Nocturia is waking up more than once during the night because you have to pee. Causes can include drinking too much fluid, sleep disorders and bladder obstruction. Treatments for nocturia include restricting fluids and medications that reduce symptoms of overactive bladder.
Nocturia is a condition that causes you to wake up during the night to pee. This condition is also called nocturnal urinary frequency — having to pee more often at night. Nocturia becomes more common as people age (usually older than 60) and occurs in all genders and sexes, sometimes for different reasons. It can be common for people to wake up once during the night to pee, but peeing more frequently may be a sign of an underlying condition or problem.
When a person pees too much during the daytime, but can limit the amount of trips to the bathroom at night, it’s referred to as frequent urination. Nocturia is strictly using the bathroom multiple times after bedtime and before you wake up in the morning. Whether it’s happening due to an underlying medical condition or something else, it can leave you feeling tired because your regular sleep cycle is disrupted.
Nocturia is a common condition affecting more than 50% of adults after age 50. It’s more common in men and people assigned male at birth (AMAB) after age 50. Before 50, nocturia is more common in women and people assigned female at birth (AFAB). It affects up to 1 in 3 people over the age of 30.
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Typically, you should be able to sleep six to eight hours during the night without having to get up to go to the bathroom. But, people who have nocturia wake up more than once a night to pee. This can cause disruptions in your normal sleep cycle, and leave you tired and with less energy during the day.
Symptoms of nocturia can include:
There are anatomical differences between the sexes that can contribute to waking up to pee at night. For example, men and people AMAB have a prostate, but women and people AFAB may have pelvic organ prolapse due to childbirth.
Causes of waking up to pee at night in all people include:
Certain health conditions can cause you to need to wake up to pee at night. These include:
Many conditions that affect your bladder or prostate can lead to having to wake up to pee. Not treating these underlying conditions could lead to continuing to have to wake up to pee or the condition worsening.
The other complication of nocturia is a loss of quality sleep, which is important to your overall health and well-being.
To help your healthcare provider diagnose nocturia, it may help to keep a diary of your nighttime bathroom trips and the factors surrounding each trip. This could also include things like how much you drank, how often you went, what time it was and how much you peed (volume in milliliters). Knowing how much you pee can be difficult, but you should be able to purchase a urine catcher with measuring lines at your local pharmacy. Or, your provider may give you one to take home. Your healthcare provider will review the diary in order to determine the possible cause(s) of and treatment for the nocturia. Be sure to make a list of all medications you’re taking.
Your provider may ask you the following questions:
Your healthcare provider may order a urinalysis or urine culture to look for infection, proteins and other elements.
Other tests that may help with determining an underlying cause could involve:
Treating the underlying cause typically comes first. For example, if you have sleep apnea, you may need to see a sleep specialist. If your prostate is enlarged, you may need medication or surgery to treat that condition.
Your healthcare provider may recommend certain lifestyle changes, regardless of what’s causing your nocturia. This is because small lifestyle changes tend to be low risk and often go a long way in helping reduce the number of trips you make to the bathroom at night.
Lifestyle changes for nocturia include:
Medications are an additional treatment option your provider may consider. These medications include:
You should always talk to your healthcare provider about what treatments will work best for you. Be sure to ask them questions about medications and what they believe will give you the best success.
Peeing frequently at night could be a sign of an underlying condition. Or, it could mean you’re drinking too much before you go to bed. It might be a good idea to make some simple lifestyle changes like eliminating beverages two to three hours before bedtime. Discuss your symptoms with a healthcare provider if this doesn’t work. You may need medication or tests to determine if something else is causing you to pee so often.
Nocturia isn’t preventable. Many times it’s a side effect of an underlying condition. Managing chronic conditions like diabetes may help it. But sometimes it’s unavoidable. In the case of menopause or pregnancy, there’s not much you can do to prevent it.
Lifestyle changes like drinking less liquid after dinner can help when there isn’t an underlying condition contributing to nocturia.
Nocturia isn’t life-threatening, but the underlying conditions that can cause it may be. It’s important not to ignore having to pee several times per night because it can point to a more serious condition. This isn’t always the case, though. Some people pee more than others. So if your test results don’t indicate any medical problems, there’s no reason to be concerned about nocturia causing you harm unless it disrupts your sleep cycle.
Nocturia is treatable — it’s not a condition you need to live with. Contact your healthcare provider if you find yourself waking up to pee more than once or twice per night. It may be a sign of something else going on and the frequent wake-ups may leave you feeling exhausted.
It’s normal to have questions about a health condition. Some questions you may ask your healthcare provider about nocturia include:
A note from Cleveland Clinic
Nocturia can be a challenging and frustrating condition. Contact a healthcare provider if you’re waking up several times per night to pee. Often, lifestyle changes can make a big difference. But sometimes, medication is necessary, especially if you have an underlying bladder or prostate issue. Fortunately, most cases are highly treatable.
Last reviewed by a Cleveland Clinic medical professional on 04/24/2023.
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