dave21 · Post by **dave21** » Tue Mar 16, 2010 12:30 am

DreamOn wrote:My nightly bathroom trips stopped exactly one month after starting CPAP. I haven't had to get up since.

From what I recall from mine it was about 2 weeks after starting CPAP. I still have the odd night probably 1 in 20 that I need to get up and go to the toilet but it's very rare now. I do still awake in the night but I put it down to either an Apnea happening that the machine wasn't able to react to quickly or because of noises outside (I'm a very light sleeper).

slibhart · Post by **slibhart** » Tue Mar 16, 2010 5:32 am

Before being diagnosed and starting CPAP, I would have to get up 4-5 times a night to go to the restroom. Beginning with the first night on treatment, I no longer have to get up at all. It is a blessing for sure! No longer do I have to fight to go back to sleep and I can stay in bed all night.....love it!!

chellesings · Post by **chellesings** » Tue Mar 16, 2010 6:06 pm

This was so imformative! I had no clue that OSA might have something to do w/my frequent nightime bathroom trips....and I didn't know it had anything to do with blood pressure. My bp has been elevated lately, and I am determined to continue with my cpap therapy. I want to see what kind of difference, if any, the cpap will have on my bp.

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