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Excessive Night Urination and dry back of mouth
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Excessive Night Urination and dry back of mouth

I'm a male, 41yrs old and for the first time since being a teenager I have stopped drinking alcohol. My consumption would typically be 2 glasses (sometimes 3) of wine every evening, with beer, wine and spirit mixers socially at weekends and maybe once a week. I have been known as a 'party guy' drinker known for excessive alcohol consumption at parties and events - but not heavily drinking outside social occasions. Since giving up alcohol completely 4 weeks ago and drinking more water and uncaffeinated tea, I have noticed that I am having to get up once or maybe twice a night to urinate. This last week has seen me wake during the night then wake again around alarm time desperate to urinate with an erection. I've never had such a desperation to urinate on waking. In addition to this I am having a constantly dry back throat/mouth. Its not so much desperate thirst, though it means I'm drinking a lot of water - drinking water doesn't seem to help. The dry sensation seems to be coming from inside my mouth at the position of my jaws. I've been to my local doctor and had diabetes check, with liver and kidney functions tests. All were fine. I also had a PSA test which came back at a level of 1 point something which I was told was well within limits. Can these be symptoms of alcohol detox after 23yrs? Could it be diabetes insipidus? For a few years I took recreational drugs. I'm worried with giving up alcohol this might have had an effect on hormone levels (ADH?)
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Congratulations on giving up the alcohol habituation.You have done well to attempt to investigate the changes which you describe, though obviously nothing has been found so far. I am assuming, first, that your urinalysis is completely normal, otherwise any abnormalities here need to be investigated.  Diabetes insipidus is certainly a good thought, but you would be thirsty all of the time and urinating frequently day and night. Checking your kidneys' ability to concentrate your urine is really quite simple and your physician can order a urine specific gravity after you have not had anything to eat or drink for a 12 hour period.
When in the course of the day/evening you drink your water and tea will have an effect on when you urinate. Drinking late in the evening may result in night time urination.
The dry mouth may relate to the humidity in your house or mouth breathing while you sleep. Stopping the alcohol consumption does change your sleep pattern and may unmask sensations that were there in the past but not recognized because of the effects of the alcohol.
S.A.Liroff, M.D.
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