5. Practice Kegel Exercises Weak pelvic floor muscles , which sit under the bladder, can lead to accidental pee leakage.e60dc2a1-f33c-4a05-9b50-8e3e8e597629a61bea50-3436-4d7d-828b-7470c6a97a72 Experts say strengthening them can help with bowel control and potentially reduce overnight bathroom breaks. You can do this through Kegel exercises , which involve clenching and releasing the muscles that control the flow of urine. These are often described thus: Pretend you’re peeing, then hold it for a few seconds. Kegel exercises can be done anytime you’re sitting or lying down.e60dc2a1-f33c-4a05-9b50-8e3e8e59762975eb4830-f808-4324-85c5-176dfed17159 To try these for nocturia management, experts suggest three rounds of 8 to 12 Kegel contractions, holding each for 6 to 8 seconds. This counts as one session. Work your way up to three or four sessions per week, and continue the exercises for at least three months for best results.e60dc2a1-f33c-4a05-9b50-8e3e8e59762940d80b85-5be0-4437-b4f9-3cb8504f6150
The Takeaway While occasional nighttime bathroom trips can be a normal part of aging, two or more per night (known as nocturia) can interfere with your sleep, quality of life, and overall health. For some people, lifestyle adjustments — including changing your fluid intake and timing, improving sleep hygiene, limiting sodium levels, elevating your legs in the evening, and more — can lead to longer stretches of uninterrupted sleep. Experts say there’s no one-size-fits-all treatment for nocturia. See a healthcare professional if nighttime awakenings become bothersome or more frequent than a few times per night to rule out underlying health conditions and advise on possible treatments.
6. Watch Out for Salty Foods Similar to bladder irritants, salty foods can increase nighttime bathroom trips. “A salty diet can cause your body to retain fluid,” Lerner explains. “Then, at night, your body starts to clear all of that extra sodium into the urine.” To fix this nocturia trigger, try reducing your salt intake — especially later in the day.e60dc2a1-f33c-4a05-9b50-8e3e8e5976291dcbec40-a85a-4463-abbe-fd2507f1473a A good rule of thumb might be adhering to the American Heart Association’s recommended daily sodium limit of 2,300 milligrams (mg), Weiss suggests. “A low-sodium diet has been found in our clinic to significantly [improve] nocturia,” he says.
1. Be Mindful of Bladder Irritants (Like Caffeine, Alcohol, and Carbonation) Beverages that contain bladder-irritating ingredients could be contributing to your urge to go overnight.e60dc2a1-f33c-4a05-9b50-8e3e8e597629c54f722b-2173-4c89-8c47-31609c09d0cd “ A lot of people don’t realize that caffeine makes you pee,” says Lori Lerner, MD , a urologist and an associate professor at Boston University’s Chobanian & Avedisian School of Medicine. That’s because caffeine is a diuretic , meaning that it increases urine production to help your kidneys remove excess water and sodium from the body.e60dc2a1-f33c-4a05-9b50-8e3e8e597629808fbd78-1572-4220-8c6d-dc6ba953aa35 The same is true of alcohol, which may additionally impact urinary urgency (the feeling that you need to pee right away) and frequency (the number of times you pee) .e60dc2a1-f33c-4a05-9b50-8e3e8e597629a18145d2-ad3f-485d-be1a-cb93c8961376 Other bladder-irritants include:e60dc2a1-f33c-4a05-9b50-8e3e8e597629592db1ba-653c-400c-8580-a89d8aec24ef Carbonation (the bubbles in soda and sparkling drinks) can increase a sense of urgency, irritate the bladder lining, or increase bladder sensitivity. Acidic ingredients such as citrus fruits and tomatoes can inflame the bladder lining, which can feel like burning, discomfort, or an urgent need to pee. Artificial sweeteners may irritate the bladder or trigger other symptoms, but the research is limited. Common artificial sweeteners include aspartame, saccharin, sucralose, and acesulfame potassium. You may reduce your nighttime wakings by steering clear of these drinks before bed.e60dc2a1-f33c-4a05-9b50-8e3e8e5976298c053c05-4ee7-4e54-9d0b-cb9fc970ac99 Stop drinking caffeine at least six hours prior to bedtime.e60dc2a1-f33c-4a05-9b50-8e3e8e59762935aecefb-fa2f-4e9a-b3f4-5f4cacb799a3 And for alcohol, experts generally recommend finishing your last drink three to four hours before going to sleep .e60dc2a1-f33c-4a05-9b50-8e3e8e597629539fff97-4066-45aa-b1b3-c398bafaf48e
Waking up in the middle of the night to use the bathroom can feel like an inevitable inconvenience that you just have to put up with, especially as you get older. But while nighttime bathroom trips can become more common with age, they’re not necessarily a normal part of aging. Known as nocturia , this pattern is typically defined as waking up to pee two or more times nightly. It can sometimes be linked to underlying health conditions, but many times, everyday (modifiable) habits play a role.e60dc2a1-f33c-4a05-9b50-8e3e8e597629d978051c-af39-4284-a972-801ca979f10e Here are nine expert-backed, lifestyle-focused tips to cut down the number of times you get up at night to pee — so you can spend more time getting the uninterrupted sleep your body needs .
3. Adjust Medication Timing if Needed Certain medications can trigger you to pee more often , which is exactly what you want to avoid at night. For example, short-acting diuretics (or water pills) that reduce fluid buildup for conditions like high blood pressure can increase urine production several hours later, so when you take them during the day is important.e60dc2a1-f33c-4a05-9b50-8e3e8e59762951b44fa9-32bb-4cd5-ae51-66453f1dd0ef If medications like these aren’t worn off by bedtime, it can trigger the body’s excess fluids to pass through the kidneys, producing urine.e60dc2a1-f33c-4a05-9b50-8e3e8e597629bd00751a-ce0d-4c65-b6a7-56d326f00a9d For diuretics taken twice daily, for example, the evening dose should be taken six to eight hours before bedtime to reduce the chances of an overnight bathroom trip. Talk to your healthcare professional if you want to adjust your diuretic dosing time to midafternoon to decrease nocturia. If you do have to take a diuretic closer to nighttime, experts suggest swallowing the pill with a sip of water, rather than a whole glass.
8. Improve Your Sleep Hygiene Getting better sleep is not only good for your overall health, but it may help reduce nighttime bathroom trips, since insomnia , sleep apnea , and other sleep issues can contribute to or cause nocturia. Sometimes sleep issues are the reason you’re waking up, but because you might also need to pee in the middle of the night, you may incorrectly think nocturia is the cause of sleep disruption.e60dc2a1-f33c-4a05-9b50-8e3e8e5976290e352256-9243-4e23-a7f7-092d6897a048 To remedy this, experts recommend establishing a healthy bedtime routine by:e60dc2a1-f33c-4a05-9b50-8e3e8e5976290d0dda67-6d07-4bf2-ab6f-d1558e3ada2f Setting a consistent bedtime Keeping your bedroom quiet, dark, and cool Limiting screen time before bed Avoiding afternoon naps, particularly after 3 p.m. Limiting extra or unnecessary time spent in bed
2. Limit Your Evening Fluid Intake and Snacks It’s also helpful to adjust exactly how much you’re eating and drinking in the evening. Drinking more fluids later in the day and eating some foods can lead to peeing more at night.e60dc2a1-f33c-4a05-9b50-8e3e8e5976291cb8bc0b-79ff-4d25-a99c-c28b6428d27f While it’s healthy to hydrate normally during the morning and afternoon, you wouldn’t want to chug two cups of water right before bed. The same goes for midnight food and drink cravings, as some foods — such as animal protein — can also increase urine production, Dr. Lerner says. “Don’t drink fluid when you wake up in the middle of the night thirsty, and don’t eat in the middle of the night,” she adds. For example, you might limit evening fluids by tapering your beverages after dinner, and then avoiding even water in the two hours before sleep (since ideally you have stopped drinking caffeine and alcohol hours ago).e60dc2a1-f33c-4a05-9b50-8e3e8e597629d7900ae8-a8c8-4a1f-82cb-3d7d9b787d8c At first, it helps to pay extra attention to your body’s thirst cues rather than drinking out of habit, says Jeffrey P. Weiss, MD, PhD , a urologist and professor and the chair of the department of urology at SUNY Downstate Health Sciences University in Brooklyn, New York. “Drink only the minimum to satisfy thirst during the evening,” he suggests.
7. Elevate Your Legs Fluid buildup in the lower extremities — which can happen if you’ve been sitting for too long, you’re dealing with an injury or condition, or you’re taking some medications — may be contributing to your nighttime pee breaks.e60dc2a1-f33c-4a05-9b50-8e3e8e59762924f359b0-7fa7-4d3b-95a5-65f796556e8f That’s because the body will balance out and redistribute excess fluid by excreting it through urine.e60dc2a1-f33c-4a05-9b50-8e3e8e59762924011c2a-c1fc-4bcd-8663-dc0822cfb7f9 “If you notice a lot of leg swelling during the day, then elevating your legs for some period of time before bed could help you mobilize any extra fluid that’s accumulated — which your body starts to get rid of at night,” Lerner says. Try lying down and elevating your legs for 30 minutes to an hour, or wearing compression socks .e60dc2a1-f33c-4a05-9b50-8e3e8e5976290c053c29-41ce-4e74-8bcd-45216bdb04f5 Experts recommend doing this in between dinner and bedtime so your body can pee out the excess before you fall asleep.e60dc2a1-f33c-4a05-9b50-8e3e8e5976295ee85111-e247-4b07-99e1-dbffe208fd19
4. Manage Blood Sugar Levels For those with diabetes or prediabetes, managing blood sugar levels and reducing spikes could help reduce how often your body wakes you up to pee. People with elevated blood sugar (glucose) levels may have to pee frequently, including at night, as the body attempts to excrete excess glucose.e60dc2a1-f33c-4a05-9b50-8e3e8e597629c0568ea3-f5f9-4b70-b2bf-73eb9f53525a Some research has suggested that people with diabetes are significantly more likely to experience nocturia.e60dc2a1-f33c-4a05-9b50-8e3e8e597629d79a902a-5df9-4f84-ae2d-3af35ec228c4 Dr. Weiss points out that certain types of diabetes drugs, like sodium-glucose cotransporter 2 (SGLT-2) inhibitors , can trigger both daytime and nighttime urinary frequency , thanks to the way they encourage glucose (and fluid) excretion. Switching to a different medication may help, according to research.e60dc2a1-f33c-4a05-9b50-8e3e8e5976290343ef62-a1ef-4f37-bd2d-855d0774911b It’s best to discuss your treatment plan with a healthcare provider to make sure it’s not contributing to your nighttime bathroom trips.
9. See a Healthcare Provider If lifestyle changes aren’t cutting it, it may be time to see a healthcare professional to check for an underlying health condition — like a sleep disorder , congestive heart failure , or hypertension.e60dc2a1-f33c-4a05-9b50-8e3e8e5976294809e6eb-a1df-4cae-94f5-0ac1a30ddbdb Your doctor can also recommend a treatment plan that could include medications geared toward regulating urine production or frequency.e60dc2a1-f33c-4a05-9b50-8e3e8e59762964089430-8550-42b6-ab84-c9e2dacd46cf Lerner points out that nocturia can be the result of various triggers, including sleep disorders, bladder changes, or high urine production. “These can be relatively harmless reasons, but they could also be an indicator that there are other medical issues going on that would warrant treatment or could improve your quality of life, and even life expectancy,” she says.
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