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Yeh alamat kya hai
Doctor raat ko peshab ke liye jagne ko nocturia kehte hain. Is ka matlab hai ke aap neend se peshab ki hajat ki wajah se jagte hain, aur phir dobara so jate hain. Din ke shuru mein uth kar peshab karna is mein shamil nahi. Yeh mardon aur auraton dono ko ho sakta hai, aur umar ke saath aam hota jata hai, kuch is wajah se ke jism raat ko zyada peshab banata hai aur neend halki ho jati hai.
Yeh khud koi bimari nahi hai. Yeh aik ishara hai, aur aksar is ki aik se zyada wajohat hoti hain. Yeh pata lagana ke aap par kaun si wajah laagu hoti hai, yeh tay karta hai ke kya madad karega.
Aam wajohat
Jism raat ko zyada peshab banata hai. Yeh bohat aam wajah hai, aur is wajah se jagne wale bohat se mardon aur auraton ke bladder mein khud koi kharabi nahi hoti.
- Shaam ko bohat peena, khaas tor par chai, coffee, cola, energy drinks ya sharab, jo kidneys se zyada peshab bhi nikalwate hain.
- Namkeen khana, maslan achaar, namkeen snacks aur shaam ko fast food, jis se raat ko zyada peshab ho sakta hai.
- Diabetes, jab khoon mein shakkar zyada ho, jis se jism bohat peshab nikalta hai.
- Soje hue takhne aur taangein. Din bhar taangon mein jama hone wala pani lete hue khoon mein wapas aa kar peshab ban jata hai. Yeh dil, kidney, nason ke masail ya kuch dawaiyon ki wajah se ho sakta hai.
- Sleep apnoea, jis mein neend mein saans rukti hai. Zor ke kharatay, haanpna aur din mein thakan ishare hain.
- Pani ki goliyan (diuretics) jo din mein der se li jayein. Meherbani karke khud na chhorein. Apne doctor se poochhein ke waqt badla ja sakta hai ya nahi.
Bladder kam rok pata hai, ya theek se khaali nahi hota.
- Mardon mein barhi hui prostate (dekhein enlarged prostate guide).
- Overactive bladder jo ghalat waqt par sikud jata hai (dekhein overactive bladder guide).
- Peshab ka infection (dekhein peshab ki jalan guide).
- Bladder ki pathri, ya kam hi bladder ka tumour, khaas tor par agar peshab mein khoon ho (dekhein peshab mein khoon guide).
- Poori tarah khaali na hona, jis se bladder raat ko aadha bhara hua shuru hota hai (dekhein kamzor dhaar guide).
- Aurton mein, menopause ke baad hormones ki tabdeeli, neeche aaya hua bladder ya rahm (prolapse), aur hamal.
Neend kisi aur wajah se toot jati hai. Dard, fikr, udaasi, bechain taangein, garam ya shor wala kamra, aur kuch dawaiyan aap ko jaga sakti hain. Phir aap ko peshab ki hajat mehsoos hoti hai aur aap uth jate hain, chahe bladder zyada bhara na ho.
Bachon mein, peshab ke liye jagna aur bistar geela karna bedwetting guide mein hai, aur bachon ke bladder ke masail ke liye dekhein bachon ke bladder ke masail guide.
Jaanch aam tor par kaise hoti hai
Aap ke doctor poochhenge ke aap kitni baar jagte hain, kya aur kab peete hain, kaun si dawaiyan lete hain, kya kharatay lete hain, kya takhne soojte hain, aur kya bladder ki aur alamaat hain. Woh aap ka pait dekhenge, aur mardon mein prostate ka bhi muaina ho sakta hai. Aam tests yeh hain:
- Bladder diary (jise frequency-volume chart bhi kehte hain), chand din tak. Yeh dikhati hai ke aap kitna peete aur peshab karte hain, aur kya zyada tar peshab raat ko aata hai. Yeh aksar sab se kaam ka test hota hai.
- Peshab ka test, infection, khoon aur shakkar ke liye.
- Khoon ke tests, khoon ki shakkar aur kidney ka kaam dekhne ke liye. Mardon mein PSA khoon ka test is ke faide aur hudood ki baat ke baad zer-e-ghaur aa sakta hai.
- Kidneys aur bladder ka ultrasound, jo peshab ke baad bachay hue peshab ki miqdar bhi dikha sakta hai.
- Dhaar ka test aur bladder scan, agar dhaar kamzor ho ya khaali hona adhoora ho sakta ho.
- Neend ka jaiza, agar aap zor se kharatay lete hain, neend mein saans rukti hai, ya din mein bohat thakan hoti hai.
Fauran madad kab lein
Agar aap peshab ke liye jagte hain to meherbani karke jald doctor ko dikhayein, aur agar saath mein in mein se koi bhi ho to fauran qareebi hospital ke emergency department jayein:
- Aap peshab nahi kar pa rahe, ya dard wale, bhare bladder ke saath sirf chand boondein aati hain (dekhein peshab na aane ki guide).
- Bukhar, kapkapi, ya pehlu ya peeth mein dard ke saath bimar mehsoos karna.
- Bohat pyaas, bohat zyada peshab, wazan ka girna, dhundhli nazar, ya matli ya ghunoodgi. Yeh khoon mein bohat zyada shakkar ki nishaniyan ho sakti hain.
- Zyada khoon behna ya peshab mein mote lothray.
- Soji hui taangein saath saans phoolna, khaas tor par seedhe lete hue, ya seene mein dard.
- Peeth dard ke saath taangon mein kamzori ya sunn pan, ya hajat par qaabu na rehna.
- Uljhan ya shadeed ghunoodgi, khaas tor par kisi umar rasida shakhs mein.
Raat ko peshab ke liye jagna in mein se kisi ke baghair emergency nahi hai, lekin is ki jaanch honi chahiye. Meherbani karke isay sirf umar ka asar na samjhein.
Ab kya karein
- Teen din tak bladder diary rakhein. Likhein ke kya aur kab peete hain, har baar peshab kab karte hain, aur raat ko kab jagte hain. Napne wali jug madad karti hai. Isay appointment par saath layein.
- Kul paani peena kam na karein, khaas tor par garam mausam mein. Din mein pehle zyada peeyein aur sone se pehle ke aakhri chand ghanton mein kam.
- Shaam ko chai, coffee, cola, energy drinks aur sharab kam karein, aur raat ko namkeen khana kam khayein.
- Sone se bilkul pehle peshab karein, aur bladder poori tarah khaali karein.
- Agar takhne soojte hon, to dopahar mein kuch der taangein oonchi rakhne se sone se pehle pani nikalne mein madad mil sakti hai. Meherbani karke soojan ka muaina bhi karwayein.
- Qabz ka ilaaj karein, jo bladder par dabao daal sakta hai.
- Dawaiyan unhi waqton par lein jo doctor batayein, aur poochhein ke kya koi dawai aap ko zyada peshab karwa rahi hai. Kabhi khud na chhorein.
- Toilet tak ka raasta mehfooz banayein: raat ki roshni, khula raasta aur pakar wali chappal. Raat ko girna aik haqeeqi khatra hai, khaas tor par boorhon ke liye.
- Agar aap zor se kharatay lete hain aur din mein thakay rehte hain, to doctor ko batayein. Agar aap ka wazan zyada ho, to wazan kam karne se neend aur bladder ki alamaat dono behtar ho sakti hain.
- Urologist ko dikhayein agar aap mard hain aur prostate ki doosri alamaat hain, peshab mein khoon hai, ya saade iqdamaat aur aam wajohat ki jaanch se madad na mili ho.
Aam sawalaat
Kya raat ko aik baar uthna aam hai?
Yeh bohat aam hai, khaas tor par boorhay logon mein, aur aik chakkar jo pareshan na kare shayad ilaaj ki zaroorat na rakhe. Nayi tabdeeli, aik se zyada baar uthna, ya din mein thakan ka mehsoos hona jaanch ke laayaq hai.
Kya mujhe shaam ko peena bilkul band kar dena chahiye?
Nahi. Sone se pehle ke aakhri chand ghanton mein kam peeyein aur us waqt chai, coffee, cola aur sharab se bachein, lekin din mein paani kam na karein, khaas tor par garam mausam mein. Paani ki kami ke apne masail hain, jin mein infection aur pathri shamil hain.
Kya yeh meri prostate ki wajah se hai?
Mardon mein ho sakta hai, lekin aksar nahi hota. Raat ko peshab karne wale bohat se mardon ka jism sirf raat ko zyada peshab banata hai. Aik diary aur chand saade tests farq bata dete hain, aur ilaaj jawab par munhasir hota hai.
Main aurat hoon. Raat ko kyun uthti hoon?
Wajohat aam tor par wohi hain: shaam ke peenay, overactive ya infected bladder, diabetes, dil ya kidney ke masail, sleep apnoea, dawaiyan, aur menopause ke baad bladder ki jhilli mein tabdeeliyan. Hamal bhi aam wajah hai. Tareeqa wohi hai.
Kya iska matlab hai ke mujhe diabetes ya kidney ki bimari hai?
Ho sakta hai, isi liye peshab aur khoon ke tests kiye jate hain. Raat ko jagne wale zyadatar logon ko in mein se kuch nahi hota, lekin inhein khaarij karna zaroori hai.
Kya meri dawaiyan wajah ho sakti hain?
Kuch ho sakti hain. Pani ki goliyan sab se mashhoor hain, aur waqt ahem ho sakta hai. Meherbani karke apne doctor ya pharmacist se poochhein, aur kabhi khud koi dawai na chhorein.
Kya bladder ya prostate ki goliyan isay theek kar denge?
Sirf tab jab bladder ya prostate wajah ho. Agar jism raat ko zyada peshab bana raha ho, to doosre iqdamaat chahiye, maslan peenay ka waqt badalna, soojan ya sleep apnoea ka ilaaj, ya kuch dawaiyon ka waqt badalna. Aap ke urologist tests ke baad faisla karenge.
Mera bachcha raat ko peshab ke liye uthta hai ya bistar geela karta hai. Kya yeh wohi hai?
Bachon ka mamla mukhtalif hai. Meherbani karke bedwetting guide aur bachon ke bladder ke masail guide dekhein.
What this symptom is
Doctors call waking at night to pass urine nocturia. It means that you wake from sleep because you need to pass urine, and then go back to sleep afterwards. Passing urine when you get up for the day does not count. It can affect men and women, and it becomes more common with age, partly because the body makes more urine at night and sleep becomes lighter.
It is not a disease in itself. It is a clue, and it often has more than one cause. Finding which group of causes applies to you decides what helps.
Common causes
The body makes too much urine at night. This is a very common reason, and many men and women with it have nothing wrong with the bladder itself.
- Drinking a lot in the evening, especially tea, chai, coffee, cola, energy drinks or alcohol, which also make the kidneys pass more urine.
- Salty food, such as pickles (achaar), salty snacks and fast food in the evening, which can lead to more urine at night.
- Diabetes, when the blood sugar is high, which makes the body pass large amounts of urine.
- Swollen ankles and legs. Fluid that collects in the legs during the day can drain back into the blood and be passed as urine when you lie down. It can come from heart, kidney or vein problems, or some medicines.
- Sleep apnoea, where breathing pauses during sleep. Loud snoring, gasping and feeling tired in the day are clues.
- Water tablets (diuretics) taken late in the day. Please do not stop them yourself. Ask your doctor whether the timing can be changed.
The bladder holds less, or does not empty well.
- An enlarged prostate in men (see the enlarged prostate guide).
- An overactive bladder that squeezes at the wrong time (see the overactive bladder guide).
- A urine infection (see the burning when passing urine guide).
- Bladder stones, or less often a bladder tumour, particularly if there is blood in the urine (see the blood in urine guide).
- Not emptying fully, so that the bladder starts the night partly full (see the weak stream guide).
- In women, hormone changes after menopause, a bladder or womb that has dropped (prolapse), and pregnancy.
Sleep is broken for another reason. Pain, worry, low mood, restless legs, a hot or noisy room, and some medicines can wake you. You then notice the need to pass urine and get up, even though the bladder is not very full.
In children, waking to pass urine, and wetting the bed, are covered in the bedwetting guide, and bladder problems in general in the children's bladder problems guide.
How it is usually investigated
Your doctor will ask how often you wake, what you drink and when, which medicines you take, whether you snore, whether your ankles swell, and whether you have other bladder symptoms. They will examine your tummy, and in men the prostate may be checked. Usual tests are:
- A bladder diary (also called a frequency-volume chart), kept for a few days. It shows how much you drink and pass, and whether most of your urine comes at night. It is often the most useful test.
- A urine test, for infection, blood and sugar.
- Blood tests, to check blood sugar and kidney function. In men a PSA blood test may be discussed after a talk about its benefits and limits.
- Ultrasound of the kidneys and bladder, which can also show how much urine is left after passing urine.
- A flow test and bladder scan, if the stream is weak or emptying may be incomplete.
- A sleep assessment, if you snore loudly, stop breathing in your sleep, or feel very tired in the daytime.
When to seek urgent help
Please see a doctor soon if you are waking to pass urine, and go to the nearest hospital emergency department if it comes with any of these:
- You cannot pass urine, or pass only a few drops with a painful, full bladder (see the unable to pass urine guide).
- Fever, shaking chills, or pain in the side or back with feeling unwell.
- Great thirst, passing very large amounts of urine, weight loss, blurred vision, or feeling sick or drowsy. These can be signs of very high blood sugar.
- Heavy bleeding or thick clots in the urine.
- Swollen legs with breathlessness, especially when lying flat, or chest pain.
- Back pain with leg weakness or numbness, or loss of bowel control.
- Confusion or severe drowsiness, especially in an older person.
Waking to pass urine without any of these is not an emergency, but it should be looked into. Please do not put it down to age alone.
What to do next
- Keep a bladder diary for three days. Write down what you drink and when, each time you pass urine, and the times you wake at night. A measuring jug helps. Bring it to your appointment.
- Do not cut down your total fluids, especially in the hot weather. Drink more earlier in the day and less in the last few hours before bed.
- Cut down tea, chai, coffee, cola, energy drinks and alcohol in the evening, and take less salty food at night.
- Pass urine just before you go to bed, and empty the bladder fully.
- If your ankles swell, raising your legs for a while in the afternoon may help fluid drain before bedtime. Please also have the swelling checked.
- Treat constipation, which can press on the bladder.
- Take medicines at the times your doctor advises, and ask whether any of them could be making you pass more urine. Never stop them on your own.
- Make the way to the toilet safe: a night light, a clear path and slippers that grip. Falls at night are a real risk, especially for older people.
- If you snore loudly and are tired in the day, mention it to your doctor. If you are overweight, losing weight can improve both sleep and bladder symptoms.
- See a urologist if you are a man with other prostate symptoms, if there is blood in the urine, or if simple steps and a check of the general causes have not helped.
Common questions
Is getting up once at night normal?
It is very common, especially in older people, and one trip that does not bother you may not need treatment. A new change, waking more than once, or feeling tired in the day is worth a check.
Should I stop drinking in the evening completely?
No. Drink less in the last few hours before bed and avoid tea, chai, coffee, cola and alcohol then, but do not cut down fluids during the day, especially in hot weather. Dehydration causes its own problems, including infections and stones.
Is it my prostate?
In men it can be, but often it is not. Many men with night-time urine have a body that simply makes more urine at night. A diary and a few simple tests tell the difference, and the treatment depends on the answer.
I am a woman. Why am I getting up at night?
The causes are much the same: evening drinks, a bladder that is overactive or infected, diabetes, heart or kidney problems, sleep apnoea, medicines, and after menopause, changes in the bladder lining. Pregnancy is also a common reason. The approach is the same.
Does it mean I have diabetes or kidney trouble?
It can, which is why a urine test and blood tests are done. Most people who wake at night do not have either, but it is worth ruling them out.
Could my medicines be the cause?
Some can. Water tablets are the best-known, and the timing may matter. Please ask your doctor or pharmacist, and never stop a medicine on your own.
Will bladder or prostate tablets fix it?
Only if the bladder or prostate is the cause. If the body is making too much urine at night, other steps are needed, such as changing when you drink, treating swelling or sleep apnoea, or timing certain medicines. Your urologist will choose after the tests.
My child wakes at night to pass urine or wets the bed. Is this the same?
Children are different. Please see the bedwetting guide and the children's bladder problems guide.