Waking as much as pee in a single day is nothing to be ashamed of, however frequent nighttime toilet breaks will be annoying and disrupt your sleep.

Waking up greater than as soon as in the course of the evening to urinate is technically known as “nocturia,” and it will probably occur to anybody at any age.

For those who expertise nocturia commonly, you’re not alone. “It’s one of the widespread issues that brings folks into the urologist, women and men,” Dr. Jennifer Lloyd-Harris, surgeon and assistant professor of urology on the Perelman College of Drugs at College of Pennsylvania, tells TODAY.com.

Nighttime urination is not at all times one thing to fret about, however it may be an indication of an underlying well being situation. How usually is just too usually to pee in the course of the evening, why does this occur and what are you able to do about it?

What number of occasions is it ‘regular’ to pee at evening?

“It’s regular for most individuals to not get up to pee at evening,” Shelby Harris, Psy.D., a scientific psychologist specializing in sleep drugs and the director of sleep well being at Sleepopolis, tells TODAY.com.

Usually, folks ought to be capable to sleep for about six to eight hours in a single day with no need to stand up to urinate, in response to the Cleveland Clinic.

The traditional quantity of urine that the physique produces tends to lower at evening whereas we’re sleeping, says Lloyd-Harris.

Nevertheless, some folks discover themselves waking as much as pee most nights. “I’d say as soon as or possibly twice (typically) is within the realm of regular, contemplating possibly that second time is correct earlier than you get up,” says Lloyd-Harris.

Commonly peeing greater than as soon as an evening is taken into account nocturia. “For those who’re waking as much as go to the lavatory two or extra occasions per evening, it’s a good suggestion to speak to a physician,” says Harris.

Frequent nighttime urination can disrupt sleep, resulting in tiredness, fatigue or sleep deprivation over time. It could even be a symptom of an underlying well being situation.

Causes for nighttime urination

There are various causes for frequent nighttime urination — it is usually multifactorial and requires some investigation to get to the basis trigger, says Lloyd-Harris.

Potential causes vary from behavioral habits to power ailments and getting old or being pregnant. These might trigger elevated frequency or urgency to urinate, extra urine manufacturing, or bladder points which might all result in nocturia.

Ingesting too many liquids

One of the vital apparent causes of nighttime urination is ingesting too many fluids. “How a lot you are ingesting and that proximity to bedtime issues,” says Lloyd-Harris.

Though the physique produces much less urine in a single day, your kidneys are nonetheless working. “(After) you drink, it’s going to take your physique and kidneys a number of hours to course of the liquid,” says Lloyd-Harris.

The extra liquids you eat and the nearer to bedtime, the extra urine you may produce. When the bladder fills up, the physique will sense it is time to go and wake you up.

What you’re ingesting issues, too. “Alcohol is a bladder irritant, so definitely it will probably trigger nighttime urination and similar with caffeinated drinks, that are diuretics (which promote fluid loss by urine),” says Lloyd-Harris.

Overactive bladder

One other potential explanation for nocturia is an overactive bladder, a standard situation in each women and men, the consultants notice.

“The bladder is an enormous muscle, so when it contracts, you’ve gotten that urgency to urinate,” says Lloyd-Harris. Bladder overactivity happens when that muscle contracts by itself, even when the amount of urine within the bladder is low, per the Mayo Clinic.

This will trigger the frequent and sudden urge to urinate which can be troublesome to regulate, each in the course of the day and evening.

Most individuals pee about seven to eight occasions a day, however this varies relying on the person and elements like age and life-style. Individuals with an overactive bladder are inclined to urinate eight or extra occasions per day or two or extra occasions per evening, according to the National Library of Medicine.

An overactive bladder will be brought on by varied well being situations, medicines, hormonal modifications, and neurological problems.


Along with bladder points, sure infections also can trigger frequent nighttime urination, says Harris. These embody urinary tract infections, bladder infections and kidney infections.

Along with an elevated urge or frequency to urinate, infections can also trigger a burning sensation whereas urinating, stomach ache, stress and fever.

“If somebody has that frequency at evening, I wouldn’t essentially be suspicious that they’ve an an infection, but when there’s an acute change, that may be motive to get testing to rule out an an infection,” says Lloyd-Harris.

Prostate enlargement

Frequent urination in the course of the nighttime can also be a symptom of an enlarged prostate, often known as benign prostatic hyperplasia or BPH, per the National Library of Medicine.

The prostate gland, which is a part of the reproductive system in males, is situated slightly below the bladder. An enlarged prostate can push towards the bladder and urethra, which might improve the urge and frequency to urinate.

Prostate enlargement also can make it troublesome to empty the bladder. “They might pee proper earlier than mattress and really feel like they’re empty, however they are going to stand up usually in the course of the evening,” says Lloyd-Harris.

Though BPH just isn’t linked to prostate most cancers, the 2 situations could cause related signs, together with frequent urination at evening, in response to the National Cancer Institute. All the time speak to your physician about any issues and common prostate screenings.


“Diabetes and its remedy could cause nocturia,” Lloyd-Harris explains. Urinating regularly is a standard symptom of diabetes, particularly when it’s undiagnosed or poorly managed.

Excessive glucose ranges within the blood causes the kidneys work additional time to flush out the surplus sugar, which results in the urine together with different fluids from the physique’s tissues, leading to extreme thirst and frequent urination, per the Mayo Clinic.

Fluid buildup within the legs, a standard symptom of diabetes, can also contribute to nocturia, Lloyd-Harris notes.

Along with elevated frequency of urination, different signs of diabetes embody elevated starvation, feeling extra drained than ordinary and blurry imaginative and prescient.

Different power situations that may improve nighttime urination embody coronary heart illness, kidney illness and hypertension.


Some medicines can improve the frequency of nighttime urination, says Lloyd-Harris. These embody diuretics or water capsules, beta-blockers, anticholinergics and a few antidepressants.

Diuretics or medicines with diuretic results needs to be taken not less than six to eight hours earlier than bedtime to attenuate the results on nocturia, accoridng to the National Library of Medicine.

It is also vital to concentrate to how a lot water you drink with medicines taken earlier than mattress, the consultants notice. Even when a drugs itself would not improve the chance of nocturia, attempt to hold your water consumption to a couple sips.

Sleep problems

Typically, sleep problems and disturbances can result in nocturia, the consultants notice. It’s kind of of a rooster and egg state of affairs.

“It may be onerous to discern typically whether or not someone’s waking up at evening to urinate, or whether or not, they’re urinating as a result of they’re awake,” says Lloyd-Harris.

Sleep apnea and insomnia, which might trigger an individual to get up in the course of the evening, usually go hand in hand with nocturia.

“When one thing is disturbing your sleep or you’ve gotten a decreased threshold for waking up, you might also pee,” says Lloyd-Harris. Loud night breathing companions, crying kids and needy pets can all stop deep sleep and make it simpler to get up and urinate, she provides.

We all know an excessive amount of display time is not good for sleep, however it could additionally improve nighttime urination, in response to a brand new examine in Neurology and Urodynamics.

Researchers analyzed U.S. survey information from 13,294 contributors, ages 20 and older, between 2011–2016, and located that 32% skilled nocturia. Of these, individuals who spent 5 or extra hours a day watching TV or movies in the course of the day have been 48% extra prone to expertise nocturia than those that watched lower than one hour a day.

Does peeing at evening disrupt sleep?

“Waking up a number of occasions in the course of the evening to go to the lavatory can result in sleep fragmentation, that means your sleep is interrupted,” says Harris. Interrupted sleep can stop you from attending to the deeper, restorative phases of sleep, she provides.

“Due to this, you might get up feeling drained, groggy, or much less refreshed within the morning,” says Harris.

Over time, interrupted sleep might result in sleep deprivation, which might improve the chance of cardiovascular issues, diabetes, kidney illness, Alzheimer’s and psychological well being problems, amongst many different long-term well being points, TODAY.com previously reported.

“One of many first issues that brings folks in (for nocturia) is as a result of it interrupts sleep,” says Lloyd-Harris.

How can folks urinate much less at evening?

When nighttime urination is a results of sure behaviors, easy habits might assist handle the situation. The consultants advocate these tricks to keep away from frequent toilet breaks at evening:

  • Prohibit fluid consumption 3-4 hours earlier than bedtime

  • Cut back consumption of alcohol and caffeine within the night

  • Use the lavatory earlier than getting in mattress

  • Take diuretics earlier within the day

  • Put on compression socks or stockings

  • Elevate your legs in the course of the day

  • Preserve a diary of your nighttime urination habits

If the problem turns into power or persists regardless of making these modifications, speak to your physician to rule out any underlying well being situations, the consultants emphasize.

This text was initially printed on TODAY.com

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