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.
A bronchdodilator is a quick-relief asthma medicine that relaxes the airways in the lungs so it's easier to breathe. They are often prescribed in conjunction with anti-inflammatory asthma medicines . Some bronchodilatoraholics are hard-luck asthmatics who just need help breathing very often. While others are regular asthmatics whose asthma is out of control. But some bronchodilatoraholics are abusers, taking their asthma medicine more out of habit than necessity. They may also ignore the directions given to them by their doctor. Abusers don't work with their doctors on an asthma action plan and they may not bother with controller, anti-inflammatory medications . For them, puffing away is like a bad habit -- like biting your fingernails. In contrast, some hard-luck asthmatics may just need their bronchodilator frequently -- many times a day, every day. Asthma Attitude: "Just one more puff, and I'll be fine." Asthma Strengths: They know not to wait until they have...
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