FROM OUR EXPERTS
This week I gave a presentation on incontinence at a retirement home, and afterwards I stuck around to answer questions as I always do. Overwhelmingly, the questions had to do with nocturia, so I thought I'd devote this SharePost to discussing this condition. Nocturia is a condition in which you have to wake up several times during the night to urinate. This isn't necessarily incontinence, as you aren't actually leaking urine if you wake up and make it to the toilet in time, but obviously waking up several times throughout the night to empty your bladder can be bothersome at best. Nocturia affects older individuals more than younger adults, and can affect both men and women, often affecting overall quality of life by impeding on sleep habits. Men often experience nocturia as the result of a prostate problem. Women can experience nocturia due to childbirth and menopause. Both men and women can experience nocturia due to chronic urinary tract infections or d...
Urgent urination; Urinary frequency or urgency
For nighttime urination, avoid excessive fluid before going to bed, particularly coffee, other caffeinated beverages, and alcohol.
Carter C, Stallworth J, Holleman R. Urinary tract disorders. In: Bope ET, Rakel RE, Kellerman R, eds. Conns Current Therapy 2010 . 1st ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 52.
Holroyd-Leduc JM, Tannenbaum C, Thorpe KE, Straus SE. What type of urinary incontinence does this woman have? JAMA . 2008 Mar 26;299(12):1446-56.
Foster RT Sr. Uncomplicated urinary tract infections in women. Obstet Gynecol Clin North Am . 2008 Jun;35(2):235-48, viii.
Barry MJ, McNaughton-Collins M. Benign prostate disease and prostatitis. In: Goldman L, Ausiello D, eds. Cecil Medicine . 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 130.
I don't want to delve too much into my personal life, but since some of you have asked I thought I would mention that I did get married last weekend. It was a fabulous event - everything I ever dreamed of! Our thanks to all of you who have offered your congratulations and best wishes. And now, back to talking about everyone's favorite topic... One of the things that has really become an agent of change in the incontinence arena is the use of direct-to-consumer marketing, especially as used by the pharmaceutical companies who make and sell the drugs used to manage incontinence - specifically, incontinence relating from overactive bladder. Thanks to the advertisements in magazines and commercials, more people than ever are realizing that this is a condition they may want to discuss with their doctor to try to find a solution. Overactive bladder is a condition in which the bladder spasms uncontrollably, causing the sudden, intense, and frequent urges to urinat...
You should know
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