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Menopause (Expert Forum)
frequent night tine urination
Answered by
Machelle Seibel, MD - Women's Health, menopause, ReproductiveMedicine
University of Massachusetts Medical School
MA
Questions in the Menopause forum are answered by Dr. Machelle Seibel. Topics covered include menopause issues, depression, hormone replacement therapy, hot flashes, joint or muscle problems, memory problems, mood swings, osteoporosis, sexual problems, skin changes, sleeping problems, vaginal problems, and weight problems.
frequent night tine urination
by ddw, Aug 20, 2006 12:00AM
I am a 65 year old Type 2 controlled diabetic. I get hot flashes on and off, mostly at night. But my complaint is frequent night time urination. I have had many tests through my urologist, such as -- Urovysion (FISH) report - Bladder cancer fish negative, Cytology report - negative for malignant cells,CT scan of pelvis with & without contrast,results - no distal urinary calculi, no pelvic masses or fluid collections, CT of abdomen results - no renal calculi or hydronephrosis, unremarkable CT of abdomen for chronologic age.
Even though I get up 3-4 times during the night I am able to go right baack to sleep and my energy is great during the day.
What could be the cause of the frequent night time urination?
Thank you for your time and concern. Dolores Worth
Even though I get up 3-4 times during the night I am able to go right baack to sleep and my energy is great during the day.
What could be the cause of the frequent night time urination?
Thank you for your time and concern. Dolores Worth
Doctor's Answer
by Machelle Seibel, MD, Aug 24, 2006 12:00AM
, Aug 24, 2006 12:00AM
A. Getting up at night is one of the most common complaints of women over the age of 50. There are many reasons. Since you have diabetes, one reason could be that your blood sugar is high at night time and that can lead to increased urination. Try checking your blood sugar at night and if it is elevated, discuss this with your internist.
Another common reason is that the bladder can “drop” making it harder for urine to be pushed out. The bladder doesn’t empty as well and the person has to go more often. Low estrogen due to menopause can also cause the loss of urine due to reduced support tissue.
There are many treatments but it depends on what is causing the problem. You might want to talk with a urogynecologist. These are gynecologists who have had extra years of training to care for just your sort of problem. Sometimes medicines can help. Sometimes changing your diet (avoiding caffeine, nuts, spicy foods and more) can help. You can also have new kinds of testing that help tell if the problem is due to a loss of support. These are called urodynamic testing. There are also new techniques that use a tiny electrical current to stimulate the muscles that support the bladder and help prevent going to the bathroom at night. There are also special kinds of surgery to lift the bladder or the urethra, the tube the goes from the bladder to allow you to urinate. Sometimes a pessary can be used. This is a rubber device worn in the vagina to lift up the bladder.
Once the cause is found, the treatment will become clear and you and your doctor can decide on what makes the most sense for you.
Machelle M. Seibel, MD
Another common reason is that the bladder can “drop” making it harder for urine to be pushed out. The bladder doesn’t empty as well and the person has to go more often. Low estrogen due to menopause can also cause the loss of urine due to reduced support tissue.
There are many treatments but it depends on what is causing the problem. You might want to talk with a urogynecologist. These are gynecologists who have had extra years of training to care for just your sort of problem. Sometimes medicines can help. Sometimes changing your diet (avoiding caffeine, nuts, spicy foods and more) can help. You can also have new kinds of testing that help tell if the problem is due to a loss of support. These are called urodynamic testing. There are also new techniques that use a tiny electrical current to stimulate the muscles that support the bladder and help prevent going to the bathroom at night. There are also special kinds of surgery to lift the bladder or the urethra, the tube the goes from the bladder to allow you to urinate. Sometimes a pessary can be used. This is a rubber device worn in the vagina to lift up the bladder.
Once the cause is found, the treatment will become clear and you and your doctor can decide on what makes the most sense for you.
Machelle M. Seibel, MD
Member Comments (4)
by sk2006a, Aug 23, 2006 12:00AM
did you have your bladder scoped? i don't think they can really elminate everything until it's been scoped.
by sk2006a, Aug 23, 2006 12:00AM
oh shoot! i didn't realize this was a moderated forum. sorry!
by TSane54, Aug 29, 2006 12:00AM
I am 52 and had a hysterectomy in 1999. The hot-flashes started almost immediately. I have to go to the rest room during the night at least three times. There use to be Slim-Fast with Soy I started drinking that and my hot flashes went away. It was great. But now I don't drink it and they are back. What will help this. I always feel miserable. Hot then cold. Help//
